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: past medical history: 1. coronary artery disease with transthoracic echocardiogram on showing moderately dilated left ventricle with anterior apical left ventricular aneurysm, moderate depressed lv function, ef 30-35%, anterior, septal, and apical akinesis. 2. status post myocardial infarction times two. 3. hyperlipidemia. 4. status post pacemaker placement six years ago for syncope. 5. hypertension. 6. urinary incontinence. 7. lower back pain. 8. osteoporosis. allergies: the patient has no known drug allergies. admission medications: 1. diovan 80 mg p.o. q.d. 2. lipitor 10 mg p.o. q.d. 3. aspirin. 4. toprol xl 25 mg q.h.s. 5. digoxin 0.125 mg q.d. 6. vitamin d 400 mg q.d. 7. calcium 600 mg p.o. q.d. 8. oxybutynin one-half a tablet p.o. b.i.d. 9. fosamax q. week on sunday. social history: the patient lives alone at an facility. she has a remote tobacco history, quit 50 years ago. no current alcohol use. her daughter is , phone number . family history: mother with diabetes. physical examination on admission: vital signs: temperature 97.9, blood pressure 133/57, heart rate 72, oxygen saturation 100% on nonrebreather. general: the patient was alert and oriented times three in no apparent distress lying flat in bed. heent: normocephalic, atraumatic. extraocular muscles were intact. the pupils were equal, round, and reactive. the oropharynx was clear. neck: jugular venous distention to approximately 10-12 cm. the neck was supple. no lymphadenopathy. chest: bibasilar crackles approximately one-third of the way up, scattered wheezes. cardiovascular: regular rate, ii/vi systolic murmur at the left sternal border, no rubs or gallops. abdomen: soft, nontender, nondistended, no hepatosplenomegaly. extremities: no clubbing, cyanosis or edema. rectal: guaiac negative per ed report. laboratory/radiologic data: sodium 134, potassium 5.0, chloride 102, bicarbonate 26, bun 27, creatinine 1.0, glucose 157. white count 11.0, hematocrit 41.1, platelets 219,000, mcv 90. pt 12.9, ptt 28.4, inr 1.1. 1. transthoracic echocardiogram on : ef 30-35%, no pericardial effusion, left atrium moderately dilated, left ventricular wall thickness normal, anterior apical left ventricular aneurysm, and apical, anterior, and septal akinesis. mild 1+ mr. findings were consistent with transthoracic echocardiogram performed in . 2. ekg on admission on : q waves in leads v1 through v2, consistent with anteroseptal myocardial infarct, borderline first-degree av conduction delay. 3. portable chest x-ray on : slight upper zone distribution indicative of mild chf, bibasilar atelectatic changes, no pleural effusions. 4. ct angiogram of the chest: no evidence of pulmonary embolism, diffuse bilateral ground glass opacities consistent with mild pulmonary edema versus viral or eosinophilic pneumonia. hospital course: 1. coronary artery disease: the patient was taken to the cardiac catheterization laboratory on which showed left main coronary artery disease as well as three vessel disease. left main coronary artery showed 70% distal occlusion, lad showed 50% proximal, 90% mid, left circumflex showed 50% proximal, 80% major om, and rca showed ulcerated 90% mid lesion. left ventriculography showed an ef of 35%. given her findings of left main and three vessel disease, cardiothoracic surgery was consulted who felt that the patient was not an appropriate surgical candidate. instead, in consultation with the interventional cardiologist, they felt that the main culprit lesion was her right coronary artery which was stented on repeat cardiac catheterization on . she did have a right dominant system. during repeat catheterization on , the right coronary artery was initially balloon dilated and attempts were made to place a 3 by 23 mm cipher stent. she became hypotensive and bradycardiac which required one dose of atropine and initiation of intravenous dopamine infusion. it was noted at that time that her peripheral iv was occluded and, therefore, heparin and integrelin were not being infused at the time. intravenous access was restored and she was administered the atropine, dopamine, heparin and integrelin. the rca lesion was then stented with a 3 by 15 mm zeta stent. the