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: penicillins / sulfa (sulfonamide antibiotics) attending: chief complaint: stemi major surgical or invasive procedure: cardiac catheterization with thrombectomy to bare metal stent in the left coronary artery history of present illness: mr. is a 52 year-old male with a pmh of cad s/p pci in , htn, niddm admitted with anterior stemi. the patient presented with complaints of three hours of chest pain with radiation to his left arm. he had associated nausea and sob. he called his pcp who instructed him to go to the ed. his previous presentation prior to his last cath was of increasing dyspena on exertion. he denied having a history of chest pain. . in the ed, initial vitals were t 96.4, hr 96, bp 199/117, rr 20, o2 98%. ecg demonstrated st elevations i, ii, avl, v2-v6 with st depressions avr. he was given clopidogrel 600mg, metoprolol 5mg iv, nitroglycerin sl and gtt started, asa 81mg, morphine 2mg iv and eptifibatide gtt was started. ck 302 with troponin 0.14. he was taken emergently to the cardiac cath lab. . at cath he was found to have 100% proximal stent thrombosis of the lad. lcx and rca were normal. he underent thrombectomy and ptca of the stent with good result except for a residual cutoff to the distal diagnoal. he was given a loading dose of plavix 600 mg and continued on the eptifibatide gtt and nitro gtts. he was also given 3 200 mcg boluses of nicardipine. . on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he admits to awakening occasionally with about an hour of subjective fevers/chills, but has had no persistent fevers. all of the other review of systems were negative. . cardiac review of systems is notable for absence of dyspnea paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: diabetes, hypertension 2. cardiac history: -percutaneous coronary interventions: 3. other past medical history: cad s/p bare metal stent to the proximal lad placed 2 years ago niddm hypertension social history: he works at a sausage cart vendor . he admits to smoking 3ppd for 35 years. he denies alcohol or drug use. family history: significant for his father dying from a mi at age 76. physical exam: general: middle-aged male, somewhat anxious lying in bed in nad. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: jvp not able to be visualized. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. extremities: no edema. right femoral area has bandage with some blood present in place. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: femoral 2+ dp 1+ pt 1+ left: femoral 2+ dp 2+ pt 2+ pertinent results: 06:05am wbc-13.7* rbc-5.67 hgb-17.6 hct-52.2* mcv-92 mch-31.1 mchc-33.8 rdw-13.5 06:05am neuts-85.0* lymphs-9.8* monos-4.2 eos-0.4 basos-0.6 06:05am glucose-317* urea n-26* creat-1.2 sodium-137 potassium-3.8 chloride-101 total co2-23 anion gap-17 06:05am calcium-10.1 phosphate-4.2 magnesium-1.8 06:05am ck-mb-12* mb indx-4.0 06:05am ctropnt-0.14* 06:05am pt-11.9 ptt-25.1 inr(pt)-1.0 ekg: sinus rhythm. anterolateral myocardial infarction with st-t wave configuration consistent with acute process. ccath: comments: 1. coronary angiography in this right dominant system demonstrated single vessel coronary disease. the lmca, lcx, and rca were without angiographically apparent disease. the lad had 100% proximal in-stent thrombosis. 2. limited resting hemodyanmics revealed systemic arterial normotension. 3. percutaneous thrombectomy (utilizing the export catheter), and serial ptca of the proximal lad thrombotic occlusion with 3.5, 4.0 and 4.5 mm balloons. final angiography showed an excellent result in the treated lesion with no residual stenoses, residual thrombus or flow-limiting dissection. timi 3 flow was evident throughout the lad system with a cut off (emboli) to the distal diagonal branch. 4. ivus of the proximal lad (including the old stent and the whole segment), showed an mld of 4.3 mm and well apposed stent without residual thrombus or dissection. 5. successful deployment of a 6f angioseal to the rcfa. 6. due to the patient's body habitus, access was moderately difficult advancing the j wire retrogradely, requiring magic torque wire. final diagnosis: 1. single vessel coronary artery disease with st elevation mi from acute thrombotic occlusion of the proximal lad consistent with very-late stent thrombosis. 2. percutaneous thrombectomy of the thrombotic proximal lad lesion with export catheter. 3. ptca of the proximal lad lesion (including the stent) with 3.5, 4.0, and 4.5 mm balloons with excellent final result. 4. ivus of the proximal lad showed excellent ptca result. 5. successful closure of the rcfa with 6f angioseal. 6. embolic occlusion of the distal diagonal . monitor renal function and switch to renal dose if gfr < 50. 7. prasugrel (not plavix) starting in am with 60 mg bolus then 10 mg daily. 