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: sulfa (sulfonamides) / shellfish attending: chief complaint: chest pain major surgical or invasive procedure: placement of temporary cardiac pacemaker and removal. history of present illness: 76 yo female who underwent a cardiac catheterization in (atherectomy and cypher stent to proximal lad). she was discharged on aspirin and plavix. however the patient has refractory anemia with excess blasts in transformation to acute myelogenous leukemia (last chemotherapy was last week, diagnosed in ), plt 31, and plavix and aspirin was stopped under the direction of her oncologist and cardiologist. yesterday patient presented to er with c/o cp at rest,radiating to her right shoulder and in to her back, worsening throughout the day. ekg showed inferior lead ischemia, trop peaked at 3.58. has been having intermittent chest pain since this am, in intensity, was given 2 slnitro's, 1mg morphine x's 2, dilaudid w/relief of the pain. this am ekg showed st elevation in inferior leads. . on route to , the patient was experiencing nausea and vomiting. on arrival to the floor, ekg showed juncional rhythm at 50, with 1-3mm st elevation in ii, iii, avf with reciprocal changes in anterior leads. no aspirin or heparin given due to pt's low platelets. she was given morphine with some relief of pain. after speaking to pt's oncologist, dr. , pt was given baby aspirin. overnight, the patient's creatinine bumped to 3.1 from 1 and she was oliguric. she was transferred to the ccu for a temporary pacer as it was thought that increasing her heart rate and subsequently her cardiac output, she would have greater perfusion to her kidneys and increased uop. before placing the pacer, she was tried on dopamine which did result in a higher hr and increased uop but caused 10/10 chest pain. once in the ccu and assessed by ep, it was decided that she would not have a pacer placed at that time. past medical history: 1. htn 2. hypercholesterolemia 3. left total hip replacement 4. left nephrectomy kidney stones 20 years ago 5. partial hysterectomy. 6. renital disease (detached retina which led to workup of blood problems) 7. mds with blasts in transformation to aml 8. cad: : rota and cypher stent to plad 9. s/p hysterectomy social history: she is a widow and lives alone in , mass. she does have a 20 pack-year smoking history but quit 7 years ago. she denies alcohol use. she has two children. family history: cad: brother died of mi in 60's, sister died 59y/o heart dz, son mi at 49y/o. sister with ca m died of uterine ca f died of stroke, +htn. physical exam: vs: bp 100/50 hr 50 rr 16 98% 2l gen: having chest pain, resting in bed, partly relieved by morphine heent: r pupil minimally reactive, l pupil reacts. op clear neck: + jvd, no lad lungs: clab heart: bradycardic, s1s2, no murmur, rub, gallop abd: +bs, soft, nd/nt extrem: no edema pertinent results: osh labs: wbc 4.4 hgb 9.8 hct 29.9 (transfused last week at ) plt 31; na 139; k+ 4.5; cl 109; co2 26; bun 24; creat 1.1; trop 3.58 (up from 1.54) . ekg: junctional rhythm at 50, st elevation in ii, iii, avf, with reciprocal changes in anterior leads brief hospital course: a/p: 76 f with mds in transformation to aml, thrombocytopenia who presented to with inferior stemi. the following issues were investigated during this hospitalization: . # cardiac: a) cad/inferior stemi: the patient was not a candidate for reperfusion as she has hematologic abnormalities (low platelets) and could not have long term anti-platelet therapy with aspirin or plavix. she also could not get heparin due to bleeding risk. she received supportive care with asa, statin, a beta blocker and morphine for pain. an ace-inhibitor was not given initially because of acute renal failure, but the was added once the arf resolved. . b) rhythm: initially, patient had a junctional rhythm that was stable. however, she later experienced recurrent asystolic pauses up to 6 seconds. for this reason, a temporary screw-in pacer was placed with settings of vvi at a rate of 60. the patient was found to only intermittently require her pacer and was in normal sinus rhythm. the pacer was gradually decreased from 60 to 50 to 40 and the patient continued to pace as high as in the 70s on her own. as a result, the pacemaker was d/c'd on . the patient was discharged in normal sinus rhythm. . c) pump: ef of 50% with inferior hypokinesis and rv dysfunction on echo on . given the rv involvement, the aim for her fluid status was even to positive as it was important to support her preload. this was done without incident. . # hematology/oncology: patient is followed by dr. for mds with blasts in transformation to aml. she had been receiving chemo until the week prior to her admission. oncology was made aware that the patient had been admitted and followed her during her hospitalization. chemotherapy was held while the patient was treated for an acute mi. a follow-up appointment was made with oncology after discharge. . # acute renal failure: thought to be due to atn as a result of poor perfusion. there was marked concern as the patient only has one kidney. the patient had little to no urine output after first being admitted, but during her hospitalization, her creatinine trended down and her urinary ouput increased. nephrology was following te patient but eventually signed off as the arf resolved and there was no need for hd. patient's electrolytes were monitored and corrected without incident. . #renal cysts: patient was found to have a new nodular component to renal cysts on u/s with recommendation to have an mri to further evaluate these cysts. pt. to pursue an mri as an outpatient. . # code: dnr/dni medications on admission: meds at home: lopressor 100mg daily danazol 50mg qid predisone 5mg daily . meds on transfer: lopressor 100mg , prednisone 5mg daily, lisinopril 5mg daily, zocor 40mg daily, nitro paste " discharge medications: 1. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. disp:*10 tablet(s)* refills:*0* 4. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. furosemide 20 mg tablet sig: one (1) tablet po qd prn as needed for swollen feet. disp:*5 tablet(s)* refills:*0* 7. metoprolol succinate 100 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* discharge disposition: home with service discharge diagnosis: inferior stemi junctional rhythm bradycardia aml neutropenia discharge condition: heart rate in the 60-70's sinus rhythm, afebrile, appropriate followup arranged. discharge instructions: 1. please take all medications as directed. please note that we have changed your blood pressure medications, and added daily aspirin and liptor. 2. please keep all appointments. 3. call your doctor or go to the er for any of the following: chest pain, shortness of breath, fever >100.4, chills or any other concerning symptoms. followup instructions: hematolgy/oncology: , md , c phone: date/time: 3:30 provider: , md phone: date/time: 3:20 procedure: insertion of temporary transvenous pacemaker system transfusion of packed cells transfusion of platelets diagnoses: hyperpotassemia thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia acute kidney failure with lesion of tubular necrosis unspecified essential hypertension atrial fibrillation other specified cardiac dysrhythmias acute myocardial infarction of other inferior wall, initial episode of care acquired absence of kidney hip joint replacement anemia in neoplastic disease cyst of kidney, acquired acute myeloid leukemia, without mention of having achieved remission 

Answer: The patient is high likely exposed to