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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization with desx2 to lcx history of present illness: ms. is a 49 year old woman with a pmhx s/f dm2, htn, and hld who presented this morning with 1 hour of chest pain radiating to the left hand, back, jaw accompanied by shortness of breath. she presnted to the emergency room with initial vitals of 98.1 81 141/107 24 100%. ekg demonstrated ste if ii,iii, avf with 1mm std in avl. aspirin 324, plavix 600mg, and a heparin drip were administered in the ed. . a code stemi was called and ms. was taken to the cath lab. 2 des were placed in the proximal/mid lcx. a tight proximal om lesion was also visualized which was not intervened upon. ms. had some recurence of her chest pain which resolved with nicardipine. total contrast load was 220. . on review of systems, 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: 1. cardiac risk factors: diabetes + (a1c 12.5 in ), dyslipidemia + , hypertension + 2. other past medical history: - depression social history: - tobacco history: trivial remote smoking history - etoh: occasional, social - illicit drugs: none - works as a cook. emigrated from 16 years ago. family history: mother with first mi at age of 55 who died several years ago from the complications of cad. grandmother who died at 70 from mi. mother and grandmother with dm, htn, and hld. physical exam: admission physical exam: general: nad. spanish speaking only. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple without jvd at level of clavicle at 90 degrees. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. r cath site intact with band in place skin: no stasis dermatitis, ulcers, scars, or xanthomas. neuro: aaox3, cnii-xii intact, 2+ reflexes biceps/brachioradialis/patellar/ ankle pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ . physical exam on discharge: vitals: tm/tc: 98.8/98.4 118-137/59-73 66-87 18 99(ra) fs: 298-266-298-222 general: obese spanish speaking only woman in no acute distress heent: perrla, no pharyngeal erythemia, mucous membs moist, no lymphadenopathy, jvd 2cm above clavicle chest: ctabl no wheezes, no rales, no rhonchi cv: s1 s2 normal in quality and intensity rrr no murmurs rubs or gallops abd: soft, non-tender, non-distended, bs normoactive. no rebound/guarding, neg hsm. neg sign. ext: wwp, no edema. dps, pts 2+. pertinent results: admission labs: wbc-11.6* rbc-5.24 hgb-15.8 hct-43.4 mcv-83 mch-30.2 mchc-36.4* rdw-12.2 plt ct-332 neuts-61.8 lymphs-33.1 monos-3.2 eos-1.0 baso-1.0 pt-11.6 ptt-28.1 inr(pt)-1.1 glucose-295* urean-13 creat-0.5 na-133 k-4.4 cl-92* hco3-24 angap-21* ctropnt-<0.01 %hba1c-12.0* eag-298* blood alt-63* ast-102* ck(cpk)-675* alkphos-83 totbili-0.8 . cardiac enzymes: 11:20am blood ctropnt-<0.01 06:01pm blood ck-mb-180* 05:32am blood ck-mb-66* mb indx-9.8* ctropnt-1.74* . cardiac catheterization report (): 1. selective coronary angiography of this right dominant system demonstrated single-vessel coronary artery disease with branch vessel disease in the lad. the lmca was free of angiographically significant disease. the lad proper was free of angiographically significant disease, but did give rise to a small d2 with a 90% stenosis. the lcx gave rise to an om1 with a 90% stenosis at its origin and the circumflex was occluded in the mid vessel. there was a 40% stenosis in the mid-rca. 2. limited resting hemodynamics revealed moderate central aortic hypertension (169/88mmhg with a mean of 122mmhg). 3. successful ptca and stenting of mid lcx with 2.5x23 and 2.5x15 (distal to proximal overlapping) promus drug eluting stents postdilated with 2.75mm nc balloon. 4. successful hemostasis of right radial arteriotomy with tr band. final diagnosis: 1. one vessel coronary artery disease. 2. stemi involving the mid-lcx. 3. residual disease in om1. 4. successful pci of mlcx with desx2. 5. consider pci of om ostial lesion in one month as oupatient. 