8. complete smoking cessation, weight loss (minimum of 10% of current weight), and best medical management for secondary prevention (target bp < 130/80, ldl <70, hdl>45, tg<150). tte: the left atrium is elongated. left ventricular wall thicknesses and cavity size are normal. there is severe regional left ventricular systolic dysfunction with akinesis of the anterior wall, septum and apex. the remaining segments contract normally (lvef = 25-30%). anterior wall and septum appear slightly edematous, suggesting a recent mi. no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. mild (1+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is a very small pericardial effusion. the effusion appears circumferential. impression: severe regional left ventricular systolic dysfunction, c/w recent lad-territory myocardial infaction. very small pericardial effusion. brief hospital course: mr. is a 52 year-old male with pmh of hypertension, hl, cad s/p bare metal stent in admitted with a stemi secondary to an instent thrombosis s/p thrombectomy. #. coronaries/stemi: the patient presented with chest pain and ste in v2-v6, i, ii, avl. cardiac catheterization showed instent thrombosis of the proximal lad bare metal stent (previously placed around 2 years prior). he had the thrombosis removed and was admitted to the ccu. the patient was initially plavix loaded and was given integrillin and was continued on aspirin, simvastatin, nitroglycerin gtt. the patient was soon started on metoprolol tartrate for blood pressure and heart rate control. initially the plan was to start prasugrel, however, the patient was unable to attain the medication at a pharmacy near his house. thus, he was started on plavix 150mg daily. an ace inhibitor was also added. the patient had a tte which showed apical akinesis and a depressed ejection fraction. he was started on warfarin and lovenox 150mg . he was counselled on smoking cessation. he was discharged with follow up with dr. . #. decrease ejection fraction: the patient was started on ace inhibitor and metoprolol tartrate as described above. the patient will follow up with dr. as an outpatient. #. hypertension: the patient was continued on lisinopril 20mg and started on metoprolol succinate 50mg daily. he had good blood pressure control as an inpatient. #. diabetes type ii: the patient was started on an insulin sliding scale. he was switched back to his oral medications as an outpatient. #. anxiety: the patient presented and was very anxious. he denies history of alcohol abuse. it is likely related to nicotine withdrawal. he was given nicotine patch and nicorette gum prn for withdrawal sypmtoms. medications on admission: glipizide xl 10 mg po daily metformin 1000 mg qam, 500 mg qpm simvastatin 80 mg po daily niaspan 1000 mg po daily lisinopril 20 mg po bid hydrochlorothiazide 12.5 mg po daily asa tablet ? metoprolol (not mentioned in the last note, but per dr. he was on this) discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. nicotine 21 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). disp:*30 patch 24 hr(s)* refills:*2* 3. simvastatin 80 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* 4. lisinopril 20 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. warfarin 5 mg tablet sig: one (1) tablet po once daily at 4 pm. disp:*30 tablet(s)* refills:*2* 6. metformin 1,000 mg tablet sig: one (1) tablet po every morning. 7. metformin 500 mg tablet sig: one (1) tablet po at bedtime. 8. glipizide 10 mg tablet sig: one (1) tablet po once a day. 9. niaspan 1,000 mg tablet sustained release sig: one (1) tablet sustained release po once a day. 10. clopidogrel 75 mg tablet sig: two (2) tablet po once a day. disp:*60 tablet(s)* refills:*2* 11. lovenox 150 mg/ml syringe sig: one (1) ml subcutaneous twice a day. disp:*10 syringes* refills:*2* 12. lorazepam 1 mg tablet sig: one (1) tablet po at bedtime as needed for anxiety: do not drive while taking this medication. disp:*7 tablet(s)* refills:*0* 13. lovenox 150 mg/ml syringe sig: one (1) ml subcutaneous twice a day for 2 doses. disp:*2 syringes* refills:*0* 14. toprol xl 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po once a day. disp:*90 tablet sustained release 24 hr(s)* refills:*2* discharge disposition: home discharge diagnosis: st elevation myocardial infarction acute systolic dysfunction with ef 25% hypertention diabetes mellitus type 2 discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you had a clot in your stent that caused a heart attack. the clot was removed and there is now good blood flow through the stent. you will need to restart your plavix to protect your heart. your heart is also weak after the heart attack. this increases your risk of blood clots. you will need to inject lovenox twice daily to keep your blood thin and take couamdin for at least a few months until your heart function improves. dr. will monitor your labs and tell you when you can stop taking the injections. you are also at risk for fluid retention because of your heart fucntion. weigh yourself every morning, md if weight goes up more than 3 lbs in 1 day or 6 pounds in 3 days. . medication changes: 1. start taking plavix 150mg daily 2. start taking enoxaparin (lovenox) 150mg under the skin twice daily. 3. start taking coumadin to prevent blood clots. please check your inr on at dr. office. 4. increase your aspirin to 325 mg daily 5. stop taking hydrchlorothiazide 6. start taking metoprolol to lower your heart rate and help your heart recover from the heart attack. 7. use the nicotine patch to help you quit smoking. this is the most important thing you can do for your health. followup instructions: cardiology: , b. phone: date/time: please call the office on monday morning to arrange a blood test for the coumadin level and to schedule a follow up appt for 2 weeks. procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on two vessels diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled percutaneous transluminal coronary angioplasty status acute myocardial infarction of anterolateral wall, initial episode of care anxiety state, unspecified other complications due to other cardiac device, implant, and graft chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to