lesion was then postdilated with a 3 by 10 mm nc raptor. final angiography demonstrated the vessel to be widely patent with no residual stenosis. a right heart catheterization was performed and an echocardiogram demonstrated no evidence of tamponade. the patient then left the cardiac catheterization lab and was transferred to the coronary intensive care unit on dopamine. her dopamine was continued for approximately 24 hours, at which time it was weaned off with stable hemodynamics. after the second cardiac catheterization, she had a bump in her cardiac enzymes with an mb index reaching as high as 17.6. her cks, however, were relatively mildly elevated at 194 with ck mbs reaching as high as 31. it was felt that she had a post catheterization myocardial infarct which was responsible for her transient hypotension. integrelin was continued for 18 hours and then weaned off. her heparin was discontinued while in the cardiac intensive care unit. she was continued on whole-dose aspirin and plavix for which she should continue for nine months. once blood pressure had stabilized and she had been off dopamine for greater than 24 hours, her antihypertensives were restarted slowly. at the time of this dictation, she is restarted on her lopressor with hopes of restarting her diovan just prior to discharge. her blood pressure remained stable in the 110s to 120s after reinitiation of lopressor. in addition, her cardiac enzymes were cycled after her post catheterization mi and were all found to be back to baseline at the time of dictation. 2. congestive heart failure: on presentation to the emergency department, the patient had an oxygen requirement which was felt secondary to mild congestive heart failure. she was diuresed with mild intravenous lasix 10-20 mg iv p.r.n. with good response. by hospital day number two, her oxygen saturations had returned to 100% on room air. a transthoracic echocardiogram and ventriculogram while in the cardiac catheterization lab confirmed chronic chf with ejection fraction of 30-35%. 3. hematology: post catheterization, her hematocrit fell to as low as 28.4 and she was transfused 2 units of packed red blood cells. her hematocrit responded appropriately and she remained stable at 33 throughout the remainder of her hospitalization. 4. infectious disease: she was found to have a urinary tract infection by urinalysis and urine culture for which she was treated for three days of ciprofloxacin. she was symptom-free by the time of discharge. disposition: she was evaluated by physical therapy after being discharged from the intensive care unit who felt that she would benefit from a short inpatient rehabilitation stay secondary to deconditioning. prior to admission, she was living at an facility; however, was independent in all of her adls. condition on discharge: stable. discharge diagnosis: 1. three vessel coronary artery disease. 2. status post pcta and stenting of the right coronary artery. 3. transient bradycardia and hypotension. 4. postcardiac catheterization myocardial infarct. 5. status post pacemaker placement. 6. hypertension. 7. hyperlipidemia. 8. urinary incontinence. 9. osteoporosis. discharge medications: 1. lipitor 10 mg p.o. q.d. 2. enteric coated aspirin 325 mg p.o. q.d. 3. plavix 75 mg p.o. q.d. times nine months. 4. toprol xl 25 mg p.o. q.h.s. 5. digoxin 0.125 mg p.o. q.d. 6. vitamin d 400 mg p.o. q.d. 7. calcium carbonate 1,000 mg p.o. q.d. 8. fosamax 20 mg q. sunday. 9. oxybutynin 2.5 mg p.o. q.d. 10. diovan 80 mg p.o. q.d., currently on hold until blood pressure stabilizes. discharge disposition: the patient will be discharged to acute inpatient rehabilitation stay for cardiac rehabilitation and strength training exercises. , m.d. dictated by: medquist36 d: 04:10 t: 16:19 job#: procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor coronary arteriography using a single catheter insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified cardiac complications, not elsewhere classified other specified cardiac dysrhythmias acute myocardial infarction of other inferior wall, initial episode of care other complications due to other cardiac device, implant, and graft tachycardia, unspecified 

Answer: The patient is high likely exposed to