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 / fosamax / levaquin / cephalexin attending: chief complaint: cardiogenic shock s/p mi with post infarct vsd major surgical or invasive procedure: none history of present illness: 83 year old female with positive myocardial infarct x 1 week ago, admitted to osh intensive care unit. hemodynamic instability ensued requiring the initiation of multiple pressors. cardiac cath done at osh->rca=total occlusion. vsd post mi. iabp inserted for cardiogenic shock. patient transferred to for percutaneous left ventricular device insertion and coronary revascularization. past medical history: htn stemi palpitations benign neoplasm of colon varicose veins generalized osteoarthritis renal cysts corneal dystrophy esophageal reflux hypothyroidism cataract vitreous degeneration syncopal episode osteoporosis compression fx of spine ' allergic rhinitis rhip replacement/revision leg/ankle surgery total hip replacement ' social history: lives with:widowed 15 yo, lives at independent living tobacco:denies etoh:denies family history: father + mi 58yo, deceased age 61 2' prostate ca, mother-deceased age 2' cva physical exam: pulse:99 resp: o2 sat: b/p right: 91/54 left: height:4' weight:52kg general:a&ox3 skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur: iv/vi holosystolic abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: (b)le chronic venous stasis changes neuro: grossly intact pulses: femoral right: left: dp right:doppler left:intermittent doppler pt : left: radial right: left: carotid bruit right: left: pertinent results: 10:27am blood hct-30.7*# plt ct-133* 07:27am blood hct-23.1* plt ct-178 11:43am blood wbc-7.7 rbc-3.37* hgb-9.7* hct-28.0* mcv-83 mch-28.7 mchc-34.5 rdw-14.6 plt ct-244 03:27am blood neuts-83.6* lymphs-10.4* monos-5.1 eos-0.5 baso-0.5 10:27am blood plt ct-133* 07:27am blood pt-17.0* ptt-150* inr(pt)-1.5* 11:43am blood plt ct-244 11:43am blood pt-14.5* ptt-119.8* inr(pt)-1.3* 03:27am blood glucose-128* urean-41* creat-1.2* na-131* k-3.7 cl-107 hco3-16* angap-12 11:43am blood glucose-344* urean-47* creat-1.4* na-131* k-4.6 cl-103 hco3-16* angap-17 03:27am blood alt-252* ast-203* ld(ldh)-588* alkphos-199* totbili-0.6 11:43am blood alt-286* ast-320* ld(ldh)-796* alkphos-328* amylase-30 totbili-0.4 03:27am blood ck-mb-18* ctropnt-6.11* 11:49pm blood ck-mb-17* ctropnt-4.18* 07:27am blood mg-1.5* 11:49pm blood ck-mb-17* ctropnt-4.18* 11:43am blood albumin-2.8* 11:43am blood %hba1c-6.3* eag-134* 12:00pm blood type-art po2-435* pco2-56* ph-7.18* caltco2-22 base xs--7 10:37am blood type-art po2-458* pco2-56* ph-7.18* caltco2-22 base xs--7 12:15pm blood type-art po2-125* pco2-24* ph-7.46* caltco2-18* base xs--4 12:17pm blood type-mix po2-50* pco2-27* ph-7.43 caltco2-19* base xs--4 , portable tte (complete) done at 12:23:06 pm final referring physician information , c. , status: inpatient dob: age (years): 83 f hgt (in): bp (mm hg): 98/68 wgt (lb): 114 hr (bpm): 101 bsa (m2): indication: left ventricular function. vsd. icd-9 codes: 745.4, 424.1, 424.0, 424.2 test information date/time: at 12:23 interpret md: , md test type: portable tte (complete) son: , rdcs doppler: full doppler and color doppler test location: west sicu/ctic/vicu contrast: none tech quality: suboptimal tape #: 2011w000-0:00 machine: vivid q-1 echocardiographic measurements results measurements normal range left atrium - long axis dimension: 3.2 cm <= 4.0 cm left atrium - four chamber length: 5.1 cm <= 5.2 cm left atrium - peak pulm vein s: 0.5 m/s left atrium - peak pulm vein d: 0.7 m/s right atrium - four chamber length: 5.0 cm <= 5.0 cm left ventricle - septal wall thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 3.5 cm <= 5.6 cm left ventricle - systolic dimension: 2.4 cm left ventricle - fractional shortening: 0.31 >= 0.29 left ventricle - ejection fraction: 55% >= 55% left ventricle - stroke volume: 35 ml/beat left ventricle - cardiac output: 3.49 l/min left ventricle - lateral peak e': *0.07 m/s > 0.08 m/s left