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: shellfish attending: chief complaint: chest pain major surgical or invasive procedure: patient underwent cardiac catherization with the placement of 4 stents and rotational atherectomy. history of present illness: 79 y/o female with h/o htn, t2dm, fh of hyperlipidemia, who presented to osh with sscp, nonradiating, associated with sob, diapharesis which started when she was trying to open a window at home. she felt weak and slipped off her chair. she then called 911. over the past 6 wks she has been having increasing frequency of exertional chest pain of similar quality. . at osh, her ekg showed 1 mm ste in v3, std in i, avl, v4-v6. ce were positive with a peak ck 300 mb 13 tn i 0.71. she was given plavix 300 mg x 1 at osh. osh cath revealed a prox lad 50-60%, rca with 99% mid portion. lv gram with normal function. she received 100 cc contrast. she also had increased bs to 300s at osh. she was then transferred here for cath. . cath showed lad 70% mid vessel, 50% diag, 50% om, rca with diffuse calcification with prox 60%, mid 90%, distal 70%. rotatone atherectomy of rca with 4 overlapping cypher stents placed from distal rca to ostium (~90 mm) with resulting normal flow. the patient was agitated at cath and touched groin site. total of 360 cc contrast with 69 minutes of fluro time. when the patient arrived to the ccu, she was cp free, no sob, and no complaints of pain. past medical history: 1. htn 2. t2dm 3. hyperlipidemia 4. hypothyroidism 5. osteoporosis 6. anxiety social history: tobacco use 1 ppd x 21 years, quit at age 42 no etoh lives at home with husband family history: mother with cad, age 58 father with cad, age 64 sister with esrd physical exam: vitals: 97.2 128/65 61 14 97% 4l nc heent: perrla, eomi. mm dry. nc/at. op clear. neck: jvp difficult to access due to patient positioning. no carotid bruits. cv: normal s1, s2 with no m/r/g. pulm: ctab, no wheezes or crackles abd: soft, nt/nd with normoactive bs. ext: no c/c/e. dp 2+ b/l. pertinent results: wbc-20.7* rbc-4.12* hgb-13.7 hct-36.4 mcv-88 mch-33.3* mchc-37.7* rdw-12.9 plt ct-240 glucose-297* urean-24* creat-0.9 na-132* k-3.5 cl-95* hco3-20* angap-21* ck-mb-8 ctropnt-0.07* calcium-8.4 phos-3.5 mg-2.5 cholest-147 triglyc-233* hdl-32 chol/hd-4.6 ldlcalc-68 tsh-1.5 . wbc-18.5* rbc-3.79* hgb-12.3 hct-34.2* mcv-90 mch-32.5* mchc-36.1* rdw-13.0 plt ct-204 glucose-220* urean-23* creat-0.8 na-132* k-3.9 cl-97 hco3-22 angap-17 . ekg nsr at 59, normal axis and interval, no st elevations or depressions . cardiac cath: lad to lcx, 70% mid vessel, 50% diag, 50% om rca diffuse calicified disease with prox 60%, mid 90%, and distal 70% rotatone atherection of rca, 4 overlapping cypher stents placed from distal rca to ostium . imaging studies: 1. cxr ap chest reviewed in the absence of prior chest radiographs: heart is normal size. lungs are clear. there is no pulmonary vascular congestion or pleural effusion. mediastinal and hilar contours are normal. no pneumothorax. . 2. echo the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). regional left ventricular wall motion 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. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the estimated pulmonary artery systolic pressure is normal. there is a trivial/physiologic pericardial effusion. mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. mild aortic valve sclerosis. . ucx negative brief hospital course: 79 y/o female with h/o htn, t2dm, hyperlipidemia, and hypothyroidism who presented with chest pain and was found to have an nstemi s/p rca stenting x 4. the following issues were addressed during this hospitalization. 1) nstemi: patient admitted () for chest pain 2nd to nstemi from . patient showed to have abnormal ekg and coronary artery disease.-cardiac catherization performed () and showed the following abnormalities: lad to lcx, 70% mid vessel, 50% diag, 50% om, rca diffuse calcified disease with prox 60%, mid 90%, and distal 70%.during cath, patient experience st changes. the following intervention was done: rotatone atherectomy of rca, 4 overlapping cypher stents placed from distal rca to ostium. patient, hemodynamically stable, then admitted to ccu for post-revascularization monitoring. post cath patient was started on plavix, integrilin for 18hrs, aspirin, and metoprolol. patient stable overnight except for one episode of nausea relieved by with no new ekg changes. patient discharged home with services and advised to follow up with pcp and cardiologist. echo results above. 2) t2dm: patient started on sliding scale insulin (novolog) with accuchecks qac. patient advised to follow up with primary care physician for glycemic control. she was re-started on home oral meds. the patient was not on home insulin prior to admission. 3) htn: patient placed on metoprolol 25mg tid and nitro gtt. on , nitro gtt was discontinued. patient then switched to atenolol 37.5mg qd. she was discharged on an acei. 4) hypothyroidism: patient started on home med dose of synthroid (100mcg). tsh was normal. 5) hyperlipidemia: patient started on lipitor 80mg. a fasting lipid panel was done on () showing triglyc: 233 hdl: 32 chol/hd: 4.6 ldlcalc: 68 patient to be discharged on lipitor 80mg. medications on admission: 1)aspirin 325mg qd. 2)clopidrogel (plavix) 300mg x 1 loading dose (pre-cath), then switched to 75mg qd post cath. 3)atorvastatin (lipitor) 80mg qd 4)metoprolol 25mg tid 5)eptifibatide (integrilin) 2mcg/kg/min iv x 18hrs. 6)levothyroxine (synthroid) 100mcg qd 7)insulin sc sliding scale discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 5. atenolol 25 mg tablet sig: 1.5 tablets po once a day. disp:*30 tablet(s)* refills:*2* 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. glyburide oral discharge disposition: home with service facility: , discharge diagnosis: 1) non-st elevation myocardial infarction s/p cardiac catherization with right coronary artery stent placement x 4. 2) diabetes mellitus type 2 3) hypertension 4) hyperlipidemia 5) hypothyroidism discharge condition: stable, ambulating. discharge instructions: patient advised to continue all home meds with the exceptions noted below. 1) please stop taking your hctz/atenolol. as a replacement, we have started you on atenolol 37.5mg to be taken once per day. 2) please stop taking your mevacor. as a replacement, we have started you on lipitor (atorvastatin) 80mg to be taken once a day. in addition, you have been started on the following medications. 1) plavix (clopidrogel) 75mg to be taken once per day. 2) lisinopril 5mg to be taken once per day. please follow up with your primary care physician (,) within the next 30 days. also, please see your cardiologist (dr. . we have scheduled an appointment with him on wedneday at 4:30pm. if you experience any chest pain, shortness of breath, dizziness, or sudden change in vision please contact your doctor immediately. followup instructions: please see your primary care physician and cardiologist and alert them about this hospital admission. you have an appointment with dr. (cardiology)on wednesday at 4:30pm. provider: , appointment should be within 30days. procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of drug-eluting coronary artery stent(s) excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel insertion of four or more vascular stents diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism other and unspecified hyperlipidemia osteoporosis, unspecified 

Answer: The patient is high likely exposed to