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: penicillins / erythromycin base attending: chief complaint: transfer for junctional bradycardia, history of chest pain major surgical or invasive procedure: cardiac catheterization history of present illness: year old female with h/o cad, paf who was in her usoh until 2 weeks pta when she experienced an episode of chest pain, for which she presented to hospital and was noted to be in af. she was started on amiodarone/digoxin and d/ced home. she was doing well at home until (2 days ago) when she re-presented to following an episode of chest pain. she reports that she awoke at 6 a.m. with dull/heavy central chest pain, non-radiating, associated with coughing/mild shortness of breath and lh. no associated n/v, diaphoresis. she took one slntg with some improvement. ems gave her an asa and another slntg. in the , she received 1 inch of ntp with complete resolution of symptoms. ekg showed nonspecific sttw abnormalities and she was admitted for further management. cardiac enzymes were cycled with max tni 0.5 (upper limit of normal 0.4). given inr was 3, she was not started on heparin gtt. today, hct 25.9 (from 28) and she was transfused 1uprbc. on , she became lh and mildly nauseas, no chest pain/pressure, she was noted to be in a junctional rhythm, hr 45, bp 114/68 and she was transferred to for further management. her amiodarone, digoxin, cardizem were held upon transfer and on presentation to ed she had reverted back to nsr with hr in the 60's. she was cp free on arrival with resolution of her symptoms of lh, nausea. of note, she reports that besides the similar episode of chest pain 2 weeks ago, she reports that she has had intermittent chest pain for the last 2-3 months, occurring 3-5 times a week when walking block, or walking around her house. these episodes of chest pain are relieved with rest. she denies le edema or pnd. she sleeps on 2 pillows a night, due to back discomfort rather than true orthopnea. . currently, she denies chest pain, nausea/vomiting, lightheadedness, diaphoresis. . ros: no fever, headache, rhinorrhea, sore throat, cough, sputum production, hemoptysis, abdominal pain, diarrhea/constipation (last bm yesterday). no brbpr, although she notes that her stool has been dark since starting iron. (+) occasional chills and decreased appetite since being started on amiodarone and dig. past medical history: 1) cad - cath: ulcerated, irreg 80% stenosis mid-lcx (stented), mid lad 70-80%, mid lcx 80, om2 20% - tte : concentric lvh, lvef 60%, 2+tr, 2+ ai 2) paroxysma atrial fibrillation 3) cri: baseline cr 1.8 4) h/o ischemic bowel 5) gout 6) htn 7) tia 8) type ii dm 9) oa 10) diverticulosis 11) iron deficiency anemia 12) s/p cholecystectomy ) s/p hysterctomy 14) h/o ectopic pregnancy social history: does not drink alcohol or smoke cigarettes. ambulates with a walker. family history: mother died at age 80 yrs of mi. father died at age 85 yrs from cva physical exam: pe: tc 97.4, pc 60, bpc 136/39, resp 18, 96% 2l nc gen: elderly, pleasant female, a&ox3, nad heent: anicteric, nl conjunctiva, ommm, op clear, neck supple, no lad, no carotid bruits. cardiac: rrr, +s1,s2, ii/vi diastolic murmur at rusb pulm: crackles at bases b/l. abd: obese, soft, nt/nd. ext: no edema, 1+ groin pulses bilaterally with bruit on left, 2+ dp left, 1+ dp right, 2+ radial bilaterally. no cyanosis. neuro: grossly nonfocal pertinent results: 11:14pm blood wbc-11.3* rbc-3.16* hgb-10.2* hct-29.2* mcv-92# mch-32.4*# mchc-35.0# rdw-18.7* plt ct-230 11:14pm blood pt-12.5 ptt-25.5 inr(pt)-1.0 11:14pm blood glucose-124* urean-21* creat-1.2* na-135 k-4.6 cl-101 hco3-26 angap-13 11:14pm blood alt-40 ast-28 ld(ldh)-163 ck(cpk)-20* alkphos-85 totbili-0.9 06:15am blood ck(cpk)-48 04:45pm blood ck(cpk)-57 11:14pm blood ck-mb-2 ctropnt-0.03* 06:15am blood ck-mb-notdone ctropnt-0.07* 04:45pm blood ck-mb-notdone