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: codeine attending: chief complaint: hypertensive urgency major surgical or invasive procedure: none history of present illness: this is a 50 y/o f with h/o htn not on bp medications who presents with acute chest pain and elevated bp. . she reports that at 11:30 am, developed acute chest pain, , while sitting in front of the computer. squizzing sensation, lasted minutes, + diaphoresis. + palpitations, + lightheaded. intermittent. later on felt to be radiated to her jaw and left arm. denied speech problems, headache, nausea, vomit, blurry vision. no prior episodes in the past. . normally, she is able to walk more thatn 1 flight of stairs or more than 1 block without significant problems. . in the ed, vs t 98.8, hr 97, bp 199/119, bp l 213/106, r 208/104 rr 18, sats 99% on ra. she received, 10 mg iv lopressor, 25 loppressor , 325 mg x1, nitro drip and tylenol 650 x1. . on review of symptoms, he 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. . *** cardiac review of systems is notable for absence of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema she does report feeling lighheaded about 3 weeks ago and was told that she had a vasovagal episode. past medical history: heroin abuse clan for 10 years. htn on hctz up until 6 months ago. . cardiac risk factors: diabetes (-), dyslipidemia(-), hypertension (+) social history: lives with husband. 1 . smokes 1 packs every 4 days for 30 years. yes alcohol 3 glases of wine per week. at symphony . family history: grand father with heart problems physical exam: vs: bp 188/104, hr 67, rr 16 ,100 o2 ra gen: wdwn middle aged female in nad, pleaseant heent: peerla, eom preserved. moist oral mucose neck: supple. no jvp appreciated. no carotid bruits cv: rrr s1-s2 normal. no murmurs, lung: clear to auscultation bilateraly abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no edema. 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: ekg : hr 90, nsr, normal axis, <1mm st depression in ii, avf, v4, v5. short pr interval. . 01:40pm wbc-8.0 rbc-4.21 hgb-12.3 hct-36.9 mcv-88# mch-29.3# mchc-33.4 rdw-13.7 01:40pm neuts-70 bands-0 lymphs-22 monos-7 eos-1 basos-0 atyps-0 metas-0 myelos-0 01:40pm hypochrom-1+ anisocyt-occasional poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal target-1+ 01:40pm plt smr-normal plt count-195 lplt-1+ 01:40pm ck-mb-4 ctropnt-<0.01 01:40pm ck(cpk)-1046* 01:40pm glucose-92 urea n-11 creat-0.6 sodium-138 potassium-3.8 chloride-98 total co2-27 anion gap-17 10:57pm ck-mb-3 ctropnt-<0.01 10:57pm ck(cpk)-606* 05:10am blood alt-17 ast-34 ck(cpk)-460* alkphos-107 totbili-0.7 05:10am blood ck-mb-3 ctropnt-<0.01 11:13am blood aldosterone-pnd 11:13am blood renin-pnd 04:29pm urine color-straw appear-clear sp -1.008 04:29pm urine blood-tr nitrite-neg protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-6.0 leuks-neg 04:29pm urine rbc-1 wbc-1 bacteri-few yeast-none epi-2 04:29pm urine bnzodzp-neg barbitr-neg opiates-neg cocaine-neg amphetm-neg mthdone-pos . cxr : portable upright chest, one view: heart size is normal. hilar and mediastinal contours are normal. lungs are clear, without consolidation or interstitial edema. pleural surfaces are normal. osseous structures are unremarkable. impression: no acute cardiopulmonary process. . renal us : findings: the right kidney measures 11.2 cm and the left kidney measures 10.3 cm. there is no hydronephrosis and no stones or solid masses are identified in either kidney. there is appropriate symmetrical flow identified in the main renal artery of each kidney. the ris on the right kidney range from 0.57 to 0.74 and on the left kidney from 0.58 to 0.73. appropriate flow is identified in the main renal vein of each kidney. impression: no hydronephrosis and no renal masses identified. no evidence of renal artery stenosis seen. . tte : left atrium: normal la size. right atrium/interatrial septum: mildly dilated ra. left ventricle: normal lv wall thickness. normal lv cavity size. normal regional lv systolic function. no lv mass/thrombus. overall normal lvef (>55%). tdi e/e' < 8, suggesting normal pcwp (<12mmhg). transmitral doppler and tvi c/w normal lv diastolic function. no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. no 2d or doppler evidence of distal arch coarctation. aortic valve: normal aortic valve leaflets (3). no as. trace ar. mitral valve: normal mitral valve leaflets with trivial mr. no mvp. normal mitral valve supporting structures. no ms. tricuspid valve: normal tricuspid valve leaflets with trivial tr. normal tricuspid valve supporting structures. no ts. indeterminate pa systolic pressure. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: no pericardial effusion. conclusions the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. no masses or thrombi are seen in the left ventricle. overall left ventricular systolic function is normal (lvef 70%). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). transmitral doppler and tissue velocity imaging are consistent with normal lv diastolic function. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. brief hospital course: # hypertensive urgency: the patient presented with complaints of chest pain - non-specific ekg changes on arrival. spb~ 200. no evidence of acs - ce negx3, no evidence of acute aortic disection - bp and pulses equal b/l. cxr wnl. she was given lopressor and started on a nitroglycerin gtt for bp control. the patient was monitored in the ccu overnight. nitro weaned slowly with the addition of po medications lisinopril 20mg, hctz 25mg and metoprolol 12.5mg with an improvement in bp to 160s systolic. her bp meds were up titrated throughout the remainder of her hospitalization to lisinopril 40mg daily, hctz 25mg daily, atenolol 25mg daily, and amlodipine 5mg daily. given the difficulty in controling her bp a workup for secondary hypertension was intiated. renal us negative for evidence of stenosis. renin and aldosterone levels pending at the time of discharge. tte performed - normal ef and no evidence of valvular disease. she should consider stress testing as outpatient. . # rhythm: normal sinus rhythm. pt did have a short run of atrial tachycardia on morning of discharge, approx 10 beat. asymptomatic. . # heroin abuse - continued on methadone dose - 120mg daily . # dispo - social work consult was obtained for medication assistance. the patient has a history of stopping bp meds due to inability to pay. she has been enrolled in free care. . the patient was clinically improved and discharged home. will follow up in clinic in 1 week for bp check and on with new pcp. medications on admission: none discharge medications: 1. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. methadone 40 mg tablet, soluble sig: three (3) tablet, soluble po daily (daily). 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*1 tablet(s)* refills:*2* 4. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 6. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: hypertensive urgency secondary: methadone maintenance discharge condition: good, chest pain free, vital signs stable discharge instructions: you were admitted to the hospital with chest pain. your blood pressure was very high and you were started on several medications to improve your blood pressure. these medications are: norvasc 5mg daily lisinopril 40mg daily hydrochlorothiazide 25mg daily atenolol 25mg daily you should also continue to take aspirin daily. . please follow up with dr. at community health center. your appointment is scheduled for at 3pm. you are also scheduled to follow up with np on at 1pm. please call with any questions. you will need to stop on the of adult medicine on the day of your appointment to fill out paperwork for . . please contact your doctor or return to the emergency room if you develop worrisome symptoms such as chest pain, shortness of breath, lightheadedness or begin to feel uwell. followup instructions: health center. your appointment is scheduled for at 3pm. you are also scheduled to follow up with np on at 1pm. please call with any questions. procedure: diagnostic ultrasound of heart diagnoses: tobacco use disorder unspecified essential hypertension opioid type dependence, continuous other chest pain personal history of noncompliance with medical treatment, presenting hazards to health paroxysmal supraventricular tachycardia 

Answer: The patient is high likely exposed to