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: neck pulsation and dyspnea major surgical or invasive procedure: cardiac catheterization history of present illness: the patient is a 68 y.o.f. with htn, hypercholestermia, tobacco history who presents with neck discomfort and shortness of breath. yesterday morning she was awoken from sleep with bilateral posterior neck discomfort, bitemporal pain, eye pain, and pulsing in her anterior neck. this resolved after one hour on its own. this morning she again awoke with the same symptoms, but they last for 2.5 hours, at which time she decided to come to the ed. no associated sob at that time, but does recall increasing sob over the last 6 months, particularly when walking upstairs. not sure if she had chest pain with this doe. no pnd, orthopnea, weight gain. + le edema on the left, chronic, multiple u/s and studies negative. no palpitations. she went to where she receives her regular care and was found to have dynamic ekg changes, the second of which demonstrated st elevations ii, iii, avf. given aspirin 325mg, lopressor 5 mg iv x 2, morphine, plavix 600 mg, heparin, integrilin, nitro gtt and nitro paste. she became pain free prior to leaving nwh and remained so through transport to . labs at nwh significant for negative d-dimer, trop 0.06, ck 227 (uln 174), ckmb 5.1 (<5.1). cxr at nwh showed no chf or pna. . of note, she believes she has had an echo yrs ago that was normal, and a persantine mibi 6 yrs ago that showed 'something abnormal', hence her referal to a cardiologist. . she was sent to for cardiac catheterization, bypassing the ed. cardiac catheterization showed lmca with no evidence of disease, lad with mid vessel 90% stenosis with mild luminal irregularities, lcx with 60% mid vessel disease, and rca with 50% proximal, mid vessel 99% calcific, distal 80% stenosis. rotational atherectomy performed, then able to deliver bm stent x 4 with final angiography revealing normal flow, no dissection and 0% residual. procedure c/b hematoma s/p right femoral artery puncture that stabalized after upsizing caliber of sheath, but she did substain a significant amount of blood loss. also had episodes of bradycardia in setting of rotational atherectomy, likely d/t distal emboli. . on review of symptoms, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of current chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: # htn # hypercholesteremia # hypothyroidism social history: social history is significant for use of tobacco for 50 yrs, 2ppd. rare alcohol use. family history: there is a family history of cabg in brother in his 50s. father with dm and colon ca, mother with breast cancer. physical exam: vs: t 98.0 bp 119/73, hr 89 , rr 100% on 2l gen: wdwn middle aged female in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with no jvd. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: 2+ pedal and 1+ le edema on left (chronic per patient). no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp pertinent results: cardiac cath comments: 1. selective coronary angiography of this right dominant system demonstrated three (3) vessel coronary artery disease. the left main demonstrated no angiographically apparent atherosclerotic disease. the left anterior descending artery demonstrated an mid vessel 90% lesion. the left circumflex demonstrated a complex 60% lesion involving the bifurcation of a large obtuse marginal branch. the right coronary artery was diffusely diseased including a heavily calcified 80% distal lesion, a subtotally occluded mid vessel lesion and a 50% proximal lesion. 2. lv ventriculography was deferred. 3. limited resting hemodynamics demonstrated a normal central aortic pressure (140/80mm hg). 4. successful rotational atherectomy of the mid - distal rca with a 1.25mm rotablade burr at 160k revolutions per minute for 35 and 21 seconds. 5. successful ptca and stenting of the proximal-mid-distal rca with four overlapping stents vision (proximal to distal 3.0x18mm; 3.5x18mm; 3.0x18mm and 3.0x12mm) bare metal stents. final angiography demonstrated no angiographically apparent dissection, no residual stenosis and timi iii flow throughout the vessel (see ptca comments). final diagnosis: 1. three vessel coronary artery disease. 2. acute inferior myocardial infarction, managed by rotational atherectomy, ptca and stenting of the rca with four overlapping bare metal stents. femoral u/s impression: limited study secondary to patient body habitus. no evidence of right groin pseudoaneurysm or av fistula. right groin hematoma. tte the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. left ventricular systolic function is hyperdynamic (lvef>75%). the estimated cardiac index is high (>4.0l/min/m2).there is a mild resting left ventricular outflow tract obstruction. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. there is no valvular aortic stenosis. the increased transaortic velocity is likely related to high cardiac output. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. no vegetation/mass is seen on the pulmonic valve. there is no pericardial effusion. impression: mild symmetric left ventricular hypertrophy with hyperdynamic systolic function and mild resting lvot gradient. is there a history to suggest high output (hyperthyroidism, anemia, fever, thiamine deficiency, etc.) discharge labs 05:30am blood wbc-9.5 rbc-3.39* hgb-9.9* hct-28.5* mcv-84 mch-29.1 mchc-34.7 rdw-14.7 plt ct-220 05:30am blood pt-12.8 ptt-29.0 inr(pt)-1.1 05:30am blood glucose-121* urean-11 creat-0.6 na-140 k-4.4 cl-106 hco3-27 angap-11 05:03am blood %hba1c-6.3* 05:03am blood triglyc-238* hdl-36 chol/hd-3.3 ldlcalc-36 05:04pm blood tsh-3.0 brief hospital course: 68 year old female with hypertension, dyslipidemia who presented with chest pain and found to have an imi s/p bmsx4 to rca, post cath course c/b right groin hematoma . # cad patient with diffuse 3vd with most prominent disease in the rca, felt to be culprit lesion, with mid vessel 99% stenosis, s/p rotational atherectomy and bm stent x 4. during intervention to rca had prominent st segment elevations in inferior leads. patient to continue clopidogrel, aspirin 325mg daily, metoprolol 50mg , losartan 12.5mg daily, lipitor 80mg daily. patient to have planned cardiac catheterization in 2 weeks time to repair lad lesion. . # pump tte showed ef>75 with no wall motion abnormalities. patient mantained even intake and output, was not placed on diuretics. mild symmetric lvh. patient discharged on adequate anti- hypertensive regimen. tsh within normal limits. . # right groin hematoma patient with post catheterization hematoma which required application of pressure for several hours post catheterization, femoral ultrasound negative for pseudoaneurysm, dissection, or active bleeding. vascular surgery evaluated, no indication for surgical intervention. hematoma stabilized overnight and hematocrit remained stable. hematoma resolved on subsequent days prior to discharge. . # hypertension blood pressure well controlled on regimen of losartan and metoprolol. patient's diltiazem, hctz, spironolactone and atenolol were discontinued. . # diabetes mellitus type ii elevated morning glucose 122-144 with hgba1c 6.3%, patient will attempt 3 months of lifestyle modification. to be followed up by outpatient pcp and cardiology. . # dyslipidemia atorvastatin 80mg in peri-mi period, ldl at goal with ldl<70. will need repeat lft's at outpatient cardiology appointment. . # hypothyroidism continued levothyroxine, tsh 3.0 . # follow up patient to follow up with dr. in 6 weeks. cardiac catheterization planned for 2 weeks after discharge to repair lad lesion medications on admission: cardizem er 240mg daily atenolol 50 mg daily aldactizide 25/25 180mg daily amitryptyline 10mg qhs lipitor 40mg daily synthroid 150mcg daily avapro 150mg daily - stopped taking after episode of pna where bp was low, just never was added back (approx 6 months ago) discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*3* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. levothyroxine 50 mcg tablet sig: three (3) tablet po daily (daily). 5. losartan 25 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*0* 7. fexofenadine 60 mg tablet sig: three (3) tablet po daily (daily). discharge disposition: home with service facility: vna discharge diagnosis: inferior myocardial infarction hypertension coronary artery disease hypothyroidism dyslipidemia discharge condition: stable, evaluated by pt prior to discharge discharge instructions: you were admitted with an acute heart attack to the inferior portion of your heart. you will be on a new medication regimen which you need to follow closely. you will be called by the cath lab in order to present to have another cardiac catheterization to repair another one of your coronary arteries. you will follow up with dr. in 6 weeks for follow up. if you develop any chest pain, shortness of breath, neck pulsation or any worrisome symptoms it is important for you to present to the er for evaluation. cardiac medication list: metoprolol 75mg twice daily replaces atenolol losartan 12.5mg daily plavix 75mg daily atorvastatin 80mg daily meds stopped: aldactizide (spironolactone/hctz) and cardizem er 240mg daily followup instructions: you will be called by cardiac cath lab to present for another cardiac catheterization procedure to repair your cornoary artery. provider: , md phone: date/time: 1:20 follow up with , r. within 1-2 months procedure: insertion of non-drug-eluting coronary artery stent(s) injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel insertion of four or more vascular stents diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism hematoma complicating a procedure acute myocardial infarction of other inferior wall, initial episode of care cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure 

Answer: The patient is high likely exposed to