ctropnt-0.05* 11:14pm blood albumin-2.6* calcium-8.2* phos-3.4 mg-1.5* 06:15am blood mg-2.4 iron-22* cholest-99 06:15am blood caltibc-321 vitb12-319 folate-greater th ferritn-40 trf-247 06:15am blood triglyc-82 hdl-39 chol/hd-2.5 ldlcalc-44 11:14pm blood tsh-0.91 02:52am urine color-yellow appear-clear sp -1.020 02:52am urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-sm 02:52am urine rbc-0 wbc-5 bacteri-none yeast-none epi-3 09:35pm urine hours-random creat-117 na-less than k-68 cl-less than totprot-49 prot/cr-0.4* urine and blood cultures negative --- brief hospital course: pt was admitted to after developing junctional rhythm at osh. by the time she got here, she was in nsr. the first part of her hospitalization involved close blood pressure control, management of her mild chf, evaluation of her anemia, evaluation for an elevated wbc count(resolved), and evaluation/treatment of her intermittment chest pain. as the pain was felt to be a direct result of coronary disease, the patient was taken to cardiac catheterization. she had three vessel disease. a stent was placed in the left circumflex artery and soon afterwards, she became less responsive, hemiparetic, and aphasic. she was evaluated by the acute stroke team immediately and felt to have an embolic occlusion of the left mca. a ct scan showed no evidence of bleeding. a extensive discussion was held among the stroke team, interventional radiology, cardiology, and her sister and brother (available by phone). the family wanted to proceed with thrombolysis. both iv and ia approaches were discussed. however, since the patient had received a direct thrombin inhibitor during the catheterization, it was felt that iv t- pose a high risk of bleeding. the risks and benefits of ia t-pa were extensively discussed with the family and they wanted to proceed with ia-tpa and gave consent. angiography revealed an m1 occlusion which did not open after t-pa was delivered to the thrombus. she tolerated the procedure well and had no complications from the procedure. repeat ct scan showed the question of a small amount of petechial bleeding versus contrast. after transfer to the icu, she had to be intubated for respiratory distress and continued to do poorly. an eeg ruled out seizure. she did not wake up despite being off all sedating medications. her vital signs remained fairly stable, but she was not overbreathing the ventilator. a repeat ct scan showed that she had infarcted the entire distribution of the mca. she continued to be unresponsive and a family meeting was held. they decided to consider making her cmo as her outlook was very poor. on the next day, she had pupillary asymmetry and a repeat scan showed increased edema with significant midline shift and herniation. at this time, her family decided to make her cmo. she was extubated and expired several hours later. medications on admission: 1) glyburide 5 mg po bid 2) iron 325 mg po daily 3) nitropaste 1 inch to chest wall prn 4) lantus (?dose) 5) metoprolol 12.5 mg po bid 6) colace 100 mg po daily 7) imdur 30 mg po daily 8) cardizem 180 mg po daily 9) digoxin 0.125 mg po daily (decreased from 0.25 mg po daily) 10) lipitor 20 mg po daily discharge medications: none discharge disposition: expired discharge diagnosis: cad s/p large left mca stroke discharge condition: deceased discharge instructions: - followup instructions: - procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified coronary arteriography using two catheters left heart cardiac catheterization insertion of endotracheal tube enteral infusion of concentrated nutritional substances injection or infusion of thrombolytic agent arteriography of cerebral arteries transfusion of packed cells insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure iron deficiency anemia, unspecified iatrogenic cerebrovascular infarction or hemorrhage 

Answer: The patient is high likely exposed to