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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization with drug eluting stent x1 to the left anterior descending artery history of present illness: 76 year old woman with antiphospholipid antibody syndrome and a h/o recurrent dvt/pes s/p ivc filter and on lifelong anticoagulation who was transferred from for questionable stemi and cardiac catheterization. . ms. around 3am this morning with chest pain. the pain was located in the center of her chest, non-radiating, , no associated diaphoresis, sob, palpitations, or vomiting, though she did feel slightly nauseous. the pain felt like her usual heartburn so she took an antacid, but when the pain persisted she became worried and drove herself to . . at her labs were unremarkable and her trop was negative. her ekg was initially unremarkable. cxr showed mild interstitial edema but otherwise nothing acute. cta was neg for pe. her pain persisted so they obtained a repeat ekg which showed 1mm ste in i, ii, and avl, and sub-mm ste in v5 and v6. they started her on a nitro gtt and transferred her to for cardiac cath. cardiac cath showed a 70-80% stenosis in the lad and a des was placed. . currently, she is comfortable though continues to have pain in the center of her chest. the pain does not radiate to her arms or back but is slightly worse with deep inspiration and leaning forward. . on review of systems, she states that she has been more fatigued for the past week. she saw her pcp on wednesday who gave her a b12 injection. he also diagnosed her with a uti and started her on levofloxacin. she has had several loose stools but no diarrhea. otherwise, she denies any dizziness, presyncope, palpitations, fevers, chills, exertional buttock or calf pain, pnd, orthopnea, increased le edema, abdominal pain, red or black stools, or rash. past medical history: 1. cardiac risk factors: dyslipidemia, hypertension 2. cardiac history: - pacing/icd: none - cabg: none - pci: 70-80% stenosis of lad s/p des () 3. other past medical history: - rheumatoid arthritis - antiphospholipid antibody syndrome (diagnosed ) on lifelong anticoagulation - history of left lower extremity dvt and pes () with recurrent dvt/pe () - history of left iliacus hematoma - b12 deficiency . past surgical history: - s/p thrombectomy, venous stenting, ivc filter placement () - s/p angioplasty and stenting of left iliac vein social history: ms. lives in with her husband. she quit smoking 44 years ago. she drinks one glass of wine each weekday. she reports being active prior to the start of this. family history: she thinks her father may have had blood clots in his legs, but she is not in close contact with him. no other family history of clotting or bleeding problems. physical exam: on admission: vs: 97.7, 63, 132/70, 17, 97% ra general: nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple. jvp not elevated. no carotid bruits. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. +2/6 sem at upper sternal border. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. bibasilar crackles. no wheezes. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ . on discharge: physical exam: vitals - tm/tc:99/97.9 bp: 80-104/50-70 hr: 57-66 rr: 26-18 02 sat: 95% ra in/out: last 24h: last 8h: 250/500 weight: 77(78.2) . general: 76 in no acute distress heent: perrla, no pharyngeal erythemia, mucous membs moist, no lymphadenopathy, jvp non elevated chest: ctabl no wheezes, no rales, no rhonchi cv: s1 s2 normal, rrr, 2/6 systolic murmur at lusb abd: soft, non-tender, non-distended, bs normoactive. no rebound/guarding. ext: wwp, chronic left le edema, dps, pts 1+. neuro: cns ii-xii intact. 5/5 strength in u/l extremities. gait wnl. skin: no rash psych: a/o, pleasant pertinent results: on admission: 10:03pm urea n-12 creat-0.7 sodium-140 potassium-3.8 chloride-108 10:03pm estgfr-using this 10:03pm ck-mb-2 10:03pm hct-30.4* 10:03pm hct-30.4* 05:11am blood wbc-8.7 rbc-3.09* hgb-9.7* hct-28.2* mcv-91# mch-31.2 mchc-34.3 rdw-14.9 plt ct-192 10:03pm blood ck-mb-2 05:11am blood ck-mb-6 ctropnt-0.09* . on discharge: 07:20am blood wbc-7.5 rbc-3.32* hgb-10.3* hct-30.9* mcv-93 mch-30.9 mchc-33.2 rdw-14.8 plt ct-211 07:20am blood glucose-90 urean-10 creat-0.7 na-140 k-3.7 cl-107 hco3-27 angap-10 07:20am blood calcium-8.1* phos-3.4 mg-2.1 05:11am blood triglyc-64 hdl-30 chol/hd-3.4 ldlcalc-59 brief hospital course: # chest pain: pt r/o'd with flat ck's and indeterminate troponins. although she was found to have a 70-80% lad stenosis on cath that was stented, there is a question as to whether this was the sole cause of her pain, especially considering that the pain has persisted post-cath. she reports feeling "gassy" and that the pain is slightly relieved with burping, suggesting that it may be related to gas pains/gerd. another possibility is myo-pericarditis considering her recent uti and rheumatoid arthritis, and since the pain is