6. successful rra tr band. . echo (): the left atrium is elongated. there is moderate symmetric left ventricular hypertrophy. there is mild regional left ventricular systolic dysfunction with severe hypokinesis to akinesis of the inferior, inferolateral, and lateral walls. the remaining segments contract normally. overall left ventricular systolic function is mildly depressed (lvef= 45-50 %). the estimated cardiac index is normal (>=2.5l/min/m2). tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. the mitral valve shows characteristic rheumatic deformity with mild valvular mitral stenosis (area 1.9 cm2 by planimetry). mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: moderate symmetric left ventricular hypertrophy with normal cavity size. severe hypokinesis to akinesis of the inferior, inferolateral, and lateral walls. rheumatic deformity of mitral valve leaflets with mild mitral stenosis and mild mitral regurgitation. labs on discharge: 05:45am blood wbc-10.9 rbc-4.66 hgb-13.7 hct-38.4 mcv-83 mch-29.3 mchc-35.5* rdw-12.3 plt ct-268 06:40am blood glucose-205* urean-15 creat-0.5 na-137 k-4.2 cl-100 hco3-28 angap-13 06:40am blood calcium-9.5 phos-3.8 mg-2.0 brief hospital course: primary reason for hospitalization: ms. is a 49 year old with a pmhx significant for poorly controlled dm, htn, and hld who presented with an inferior stemi. during this hospitalization, she received 2 des to the lcx. active diagnoses: # stemi: patient received 2 des to proximal/mid lcx, culprit lesion mid-lcx with 100% occlusion. she received a plavix load, aspirin 325, and heparin drip in the ed. she is chest pain free with resolved ste after stenting. echo showed lvh and hypokinesis/akinesis of inferolateral/lateral walls, rheumatic deformity of mv leaflets, mild ms, mild mr. she was discharged on atorvastatin 80mg daily, asa 325mg daily, lisinopril 20mg daily, plavix 75mg daily (will need for 1 year), metoprolol succinate 25mg po daily. she is scheduled to follow-up with dr. in 1 month for repeat cath to evaluate and intervene on om lesion. . # htn: patient's antihypertensive regimen was modified to maintain sbp 100s-130s. she was discharged on lisinopril 20mg daily and metoprolol succinate 25mg po daily. home hctz was discontinued. . # dmii: patient's dm is poorly-controlled with last hgba1c of 12 in . hyperglycemic on admission to 300s, improved to 100s on insulin drip. she was discharged on home levemir 40u and novolog 24u before every meal. she is scheduled to follow-up at . # hld: discontinued home pravastatin, and started atorvastatin 80mg daily in light of recent mi. chronic diagnoses: # depression: she was continued on home sertraline. ======================= transition of care: 1. patient will need to return for repeat cardiac cath with dr. to evaluate and intervene on om1 lesion (appointment scheduled). 2. patient will need to follow-up with diabetes center regarding dm management. 3. patient was educated on the importance of taking plavix and glycemic control with a spanish interpreter present. medications on admission: sertraline 50mg daily lisinopril 20mg daily pravastatin 80mg daily novolog insulin sliding scale (22 units before meals) levemir sliding scale 45 units hctz 25mg metformin 1000 asa 81mg (has not been renewed in several months) discharge medications: 1. aspirin 325 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* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 5. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). 6. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). disp:*30 tablet extended release 24 hr(s)* refills:*2* 7. levemir 100 unit/ml solution sig: forty five (45) units subcutaneous twice a day. discharge disposition: home discharge diagnosis: stemi (heart attack) poorly-controlled diabetes discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: dear ms. , it was a pleasure participating in your care at . you were admitted to the hospital with a heart attack. you had a cardiac catheterization where a stent was placed to open up a blocked artery in your heart. please attend the outpatient appointments listed below to follow up for care after your heart attack. we made the following changes to your medications: 1. start metoprolol succinate 25mg by mouth daily 2. start clopidogrel (plavix) 75mg by mouth daily - will need to take this for one year 3. start atorvastatin 80mg by mouth daily 4. increase aspirin to 325mg by mouth daily 5. stop pravastatin 6. stop hydrochlorothiazide 7. change your pre-meal insulin to 24 units novolog before meals followup instructions: name: np location: address: , phone: appointment: thursday 10:45am department: diabetes center when: saturday, with: ** please call ( to confirm what time and what provider will see you. ** department: cardiac services when: wednesday at 9:00 am with: , m.d. building: campus: east best parking: garage md, procedure: coronary arteriography using two catheters insertion of drug-eluting coronary artery stent(s) transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled depressive disorder, not elsewhere classified other and unspecified hyperlipidemia long-term (current) use of insulin acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to