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: the patient is an 89-year-old female with a past medical history of hypertension, hyperlipidemia, and a remote smoking history who presented to hospital with angina, shortness of breath, and inferior st segment elevations on electrocardiogram on . per the patient's son and daughter-in-law, the patient had been using sublingual nitroglycerin for three weeks prior to this admission and was not telling anyone. she has had a history of angina with uncertain workup, but no catheterizations previous to this admission. the patient had severe chest pain and shortness of breath on . she called an ambulance and was transported to hospital. there, she refused cardiac catheterization and lytics were not given. the patient's initial troponin i was 55.5 on with a creatine kinase of 2300 (that peaked on ). she was managed medically with heparin, aspirin, plavix, nitroglycerin, lopressor, and captopril. her chest x-ray showed pulmonary edema. she was given lasix as needed. an echocardiogram on at hospital demonstrated an ejection fraction of 30%, inferior akinesis, and 3+ mitral regurgitation. the patient was also diagnosed with klebsiella and escherichia coli urinary tract infection. the patient was transferred to for cardiac catheterization. admission catheterization revealed 3-vessel disease. the patient's left coronary artery was very short and heavily calcified. the left anterior descending artery with a 90% ostial lesion with evident ulceration. the left circumflex was a nondominant vessel with mid segment 90% lesion. the right coronary artery dominant with occlusion proximally and distal flow from left-to-right collaterals. right atrial pressure was 12. the pulmonary artery pressure was 60/30. pulmonary capillary wedge pressure was 35. cardiac output was 4.4. cardiac index was 2.8. status post cardiac catheterization, in the holding area, the patient went into rapid atrial fibrillation and was given intravenous lopressor. her heart rate went from 180 to 110s. her blood pressure remained stable. past medical history: (past medical history is significant for) 1. angina. 2. dementia. 3. thyroid disease. 4. glaucoma. 5. cataracts. 6. grave's disease. 7. hypercholesterolemia. 8. hypertension. social history: the patient lives alone. she was previously employed as an english teacher. she graduated from . she quit smoking 40 years prior. code status: code status is do not resuscitate/do not intubate (per the patient's son who is her health care proxy). the patient's son is (telephone number ). medications on admission: (on transfer medications were) 1. aspirin 325 mg by mouth once per day. 2. captopril 12.5 mg by mouth three times per day 3. plavix 75 mg by mouth once per day. 4. imdur 60 mg by mouth once per day. 5. levoxyl 100 mcg by mouth once per day. 6. lopressor 25 mg by mouth twice per day. 7. zocor 10 mg by mouth once per day. 8. risperidone. 9. aricept. 10. colace. 11. levaquin 250 mg (times two days). physical examination on presentation: examination on admission revealed the patient's temperature was 97.7, her heart rate was irregular at 90 to 120, her blood pressure was 97/59, and her oxygen saturation was 98% on 2 liters nasal cannula. physical examination was notable for increased jugular venous pressure. there were crackles bilaterally at the bases on pulmonary examination. the patient was alert and oriented times three, but varied depending on when she was asked. she was not always alert and oriented. the patient had an irregular rhythm. first heart sounds and second heart sounds were normal. no third heart sound. no fourth heart sound. the patient had a holosystolic murmur at the apex. the patient had 2+ pulses throughout. pertinent radiology/imaging: electrocardiogram on revealed an inferior st elevations, and large q waves. an echocardiogram on revealed an ejection fraction of 30%, 3+ mitral regurgitation, left ventricular lateral wall akinesis, mid distal posterior wall akinesis, mid distal inferior wall akinesis, and distal anterior wall akinesis. pertinent laboratory values on presentation: creatine kinase values from the outside hospital on was 234 which peaked on at 2324 and trended back down and was 140 on admission. troponin i was initially 1.04 and peaked at 55.5 and was 3.09 on admission to . sodium was notable for being 129 on admission. the patient's admission hematocrit was 27.8. urine culture was notable for escherichia coli and klebsiella on (from the outside hospital). the patient's thyroid-stimulating hormone on was 0.54. her cholesterol was 142, her triglycerides were 112, her high-density lipoprotein was 47, and her low-density lipoprotein was 73. concise summary of hospital course by issue/system: the patient is an 89-year-old female with cardiac risk factors of hypertension, high cholesterol, and previous smoking who presented to an outside hospital with acute st-elevation inferior myocardial infarction. she was managed medically, per patient wishes. the patient presents now with compromises left ventricular function, status post resolution of her myocardial infarction. ejection fraction on admission documented an outside hospital was 30% with areas of akinesis and hypokinesis of the left ventricle. cardiac catheterization demonstrated severe 3-vessel disease and elevated filling pressures with moderate-to-severe mitral regurgitation. the catheterization was complicated by atrial fibrillation with a rapid ventricular rate with some response to intravenous lopressor. the patient was not a candidate for coronary artery bypass graft. per her son, her health care proxy, the patient would never want this; which was reasonable from a medical standpoint. no intervention or percutaneous transluminal coronary angioplasty, as the patient was unlikely to be without complications. the decision was made to pursue medical management. 