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: history of present illness: mrs. is an 80-year-old woman who was in her usual state of health until approximately six weeks prior to admission when she fell and sustained a nose fracture. she then spent two weeks in a rehabilitation facility, went home for one week, and was then readmitted to an outside hospital intensive care unit with a nstemi on . at this time, the patient was felt to be too debilitated to undergo cardiac catheterization, and she was therefore transferred to rehabilitation on medical management. after recovering, her pcp made arrangements for her transfer to the for cardiac catheterization. of note, on , her electrocardiogram demonstrated t-wave inversions in leads v2 through v4, and the patient was given enoxaparin, aspirin, and a beta blocker. on the day of admission, the patient underwent cardiac catheterization. this study demonstrated very mild anterior hypokinesis, no mitral regurgitation, and a left ventricular ejection fraction of approximately 65%. her coronary vasculature was found to be right dominant. she has a normal lmca. there was a 90-95% elongated stenosis in the mid portion of her left anterior descending artery involving the take-off of a moderate sized first diagonal branch. there was 80-90% stenosis of the distal vessel. there is also 90% stenosis of the ostium of d1. there was 60-70% stenosis proximally in the lcx followed by a 50-60% stenosis. stenoses 30-40% were also seen in the om. stenoses 50% were seen in the mid portion of the right coronary artery. the left anterior descending artery was successfully stented, and the first diagonal branch was rescued by wire. late in the case, thrombus was noted in the left anterior descending artery stent. eptifibide was then started, and then the stent was redilated with a 3 mm balloon. shortly thereafter, the patient developed hematemesis necessitating discontinuation of the eptifibide. also of note, the patient developed hypotension several times during the procedure, each time quickly responding to dopamine. at the end of the case, a right heart catheterization demonstrated a low resting right and left heart filling pressures and low cardiac index, suggesting hypovolemia. there was no equalization of pressures. an echocardiogram demonstrated a tiny pericardial with no tamponade physiology. there was hypokinesis of the lateral wall with left ventricular ejection fraction of 45%. the patient was then transferred to the ccu in stable condition for further monitoring. past medical history: 1. multiple prior falls with the most recent fall in while on lorazepam and zolpidem. 2. subdural hematoma in . 3. right sided cerebrovascular accident complicated by upper and lower extremity spasticity and hemiparesis. 4. hypertension. 5. baseline confusion. 6. hypercholesterolemia. allergies: no known drug allergies. medications on transfer to the ccu: 1. ec-asa 81 mg po q day. 2. atorvastatin 10 mg po q day. 3. metoprolol 50 mg po tid. 4. citalopram 10 mg po q day. 5. clonazepam 1 mg po q day. 6. mvi one cap po q day. social history: the patient lives with her daughter in a house with stairs. of note, the patient lives on the of this house. the patient denies any history of tobacco, alcohol, or drug abuse. physical examination: on initial physical examination, the patient's temperature was 99.0 degrees, blood pressure 112/56, heart rate 97, respiratory rate 15, oxygen saturation is 98% on 3 liters nasal cannula, and her weight was 124 pounds. on telemetry the patient was found to be in normal sinus rhythm with a rare pvc. in general, the patient was lying in bed and confused, although she was in no acute distress. her heart was a regular, rate, and rhythm, there was a 3/6 systolic murmur at the left upper sternal border without rubs or gallops. she had bibasilar crackles on the left greater than on the right, and no wheezes. her abdomen was soft, nontender, and nondistended and there were normoactive bowel sounds. she had left femoral sheaths present without evidence of hematoma. there was trace bilateral lower extremity pitting edema. patient was moving all extremities without difficulty. she was alert and oriented to the hospital. initial laboratory evaluation: the patient's white blood cells 13.4, hematocrit 24, platelets 405. initial serum chemistries were remarkable for a bicarbonate of 19, but otherwise unremarkable. initial ck was 165. initial electrocardiogram demonstrated ectopic atrial activity with a rate in the 80s. there was evidence of early r-wave progression, and biphasic t waves were noted in leads v2 and v3. hospital course by systems: 1. cardiovascular: quickly following her arrival to the ccu, the patient was weaned off neo-synephrine; this medication had been started in the catheterization laboratory given her hypotension. her postprocedural hypotension was most likely secondary to a combination of a vagal reaction and hypovolemia. she was transfused a total of 4 units of packed red blood cells with a good hemodynamic response. she subsequently remained hemodynamically stable throughout the remainder of her admission. in terms of her coronary artery disease, the patient underwent ptca and stenting of the left anterior descending artery complicated by transient d1 occlusion (restored with wire) and left anterior descending artery stent thrombosis. the patient was transiently started on heparin and epidifibitide with resolution of the thrombosis, although she subsequently developed gastrointestinal bleed. her heparin and eptifibitide were therefore discontinued. she was maintained on aspirin and plavix throughout her hospitalization, although the heparin and eptifibitide were not restarted. she was subsequently stabilized on a beta blocker and atorvastatin. an echocardiogram was performed on . this study demonstrated overall normal left ventricular systolic function with an ejection fraction of greater than 55%. no a-v stenosis was seen. trace ar was seen. there was also evidence of trivial mr. there was no evidence of pericardial effusion. the patient was subsequently discharged on a stable medical regimen as noted below. gastrointestinal: as noted above, the patient developed significant hematemesis, hypotension, and hypovolemia in the context of anticoagulation during her cardiac catheterization. the patient subsequently received a total of 4 units of packed red blood cells with an appropriate increase in her hematocrit. an abdominal ct scan was done on in order to evaluate for a possible retroperitoneal hematoma; this study was negative. she was initially started on an intravenous proton-pump inhibitor given her likely upper gastrointestinal bleed, and was subsequently transitioned to an oral proton-pump inhibitor prior to discharge. at the time of discharge, she was hemodynamically stable, her hematocrit had been stable for over 48 hours, and she had no evidence of active gastrointestinal bleeding. neurology: the patient has baseline dementia and cognitive impairment. she was continued on risperidone as needed for agitation, as well as clonazepam 0.5 mg po bid. she was given acetaminophen as needed for her chronic right lower extremity pain. disposition: prior to her discharge, the patient was evaluated by the department of physical therapy. the physical therapist felt that the patient was currently functioning below her baseline, and therefore, a stay at a rehabilitation facility was recommended to maximize independence with functional mobility prior to returning home. discharge condition: stable. discharge placement: to rehabilitation facility. discharge diagnoses: 1. recent nstemi (). 2. coronary artery disease status post ptca and stenting of the left anterior descending artery. 3. upper gastrointestinal bleeding. 4. baseline dementia. 5. acute blood loss anemia status post cardiac catheterization. 6. hypotension secondary to hypovolemia status post cardiac catheterization. 7. ct scan to rule out peritoneal bleed that was negative. discharge medications: 1. ec-asa 325 mg po q day. 2. clopidogrel 75 mg po q day x6 months. 3. atorvastatin 20 mg po q day. 4. metoprolol 50 mg po bid. 5. pantoprazole 40 mg po q day. 6. clonazepam 0.5 mg po bid. 6. mvi one cap po q day. 7. citalopram 10 mg po q day. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension acute posthemorrhagic anemia late effects of cerebrovascular disease, hemiplegia affecting unspecified side hematemesis acute myocardial infarction of other anterior wall, subsequent episode of care 

Answer: The patient is high likely exposed to