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: an 85-year-old female with cardiac risk factors including diabetes, hyperlipidemia, age, who presents with severe chest and neck pain. the patient awoke on the day of admission with mild pain in the shoulder which improved with massage, aspirin, and heat. the pain then worsened, and by 5 pm, the substernal chest pain was which radiated to her left arm. the pain was described as heaviness and tightness. there is positive shortness of breath, positive palpitations. the patient denied nausea, vomiting, and diaphoresis. in the emergency department, the patient was normotensive and had st elevations in leads ii, iii, and avf. the patient was found to be in atrial fibrillation. she was taken to the catheterization laboratory, where 80-90% lesion of her circumflex artery was noted and 80% occlusion of the left anterior descending artery. angioplasty was attempted multiple times, but as a result of balloon rupture secondary to calcium spike, it became necessary to use a rotablade procedure. the patient was rotabladed with successful hepastent placement. the patient was noted to have critical aortic stenosis during the procedure. past medical history: 1. diabetes. 2. hyperlipidemia. 3. osteoarthritis. past surgical history: right hip replacement. family history: a 55-year-old son with prior myocardial infarction. social history: denies smoking, denies ethanol. the patient has nine children. medications on admission: 1. zocor 10 q day. 2. celebrex 200 mg q day. 3. glipizide. allergies: no known drug allergies. physical exam: general: pleasant female alert and oriented times three. heent: normocephalic, atraumatic. extraocular muscles intact. pupils are equal, round, and reactive to light. neck: bruit over left carotid. neck supple. chest: bilateral crackles at lung bases. cardiac: tachycardia, irregular rate, systolic murmur loudest at base and radiates to the neck. abdomen: soft, nontender, nondistended, positive bowel sounds. extremities: no edema. neurologic is nonfocal. laboratories on admission: white blood cell count 15.2, hemoglobin 14.8, hematocrit 42.7, platelets 140. differential: neutrophils 84.7%, bands 0%, lymphocytes 9.5%, monocytes 5.3%, eosinophils 0.3%, basophils 0.3%. pt 12.8, inr 1.2. glucose 223, urea 22, creatinine 0.7, sodium 133, potassium 4.3, chloride 96, ck 40, troponin less than 0.3. electrocardiogram: atrial fibrillation, elevations in leads ii, iii, and avf. chest x-ray: 1. slight prominence of the pulmonary vasculature suggesting mild congestive heart failure. 2. bilateral small focal opacities within the peripheral mid lung zone. catheterization results/final diagnosis: 1. two vessel coronary artery disease. 2. probable severe aortic stenosis. 3. successful ptca, rotastenting of the circumflex for acute inferoposterior myocardial infarction. 4. elevated right and left heart filling pressures. comments: 1. selective coronary arteriography of the right dominant system revealed angiographic evidence of two vessel coronary artery disease. the left main artery was free of flow limiting lesions. the left anterior descending artery had 50% proximal stenosis followed by a long 80% stenosis after the first diagonal branch. the circumflex gave rise to large obtuse marginal which had a 90% proximal stenosis. small sub-branch of this large vessel had a 90% proximal stenosis. the right coronary artery had a long segment of less than 50% mid-disease. 2. hemodynamic assessment revealed evidence of elevated left and right heart filling pressures, the right ventricle end diastolic pressure of 16 mm hg and a mean pulmonary capillary wedge pressure of 26 mm hg. there are prominent v-waves on the pulmonary capillary wedge pressure tracing (33 mm hg), consistent with mitral regurgitation. the cardiac index was low at 1.88. 3. successful ptca rotational atherectomy/stenting of the circumflex was performed. there was no residual stenosis, normal flow, and no apparent dissection. 4. there was evidence of critical aortic valve stenosis with a mean gradient of 27 mm hg and a peak to peak of 40 mm hg with an aortic valve area of 0.54 cm squared. hospital course by system: coronary artery disease: the patient was started on integrilin, heparin, lopressor in the emergency department. patient was taken to catheterization with 80%-90% circumflex artery stenosis believed to be the culprit lesion and 80% lad occlusion. ptca attempted multiple times, the result of balloon rupture which was believed to be secondary to calcium spike. patient was rotabladed with successful hepastent placement. the patient was noted to have critical aortic stenosis during the procedure. the patient was on a regimen of aspirin, integrilin, and plavix status post catheterization. the patient was started on beta blocker status post catheterization. captopril was begun on hospital day #3. findings on catheterization: cardiac output 2.81, cardiac index 1.44, pulmonary capillary wedge pressure 26, pulmonary artery pressure 48/26. a-v gradient 27 with valve area of 0.54. on hospital day #3, the patient was transferred to the floor in stable condition. on hospital day #7, the patient was experiencing shortness of breath and was found to be in congestive heart