1. cardiovascular issues: (a) coronary artery disease issues: the patient was maintained on her aspirin, plavix, and heparin once her sheath was pulled. she was maintained on a statin. the patient underwent no intervention during this hospitalization. an ace inhibitor and beta blocker were added to her regimen as her blood pressure were tolerate over the course of her hospital stay and titrated. the patient was able to ambulate without anginal symptoms prior to her discharge to a rehabilitation facility. (b) rhythm: the patient was in rapid atrial fibrillation with some response to intravenous lopressor. the patient was started on an intravenous amiodarone load which was changed to an oral load. her thyroid function tests and liver function tests were monitored. pulmonary function tests were to be obtained as an outpatient should the patient stay on amiodarone. the patient converted to a normal sinus rhythm and remained in a normal sinus rhythm with no atrial fibrillation times two days. amiodarone was discontinued, as it was thought that the patient's atrial fibrillation was related to her catheterization only. the patient was monitored and found to be in a normal sinus rhythm prior to her discharge. 2. congestive heart failure issues: the patient was noted to be volume overloaded and was diuresed throughout this admission. the patient will require further diuresis at her rehabilitation facility based on a clinical daily examination. the patient responded well to 40 mg of intravenous lasix corresponding to 80 mg by mouth of lasix. the patient was monitored initially with a swan-ganz catheter times two days. this was removed without complications. a beta blocker and ace inhibitor were restarted without complications. 3. anemia issues: the patient was admitted initially with a hematocrit of 27.8. the patient was transfused one unit or packed red blood cells. her hematocrit responded appropriately and remained at 30 throughout the remainder of the hospital course. 4. urinary tract infection issues: the patient was admitted with an escherichia coli and klebsiella urinary tract infection. her urinalysis was rechecked after three days on levofloxacin and found to still be consistent with a urinary tract infection. the patient was to be continued for a full course of levofloxacin. 5. dementia issues: the patient has underlying low-grade dementia. she was maintained on her aricept and risperidone. 6. hypothyroidism issues: the patient was maintained on her synthroid. 7. code status issues: the patient is confirmed do not resuscitate/do not intubate. final discharge diagnoses: 1. inferior myocardial infarction. 2. hypertension. 3. coronary artery disease. 4. angina. 5. dyspnea. 6. urinary tract infection (klebsiella and escherichia coli). 7. hypothyroidism. 8. dementia. major surgical/invasive procedures performed: cardiac catheterization on . discharge instructions/followup: 1. the patient had an appointment with dr. on at 1 p.m. at the building, seventh floor. 2. the patient was instructed to follow up with her primary care physician (dr. ) within the next few weeks (telephone number ). 3. the patient was instructed to follow up with medical director of the rehabilitation facility. 4. the patient will need daily clinical evaluation for pulmonary edema and volume overload, and a dose of lasix on an as needed basis. 5. the patient will require physical therapy and occupational therapy for cardiac rehabilitation. medications on discharge: 1. acetaminophen. 2. aspirin 325 mg by mouth once per day. 3. levothyroxine 100 mcg by mouth every day. 4. plavix 75 mg by mouth once per day. 5. simvastatin 10 mg by mouth once per day. 6. donepezil 5 mg by mouth once per day. 7. risperidone 1 mg by mouth once per day. 8. .................... 40 mg by mouth once per day. 9. docusate 100 mg by mouth twice per day. 10. senna. 11. bisacodyl. 12. levofloxacin 250 mg once per day (times five days). 13. toprol-xl 50 mg by mouth once per day. 14. lisinopril 5-mg tablets take 0.5 tablet by mouth once per day. 15. lasix 40 intravenously or 80 mg by mouth as needed. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters transfusion of packed cells diagnoses: mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified friedl?nder's bacillus infection in conditions classified elsewhere and of unspecified site cardiac complications, not elsewhere classified combined systolic and diastolic heart failure, unspecified acute myocardial infarction of other specified sites, initial episode of care postmyocardial infarction syndrome 

Answer: The patient is high likely exposed to