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 / digoxin / yellow dye attending: chief complaint: chest pain. major surgical or invasive procedure: cardiac catherization with 2 stents placed to the proximal right coronary artery. history of present illness: this is an 86 year-old female with history of atrial fibrillation, hypertension, and tia who was admitted with an inferior stemi. today, she had an elective pacemaker generator change. she was ready to go home when she reported bandlike chest pressure and nausea. her arms became dusky and cold. an ekg showed st elevations in the inferior leads with depression in the lateral leads. she received plavix, aspirin, lopressor, and lovenox. she was transfered to for intervention. cardiac catherization showed complete occlusion of the proximal right coronary and 2 stents were placed. on admission to the coronary care unit, she was chest pain free. she noted that she had been experiencing some exertional shortness of breath and lightheadedness over the past month. she also reported occasionaly chest pains with exertion that she attributed to "pacemaker pains." she had also been having some difficulty carrying groceries and laundry. past medical history: 1. atrial fibrillation on coumadin 2. sick sinus syndrome diagnosed 11 years ago when she experienced bradycardia with pauses. she had a had a pacemaker placed. 3. hypertension 4. status post cholecystectomy 5. status post appendectomy 6. status post wrist fracture from mechanical fall. social history: she is widowed and lives alone. she is independent in her activities of daily living. she has 4 children who live nearby and help her with household chores. she is currently planning on moving into a senior facility. she never smoked and she doesn't drink alcohol. family history: her brother died of a heart attack in his 50s. her other brother has coronary artery disease and has had two bypass surgeries. her mother had rheumatic heart disease. physical exam: vitals: temperature:97.9 blood pressure:157/92 pulse:115 respiratory rate:17 oxygen saturation:98% on 2l nasal cannula. general: well appearing female lying flat in bed in no acute distress. heent: pupils equal round and reactive, extraoccular movements intact, moist mucouse membranes. cardiac: irregularly irregular, tachycardic, s1, s2, without murmurs, rubs, gallops, no carotid bruits, left pacemaker intact. pulmonary: clear to auscultation anteriorly. abdomen: normoactive bowel sounds, soft, nontender, nondistended. extremities: no cyanosis, no edema, 2+ dorsalis pedis and posterior tibial pulses bilaterally. venous and arterial sheaths intact in right groin oozing soaking though all gauze dressings. right knee imobolizer intact. pertinent results: hematology: wbc-7.7 hgb-13.0 hct-38.9 plt count-315 . chemistry: sodium-135 potassium-4.6 chloride-103 total co2-23 urea n-10 creat-0.6 glucose-138 calcium-8.9 phosphate-3.6 magnesium-2.0 . liver function: alt(sgpt)-33 ast(sgot)-76 alk phos-85 tot bili-0.9 . lipid panel: cholest-153 triglycer-53 hdl chol-55 chol/hdl-2.8 ldl(calc)-87 . cardiac enzymes (peak): ck(cpk)-563 ck-mb-105 mb indx-18.7 ctropnt-3.87 . ekg: per report, atrial fibrillation at 70 beat per minute with st elevations in ii, iii, and avf and st depressions in the precordial leads. . post-catherization ekg: atrial fibrillation about 100-115 beats per minute with no st elevations or depressions. . catherization findings: 100% occlusion of the proximal right coronary with left to right collateral flow; left main with calcifications but no lesions; left anterior descending with a 95% lesion in a small d1 vessel and with 60% stenosis post d1; left circumflex with 60% tubular midsegment stenosis. . hemodynamics: cardiac output: 2.89 cardiac index:1.81 mixed venous oxygen:59% arterial oxygen:96% pulmonary artery:32/22 wedge:18 brief hospital course: this is an 86 year-old female with history of atrial fibrillation and sick sinus syndrome with pacemaker who presented with st elevation inferior myocardial infarction after a elective pacemaker generator change. . 