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: transfer from outside hospital for cardiac catheterization s/p st elevation mi major surgical or invasive procedure: cardiac catheterization with cypher stent to right cornary artery history of present illness: 87 yo f transferred from with std antero-laterally for cath. on day of admission, she had pre-syncope at her facility. emt was called and found to be brady to 30's with bp 80/40. ekg showed junctional rhythm, rate of 40. she was given atropine and ca gluconate, glucagon at and started on dopamine gtt. head ct neg for bleed at . she was temporarily externally paced. she then went into sr, rate 80, std anterolaterally. she was given asa, plavix 600 mg, heparin gtt and integrillin and tranferred to cath lab. ck 26, trop <0.02 at . cath showed lmca with no angiographic apparent cad, lad with mid and distal long tubular 50% stenosis, lcx with no angiographic apparent stenosis, rca with mid 95% long stenosis that was stented. she was more confused at and there was concern for ischemic stroke and was sent to mri/mra to rule out stroke after cath. per son, at baseline she is sharp, oriented. past medical history: facial droop hypercholesterolemia ?cad jaw cancer s/p resection and hip bone graft (leading to weakness in l hip) social history: lives in facility, 3 children. husband deceased. family history: father with mi at young age. physical exam: 96.4, 200/85, 68, 18, 100% on 2l genl: pleasant, nad heent: dry mm cv: rrr, systolic murmur lungs: cta anteriorly abd: soft, nt, nd, +bs ext: 1+ dp, pt pulses neuro: alert and oriented (date ), slightly confused at cath mri, better oriented with son in room in ccu. strength 4+/5 in l foot ext/flexorsy, in r foot flexors/ext, in finger extensors, flexors. ftn with slight dysmetria, pupils 5-6mm and not reactive, eomi, op clear, l facial droop (chronic). pertinent results: ekg: 11:47 am: junctional rhythm, rate 40, nl axis, narrow qrs. 1:15pm: ?afibrate 69, std in i, ii, v2-v6. 1:27pm: sr, rate 80, std in i, ii, v2-v6 post cath: nsr, rate 70, nl axis, nl int, std normalized. head ct - no bleed from osh head mri/mra - chronic ischemic changes. no acute bleed. 06:20pm blood wbc-10.5 rbc-3.16* hgb-10.4* hct-29.1* mcv-92 mch-32.8* mchc-35.5* rdw-13.2 plt ct-213 05:15pm blood hct-26.4* 07:15am blood wbc-4.7 rbc-3.67* hgb-11.7* hct-33.8* mcv-92 mch-31.8 mchc-34.5 rdw-13.8 plt ct-209 06:20pm blood pt-13.1 ptt-21.8* inr(pt)-1.1 01:50am blood plt ct-202 03:38am blood pt-12.9 ptt-19.3* inr(pt)-1.1 07:15am blood plt ct-209 06:20pm blood ret aut-2.1 06:20pm blood glucose-137* urean-20 creat-1.1 na-137 k-4.2 cl-104 hco3-20* angap-17 09:10am blood glucose-166* urean-17 creat-0.7 na-133 k-3.7 cl-100 hco3-19* angap-18 07:15am blood glucose-132* urean-14 creat-0.7 na-141 k-3.9 cl-107 hco3-23 angap-15 06:20pm blood alt-27 ast-43* ld(ldh)-186 ck(cpk)-59 alkphos-44 totbili-0.3 01:50am blood ck(cpk)-142* 09:10am blood ck(cpk)-163* 05:15pm blood ck(cpk)-155* 06:20pm blood ck-mb-notdone ctropnt-0.04* 01:50am blood ck-mb-7 ctropnt-0.08* 09:10am blood ck-mb-12* mb indx-7.4* ctropnt-0.14* 05:15pm blood ck-mb-11* mb indx-7.1* ctropnt-0.15* 06:20pm blood albumin-4.1 calcium-9.2 phos-3.7 mg-1.6 iron-36 cholest-175 11:58pm blood mg-1.8 07:15am blood mg-1.7 06:20pm blood caltibc-425 ferritn-316* trf-327 09:10am blood vitb12-456 folate-20.0 06:20pm blood triglyc-386* hdl-44 chol/hd-4.0 ldlcalc-54 04:50pm blood type-art po2-92 pco2-37 ph-7.26* calhco3-17* base xs--9 intubat-not intuba 04:50pm blood hgb-10.5* calchct-32 o2 sat-96 06:20pm urine blood-mod nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg . blood and urine cultures negative . cardiac catheterization: 1. coronary angiography of this right dominant circulation demonstrated two vessel coronary artery disease. the lmca had no angiographically apparent cad. the lad had mid and distal long tubular 50% stenosis. the lcx had no angiographically apparent cad. the rca had 95% long mid vessel stenosis. 2. left ventriculography demonstrated normal wall motion with contrast calculated ejection fraction of 57%. there was 2+ mitral regurgitation. there was no gradient across the aortic valve. 3. resting hemodynamics demonstrated elevated filling pressures with mrap of 14 mmhg and mpcwp of 32 mmhg. there was moderate pulmonary hypertension with mpap of 35 mmhg. the fick calculated cardiac output and cardiac index were slightly reduced at 3.9 l/min and 2.2 l/min/m2, respectively. 4. successful pci of the anterior takeoff mid-rca with a 3.0 x 28 mm cypher des, post-dilated with a 3.5 mm balloon. final diagnosis: 1. two vessel coronary artery disease. 2. elevated filling pressures. 3. normal left ventricular systolic function. 4. moderate diastolic dysfunction. 5. successful pci of the mid-rca. . portable ap chest at 8:05: no prior studies are available for comparison. heart size, mediastinal contours, and pulmonary vessels are normal. there is no pulmonary edema/chf or pleural effusion. the lungs are clear. . echo:the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is very mild regional left ventricular systolic dysfunction with focal hypokinesis of the basal inferior wall. . the remaining left ventricular segments contract normally and overall systolic function is normal. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is an anterior space which most likely represents a fat pad. impression: very mild regional left ventricular systolic dysfunction c/w cad. mild aortic regurgitation. mild mitral regurgitation. brief hospital course: 87 yo female admitted with presyncope found to be bradycardic, with st depressions on ekg, s/p cath with stent to rca. . 1. st elevation mi: patient was transferred from outside hospital for cardiac catheterization. a 95% rca lesion was revealed and a cypher stent was placed without complications. she was stable for transfer to the floor by the second day of admission. her anti-hypertensives were titrated to control her blood pressure. her echo showed very mild regional left ventricular systolic dysfunction c/w cad, mild aortic regurgitation and mild mitral regurgitation. her ekg revealed nsr with a rate of 75 and non-specific t wave changes at discharge. she was discharged on lisinopril 40 mg po qd, metoprolol xl 50 mg po qd, plavix, aspirin, lipitor and gemfibrozil. she will follow up with her pcp to have her lfts checked in 1 month as she is on a statin and a fibrate, and next week to have her hct and lytes checked. she will follow up with dr. for her cardiology care. . 2. rhythm: on arrival to patient was in junctional rhythm. the etiology of this was unclear but may have been from verapamil. she was bradycardic on transfer but was in nsr. her atenolol and verapamil were discontinued. she was started on metoprolol as mentioned above and her heart rate was stable in nsr with rates in 60's-70's by discharge. . 3. hypertension: patient was hypertensive to 200's on arrival with unclear precipitant. cxr did not reveal any pulmonary edema. her antihypertensives were titrated as mentioned above and her sbps in the 130's by discharge. . 4. conjunctivitis: patient had some conjuntival injection and eye discharge and was given erythromycin 5 mg/g ointment sig: one (1) ophthalmic qid with near resolution by discharge. 5. hypercholesterolemia: triglycerides were elevated, therefore gemfibrozil was continued and atorvastatin was added. she will follow up with her pcp to have her lfts checked in 1 month. . 6. change in mental status: neurology consult was obtained and recommended mri which was negative for bleed. blood cultures, urine cultures and cxr were negative. it was believed that this was medication related given the amount of atropine she was given at osh. her mental status cleared by the second hospital day and she had no neurological deficits. 7. anemia: unclear etiology. iron studies and coags were unremarkable. she was transfused 1 unit prbcs. her hct bumped appropriately and remained stable. she follow up as an outpatient for a colonoscopy. medications on admission: verapamil sa 180 mg qd gemfibrozil 600 mg qd lopid 600 mg premarin 0.625 mg qd atenolol 25 mg qd discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed). disp:*1 * refills:*2* 6. erythromycin 5 mg/g ointment sig: one (1) ophthalmic qid (4 times a day). disp:*1 * refills:*2* 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 8. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* 9. lisinopril 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna/ phone discharge diagnosis: 1. nstemi 2. bradycardia 3. hypertension 4. conjunctivitis discharge condition: hemodynamically stable, asymptomatic discharge instructions: if you have any chest pain, shortness of breath, dizziness, or nausea call you doctor or go to the emergency room. your new medications include: 1. lisinopril 40 mg once daily 2. metoprolol xl 50 mg once daily 3. plavix 75 mg once daily 4. aspirin 325 mg once daily 5. lipitor 20 mg once daily 6. you can continue your gemfibrozil 600 mg twice daily but should have your liver function tests checked by your primary doctor in weeks as lipitor was added to you regimen and can cause an increase in liver enzymes in combination with gemfibrozil. do not take your atenolol or verapamil. followup instructions: you should follow-up with your primary care doctor dr. on , at 11:15 am to check your blood pressure and to check your blood electrolytes and hematocrit. you should also have him follow your blood glucose levels as they were mildly elevated during your admission. it is also recommmended that you have an outpatient colonscopy as you were anemic during your admission. you have a follow up appointment with a cardiologist dr. and the in on thursday, at 10:15 am. you should go to the registration desk with your insurance information first and they will direct you to dr. office. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures insertion of drug-eluting coronary artery stent(s) infusion of vasopressor agent diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders unspecified essential hypertension conjunctivitis, unspecified 

Answer: The patient is high likely exposed to