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: past medical history: 1. coronary artery disease. stress test in , resulted in anginal symptoms with ischemic ekg changes. the sestamibi image showed a reversible perfusion defect in inferior distribution. status post myocardial infarction in . echocardiogram in showed posterior and apical hypokinesis/akinesis. ejection fraction 40 to 45%. there is 2+ mitral regurgitation and trace aortic insufficiency. 2. paroxysmal atrial fibrillation. 3. hypertension. 4. hypercompression. 5. macular degenerative and she is legally blind. 6. history of rheumatoid arthritis. 7. anxiety. medications on admission: 1. aspirin 81 mg p.o.q.d. 2. zocor 10 mg p.o.q.d. 3. fosamax 10 mg p.o.q.d. 3. senna 1 tablet p.o.q.h.s. 4. lopressor 37 mg p.o.t.i.d. 5. remeron 7.5 mg p.o.q.h.s. 6. atacand 4 mg p.o.q.d. 7. protonix 40 mg p.o.q.d. 8. calcium 500 mg p.o.t.i.d. 9. multivitamin, one tablet p.o.q.d. allergies: there was no known drug allergies. social history: the patient has no alcohol, no tobacco use in the last four years. family history: both parents had coronary artery disease in their 70s. the patient's son had two myocardial infarctions in his 40s. physical examination: examination revealed the following on admission: vital signs: afebrile, blood pressure 115/62, heart rate 65. she was breathing at 16 with an oxygen saturation of 97% on two liters by nasal cannula. general: the patient was lying flat in bed in no acute distress. she was complaining of 4 out of 10 midepigastric discomfort. heent: normocephalic, atraumatic. extraocular muscles are intact. pupils surgical, minimally reactive, sclerae anicteric. chest: chest was clear to auscultation bilaterally. cardiac: normal s1 and s2, regular rate and rhythm, no s3, no s4. there is a 2 out of 6 holosystolic apical murmur. abdomen: soft, nontender, nondistended, positive bowel sounds. extremities: right groin site dressing soaked with blood, secondary to bleeding from suture sites, but no actual bleeding from the insertion site of the intraaortic balloon pump. there were palpable pulses bilaterally in the lower and upper extremities. there is evidence of good perfusion. laboratory data: laboratory studies revealed the following: white blood cells 8.4, hematocrit 35.9, platelet count 236,000, mcv 85, differential 73% neutrophils, 20% lymphocytes, ptt 24.1, inr 1.0. chem 7 revealed the sodium of 140, potassium 3.9, chloride 102, bicarbonate 29, bun 16, creatinine 0.7, glucose 120, ck 23, troponin less than 0.3, calcium 10.3, magnesium 1.7, phosphate 3.5. abgs revealed the ph of 7.41, pco2 of 43, po2 81. chest x-ray revealed no chf or infiltrate. the ekg upon arrival at 6:45 a.m. on showed normal sinus rhythm at a rate of 60, normal intervals, leftward axis, q wave in leads 3, avf, and a small q wave in lead 2. there is 1-mm st elevation in lead v3, t- wave inversion in leads v4 to v6. post catheterization ekg showed normal sinus rhythm at a rate of 60 with t wave inversions in leads 2, 3, avf, v2 through v5, q waves in leads 2 and 3 were no longer present. there was .5-mm st elevation in lead v3. impression: this is an 88-year-old woman with history of asymptomatic inferior myocardial infarction and a non-q-wave myocardial infarction in as well as documented left ventricular systolic dysfunction, who presents with chest tightness at rest, beginning the night prior to admission and lasting through the night. the ekg was unchanged from previous. given the patient's persistent pain she was brought to the cardiac catheterization laboratory and underwent stent to om1. she had mild pain after the procedure, so an intraaortic balloon pump was placed. she was admitted to the coronary intensive care unit. hospital course: (by system) #1. cardiovascular: a. coronary artery disease. the patient ruled out for myocardial infarction by enzymes and the ekg was without change. chest pain resolved shortly after her arrival in the coronary intensive care unit. it was felt that her chest pain was atypical and most likely not of cardiac origin. the nitroglycerin drip was weaned with no return of her symptoms. we continued the aspirin, beta blocker and ace inhibitor. she was started on plavix in the cardiac catheterization laboratory and this was continued. the day after admission the intraaortic balloon pump was discontinued as it did not appear to be providing significant hemodynamic or symptomatic benefit. b. ventricular function. filling pressures were measured at right heart catheterization. right atrial pressure was 3. right ventricular pressure was 26/6. pulmonary artery pressure was 24/13 with a mean of 17 and the mean wedge was 8. the aortic pressure was 155/77 with a map of 108. cardiac output was 3.8. index was 2.6, as measured by the fick method. as indicated above, the intraaortic balloon pump did not appear to be providing hemodynamic benefit as shown by the pressure tracings. therefore, it was felt that this intervention could be safely discontinued after twenty-four hours. c. rate and rhythm. there were no acute issues. telemetry was with normal sinus rhythm and there were no alarms. #2. hematology: the patient had continued bleeding from the sutures where her groin catheter was inserted. she received one unit of blood for hematocrit of 26 and the post-transfusion hematocrit was 30. after the balloon pump had been discontinued, heparin was stopped. reapro was stopped at 11 p.m. the evening of her cardiac catheterization. after the removal of the intraaortic balloon pump there was good hemostasis at the groin. no further transfusions were necessary. #3. pulmonary: the patient's post balloon pump placement x-ray showed evidence of partial right upper lobe collapse. room air saturation was 97%. we provided incentive spirometry and chest physical therapy for lung re-expansion. #4. fluids, electrolytes, and nutrition: the patient had a cardiac diet and electrolytes were replaced as needed. #5. pyschiatry: the patient is on remeron and per her family's report, she is much brighter since she began this medication. the patient had one episode of disorientation and confusion on the night of . she was easily redirected and well oriented the next morning. it was felt that the patient had an episode of "sundowning." #6. prophylaxis: heparin prophylaxis was provided while the patient was not ambulating and protonix was continued. code status: the patient has previously expressed her wishes to be dnr/dni. however, this was revisited and the patient stated that she was willing to have life support if necessary on a temporary basis. therefore, her code status was changed to full code. disposition and medication information will be provided in the discharge addendum. diagnoses: 1. atypical chest pain. 2. rule out myocardial infarction. 3. cardiac catheterization with stent to the om1 with diffuse three-vessel disease. , 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 injection or infusion of platelet inhibitor implant of pulsation balloon removal of external heart assist system(s) or device(s) diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia urinary tract infection, site not specified unspecified essential hypertension hemorrhage complicating a procedure other chest pain subendocardial infarction, subsequent episode of care delirium due to conditions classified elsewhere 

Answer: The patient is high likely exposed to