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 an 89-year-old woman who presented to the emergency department after approximately 24 hours of "hot and sizzling" chest pain. the pain was substernal. it began the afternoon prior to admission. the patient denied radiation. she denied palpitations, shortness of breath, diaphoresis, nausea, or vomiting. the patient took tums without relief. the patient was unable to sleep the night prior to admission secondary to the chest pain. the patient denies palpitations. on the morning of admission, the patient noticed increase in pain. she went to see her primary care physician, . . she was then sent to the emergency department. in the emergency department, she received nitroglycerin, lopressor, morphine, and heparin. the patient denies at baseline shortness of breath or orthopnea. she denies paroxysmal nocturnal dyspnea. she denies fevers, chills. she has no urinary symptoms. she denies cough. at baseline, the patient is able to walk up a flight of stairs without shortness of breath. past medical history: 1. hypertension. 2. hypercholesterolemia. 3. hypothyroidism. 4. left lower lobe bronchiectasis. 5. myoclonal gammopathy. 6. neuropathy. 7. degenerative joint disease. medications at home: 1. lipitor 10 mg po q day. 2. synthroid 50 mcg po q day. 3. dyazide 37.5/25 po q day. allergies: no known drug allergies. social history: the patient denies alcohol or tobacco use. she lives alone. family history: her mother had a stroke at age 57. there is no family history of myocardial infarction, diabetes, or hypertension. physical examination on admission: the heart rate is 69, blood pressure 147/69, respiratory rate 20, oxygen saturation is 99% on 2 liters by nasal cannula. the patient is afebrile. general: the patient is in no apparent distress. heent: pupils are equal, round, and reactive to light bilaterally. extraocular eye movements were intact. the mucous membranes were moist. neck: there are no carotid bruits bilaterally. cvs: has regular, rate, and rhythm. there are no murmurs, rubs, or gallops. chest was clear to auscultation bilaterally. abdominal: bowel sounds are pleasant. abdomen is soft and nontender. rectal: occult blood negative. extremities: distal pulses are palpable bilaterally. there is no lower extremity edema. there is a right sheath in the right groin. laboratories: white count is 11.0, hematocrit 42.2, platelets 309. sodium 137, potassium 3.9, chloride 96, bicarb 26, bun 24, creatinine 1.3, glucose 125. a ck is 1,387, mb 174, troponin greater than 50. arterial blood gas shows a ph of 7.42, co2 of 42, oxygen of 78. electrocardiogram: shows sinus rhythm at a rate of 74. there is depression in v1 through v5. there is upright t wave in v1. cardiac catheterization: there is total occlusion of the proximal left circumflex. this was stented. the mid left anterior descending artery has an 80% lesion before the diagonal. there were faint collaterals to antengel small distal vessels at the end of initially occluded om-1. there was 70% ramus. the right coronary artery has a 50% stenosis. hospital course: the patient was admitted to the ccu after her cardiac catheterization, where her left circumflex was stented. there was an 80% lesion of the left anterior descending artery, which was not intervened on. 1. cardiovascular: the patient had a non-st elevation myocardial infarction by enzymes. she had her left circumflex stented in the catheterization laboratory. her 80% left anterior descending artery was not intervened upon. it is recommended the patient have a stress test as an outpatient to determine if the lesion in the left anterior descending artery is significant. the patient was started on aspirin and plavix postprocedure. she was also started on low-dose beta blocker. the patient was not started on an ace inhibitor as her blood pressure ran in the low 100s after the addition of the beta blocker. the patient was initially maintained on integrilin for 18 hours after cardiac catheterization. the patient had a transthoracic echocardiogram during this admission. this showed an ejection fraction of 60-65%. there was mild dilation of the left atrium. otherwise, the echocardiogram was normal. there were no wall motion abnormalities noted. 2. hematology: the day after the patient's cardiac catheterization, she was noted to have a 10 point hematocrit drop down to a hematocrit of 31. a ct scan was obtained to rule out retroperitoneal bleed. this revealed a hematoma in the right thigh. the patient was transfused 1 unit of packed red blood cells. her hematocrit bumped appropriately. her hematocrit remains stable throughout the rest of her stay in the hospital. 3. renal: the patient's creatinine was slightly elevated during this admission. her baseline creatinine is approximately 1.0-1.1. her hematocrit was 1.3-1.4 during this admission. this was felt secondary to dye received during cardiac catheterization. her creatinine should be checked as an outpatient. 4. endocrine: the patient has a history of hypothyroidism. her thyroid function was checked and was normal during this admission. 5. pulmonary: the patient has a history of bronchiectasis, though she has no active pulmonary issues during this admission. 6. gi: the patient was kept on a proton-pump inhibitor during her stay in hospital. 7. fen: the patient was started on a low sodium, cardiac diet during this admission. discharge diagnoses: 1. coronary artery disease, status post myocardial infarction, status post stenting of left circumflex. 2. right thigh hematoma. 3. anemia, requiring transfusions. 4. hypercholesterolemia. 5. hypertension. 6. hypothyroidism. 7. left lower lobe bronchiectasis. 8. monoclonal gammopathy. 9. neuropathy. 10. degenerative joint disease. medications at discharge: 1. aspirin 325 mg po q day. 2. plavix 75 mg po q day for nine months. 3. lopressor 12.5 mg po q day. 4. lipitor 10 mg po q hs. 5. levothyroxine 50 mcg po q day. discharge followup: the patient will follow up for cardiology with dr. on at 10 am. the patient will require an outpatient stress test to evaluate whether her left anterior descending artery lesion requires intervention. she should also have an outpatient abdominal/pelvic ultrasound to evaluate a left ovarian cyst which was found incidentally during this admission. the patient will continue to be followed by her primary care physician, . . dr., 12-248 dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter injection or infusion of thrombolytic agent diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia unspecified acquired hypothyroidism hematoma complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation bronchiectasis without acute exacerbation acute myocardial infarction of other lateral wall, initial episode of care other and unspecified ovarian cyst 

Answer: The patient is high likely exposed to