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: the patient has no known drug allergies. medications at home: 1. imdur 30 mg po q.d. 2. toprol xl 75 mg q.d. 3. lasix 40 mg p.o.q.d. 4. norvasc unknown dose. 5. zocor. 6. aspirin. past medical history: history revealed coronary artery disease with a non-q-wave mi in and . known chronic .......... and has had multiple pcis including brachytherapy to that lesion. pulmonary hypertension. on previous catheterizations the patient has been noted to have severely pa pressures as high as 90/45. she has had negative lower extremity dopplers for dvt in the past as well as ct angiograms felt to demonstrate evidence of pulmonary embolism. diabetes mellitus type 2. severe, poorly controlled hypertension. hypercholesterolemia. congestive heart failure with decreased ejection fraction most recently in showing an ef of 35% to 40% with diffuse hypokinesis inferior and apical akinesis. hypothyroidism status post thyroidectomy for multinodular goiter. gerd. anxiety disorder. allergies: the patient is allergic to penicillin, which causes edema; ace which causes a cough, as well as arbs, which are thought to cause cough and may partially have given her laryngeal edema in the past. social history: the patient is a distant tobacco user, quit 20 years ago. she has six children, lives in . she denies drug or alcohol use. family history: history revealed that the patient is widely positive for diabetes mellitus and coronary artery disease. physical examination: examination on admission revealed the following: blood pressure 180/100, heart rate 100, respiratory rate 24, oxygen saturation initially was 50%, subsequently, the patient was intubated. general: the patient is a morbidly obese african-american female with a large amount of redundant soft tissue of the neck. pupils equal, round, and reactive to light. sclerae were anicteric. jvp was not appreciated due to soft tissue. she had very distant heart sounds, s1 and s2 barely being audible. post intubation, the lungs were clear to auscultation anteriorly with diffuse rhonchi posteriorly and laterally. abdomen: obese, nontender, nondistended with hypoactive bowel sounds. extremities: the patient had 2+ pitting edema, distal pulses were intact. laboratory data: admitting labs revealed the following: bun and creatinine 20 and 1.7. hematocrit 42.7. coagulations normal. hospital course: (by issue) respiratory failure: etiology was thought to be multifactorial with lv failure and subsequently pulmonary edema as well as the severe pulmonary artery hypertension. the patient was treated aggressively with antihypertensive regimen, as well as diuresis, appropriate amounts of sedation as the patient was highly anxious with minimal stimulation with increase in her pulmonary artery pressures to systolic measurements of 100 mmhg. eventually, with the discharge antihypertensive regimen, the patient had stable pulmonary artery pressures of 40s/20s. a transesophageal echocardiogram was performed early in the hospital stay to rule out shunting, but there was no evidence of any intracardiac shunting to explain the pulmonary hypertension. lower extremity dopplers were done. the patient did not have any dvts to suggest chronic pulmonary embolisms. etiology of her chronic pulmonary hypertension was most likely secondary to hypertension of obesity and obstructive sleep apnea, but seemed to be adequately treated with aggressive antihypertensive regimen. laryngeal edema: the patient failed her initial extubation because of laryngeal edema with severe stridor that was refractory to inhaled racemic epinephrine. the patient was re-intubated and treated with aggressive doses of iv steroids and eventually transitioned to po prednisone, of which she will taper off. subsequent re-attempts at extubation were successful without any evidence of recurrence, laryngeal edema. etiology was thought to be mechanical irritation. renal: the patient had stable bun and creatinines throughout the hospital stay. infectious disease: the patient had spiked fevers and elevated white counts earlier in the hospitalization course with right lower lobe infiltrate. the patient was thought to be in aspiration pneumonia secondary to her emergence intubation. she was treated with a ten-day course of levofloxacin and flagyl and improved clinically. endocrine: the patient was kept on her home regimen of diabetes treatment and had fairly well controlled blood glucose, except for when she was on high doses of steroids during which time she briefly required an insulin drip. hypothyroidism: the patient was stable on a dose of levothyroxine and had a normal tsh. elevated creatinine: during the stay in the intensive care unit while on mechanical ventilation, the patient had periods of elevation creatinine kinase to the level of 6000 with negative mb fraction. this was thought to be a myositis or rhabdomyolysis and secondary to prolonged immobilization. this improved spontaneously over the course of her stay. discharge condition: stable. discharge status: the patient is discharged to rehabilitation. discharge medications: 1. enteric coated aspirin 325 mg p.o.q.d. 2. levothyroxine 50 mcg p.o.q.d. 3. albuterol inhaler one to two puffs q.6h.p.r.n. 4. zantac 150 mg p.o.b.i.d. 5. colace 100 mg p.o.b.i.d. 6. ativan 1 mg po q.6h.p.r.n. agitation. 7. furosemide 40 mg p.o.b.i.d. 8. amlodipine 20 mg po b.i.d. 9. metoprolol 50 mg po b.i.d. 10. prednisone 30 mg p.o.q.d. with taper over two weeks. 11. regular insulin sliding scale; nph insulin 30 units subcutaneously in the morning and 30 units subcutaneously in the evening. discharge diagnoses: 1. coronary artery disease. 2. congestive heart failure. 3. pulmonary hypertension. 4. anxiety disorder. 5. diabetes mellitus. 6. hypothyroidism. 7. chronic anxiety. discharge followup: the patient will followup with the primary cardiologist, dr. in one to two months after discharge from rehabilitation and with the primary care physician, . within one month of discharge from chronic rehabilitation. dr., 12-661 dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for 96 consecutive hours or more diagnostic ultrasound of heart insertion of endotracheal tube insertion of endotracheal tube enteral infusion of concentrated nutritional substances arterial catheterization pulmonary artery wedge monitoring diagnoses: diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other pulmonary insufficiency, not elsewhere classified unspecified acquired hypothyroidism anxiety state, unspecified pneumonitis due to inhalation of food or vomitus unspecified sleep apnea morbid obesity other disorders of muscle, ligament, and fascia unspecified hypertensive heart disease with heart failure 

Answer: The patient is high likely exposed to