slightly worsened while leaning forward. however, one would expect diffuse ste with pr depressions on the ekg, which we do not see. the cta was negative for pe which is reassuring, however there was no mention of her aorta and the possibility of aortic dissection. cxr was negative for pneumonia or pneumothorax. echo showed no wall motion abnormalities and preserved ef. chest pain resolved spontaneously and she had no pain for 24 hours after discharge. no dissection on cta. pt was given an h2 blocker at discharge to take with her asa/plavix and prednisone. she needs to take as aspirin and plavix every day for at least one year to prevent restenosis of her stent. lovastatin was increased to 40 mg at discharge and beta blocker was d/c'ed because of low heart rates. she will continue on one half of her home dose of valsartan. . # high cardiac filling pressures: lvedp was 27 and tr gradient was 38. ef 70%. there was no evidence of fluid overload during her hospital stay and no diuretics were given. . # hypotension: blood pressures were 80-120's during hospital stay. pt was not orthostatic or symptomatic in any way. valsartan was decreased to 40 mg daily and metoprolol was not continued at discharge. . # antiphospholipid antibody syndrome: no issues. continued enoxaparin 40mg . . # rheumatoid arthritis: no significant pain. continued prednisone 5mg daily and methotrexate 12.5mg every . . # uti: diagnosed at pcp . sensitivities obtained and pt was continued on a 7 day course of levofloxacin. she should have a u/a checked after her antibiotic course is finished. medications on admission: - enoxaparin 40mg - lovastatin 20mg daily - valsartan 80mg daily - methotrexate 12.5mg every - prednisone 5mg daily - citalopram 20mg daily - folic acid 1mg daily - gabapentin 300mg qhs - vitamin b12 - vitamin d discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*11* 2. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. enoxaparin 40 mg/0.4 ml syringe sig: one (1) injection subcutaneous q12h (every 12 hours). 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). 6. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 7. lovastatin 40 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. disp:*30 tablet extended release 24 hr(s)* refills:*2* 8. prednisone 5 mg tablet sig: one (1) tablet po daily (daily): wean off as per your prescribing doctor. 9. levofloxacin 500 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 2 . disp:*2 tablet(s)* refills:*0* 10. valsartan 80 mg tablet sig: 0.5 tablet po once a day. 11. methotrexate sodium 2.5 mg tablet sig: five (5) tablet po once a week: take 12.5 mg . 12. vitamin d oral 13. vitamin b-12 oral 14. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease hypotension dyslipidemia antiphospholipid antibody syndrome discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you had chest pain and was transferred to for a cardiac catheterization. a blockage was found in your left anterior coronary artery and a drug eluting stent was placed to open the artery and keep it open. there were no other significant blockages. you did not have a heart attack. it is very important that you take aspirin and plavix (clopidogrel) every day for one year. do not miss or stop taking plavix unless your cardiologist tells you it is ok. this is to prevent a sudden closure of the artery that would cause a heart attack. your blood pressure was somewhat low during your hospital stay. the visiting nurse will check your blood pressure at home. we made the following changes to your medicines: 1. decrease the diovan (valsartan) to 40mg, a half pill. 2. increase the lovastatin to 40 mg daily 3. start taking plavix and aspirin to prevent the stent from clotting off. 4. start taking levofloxacin for two more days to treat your urinary tract infection. 5. start taking ranitidine to protect your stomach from the aspirin and prednisone. followup instructions: department: hematology/oncology when: at 11:30 am with: , md building: sc clinical ctr campus: east best parking: garage department: hematology/oncology when: at 11:30 am with: , md building: sc clinical ctr campus: east best parking: garage department: radiology when: wednesday at 11:00 am with: vascular study building: cc clinical center campus: west best parking: garage name: , address: , , phone: when: , :45am department: cardiac services when: tuesday at 1 pm with: , md building: sc clinical ctr campus: east best parking: garage md procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization 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 urinary tract infection, site not specified unspecified essential hypertension long-term (current) use of steroids other b-complex deficiencies other and unspecified hyperlipidemia long-term (current) use of anticoagulants rheumatoid arthritis personal history of venous thrombosis and embolism primary hypercoagulable state 

Answer: The patient is high likely exposed to