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: prozac / prednisone attending: chief complaint: elective cath major surgical or invasive procedure: cardiac cath with stent placement to lad egd history of present illness: this is a 71 y.o. gentleman with h/o htn, hyperchol, fh of cad presents to for elective cath. he was in his usoh until about 6 months ago when he developed gradual onset of chest pressure with exertion. he had an ett mibi in with severe anterior wall reversible defect. there was no intervention at that time. he then had an admission to an osh in for upper gi bleed and found to have an ampullary mass. biopsies were (-) for malignancy. at that time his hct fell to 21 and he developed chest pain. he was transfused with resolution of chest pain. on he was admitted to the cmi service at for elective cardiac cath. he was enrolled in the event registry. he was given 600 plavix and integrillin. found to have a 90% prox lad, 80% mid lad, both stented with bare metal stents. following the cath the patient complained of diplopia and developed hematemesis. the integrillin was held. he was admitted to the ccu, with gi and neurology consults, for observation. past medical history: 1) htn 2) hyperlipidemia 3) c6-7 herniated disc 4) arthritis 5) hemorrhoidectomy x 2 6) vasectomy 7) lap ccy 8) t&a social history: married with 4 children. he has worked in auto insurance as a sales and marketing consultant. he is the primary care giver for his wife who had a traumatic brain injury in 7/. family history: mi in father at 47 physical exam: bp:137/78, hr:65, rr:14, o2:98% gen: nad. a/o x 3 heent: atraumatic. moist mm. op: wnl neck: no jvd. pulmonary: cta b/l without wheezes. cv: rr, no m. abd: s/nt/nd. ext: warm 1+ dp pulses b/l neuro: motor: upper and lower, : gi to lt. cn: **inabiltity to adduct left eye. o/w cnii-xii gi. relflexes 1+ at patellar b/l. ftn intact. intact. visual acuity preserved through ou pertinent results: admission labs: ck(cpk)-59 hct-34.0* plt count-196 glucose-122* urea n-21* creat-1.2 sodium-139 potassium-4.1 chloride-103 total co2-24 anion gap-16 calcium-9.7 phosphate-3.2 magnesium-1.9 wbc-7.1 rbc-4.25* hgb-10.8* hct-32.3* mcv-76* mch-25.3* mchc-33.3 rdw-19.8* . cath results : lv end diastolic volume index (nl 50-90 ml/m2). 38 lv end systolic volume index (nl 15-30 ml/m2). 13 lv stroke volume index (nl 35-75 ml/m2). 25 lv ejection fraction (nl 50%-80%). 66 qualitative wall motion: : 1. antero basal - normal 2. antero lateral - normal 3. apical - normal 4. inferior - normal 5. postero basal - normal **right coronary 1) proximal rca normal 2) mid rca normal 2a) acute marginal normal 3) distal rca normal 4) r-pda normal 4a) r-post-lat normal 5) left main normal 6) proximal lad discrete 90 7) mid-lad normal 8) distal lad discrete 90 9) diagonal-1 normal 12) proximal cx normal 13) mid cx normal 13a) distal cx normal 14) obtuse marginal-1 discrete 80 . successful ptca and stenting of the proximal lad with a 3.5 x 18 mm vision bms which was postdilated to 3.75 mm distally. final angiography revealed no residual stenosis, no apparent dissection, and normal flow . ct head : no intracranial hemorrhage or mass effect. chronic small vessel infarction. no evidence to suggest acute infarction, however suspicion remains high, an mri would be more sensitive to assess for this. . mri head : 1) no evidence of acute infarction. chronic microvascular ischemic changes. 2) normal mr angiography of the circle of and its tributaries. . carotid u/s : moderate plaque with a right 40-59% carotid stenosis. this will fall to the lower end of the range. on the left, there is a less than 40% carotid stenosis. brief hospital course: 71 y.o. male with newly diagnosed ampullary mass, htn, hyperlipid now s/p elective cath with 2 bare metal stents to lad with subsequent upper gi bleed and diplopia concerning for acute cva. 1) cad s/p elective cath: patient was continued on aspirin, plavix, and atorvastatin after his catheterization. his metoprolol was restarted and increased to 50 mg po bid and his enalapril was restarted and increased to 20 mg po bid before discharge. patient did not have any further cp or sob after transfer to the ccu. he was monitored on telemetry and his troponins never exceeded 0.01. patient will follow up with his pcp for of his bp soon after discharge given the changes that were made in his bp regimen. . 2) reversible ischemic neurologic deficit (rind) presenting with isolated left medial rectus plegia without nystagmus : patient was consulted by neurology. work up included carotid u/s dopplers which did not show significant stenosis, and ct and mri of the brain which did not show any signs of acute infarction. blood pressures were kept between 130-160. ophthalmoplegia and diplopia resolved after 3 days without intervention. will continue aspirin and statin as outpatient and have patient follow up in stroke clinic if new symptoms arise. . 3) upper gi bleed: patient arrived to the ccu after vomiting 300+cc of blood which was thought to be due to his known ampullary mass. an ng tube was placed, 2 large bore pivs were secured, and he was monitored with serial hcts. patient was increased to pantoprazole 40 mg iv bid. hematemasis resolved and patient was taken for egd which showed no further bleeding, but friable tissue over the ampullary mass. his hct remained stable throught rest of hospitalization. patient did have some abdominal discomfort which resolved after his hematemasis subsided. patient will follow up with dr. in 6 weeks for repeat egd and resection of mass (must be off plavix for 2 weeks prior to procedure.) . 4) fen: patient's electrolytes were stable throughout admission, his diet was advanced without difficulty. . 5) dispo: patient was discharged to home with ot vna services in good condition. medications on admission: hctz 25, ppi 40 qd, vasotec 20 , lopressor 100 , lipitor 40 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) for 30 days. disp:*30 tablet(s)* refills:*0* 3. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 6. outpatient lab work weekly cbc until appointment with gi doctor in 6 weeks. fax results to dr. at 1-. 7. enalapril maleate 20 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: home health & hospice nh discharge diagnosis: coronary artery disease upper gastrointestinal bleed reversible ischemic neurologic deficit (rind) discharge condition: good discharge instructions: of breath, dizziness, or new onset of numbness, weakness or change in vision. followup instructions: 1)provider: . from gastroenterology at 1- for an appt in 6 weeks. call your cardiologist regarding discontinuation of your plavix (after a minimum of 4 weeks on plavix). 2)provider: , m.d. where: cardiac services phone: date/time: 10:30 3)weekly blood draws - please go to your local laboratory for a weekly blood draw to check your blood counts. fax results to dr. at 1- 4)please follow up with your primary doctor of your bp within one week. procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures other endoscopy of small intestine injection or infusion of platelet inhibitor left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension other nervous system complications other and unspecified angina pectoris hematemesis benign neoplasm of stomach unspecified disorder of biliary tract 

Answer: The patient is high likely exposed to