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: penicillins attending: chief complaint: chest pain, shortness of breath major surgical or invasive procedure: cardiac catherization history of present illness: <b>division of cardiology comprehensive note</b> initial visit, cardiology service date: . outpatient cardiologist: n/a pcp: ( group) . ms. is a 63 yo female with no significant past medical history who presents following acute onset of chest pain and shortness of breath at 1 a.m. following a fight with her sister. she states that she initially developed chest pressure that did not radiate, followed by shortness of breath. she became lightheaded and states that she felt as though she was going to pass out. she vomited multiple times. ems was called and she took asa 324 mg as instructed. per ems report, she was hypoxic and tachycardic. . on arrival to ed, bp 140/90, hr 110, spo2 89% on 100% nrb, rr 89. she was placed on nippv 10/5/100% and immediately had one episode of vomiting, requiring suctioning, but reportedly no aspiration. she received zofran 4 mg iv and cpap mask was replaced. a nitro gtt initiated with symptomatic improvement, then weaned to off. a foley was placed and 20 mg iv lasix was given with ~1.2 liters uop in response. with finding of pulmonary edema on cxr and positive troponin (1.10), she received plavix 600 mg po and was started on integrillin and heparin drips given concern for cardiac ischemia. she subsequently became transiently bradycardic with hr 40, bp 50/p and a dopamine drip was started. bp improved to 88/57. patient was transferred directly to cath lab. . in the cath lab, patient was found to have clean coronaries and high biventricular filling pressures; no intervention was performed. abg was performed 7.31/42/54, and nippv was resumed prior to transfer to ccu. . on review of symptoms, she 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. patient denies any recent tick bites or rashes. . patient reports two episodes of transient left sided chest pressure this past weekend, which lasted 5 minutes and occurred while lying in bed. she has had some mild shortness of breath with exertion for the past two weeks. cardiac review of systems is notable for absence of paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, or syncope. past medical history: multinodular goiter s/p recent concussion social history: social history is significant for the absence of current tobacco use. patient smoked 1.5 ppd until . there is no history of alcohol abuse. she states that she drinks only one glass of wine when she goes out to dinner with friends. travel history for recent visit to . she currently resides with her sister. she states that she feels safe at home, but states that she has asked her sister to move out. family history: she states that her paternal grandfather had an mi in his 70's. her brother died of a sudden mi at the age of 67. sister has bipolar disorder. physical exam: vs: t 96, bp 111/82, hr 90, rr 28, o2 94% on nippv 8/8/50% gen: wdwn middle aged female in nad, in supine position, tolerating nippv mask. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp to level of mandible. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. bilateral rales of the way up. abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. no femoral bruits. right groin with clean, dry dressing intact. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp pertinent results: ekg demonstrated nsr, hr 100. normal axis and normal intervals. tw flattening in avl. elevation in, ii, iii, ? avf. v5-v6. q wave present in leads i, ii. no prior ekg available for comparison. . telemetry demonstrated: sinus rhythm with 5-beat run of nsvt, hr 94 . cardiac cath performed on demonstrated: right-dominant system with no angiographically apparent cad in lmca, lad, lcx, rca. profound elevation of right and left sided filling pressures. no mitral regurgitation. lvef 20% apical balloning. . hemodynamics: co 4.73 ci 2.22 pcwp 38 pa 38 ra 21 rv 59/18 . cxr (my read): diffuse infiltrates bilaterally, consistent with pulmonary edema brief hospital course: assessment and plan, to be reviewed and discussed in multidisciplinary rounds: ms. is a 63 yo female with no significant past medical history who presents with pulmonary edema in the setting of new-onset cardiomyopathy . # pump: patient presents with pulmonary edema, found to have a cardiomyopathy with ef 20%, with no evidence of active ischemia. development of cardiomyopathy follows acute stressful event in this middle-aged female, supporting possible diagnosis of takotsubo's cardiomyopathy. this diagnosis is also supported by characteristic left ventricular apical ballooning. other possible etiologies of cardiomyopathy include thyroid dysfunction in this patient with h/o goiter vs. lyme myocarditis given recent travel to . history does not support alcoholic cardiomyopathy vs. other drug-induced cardiomyopathy. - wean dopamine as able, maintaining map>65 - initiate acei and beta-blocker once bp able to tolerate - aggressive diuresis as tolerated by bp and renal function - check lyme serology - check tsh - social work consult pt was closely observed during her hospitalization, ambulation was gradually increased, and she was ultimately discharged in stable condition. . # cad/ischemia: patient with no evidence of cad on cardiac catheterization. - continue asa daily - d/c plavix . # fen: - goal i/o: 2 liters negative. - replete k>4, mg>2 - low sodium diabetic diet . # prophylaxis: - sq heparin as dvt prophylaxis - gi prophylaxis not indicated . # code status: full code, confirmed with patient at time of admission to ccu. . # communication: with patient. medications on admission: none discharge disposition: home discharge diagnosis: takotsubo cardiomyopathy myocardial infarction heart failure, acute systolic thyroid nodule discharge condition: stable discharge instructions: you were admitted for shortness of breath with associated chest pain. after being admitted to the hospital, you had a procedure done on your heart to determine the anatomy and pressures in your heart called a cardiac catheterization. during the procedure, it was found that the apex of your heart was bigger than it should be. as a result, a diagnosis of takotsubo cardiomyopathy was made, which is a condition in which you can go into congestive heart failure and have acute changes in the anatomy of your heart based on acute changes in emotion or anxiety. you were given medications to remove fluid from your lungs (which you will be started on at home) and medications to control your heart. you have an appointment with a cardiologist (dr. and one that you must make with your primary care provider. you experience any acute shortness of breath, cough up pink tinged sputum, chest pain, loss of consciousness, or extreme lightheadedness/dizziness, please call your primary care physician . in addition: weigh yourself every morning, md if weight > 3 lbs and adhere to 2 gm sodium diet every day. followup instructions: 1) dr. phone: date/time: 9:20. 2) follow-up with patient's pcp: , . to be arranged by patient. procedure: coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization diagnoses: congestive heart failure, unspecified takotsubo syndrome nontoxic uninodular goiter 

Answer: The patient is high likely exposed to