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: transfer for cath major surgical or invasive procedure: cardiac catheterization history of present illness: 75 year-old man with a history of coronary artery disease s/p cabg, aortic stenosis with unstable angina over the past few weeks who was schedued for diagnostic cath at nebh on . at that time, found to have tight svg-om, occluded svg-rca, occluded rca and patent svg lad pci. patient transferred to for intervention, had ptca/bare metal stent svg to om2. cath complicated by lt main/lcx dissection and severe chest pain. had transeint hypotension to 80s. brief dopamein. also had emergent echo that was negative for tamponade. bp came up quickly to 164/73. dopa was turned off. patient transferred to ccu from cath lab. . on arrival to the ccu had midsternal chest pain radiating to both arms and diaphoresis. ekg showed old imi and st depressions v1 to v6 which was unchanged from ekg in cath lab. sbp in 160s. patient placed on o2 by nc, given 3 sl ntg, morphine and started on ntg drip. pain decreased to and then subsided. . the events prompting cath included an episode of cp, dizziness, blurring of vision on exertion 2 days ago which self-resolved. he was also found to have moderate as at nebh. aortic valve area of 0.8 with a gradient of 40. ros: h/o sob. no dizziness, palpitations, nausea, vomiting, pain in . no h/o weakness in arms or legs. no orthopnea, pnd, leg swelling past medical history: cabg at pci w/ stent hyperlipidemia l hip replacement r hip replacement prostate resection for bph gout cholecystectomy gerd social history: --wife died 6 months ago of cancer, now lives alone. jas a daughter who is hcp. --smoked 160 pack yrs. quit 15 yrs ago --drinks 2 glasses of red wine everyday --was a home builder. does not work anymore. family history: dm in siblings physical exam: 97.8 90 114/63 16 98 (after nitro drip on and beta-blocker) skin: no jaundice heent: no jvd, mmm cv: nl s1 s2, 3/6 systolic murmur in aortic area radiating to neck lungs: : soft, nt, nd, no hsm extr: cath site-- no bruit, no hematoma, no edema, 2+dp pulses neuro:aaox3, no deficits in lower extremities pertinent results: 03:55pm glucose-135* urea n-10 creat-0.6 sodium-135 potassium-4.8 chloride-106 total co2-21* anion gap-13 05:37pm hgb-8.5* calchct-26 o2 sat-95 05:37pm type-art po2-89 pco2-42 ph-7.42 total co2-28 base xs-2 08:11pm pt-12.1 ptt-34.0 inr(pt)-1.0 08:11pm plt count-256 08:11pm wbc-8.2 rbc-3.24* hgb-9.4* hct-27.2* mcv-84# mch-29.1# mchc-34.6 rdw-15.1 08:11pm calcium-8.9 phosphate-3.3 magnesium-1.7 08:11pm ck-mb-notdone ctropnt-<0.01 08:11pm ck(cpk)-68 08:11pm glucose-154* urea n-9 creat-0.5 sodium-137 potassium-3.9 chloride-106 total co2-25 anion gap-10 cath (): bare metal stent svg to om2 ptca taxus 2.50x12x2 stents placed with difficult guide support/calcified and hard to cross/expand. large dissection required ptca w/ high ,mi w/ pci s/p stent. underwent cath. severe chest pain post-cath. ekg showing st depression & twi in lateral leads & less prominently in inferior leads. changes dynamic. sx's improved w/ iv lopressor, sl nitro, low dose morphine. completed integrillin course. started on o2 by nc, morphine prn. con't aspirin, plavix, atorvastatin, & metoprolol pump: as: not thought to be symptomatic. had low bp after dissection in cath. was on dopa. bp came up quickly to 160s. d/ced dopa. on ntg drip, weaned off. bp now stable. volume status ~euvolemic. did not diurese aggresively given his h/o as. baseline ef 60% by echo done at . rhythm: no acute issues as: not currently an active issue. cautious volume management as above. anemia: unknown baseline, had some blood loss with cardiac cath; pt also has hematuria & guiac (+) stool (h/o gastritis & ulcer). responded well to 2uprbc hematuria: likely secondary to traumatic catheterization and exacerbated by anti-coag & anti-platelet therapy given w/ cardiac cath's. resolved. renal funx: despite significant dye load, pt's renal funx appears to be stable. gout:continued on allopurinol gerd:egd on showed chronic active gastritis. continued on protonix fen: cardiac diet ppx: protonix, sc heparin code: full dispo: transfer to the floor, daughter is hcp. medications on admission: asa plavix atenolol lisinopril atorvastatin allopurinol discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 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). 4. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed). disp:*30 tablet, sublingual(s)* refills:*2* 5. allopurinol 100 mg tablet sig: three (3) tablet po daily (daily). 6. multivitamin capsule sig: one (1) cap po daily (daily). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. lasix 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 9. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. atenolol 50 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: coronery artery disease cardiac catheterization complicated by left main/left circumflex artery dissection secondary: hyperlipidemia gout gerd discharge condition: stable ambulating without chest pain discharge instructions: please take all the medications as prescribed please do not stop taking aspirin and plavix unless told otherwise by your cardiologist if you have chest pain, shortness of breath, dizziness, blurring of vision, fever, cough, abdominal pain please contact your pcp. atenolol 50 mg every day. all previous medications. we have started you on 3 new medications, lisinopril 5 mg daily, plavix 75 mg daily and lasix 20 mg daily. followup instructions: please make a follow up appointment with dr () within 1-2 weeks. procedure: insertion of non-drug-eluting coronary artery stent(s) injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures transfusion of packed cells insertion of drug-eluting coronary artery stent(s) excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on two vessels insertion of four or more vascular stents diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux acute posthemorrhagic anemia aortic valve disorders accidental puncture or laceration during a procedure, not elsewhere classified other and unspecified angina pectoris cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other complications due to other cardiac device, implant, and graft 

Answer: The patient is high likely exposed to