1. stemi: her pacemaker generator was changed, and as she was leaving to go home, she had severe bandlike chest pressure. an electrocardiogram was consistent with an inferior myocardial infarction. at the , she underwent cardiac catherization that showed a 100% lesion in the proximal right coronary artery. two stents were placed to the proximal right coronary with good resultant flow. she did have bleeding and developed a small hematoma as the right arterial sheath was pulled. her hematocrit remained stable. a post-procedure electrogram had no residual st elevations or depressions. a swan-ganz catheter was left in her right groin access post procedure for hemodynamic monitoring since her lesion was in the proximal right coronary and since there was concern for right ventricular involvement. there was a single vessel, however, that had its origin prior to the stenosed lesion. an echocardiogram, on hospital day 2, showed an ejection fraction of 50% with left ventricular inferior basal hypokinesis. there was normal right ventricular systolic function with a question of inferior hypokinesis. post procedure, her cardiac output fell and nadired at 1.9 (index = 1.1) with decreased urine output. the decrease in cardiac output was attributed to a combination of possible right ventricular involvement and tachycardia to the 140s. both iv and oral metoprolol were given in attempt to control her rate; however, she was not able to maintain her pressure with the beta blockade. she was started on dobutamine (2.5 mcg/kg/min), and her cardiac output increased to 3.4 (index = 2.13). her urine output also improved. she was initially maintained on aspirin, plavix, high dose statin, and metoprolol. she did not receive integrilin as she received lovenox prior to transfer to the and then received heparin during catherization. within 24 hours, she was weaned from the dobutamine. an ace-inhibitor was started and titrated as her blood pressure allowed. she had no further episodes of chest pain. she will need 12 months of plavix for her stents. . 2. atrial fibrillation: she initially was tachycardic to the 140s. her rate decreased to the 120s with iv and oral metoprolol. she did have a drop in her blood pressure with the metoprolol. as her blood pressure improved, she was started on diltiazem, which was titrated up to her home dose. she was subsequently transitioned back to her outpatient regimen of atenolol and diltiazem xl. she remained rate controlled in the 80s. her coumadin dose of 2.5 mg was restarted on hospital day 2. she was bridged with lovenox. since she is on aspirin, plavix, and coumadin, her goal inr should be 1.8-2.0. at the time of discharge, her inr was 1.3. she was discharged with 2 days of lovenox. . 3. sick sinus syndrome: her pacemaker generator was changed the day of admission and she had no complications. . 4. fen: cardiac diet. . 5. prophylaxis: coumadin with lovenox bridge, bowel regimen, ppi. . 6. access: her left venous sheath was maintained for 24 hours while she had her swan-ganz in place. she also had peripheral ivs. . 7. dispo: she was discharged to home on hospital day 5 after she had 3 sessions with physical therapy to restore her functional mobility back to her baseline. medications on admission: 1. coumadin 2.5 mg po qd 2. atenolol 100 mg po qd 3. diltiazem 120 mg po qd discharge medications: 1. 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* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. warfarin 2.5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po q6h (every 6 hours) as needed. 6. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 7. diltiazem hcl 120 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 8. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. enoxaparin 60 mg/0.6 ml syringe sig: one (1) subcutaneous twice a day for 2 days. disp:*4 syringes* refills:*0* discharge disposition: home discharge diagnosis: st elevation myocardial infarction atrial fibrillation discharge condition: stable. she had no further chest pain. her heart rate was well controlled. discharge instructions: take all medications as prescribed. seek medical attention if you have any chest pain, shortness of breath, nausea, vomiting, light-headedness or anything else that you find worrisome. weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet followup instructions: you should follow-up with your primary care physician weeks. you should follow-up with your cardiologist in weeks. procedure: left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) infusion of vasopressor agent 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 unspecified essential hypertension atrial fibrillation cardiogenic shock acute myocardial infarction of other inferior wall, initial episode of care long-term (current) use of anticoagulants cardiac pacemaker in situ sinoatrial node dysfunction 

Answer: The patient is high likely exposed to