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: chest/back pain major surgical or invasive procedure: cardiac catheterization history of present illness: pt is a 77 yo female w/ a pmhx significant for htn, hyperlipidemia, dm, meningioma who was at her neurosurgeon's office today when she felt acute onset of chest/back pain. she states that she was walking out of the office when she felt some pain in the middle of her back that was . pt states that she felt slightly short of breath with additional pain that radiated from her arm and jaw and went into her chest. she states that she has experienced similar episodes as this one in the past few months that were worse with exertion and improved with rest. she did not experience any lightheadedness, diaphoresis, or heart palpitations. pt reports having the feeling of a racing heart in the past. after her this episode, the patient had an ekg taken at the office and was sent the emergency room. in the clinic, pt had an ekg that showed 2- elevation in v1-v3. in the ed she was given nitro gtt, asa, heparin gtt, integrillin gtt, and she was seen by cardiology who emergently took the patient to the cath lab. she was found to have a 99% occluded lad that was sucessfully stented. pt was then transferred to the ccu for further evaluation/observation. past medical history: htn hyperlipidemia dm - 18 years meningioma social history: pt lives in an facility with her husband. she was a waitress now retired. she smoked a pack/day for 20 years. she quit smoking 20 years ago. she presently does not drink alcohol. family history: non-contributory physical exam: vitals bp 121/49 p 76 rr 12 100% 2l gen: lying in bed, nad heent: mmm, perrl, eomi, jvp 3 cm above sternal notch cv: rrr nl s1/s2 no m/r/g resp: cta b/l abd: soft nt nd + bs - hsm ext: no c/c/e groin: c/d/i neuro: a&o x3. pt has impaired visual perception b/l, can make out images. cn i, iii-xii intact. moves all four extremities. pertinent results: ecg - nsr, lad, l atrial abnormality, elevation v1-v3. cardiac cath - lad w/ 99% mid vessel stenosis proximal to take off of large diagonal branch. cxr - no cardiopulmonary disease. 10:47pm potassium-6.7* 10:47pm ck(cpk)-* 10:47pm ck-mb-155* mb indx-7.9* 10:47pm plt count-263 04:58pm type-art po2-141* pco2-40 ph-7.40 total co2-26 base xs-0 04:12pm k+-4.8 03:52pm type- comments-green top 03:52pm k+-7.2* 02:20pm glucose-357* urea n-29* creat-0.9 sodium-134 potassium-5.7* chloride-96 total co2-21* anion gap-23* 02:20pm ck(cpk)-442* 02:20pm ctropnt-0.53* 02:20pm ck-mb-32* mb indx-7.2* 02:20pm wbc-13.0* rbc-5.58* hgb-16.7* hct-49.5* mcv-89 mch-30.0 mchc-33.8 rdw-12.8 02:20pm plt count-286 01:05pm glucose-307* urea n-26* creat-0.9 sodium-138 potassium-4.7 chloride-94* total co2-22 anion gap-27* 01:05pm wbc-11.1* rbc-5.35 hgb-16.4* hct-47.8 mcv-89 mch-30.6 mchc-34.3 rdw-13.0 01:05pm plt count-292 01:05pm pt-13.2 ptt-24.3 inr(pt)-1.1 brief hospital course: 77 yo female w/ pmhx of dm, htn, hyperlipidemia, meningioma p/w anterior stemi s/p lad stent. cv - 1 vd s/p stent cad - in the ed she was given nitro gtt, asa, heparin gtt, integrilin gtt, and she was seen by cardiology who emergently took the patient to the cath lab. catheterization showed 99% stenosis of lad s/p stent placement. pt peaked at . she was maintained on aspirin, beta blocker, statin, and integrilin for 18 hours post catheterization. . pump - echocardiography post-stent showed anterior and distal septal hypokinesis and apical dyskinesis w/ an apical left ventricular aneurysm. in light of aneurysm, pt was deemed to require anticoagulation on coumadin for 1 month with a goal inr of 1.8-2.5 along with low dose asa and plavix. pt was discharged on lovenox injections as a bridge to therapeutic coumadin levels. . rhythm - pt was discharged with a normal sinus rhythm and had no significant events on telemetry. . dm - glucose was initially managed with an insulin drip for tight glycemic control. once she was stabilized and transferred to the floor she placed back on her outpatient glipizide along with regular insulin sliding scale. she was discharged on just glipizide. . ms changes/meningioma - neurosurgery followed patient throughout hospitalization and agreed to one month of anticoagulation. on pt was found to be acutely confused and not oriented x 1, a sitter was obtained for the night. in the morning of the patient was a&o x3. however, in light of her anticoagulation on coumadin, aspirin, and plavix - a head ct was obtained to r/o an acute bleed. the head ct was negative. u/a and urine cx was also sent. u/a was negative for leuk esterace and nitrates. urine gram stain showed few pmn's. it was determined that patient did not have a uti. the patient was instructed to follow up with dr. in the brain tumor clinic in order to reschedule removal of the meningioma. medications on admission: asa atenolol norvasc pravachol lexapro diovan glipizide discharge medications: 1. enoxaparin sodium 80 mg/0.8 ml syringe sig: one (1) subcutaneous q12h (every 12 hours) for 7 days. disp:*14 syringes* refills:*0* 2. outpatient lab work please check inr on and subsequent days until level is between 1.8 - 2.5. 3. toprol xl 100 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* 4. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. warfarin sodium 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. escitalopram oxalate 10 mg tablet sig: one (1) tablet po daily (daily). 7. glipizide 5 mg tablet sig: one (1) tablet po bid (2 times a day). 8. losartan potassium 25 mg tablet sig: one (1) tablet po daily (daily). 9. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 10. pravastatin sodium 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: allcare vna discharge diagnosis: myocardial infarction meningioma discharge condition: stable discharge instructions: please call your physician if you experience chest pain radiating to your jaw or arms, heart palpitations, sudden onset back pain, shortness of breath with sweating, worsening vision, worsened walking, confusion, burning urination. please take you lovenox injections and have you inr blood test checked on wednesday with the results sent to your physican. please continue to take your lovenox until your primary care physcian states that it is okay to stop. goal inr is 1.8 - 2.5. followup instructions: provider: where: cc clinical center phone: date/time: 5:30 please call your primary care physician . for an appointment in the next week. please call the cardiology clinic to make an appointment in the next two weeks please make an appointment with dr. from neurosurgery in weeks in order to reschedule your surgery. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of other anterior wall, initial episode of care other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to