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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain, myocardial infarction major surgical or invasive procedure: cardiac catheterization with placement of 2 bare metal stents to the right coronary artery history of present illness: ms. is a very nice 79 year-old woman with prior history of hypertension, cad s/p mi and bms to d1 () who comes with chest pain and st elevations. she was fine until 4 days ago when she started with epigastric pain and oppresive sub-sternal pain radiating towards the right shoulder. it did not modify with activity, but with stairs she had severe shortness of breath. her pain was exaclty the same than in per pt and family. patient neither seek medical atention nor took any medication. today in the morning his pain was much more severe and her family got concerned and took her to the er of . . in the er of osh her vs were 128/82 mmhg, hr 71 bpm, rr 20, 97% on ra and t 97.9 f. she had st elevations in ii, iii, avf (avf>iii>ii) with trop i of 3.22, ck 391 and mb 43.6 (mbi 11.1). patient was given aspirin 81 mg x1, heparin gtt with 4000 bolus, plavix 75 mg x1, nitroglycern 0.4 mg sl x1, nitroglycerin gtt and was transfered to the for cardiac cath. . in cardiac cath she received two loading doses of integrillin and had an angiogram that showed sub-occluded mid-distal rca. she had 1 bms with remaining distal stenosis. then, a second bms was placed overlapping distaly. pt had good flow afterwards. it was closed with an angeiocele and she was transfered to the ccu for monitoring. . on review of systems, s/he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cad - in , had ptca to d1, in , admitted with recurrent chest pain and ruled out for an mi. cath revealed a 90% diagonal lesion s/p ptca/stenting with bms (2.0 x 23mm) to the diagonal. 2. osteoarthritis 3. hypertension 4. dyslipidemia 5. familial periodic paralysis 6. gastro-esophageal reflux disease social history: she lives by herself in ma. she goes to church every day rigurously. she is not very active physicaly and has shortness of breath walking one flight of stairs at baseline. she has never smoked, denies alcohol or illegal drug use. she sleeps only with one pillow. family history: no family history of arrhythmia, cardiomyopathies; otherwise non-contributory. father died of an mi at age 68, mother died at age 72. son had mi age 45 and other son died of mi . physical exam: general - well-appearing woman in nad, oriented x3, comfortable, mood, affect appropriate. heent - nc/at, perrla, eomi, sclerae anicteric, mmm, op clear, conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck - supple, no thyromegaly, no jvd, no carotid bruits lungs - cta bilat, no r/rh/wh, good air movement, resp unlabored, no accessory muscle use heart - pmi located in 5th intercostal space, midclavicular line. rrr, normal s1, s2. early systolic murmur in apex without radiations. no thrills, lifts. no s3 or s4. abdomen - nabs, soft/nt/nd, no masses or hsm, no rebound/guarding. abd aorta not enlarged by palpation. no abdominial bruits. extremities - wwp, no c/c/e, 2+ peripheral pulses (radials, dps), no c/c/e. no femoral bruits. skin - no rashes or lesions. no stasis dermatitis, ulcers, scars, or xanthomas. lymph - no cervical, axillary, or inguinal lad neuro - awake, a&ox3, cns ii-xii grossly intact, muscle strength throughout, sensation grossly intact throughout, dtrs 2+ and symmetric, cerebellar exam intact, steady gait pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+, left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: admission labs () wbc-9.2 hgb-12.1 hct-36.1 plt ct-227 pt-14.4 ptt-150 inr(pt)-1.3 cholest-110 triglyc-106 hdl-41 chol/hd-2.7 ldlcalc-48 glucose-105 urean-13 creat-0.6 na-135 k-4.3 cl-106 hco3-20 mg-1.9 cardiac catheterization (): right dominant coronary system. lmca: no obstructive disease, lad: minimal disease, lcx: minimal disease, and rca: subtotal occlusion. 1. successful ptca and placement of two overlapping 2.0x12mm mini vision bare-metal stents were performed in the mid-distal rca. final angiography showed normal flow, no apparent dissection, and no residual stenosis. **final cath report pending at time of discharge echo (): the left atrium and right atrium are normal in cavity size. the estimated right atrial pressure is 0-10mmhg. