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: sulfonamides attending: chief complaint: s/p fall major surgical or invasive procedure: s/p pacemaker implantation history of present illness: f with multiple falls, s/p lad stent , s/p mi x2, lvef 50% 2/04, hyperlipid, htn, presenting after she fell down today. she states that she wears a wrist brace for carpal tunnel syndrome, and the brace slipped off of her walker as she was ambulating, and she fell down on the carpet. she had a brief feeling before she fell, that she was going to fall, she describes this as a "weak" feeling. no loc, no head or body trauma. for the past few months, she has been feeling fatigued but not lightheaded, no cough, no dysuria. her last fall was one year ago. she has had no n/v/d, and slightly decreased po intake over the past few months. . in the ed, cr 0.9, hct 35.6. ua negative, cxr pend. her vitals were stable on admission, but she went into afib with rvr with hr 140s with bp 120s. she was placed on diltiazem gtt with hr 80s, bp 100-110. she has no history of afib, and has never gone into afib before as far as she knows. on exam she only had le edema. she had a troponin leak of ck 184, mb 11, trop 0.17. felt to be associated with rate related ischemia. ct head negative for head trauma or bleed s/p fall. heparin gtt was started. . over the past two years, she has had a decline in her balance, and has arthritis in her r knee. she denies any lightheadedness, dizziness, visual disturbances, cp, palpitations, or headaches associated with these falls. . on the way to the floor, patient developed sscp. ekg shows 2mm ste v1-v4, which may be mildly worse than the anteroseptal stes on previous ekgs. past medical history: hypertension, difficult to control hypercholesterolemia arthritis single l kidney. right kidney non-functional s/p rf ablation adrenal adenoma cad, s/p lad stent(), s/p mi x 2, lvef 50%() diverticula recent admit for generalized weakness hemangiomas in liver social history: pt lives in senior housing building . she has lived there 20 years. she has 3 sons, 1 in , 1 in and another in who are not very involved. she has 1 grand-daughter who is " very busy." she has a housekeeper 1.5 hours a week. she also has a shopper who helps her with groceries once a week and has a companion who accompanies her outside the building 2 x/ week on errands. she has 1 meal a day provided. no etoh, tobacco family history: nc physical exam: vs: 96.4 / 141/65 / 69 / 20 / 100% 2lnc gen: elderly female, pleasant, in no acute distress. heent: eom intact, moist mm, jvd 6 cm, no lad, op clear, no thyromegaly lungs: ctab heart: 1/6 sem (not noted several months ago), rrr, no r/g abd: mild tenderness llq, soft, +bs, nd, nt to palpation over llq extr: trace le edema, 2+ dp bl neuro: cn 2-12 tested and intact, motor skin: no rash pertinent results: 07:10pm pt-11.9 ptt-27.5 inr(pt)-1.0 07:10pm plt count-253 07:10pm neuts-79.8* lymphs-15.3* monos-3.1 eos-1.1 basos-0.7 07:10pm wbc-8.6 rbc-3.93* hgb-12.3 hct-35.6* mcv-91 mch-31.4 mchc-34.7 rdw-14.0 07:10pm calcium-9.4 phosphate-2.9 magnesium-1.9 07:10pm ck-mb-11* mb indx-6.0 ctropnt-.17* 07:10pm ck(cpk)-184* 07:10pm glucose-131* urea n-23* creat-0.9 sodium-132* potassium-4.3 chloride-96 total co2-25 anion gap-15 08:10pm urine rbc-0-2 wbc-0-2 bacteria-occ yeast-none epi-0-2 08:10pm urine blood-sm nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-tr 08:10pm urine color-straw appear-clear sp -1.006 01:10am ck-mb-12* mb indx-6.6* ctropnt-0.25* 01:10am ck(cpk)-181* 05:40am pt-13.0 ptt-150* inr(pt)-1.1 05:40am plt count-214 05:40am neuts-67.1 lymphs-26.0 monos-4.8 eos-1.3 basos-0.7 05:40am wbc-7.3 rbc-3.69* hgb-12.0 hct-33.4* mcv-91 mch-32.7* mchc-36.0* rdw-14.5 . ct head - there is no intracranial hemorrhage, mass effect, or shift of the normally midline structures. again redemonstrated is a small chronic infarct with volume loss in the posterior right frontal lobe. mild periventricular cerebral white matter hypodensity is consistent with chronic microvascular ischemic changes. the -white matter differentiation is preserved. again seen is a small symmetric ovoid metallic density at the anteromedial aspect of the right globe likely related to lens implant. the visualized mastoid air cells and paranasal sinuses are clear. the osseous structures are unremarkable. . pcxr - no acute cardiopulmonary abnormality. . lumbar films: impression: diffuse degenerative changes of the l-spine with no evidence for compression fracture. . catheterization: . 1. one vessel coronary artery disease (unchanged). 2. normal lv diastolic function. 