failure. acute coronary syndrome was considered a possible precipitant. subsequent cks were not elevated and there was no changes on her electrocardiogram. troponin was elevated at 2.3. this was considered secondary to congestive heart failure, her recent cardioversion, and a recent posterior myocardial infarction. thus, the second episode of acute myocardial infarction in this situation is unlikely. atrial fibrillation: patient came into the emergency department in a-fib with a heart rate of 130s-150s. she was treated with 5 mg of lopressor x3 in the emergency department. during catheterization, the patient converted to sinus rhythm. hospital day #4, patient went into atrial fibrillation, at which point heparin was restarted. ace inhibitor was stopped and lopressor was increased to 75 mg tid for rate controlled. the patient's heart rate was in the 80s-90s. the patient was started on hospital day #5, and ep was consulted. the patient had transesophageal echocardiogram prior to cardioversion, which indicated there was no clots in her left atrium or left ventricle. the patient has remained in normal sinus rhythm for the remainder of her hospital course. the patient was started on amiodarone status post cardioversion, and lopressor was decreased to 50 mg tid. patient's heart rate has been typically in the 70s since cardioversion. patient is on both amiodarone and coumadin. pt/inr need to be followed closely as amiodarone decreases metabolism of coumadin. lfts were alt 28, ast 34, alkaline phosphatase 132, total bilirubin 1.3. plan was for patient to receive of hearts monitor when discharged to home. heparin was stopped once inr and coumadin was therapeutic. aortic stenosis: during the catheterization, the patient was found to have an a-v gradient of 27 with valve area of 0.4. on a followup echocardiogram, the mean gradient was 34, valve area of 0.8, left ventricular ejection fraction was 65%. cardiothoracic surgery was consulted. patient is a candidate for a-v repair at a later date. shortness of breath/congestive heart failure: on hospital day #7, the patient awoke from sleep with shortness of breath and palpitations. her o2 saturation dropped into the 80s. patient had crackles bilaterally and some scattered wheezes. portable chest x-ray was consistent with congestive heart failure. patient was started on oxygen and treated with albuterol nebulizer, 40 mg lasix iv x2. the patient was placed on a 2 liter fluid restriction. the patient improved during the day. on the morning of hospital day #8, the patient again awoke from sleep with shortness of breath and palpitations. physical examination was consistent with congestive heart failure, although patient had both wheezing and crackles. the patient was treated with albuterol nebulizer, 40 mg of lasix iv. beta blocker was held for 24 hours incase possible connection to bronchospasm. patient has received lasix as needed. the patient was followed closely while on lasix over concern about patient drastically lowering her filling pressures in the setting of severe to critical aortic stenosis. the patient has responded well to 40 mg doses of iv lasix in response to her shortness of breath from congestive heart failure. patient's metoprolol dose on discharge was 50 mg . anemia: patient's hematocrit dropped from 42 to 29 on hospital day #2. the patient was transfused with 1 unit packed red blood cells without improvement in cardiac output. on hospital day #6, hematocrit had fallen to 28 to 29. patient was asymptomatic, but was felt that she should be transfused. patient received 1 unit of packed red blood cells. patient's hematocrit has been stable for the remainder of the hospital course. carotid stenosis: concern about possibility of bruit over the left carotid artery and other vascular disease led to a carotid ultrasound on hospital day #2 to rule out carotid stenosis. ultrasound studies of her carotid indicated no significant stenosis. prophylaxis: the patient received iv heparin acutely to prevent thrombus from atrial fibrillation. the patient was also on protonix for gi prophylaxis. condition on discharge: fair. discharge status: transferred to . discharge medications: 1. metoprolol 50 mg po bid. 2. lasix 40 mg to keep input/output equal to -500 to -1000 cc. 3. amiodarone 200 mg . 4. glipizide xl 5 mg po q day. 5. coumadin 5 mg po q hs. 6. insulin-sliding scale. 7. zocor 10 mg po q day. 8. tylenol #3 1-2 tablets q4h prn pain. 9. protonix 40 mg po q day. 10. plavix 75 mg po q day. 11. enteric coated aspirin 325 mg po q day. 12. albuterol nebulizer q2h prn. 13. ipratropium nebulizer q6h prn. discharge diagnoses: 1. diabetes. 2. hyperlipidemia. 3. aortic stenosis. 4. osteoarthritis. 5. atrial fibrillation. 6. congestive heart failure with normal ejection fraction. 7. coronary artery disease status post circumflex stenting during catheterization. 8. anemia. , m.d. procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters injection or infusion of platelet inhibitor diagnostic ultrasound of heart other esophagoscopy atrial cardioversion diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation aortic valve disorders acute myocardial infarction of inferoposterior wall, initial episode of care 

Answer: The patient is high likely exposed to