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: history of present illness: the patient is a 75-year-old woman with a history of smoking and without other risk factors for coronary artery disease who was transferred for . the patient was in her usual state of health until 1 p.m. on the day of admission when while cooking she experienced a bilateral shoulder ache with radiation to her epigastrium. this was associated with nausea and diaphoresis. she denied shortness of breath or palpitations. at the emergency department, the patient was found to have anterior st elevations in leads v2 through v4 on her electrocardiogram. she was treated with intravenous heparin and nitroglycerin; after which her blood pressure fell from 120/55 to 58/38 which was resolved to a systolic blood pressure in the 80s with dopamine treatment. she was then transferred to the to the coronary care unit. it should also be noted that she was thrombolysed at . the patient denied chest pain on arrival to , and it was unclear as to when the chest pain resolved. past medical history: 1. question of cerebrovascular accident with lacunar infarction. 2. hypertension in the past but not for about six years. social history: the patient has a 100-pack-year smoking history and is still smoking. she denies alcohol or drug use. family history: a sister passed away for a myocardial infarction in her 50s. physical examination on presentation: temperature was 95.8 degrees fahrenheit, her blood pressure was 82/54, her heart rate was 90, and her respiratory rate was 19. general physical examination revealed the patient appeared pale. the lung examination was normal. cardiovascular examination was normal. the extremities were cool but without edema. pertinent radiology/imaging: an electrocardiogram revealed a sinus rhythm at 78 beats per minute with q waves in v1 and v2. there were 1-mm st elevations in v1, and 2-mm st elevations in v2 through v4, and 1-mm st elevations in leads in i and avl. she was also noted later to have an accelerated junctional rhythm with continued st elevations in leads v2 through v4. later on, she had q waves in v1 through v5, i, and avl with continued st elevations in v2 through v5. pertinent laboratory values on presentation: the patient's white blood cell count was 17.6, her hematocrit was 43, and her platelets were 246. creatine kinase was around 3000 with a troponin of 16. brief summary of hospital course by issue/system: 1. st-elevation myocardial infarction issues: the patient was admitted to the coronary care unit and taken initial to the cardiac catheterization laboratory for persistent hypotension on arrival which revealed a pulmonary capillary wedge pressure of 30. she had a 99% lesion of the left anterior descending artery which was stented, and a 90% lesion to the right coronary artery which was stented, and a 60% lesion in the first obtuse marginal which was stented. there were no acute events after return from the catheterization laboratory. the patient required a blood transfusion of 1 unit of packed red blood cells. she was continued on a heparin drip. she was started on plavix 75 mg by mouth and aspirin. she was also started on captopril, metoprolol, and lipitor. the patient initially returned from the catheterization laboratory with an intra-aortic balloon pump which was discontinued soon after her return to the coronary care unit. the patient returned to the catheterization laboratory two days later for stenting of her right coronary artery and her left circumflex artery. she was hemodynamically stable throughout her cardiac catheterization. it should be noted that on telemetry the patient had some episodes of nonsustained ventricular tachycardia and short runs of bigeminy. however, she was without chest pain throughout the entire hospitalization. an echocardiogram done following all the interventions revealed overall left ventricular systolic function was moderately depressed with regional wall motion abnormalities; including akinesis at the apex, anteroseptal, and anterior walls. a small patent foramen ovale was noted to be present. her ejection fraction was 35% to 40%. the patient continued to be heparinized secondary to her low ejection fraction and was initiated on coumadin. the patient was unable to tolerate a beta blocker secondary to a low blood pressure; however, she was continued on aspirin, plavix, lipitor, and lisinopril. given the abnormalities on telemetry, there was a question of whether or not the patient would need implantable cardioverter-defibrillator placement in the future. she was to follow up with dr. in one month for an electrophysiology study. 2. hematologic issues: the patient was noted to be anemic during her hospitalization with an unknown etiology. hemolysis laboratories were negative. a computed tomography of the pelvis was negative for bleeding and guaiac was negative. she was to continue to have her hematocrit levels checked -weekly to verify stability and was encouraged to have an outpatient gastroenterology workup. discharge diagnoses: 1. coronary artery disease; status post inferior myocardial infarction. 2. anemia of unknown etiology. major surgical/invasive procedures performed: cardiac catheterization with stent placement on and . medications on discharge: 1. aspirin 325 mg by mouth once per day. 2. plavix 75 mg by mouth once per day. 3. lipitor 10 mg by mouth at hour of sleep. 4. protonix 40 mg by mouth once per day. 5. lisinopril 12.5 mg by mouth once per day. 6. coumadin 5 mg by mouth at hour of sleep (with possible adjustments based on inr). 7. lovenox 40 mg subcutaneously q.12h. (to be continued until inr is therapeutic with a goal of greater than 2). discharge instructions/followup: 1. the patient was instructed to follow up with her primary care doctor (dr. on . 2. the patient was instructed to follow up with her new cardiologist (dr. ) on . 3. the patient was instructed to follow up with dr. in one month for an electrophysiology study. 4. the patient was instructed to have her inr and hematocrit levels drawn by the services. 5. the patient was instructed to continue on a cardiac healthy diet with low sodium. condition at discharge: condition on discharge was stable. , m.d. dictated by: medquist36 d: 19:21 t: 03:30 job#: procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization combined right and left heart cardiac catheterization coronary arteriography using two catheters coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor implant of pulsation balloon transfusion of packed cells insertion of drug-eluting coronary artery stent(s) diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute myocardial infarction of other anterior wall, initial episode of care cardiac complications, not elsewhere classified hematoma complicating a procedure other chronic pulmonary heart diseases systolic heart failure, unspecified hypotension, unspecified 

Answer: The patient is high likely exposed to