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 76-year-old female with history of hypertension, hypercholesterolemia, and peripheral vascular disease, transferred from , where she presented after an episode of syncope and found to have a mi. this was a witnessed episode and ems took the patient to . there she was found to have a heart rate of 40 with 2-1 a-v block and st elevations of mm in ii, iii, and avf. she also had elevations in v2 and v3 and 1- depressions in i and avl. the patient reportedly was temporarily transvenously paced. she was given aspirin, plavix, and heparin, and integrilin, and transferred to the cath lab. there she had her rca, which had a 90% calcified ostial stenosis, stented. she had two episodes of vt, which responded to cardioversion, and was on levophed transiently for hypotension. her filling pressures were noted to be very low with a wedge of 10 and ra of 3. by the end of the case, the patient did not need pacing as she was in normal sinus rhythm. past medical history: 1. hypertension. 2. peripheral vascular disease status post left cea in . 3. hypercholesterolemia. 4. breast cancer status post right mastectomy and chemotherapy in . 5. degenerative joint disease status post right tkr in . 6. scoliosis. 7. status post multiple falls with right hip fracture in . medications at home: 1. cozaar 50 mg p.o. q.d. 2. lipitor 20 mg p.o. q.d. 3. aspirin 325 mg p.o. q.d. 4. fosamax 70 mg q week. 5. multivitamin. 6. vitamin c. allergies: sulfa. social history: tobacco use three cigarettes a day, occasional alcohol. lives at in . physical examination on admission: vital signs: blood pressure 109/61, pulse 110, respirations 18, and oxygen saturation 95% on 3 liters nasal cannula. in general, awake, agitated, and nonverbal. heent: perrl. eomi. clear oropharynx, but mucous membranes are dry. pulmonary: clear to auscultation anteriorly, unable to auscultate posteriorly secondary to patient's agitation. cardiovascular: regular rate and rhythm, normal s1, s2, 2/6 systolic murmur at the left sternal border. abdomen: normoactive bowel sounds, soft, nontender, and nondistended, no masses. extremities: left lower extremity trace to 1+ pitting edema to mid shin with erythema and warmth; left medial malleolus with four shallow ulcers about 1-2 mm deep ranging from 1 to 3-4 cm in diameter with yellow base, no purulence. right lower extremity: no lesions, no clubbing, cyanosis, or edema. 1+ pedal pulses bilaterally. neurologic: follows commands, moves all four extremities spontaneously. occasionally having hallucinations. catheterization data : left main 20% ostial stenosis, left circumflex 40% proximal stenosis, rca 90% ulcerated calcified ostial stenosis with likely a thrombus, ci 1.83, pcwp 10, ra 3, pa 27/13, rv 27. laboratory data significant for a hematocrit of 34.6, bun 21, creatinine 1.2. inr 0.9. ekg done post procedure shows decreased st elevations of mm in inferior leads as well as v2 and v3. hospital course: 1. cardiovascular: a. ischemia: patient was continued on aspirin, plavix, and integrilin x18 hours. given that her a-v block was resolved, she was started on metoprolol, which was changed to toprol xl. she also was started on enalapril, and high dose statin though her triglycerides were 63 and ldl 57 (this may likely be decreased secondary to acute mi). patient had cardiac enzymes cycled with a peak ck of 3282, ck-mb of 151, and troponin-t of 2.62. b. rhythm: patient was initially on amiodarone after cath given transient vt. this was discontinued, and patient had no further episodes of arrhythmia on telemetry or repeat ekg. c. pump: patient with low filling pressures. she was given 1.5-2 liters of normal saline over the first two days of her hospitalization with response in increased blood pressure and urine output. goal initially was to have right atrial pressures , though patient had swan pulled early, and this was unable to be monitored. she had a transthoracic echocardiogram on showing ef of 40%, severe hypokinesis of the inferior and posterior walls, right ventricular systolic function depressed, diastolic dysfunction, and no significant valvular disease. d. blood pressure: initially hypotensive, but responded to fluids and tolerated beta-blocker and ace inhibitor well. 2. peripheral vascular disease: patient will be setup with dr. for followup at for vascular issues as well as cardiac management. she has not had prior peripheral angiography. 3. left lower extremity cellulitis: patient was started on oxacillin 1 gram q.4h. after drawing one set of blood cultures, which are still no growth to date. a left ankle film showed no evidence of osteomyelitis. podiatry recommended adaptic dressing over the medial malleolus and cleansing with saline gauze daily as well as dressing with dry sterile gauze. this should continue until the wound is healed. she will need iv antibiotics x2 weeks, and has received five days from to thus far. she had a left picc line placed in preparation for continuing as an outpatient. 4. altered mental status: initially quite agitated, likely multifactorial due to medication and mi in elderly female. she did not respond to haldol, but did to low-dose ativan; however, this is not an issue after day two of hospitalization. 5. fen: cardiac diet. 6. prophylaxis: subq heparin and protonix. 7. communication: spoke daily to son, . 8. code status: full unless medically futile as per living will in chart. 9. disposition: pt evaluated patient and deemed needing rehab as quite unsteady and tentative on feet. they will continue to work with patient until discharge, and we will re-evaluate on . discharge condition: stable. discharge status: to rehab facility. discharge diagnoses: 1. myocardial infarction. 2. hypertension. 3. peripheral vascular disease. 4. coronary artery disease. 5. degenerative joint disease/osteoarthritis. 6. history of breast cancer. 7. status post falls. discharge medications: 1. atorvastatin 80 mg p.o. q.d. 2. ec-asa 325 mg p.o. q.d. 3. clopidogrel 75 mg p.o. q.d. 4. metoprolol xl 50 mg p.o. q.d. 5. enalapril 10 mg p.o. q.d. 6. oxacillin 1 gram iv q.4h. times additional nine days. 7. multivitamin. 8. pantoprazole 40 mg p.o. q.d. 9. subcutaneous heparin 5000 units q.12h. follow-up plans: patient will call her primary care doctor, dr. for followup in the next 1-2 weeks. she will also follow up with dr. for cardiovascular studies and issues at . she will be setup to have outpatient abis. , 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 angiocardiography of right heart structures diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension personal history of malignant neoplasm of breast paroxysmal ventricular tachycardia cellulitis and abscess of leg, except foot acute myocardial infarction of other inferior wall, initial episode of care other second degree atrioventricular block ulcer of ankle 

Answer: The patient is high likely exposed to