Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain major surgical or invasive procedure: coronary catheterization history of present illness: patient is a 57 year old male with past medical history of idet controlled hypertension who presented to er with 7/10 chest pain located mid-sternal starting about 2 hours prior to admission with radiation to the jaw. patient was working at a paint store when this started and he began to feel diaphortic. denies any nausea, vomiting, parastheias in his arm or radiation to the back. patient denied any shortness of breath, palpitations, syncope, or presyncope. the pain gradualy worsened and he drove himself to the hospital. patient recieved an ekg showing st elevations in the inferior leads and sinus bradycardia to 55 bpm. he recieved three (3) sublingual nitroglycerine and pain improved to . he recieved 325mg of aspirin, 600mg plavix, heparin 4000 unit bolus followed by heparin drip. he recieved an integrillin bolus of 6.2cc followed by a drip and 1mg of ativan. he was given 80mg of atorvastatin and transfered to for emergent cardiac cath. patient was taken to the cath lab and was found to have a right dominant system with 95% stenosis to the mid rca with timi 2 flow and 50% distal rca stenosis. lad 50% proximal and 60% mid. left circumflex had 60% om1. patient was given a 3.0 33 cypher tot he rca. an acute marginal branch which had 80% stenosis and timi 2 flow became occluded after stenting and could not be reopened. patient had transient hypotension during the procedure requiring dopamine iv for approximatly 20 minutes. during and after the procedure in recovery the patient had 9 beat runs of vt and multiple pvcs consistant with reperfusion. patient remained hemodynamically stable and was transfered to the ccu. . on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, excessive bleeding, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. past medical history: htn which normalised with lifestyle changes social history: social history is significant for the absence of current tobacco use with a 40 pack year history. there is no history of alcohol abuse. family history: there is no family history of premature coronary artery disease or sudden death, dm, htn. physical exam: vs: t 98.1, bp 119/88, hr 50, rr 15, o2 99% on 2l nc gen: wdwn middle aged male in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with no appreciable jvp. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. audible s4, no m/r/g chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. abd: soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. no femoral bruits. dressing to the right groin is clean dry and intact. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp pertinent results: 11:29pm potassium-3.8 11:29pm ck(cpk)-1367* 11:29pm ck-mb-215* mb indx-15.7* 10:22pm potassium-7.4* 10:22pm ck(cpk)-1424* 10:22pm ck-mb-226* mb indx-15.9* 10:22pm plt count-211 05:15pm glucose-111* urea n-12 creat-0.8 sodium-138 potassium-3.8 chloride-105 total co2-25 anion gap-12 05:15pm estgfr-using this 05:15pm estgfr-using this 05:15pm hct-36.8* 05:15pm hct-36.8* . coronary catheterization (): 1. selective coronary angiography of this right dominant system demonstrated multivessel coronary artery disease. the left main demonstrated no angiographically apparent dissection with normal flow throughout. the left anterior descending artery had minor disease throughout including a 50% proximal and 60% mid vessel lesion. the left cirucmflex demonstrated an om1 with a 60% lesion. the right coronary artery demonstrated a mid 95% ulcerated lesion with timi ii flow distal to the lesion. 2. lv ventriculography was deferred. 3. limited resting hemodynamics demonstrated normal left (mean pcwp 14 atm) and right (rvedp 10 atm) heart filling pressures. the cardiac index measured via the fick method was preserved at 2.6 l/min/m2. 4. rhythm throughout the procedure was sinus rhythm and avir. the patient was hypotensive requiring transient dopamine infustion during periods of avir. 5. successful ptca and stenting of the mid rca with a cypher (3x33mm) drug eluting stent postdilated with a 3.25 mm balloon. final angiography demonstrated a jailed acute marginal with no flow that could not be rescued. no angiographically apparent dissection and timi iii flow throughout the native right coronary artery (see ptca comments). final diagnosis: 1. two vessel coronary artery disease. 2. acute inferior st elevation myocardial infarction. 3. preserved cardiac index. 4. successful ptca and stenting of the mid rca with a cypher drug eluting stent postdilated with a 3.25mm balloon. jailed acute marginal with no flow. . echo (): the left atrium is normal in size. the estimated right atrial pressure is 0-5mmhg. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with hypokinesis of the basal half of the inferior wall. the remaining segments contract normally (lvef = 45-50 %). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation.the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: mild regional left ventricular systolic dysfunction c/w cad.mildly dilated aortic root. clinical implications: based on aha endocarditis prophylaxis recommendations, the echo findings indicate prophylaxis is not recommended. clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. brief hospital course: pt was admitted to and taken straight to the cath lab and was found to have a right dominant system with 95% stenosis to the mid rca with timi 2 flow and 50% distal rca stenosis. lad 50% proximal and 60% mid. left circumflex had 60% om1. patient was given a 3.0 33 cypher to the rca. an acute marginal branch which had 80% stenosis and timi 2 flow became occluded after stenting and could not be reopened. patient had transient hypotension during the procedure requiring dopamine iv for approximatly 20 minutes. during and after the procedure in recovery the patient had 9 beat runs of vt and multiple pvcs consistant with reperfusion. patient remained hemodynamically stable and was transfered to the ccu. in the ccu pt did weel without any further arrhythmias. he was monitored on telemetry and cardiac enzymes were trended initially, peaking at ck-mb 226 and mb index 15.9. cholesterol panel was checked with the following results: ldl 97, hdl 47, total chol 167. his medical managment was optimized with asa 325mg, lisinopril 2.5mg, metoprolol 12.5 , atorvastatin 80mg, and plavix 75 mg. pt was instructed to not take the metoprolol if the systolic blood pressure was less than <90. pt remained cp free and without other symptoms, saturating well on room air, voiding on own, taking good po. the plan was for folllow-up care with pcp and dr. within weeks. medications on admission: aspirin 162 discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day: please do not take if systolic blood pressure is below 90. disp:*30 tablet(s)* refills:*2* 5. metoprolol tartrate 25 mg tablet sig: tablet po twice a day: please do not take if systolic blood pressure <90. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: st elevation myocardial infarction discharge condition: stable discharge instructions: you were admitted to with an st elevation myocardial infarction. please take your previous medications as prescribed. the following changes has been made to your medications: - please start taking aspirin 325mg daily for secondary cardiovascular prevention (to prevent another heart attack) instead of the lower dose of aspirin - please start taking atorvastatin 80mg daily for your heart and for your cholesterol. - please start taking lisinopril 2.5 mg daily for your heart and blood pressure (prevents remodelling of the heart) - please start taking metoprolol 12.5mg daily for your heart and blood pressure (prevents remodelling of the heart) ***but please measure your blood pressure every day for the first 2 weeks and stop taking if systolic blood pressure is less than 90*** - please start taking clopidogrel (plavix) 75 mg daily. if you develop chest pain, jaw pain, or chest pressure with pain radiating into arm, or if you for any reason become concerned about your medical condition please call 911 or present to nearest ed. **do not stop taking the aspirin or plavix unless instructed to do so by your cardiologist even if another doctor tells you to** followup instructions: please call your pcp for appointment to be seen within 1-2 weeks please schedule and appointment with dr. within weeks procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of drug-eluting coronary artery stent(s) infusion of vasopressor agent cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery unspecified essential hypertension personal history of tobacco use other specified cardiac dysrhythmias acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to