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). the estimated cardiac index is normal (>=2.5l/min/m2). there is no left ventricular outflow obstruction at rest or with valsalva. right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. the mitral valve leaflets are mildly thickened. very mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: normal biventricular cavity sizes with preserved global and regional biventricular systolic function. very mild mitral regurgitation. mild pulmonary artery systolic hypertension. compared with the report of the prior study (images unavailable for review) of , mild pulmonary artery systolic hypertension is now seen. the other findings are similar. discharge labs () wbc-8.2 hgb-12.8 hct-39.6 plt ct-264 glucose-98 urean-14 creat-0.7 na-140 k-4.2 cl-109 hco3-20 ck(cpk)-738 alt-17 ast-56 ldh-316 ck(cpk)-401 alkphos-58 totbili-1.1 brief hospital course: patient is a 79 yo f with prior history of hypertension, cad s/p mi and bms to d1 in who presented with a stemi, now s/p cardiac cath and bmsx2 to the mid-distal rca. # coronary artery disease - she originally presented to with 4 days of substernal chest pain and found to have st elevations in the inferior leads. she was emergently transferred to for cardiac cath. in the cath lab, she was loaded with integrilin. she was found to have a subtotal occlusion of the rca, and received 2 bare-metal stents to the mid-distal rca. she was continued on aspirin 325mg po daily, and plavix 75mg po daily. the integrilin drip was continued for 18 hours after the catheterization. she was changed to lipitor 80mg po daily. she was also continued on metoprolol 25mg po bid with a target hr of 50-70. she was not started on an ace-inhibitor as her blood pressures were at goal, but this may benefit the patient in the future. # rhythm ?????? patient remained in normal sinus rhythm throughout her hospitalization, with no arrhythmias noted. # pump ?????? patient appeared euvolemic without signs of heart failure. she does have some dyspnea on exertion at baseline, and she felt some shortness of breath when walking around the hospital. she had a tte in the hospital which showed preserved ejection fraction and systolic function, as well as very mild mitral regurgitation and mild pulmonary artery systolic hypertension. # hypertension - patient was normotensive throughout her hospitalization. we will continue metoprolol as above and she will follow-up with her pcp regarding starting an ace-i. there is no hard indication for starting an ace-i, as she has preserved ejection fraction, no evidence of heart failure, and she did not have an anterior mi. # gerd - patient was switched to ranitidine from omeprazole due to concern for an interaction with plavix. # osteoarthritis - pt with severe osteoarthritis affecting her knees, hips, low back and cervical spine. celebrex was stopped at admission due to concern for increasing her risk of mi. patient was advised to stop taking this drug at home and to never take it again. if she needs pain control, she was advised to use tylenol or naproxen. # familial periodic paralysis ?????? she has had no episodes in recent years and no issues with this problem during this admission. she is maintained on diamox for prevention. her code status during this admission was full code. medications on admission: aspirin 325 mg po daily plavix 75 mg po daily lipitor 10 mg po daily metoprolol 25 mg po bid prilosec 20 mg po daily celebrex prn for osteoarthritis pain - stopped during this admission hyoscyamine 0.125 po daily diamox 125 mg po daily discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 4. hyoscyamine sulfate 0.125 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual daily (daily). 5. atorvastatin 10 mg tablet sig: one (1) tablet po once a day. 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain . 7. acetazolamide 250 mg tablet sig: 0.5 tablet po q24h (every 24 hours). 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. 9. ranitidine hcl 150 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: st elevation myocardial infarction hyperlipidemia hypertension osteoarthritis discharge condition: stable discharge instructions: you had a heart attack and a cardiac catheterization with placement of 2 bare metal stents in your right coronary artery. you will need to take plavix and aspirin every day for at least one month to prevent the stents from clotting off. no driving until after you speak with dr. . no pools or baths for one week, you may shower. please call dr. if you notice any bleeding, pain, swelling in your groin, chest pain, trouble breathing, dizziness or fainting or any other concerning symptoms. . medication changes: 1. stop taking celebrex 2. stop taking prilosec, take ranitidine instead 3. take plavix and aspirin every day for at least one month. do not stop taking plavix unless dr. tells you to. followup instructions: cardiology and primary care: , j phone: date/time: procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension other and unspecified hyperlipidemia acute myocardial infarction of other inferior wall, initial episode of care osteoarthrosis, unspecified whether generalized or localized, site unspecified periodic paralysis 

Answer: The patient is high likely exposed to