ventricle - septal peak e': *0.05 m/s > 0.08 m/s left ventricle - ratio e/e': *17 < 15 aorta - sinus level: 3.5 cm <= 3.6 cm aorta - ascending: 2.9 cm <= 3.4 cm aortic valve - peak velocity: *2.3 m/sec <= 2.0 m/sec aortic valve - peak gradient: *22 mm hg < 20 mm hg aortic valve - mean gradient: 9 mm hg aortic valve - lvot vti: 11 aortic valve - lvot diam: 2.0 cm aortic valve - valve area: *1.0 cm2 >= 3.0 cm2 mitral valve - e wave: 1.0 m/sec mitral valve - a wave: 1.1 m/sec mitral valve - e/a ratio: 0.91 mitral valve - e wave deceleration time: 236 ms 140-250 ms tr gradient (+ ra = pasp): *33 mm hg <= 25 mm hg findings left atrium: normal la size. right atrium/interatrial septum: normal ra size. normal interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. normal lv cavity size. overall normal lvef (>55%). no resting lvot gradient. post infarction vsd. right ventricle: mildly dilated rv cavity. moderate global rv free wall hypokinesis. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. aortic valve: moderate as (area 1.0-1.2cm2) trace ar. mitral valve: mildly thickened mitral valve leaflets. no mvp. no ms. trivial mr. tricuspid valve: mildly thickened tricuspid valve leaflets. no ts. moderate tr. mild pa systolic hypertension. pumonic valve/pulmonary artery: no ps. pericardium: no pericardial effusion. general comments: suboptimal image quality - poor echo windows. regional left ventricular wall motion: conclusions poor image quality.the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is a focal aneurysm of the basal inferior and infero-septal lv segments. the remaining segments are hyperdynamic. overall left ventricular systolic function is preserved (lvef=55%). there is a post infarction ventricular septal defect (vsd) is suspected but not confirmed (appears small). the right ventricular cavity is mildly dilated with moderate global free wall hypokinesis. there is probably moderate aortic valve stenosis (valve area 1.0-1.2cm2). trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. if indicated, a tee would better characterize the presence and severity of a vsd. brief hospital course: patient was admitted from hospital in cardiogenic shock s/p mi with post infarct vsd. she was admitted on dobutamine/levo/iabp 1:1 with sbp 80's, mentating well on nasal canula. echo revealed small inferior vsd. after discussion with cardiologist and cardiac surgeon, the decision was made to take the patient to the operating room for percutaneous closure of vsd with backup of tandem heart. all options were explained to patient and she agreed to proceed. see operative note for full details. percutaneous vsd was unable to be placed and the decision was made to place the patient on ecmo for hemodynamic support. echo showed a large vsd and severe tr. she was on levophed drip as well as full ecmo support with sbp 80's. a fmily meeting was held with hcp (friend) and nephew . the decision was made to withdraw support. she was continued on fentanyl and versed drips - pressors,iabp and ecmo were all stopped at 12:25 pm. she was asystolic with no blood pressure at 12:59 pm and pronounced by dr . family was not present but notified and denied post. medications on admission: calcitonin 1 spray each nostril daily lisinopril 10 mg daily mvi tylenol prn pain norvasc 2.5 mg daily levothyroxine 50 mcg daily prilosec 20 mg daily calcium carbonate-vitamin d 500/200 mg-unit daily discharge medications: expired discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: expired followup instructions: expired procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnostic ultrasound of heart extracorporeal membrane oxygenation [ecmo] diagnoses: unspecified essential hypertension unspecified acquired hypothyroidism cardiogenic shock osteoporosis, unspecified acute myocardial infarction of other inferior wall, initial episode of care hip joint replacement tricuspid valve disorders, specified as nonrheumatic acquired cardiac septal defect 

Answer: The patient is high likely exposed to