3. diffuse slow flow consistent with microvascular dysfunction. 4. continue medical management. . echo: . impression: moderate concentric left ventricular hypertrophy with normal ejection fraction and at least mild diastolic dysfunction . compared with the findings of the prior report (images unavailable for review) of , left ventricular wall thickness is increased, now with evidence of diastolic dysfunction. brief hospital course: f with multiple falls, s/p lad stent , s/p mi x2, lvef 50% 2/04, hyperlipid, htn, presenting after a fall. . # fall: likely etiology is mechanical, but concern for cardiac causes, such as afib or ischemia. - ct head negative. - l-spine xray negative for compression fracture. - small trop leak in setting of afib with rvr. - infectious w/u negative-cxr wnl, u/a negative. - tsh was noted to be elevated at 9.5, but ft4 was normal @ 1.1. . # rhythm: afib with rvr in ed, quickly resolved to nsr on floor. dr. , her outpatient cardiologist saw the patient and recommended switching to sotolol for rate control and antiarrhythmic properties. - slight troponin leak in setting of rvr. - was initially heparinized, but when enzymes trended down, no more afib/rvr, no ecg changes c/w ischemia, heparin gtt d/c'd. - pt. not a candidate for long-term anticoagulation given fall risk. - she was continued on sotolol, and on , while awaiting discharge to rehab hospital in otherwise stable condition, she was found by her nurse "slumped in her chair, unresponsive". code blue (cardiac arrest) was called. on arrival to bedside, she was found unresponsive, on back board in bed. she was not breathing. after jaw thrust maneuver, she began breathing spontaneously. there was no palpable pulse. chest compressions were started. after two compressions, she wailed in pain, and began speaking and answering questions. her bp was measured at approx. 70 systolic. her rhythm on the acd was idioventricular rhythm at a rate of 37. she was givne one mg. of atropine, and approximately 5 minutes later, her bp was measured at 115 systolic, with hr response to 50's, sinus. - she was transferred to the ccu for closer monitoring. - she went to cath (results unchanged from prior) - she then went to the ep lab for pacemaker placement for symptomatic bradycardia attributed to medication-induced sinus arrest on the background of sick-sinus syndrome. - she had her pacer placed without complication, and was transfered back to the floor. - she was continued on sotolol - she was discharged to rehab two days following pacer placement. . # ischemia: subtle ecg changes, troponin leak is likely due to afib with rvr 140s. cath as above. # pump: last echo showed normal pump function - echo repeated (above). - continued on asa, ccb, statin, , nitrate, sotolol. medications on admission: aspirin 81mg qdaily metoprolol 12.5mg po bid benicar 20mg po bid lipitor 10mg po qhs imdur 15mg po bid senna 1 tab po bid discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed). disp:*60 tablet, sublingual(s)* refills:*2* 5. isosorbide mononitrate 30 mg tablet sustained release 24hr sig: 0.5 tablet sustained release 24hr po bid (2 times a day). disp:*30 tablet sustained release 24hr(s)* refills:*2* 6. olmesartan 20 mg tablet sig: one (1) tablet po bid (). disp:*60 tablet(s)* refills:*2* 7. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. psyllium packet sig: one (1) packet po bid (2 times a day). disp:*60 packet(s)* refills:*2* 9. amlodipine 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po at bedtime. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 11. sotalol 80 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* discharge disposition: extended care facility: house discharge diagnosis: nstemi, sick-sinus syndrome, sinus arrest due to medications, s/p pacemaker implantaion. discharge condition: stable discharge instructions: take all medications as prescribed followup instructions: provider: clinic phone: date/time: 2:00 . you must make an appointment with your pcp , . upon discharge from rehab. procedure: left heart cardiac catheterization coronary arteriography using a single catheter initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle angiocardiography of right heart structures diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension hyposmolality and/or hyponatremia atrial fibrillation percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia cardiac arrest old myocardial infarction sinoatrial node dysfunction fall from other slipping, tripping, or stumbling cardiac rhythm regulators causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to