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: this is a 60-year-old female with a prior inferior myocardial infarction in , persistent tobacco use, question of family history for coronary artery disease, and hypercholesterolemia who presents with the acute onset of chest pain radiating to the left arm, neck, and jaw since about 5 p.m. on the night of admission. the patient does also report shortness of breath, diaphoresis, nausea, and vomiting times three. she is a vague tangential historian. the patient called a friend to call 911. the patient had mild relief with sublingual nitroglycerin. electrocardiogram showed st elevations in leads v2 through v4. st depressions in leads ii, iii, and avf. q waves in v1 through v3. cardiac catheterization revealed a right-dominant system with a short left main coronary artery with dual ostia, left anterior descending artery with midsegment 90% stenotic lesion with a small thrombosis evident. the left circumflex had a 50% proximal stenosis and an 80% stenosis in the distal segment of the proximal vessel. the right coronary artery was dominant with a 50% midsegment stenosis and a 50% pld ostial stenosis. the mid left anterior descending artery lesion was stented. there was plaque into the second diagonal which was treated with angioplasty. there was no residual stenosis in the left anterior descending artery and 20% residual stenosis in the diagonal branch. timi-iii was obtained, and no dissections. pulmonary capillary wedge pressure was noted to be 22 with a cardiac index of 2.2. after intervention the electrocardiogram revealed showed residual st elevations in v3 and q waves in v1 through v4. no recurrent chest pain after the procedure. past medical history: 1. inferior myocardial infarction in . the patient underwent cardiac catheterization and rescue percutaneous transluminal coronary angioplasty of the right coronary artery. 2. she has poor dentition with gingivitis. 3. hypothyroidism; status post iodine radioblation. 4. positive tobacco use. 5. hypercholesterolemia. 6. medication noncompliance. 7. history of diabetes mellitus; questionable. medications on admission: (medications at home included) 1. aspirin 81 mg p.o. once per day. 2. atenolol 50 mg p.o. once per day. 3. lipitor 10 mg p.o. once per day. 4. levoxyl 50 mcg p.o. once per day. medications on transfer: (medications on transfer included) 1. aspirin 325 mg p.o. once per day. 2. eptifibatide 2 mcg. 3. plavix 75 mg p.o. once per day. allergies: sulfa drugs (cause a rash). the patient gets nauseous with codeine or percocet. social history: tobacco use, and the patient gets very defensive and tangential when questioned about smoking. family history: brother died of unknown causes at the age of 54. physical examination on presentation: physical examination revealed temperature was 98.4, heart rate was 84, blood pressure was 141/82, respiratory rate was 18, and oxygen saturation was 99% on 2 liters. pulmonary diastolic was 36/22 with a mean of 28. neurologic examination revealed no focal neurologic deficits. alert and oriented times three. cardiovascular examination revealed a regular rate and rhythm. no murmurs, gallops, or rubs. no jugular venous distention. no peripheral edema. pulmonary examination revealed the lungs were clear to auscultation. the abdomen was soft, nontender, and nondistended. bowel sounds were normal. extremity examination revealed the groin was covered. clean, dry, and intact. no bruits. head, eyes, ears, nose, and throat examination revealed no icterus. no pallor. extremity examination revealed distal pulses were intact and symmetric. the bilateral lower extremities were warm with good capillary refill. pertinent laboratory values on presentation: white blood cell count was 13.1 and hematocrit was 36.8. inr was 1.1. creatinine was 0.9. creatine kinase was 95. troponin was less than 0.3. pertinent radiology/imaging: a chest x-ray showed left basilar atelectasis. hospital course: ms. had no further chest pain or shortness of breath while in house. her swan-ganz catheter was pulled the day after catheterization. she was started on aspirin, plavix, and lipitor. she was noted to have a persistent heart rate of about 100 and a blood pressure on the low side (between 90 and 100 systolic). for this reason, a beta blocker and ace inhibitor were started cautiously. she was kept on telemetry, and there were no arrhythmias while in house. a post myocardial infarction echocardiogram was obtained and showed an ejection fraction of 30% with apical akinesis. for this reason, she was started on six months of anticoagulation. heparin and coumadin were started. after three days of 5 mg p.o. q.h.s. of coumadin and one day of 10 mg of coumadin, her inr was still 1.3. after a discussion with the patient, and after her expressing her desire to go home, the decision was made to transition her lovenox and coumadin as an outpatient. she was to follow up early next week for an inr check and anticoagulation medication adjustments. it should be noted that the patient did have minor gingival bleeding when placed on heparin, but hemostasis was spontaneously achieved. anticoagulation did not have to be held. a significant amount of time was spent with the patient by all members of the team from intern through attending. a sudden death risk stratification was discussed as was modification of lifestyle and risk factors. the patient did not express an interest in pursuing a discussion of these matters at this time. it should also be noted that when the subject of smoking tobacco was brought up, the patient became explosive and very tangential. she preferred to end the discussion when the subject turns to tobacco smoking. it was noted in the medical record that the patient has a history of medication noncompliance. from statements that she made while in house, it would not be surprising if she continued to be noncompliant with her medications. for this reason, as stated above, a significant amount of time was spent with her discussing the importance of taking her medications to minimize the risk of another myocardial infarction; especially since her ejection fraction had significantly decreased. she was to have followup with a visiting nurse to try to aid with medication compliance. discharge status: the patient was stable for discharge to home with a visiting nurse. condition at discharge: condition on discharge was stable. discharge instructions/followup: 1. the patient had a follow-up appointment with her new primary care provider (dr. ) on at 2:30 p.m. in the building. 2. the importance of followup and adherence to the advice of her physicians again was stressed. 3. the patient was advised to follow up at the cardiology clinic given that she did not currently have a cardiologist. medications on discharge: 1. lovenox 60 mg subcutaneously twice per day (until inr therapeutic). 2. coumadin 5 mg p.o. q.h.s. (inr to be reassessed on and coumadin dose adjustment will be made at this time). 3. atenolol 12.5 mg p.o. q.h.s. 4. lisinopril 5 mg p.o. q.h.s. 5. lipitor 20 mg p.o. once per day. 6. plavix 75 mg p.o. once per day. 7. aspirin 325 mg p.o. once per day. 8. levoxyl 50 mcg p.o. once per day. discharge diagnoses: 1. anterior myocardial infarction with resultant apical akinesis and decreased ejection fraction. 2. status post left anterior descending artery stent and diagonal percutaneous transluminal coronary angioplasty. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder acute myocardial infarction of other anterior wall, initial episode of care old myocardial infarction personal history of noncompliance with medical treatment, presenting hazards to health other postablative hypothyroidism 

Answer: The patient is high likely exposed to