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: patient recorded as having no known allergies to drugs attending: chief complaint: dyspnea, weakness, fatigue major surgical or invasive procedure: cardiac catheterization history of present illness: 86 yo woman with h/o htn presents to on c/p progressively worsening doe, incr le edema and orthopnea over past 2 weeks, worse in last day or so. 10 lb weight gain over past 6 months. about 2 weeks ago she had a 6 hour episode of severe malaise and fatigue associated with nausea, diaphresis, and being "ashen" color. she did not seek medical attention at that time. at pat had an ekg which showed q waves anteriorly and inferiorly with ste in v2-v5. ck was flat but + troponin (1.1). found to be in chf and given lasix 20 mg iv with good uop. sent to for ischemic evaluation for recent (but not acute) stemi. ros negative for fevers, cough, dysurie, diarrhea. past medical history: depression urinary incontinence r tib fx l mastectomy 's for breast ca h/o gi bleed in 's requiring transfusions oa social history: no tob, no etog, just moved from ct to live with daughter (), son in area family history: brother - afib mother - died at age 43 from cva father - gastric ca died at age 75 physical exam: vitals: t 96.1, hr 64, bp 130/80, rr 26, 99% on 4l i/o's: 300/750 gen: a&o x 3, resting comfortably heent: perrl, eomi, mmm, neck supple, jvd 10 cm cardiac: rrr, nl s1,s2, +s3, no murmurs or rubs lungs: rales way up abd: soft, ntnd, nabs ext: 1+ le edema b/l, r>l, good dp pulses pertinent results: 01:45pm glucose-104 urea n-28* creat-0.8 sodium-145 potassium-4.9 chloride-107 total co2-27 anion gap-16 01:45pm ck(cpk)-33 01:45pm ck-mb-notdone ctropnt-2.65* 01:45pm calcium-9.2 phosphate-3.2 magnesium-2.1 01:45pm wbc-13.6* rbc-4.84 hgb-13.0 hct-39.3 mcv-81* mch-26.9* mchc-33.1 rdw-14.0 01:45pm plt count-258 01:45pm ptt-77.5* 01:30pm urine blood-lg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 01:30pm urine color-straw appear-clear sp -1.008 01:30pm urine rbc-0-2 wbc-0 bacteria-few yeast-none epi-0-2 cxr chest ap: the aorta is tortuous. there is elevation of the right hemidiaphragm. there is bibasilar atelectasis. kerley b lines are present representing mild failure. extensive degenerative changes are seen in the right shoulder joint. a calcified density is present in the upper right neck. this could represent a calcified thryroid nodule, a lymph node or degenerative changes. ekg sinus rhythm. left atrial abnormality. left anterior fascicular block. anterolateral myocardial infarction, age indeterminate. no previous tracing available for comparison. cardiac cath final diagnosis: 1. two vessel coronary artery disease. 2. mild mitral regurgitation. 3. severe systolic and diastolic ventricular dysfunction. 4. moderate to severe pulmonary hypertension. 5. pci of the lad. echo conclusions: the left atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. overall left ventricular systolic function is severely depressed (ejection fraction 20-30 percent) secondary to akinesis of the interventricular septum, anterior free wall, lateral wall, and apex (there is some sparing of the basal segments); the inferior and posteroir walls contract. no masses or thrombi are seen in the left ventricle. there is no ventricular septal defect. the right ventricular cavity is dilated. right ventricular systolic function appears depressed. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. moderate (2+) mitral regurgitation is seen. the mitral regurgitation jet is eccentric. the left ventricular inflow pattern suggests impaired relaxation. moderate tricuspid regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. brief hospital course: 1) cad - pt presented in chf and found to have old anterior mi on ekg, thought to be about 2 weeks old by history. the patient went to cardiac cath where she was found to have 2 vd (lad, pda) and 2 des placed in lad. - con't aspirin, plavix, toprol xl, lisinopril - troponin t peaked at 1.81 2) chf - patient likely had anterior infarct 2 wks prior to admission, causing worsening lv function in the subsequent 2 weeks. she presented with sob from chf, and she was diuresed while here. - ef now 20-30% - con't anticoagulation with coumadin (goal inr ), will bridge with lovenox - con't lisinopril, toprol xl, lasix 3) htn - bp well controlled on toprol 25 mg po qd, lisinopril 5 mg po qd. will con't these medications. 4) fen - low sodium diet, lasix 20 mg po qd to maintain euvolemia. 5) ppx - protonix, anticoagulation 6) deconditioning - patient was very weak 2 wks prior to admission and had deconditioning while in hospital. physical therapy came to evaluate the patient and felt that she warranted pt in a rehabilitation facility in efforts to restore pt's physical competencies and activities to baseline. 7) code - full code (discussed with patient) medications on admission: benicot 20 mg po qd lexapro 20 mg po qd valium 2 mg po qhs discharge medications: 1. aspirin, buffered 325 mg tablet sig: one (1) tablet po daily (daily). 2. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). 3. escitalopram oxalate 10 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. diazepam 2 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 8. metoprolol succinate 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). 9. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 10. warfarin sodium 5 mg tablet sig: one (1) tablet po hs (at bedtime). 11. lovenox 60 mg/0.6ml syringe sig: one (1) injection subcutaneous every twelve (12) hours for 4 days: discontinue if inr >2 on 2 consecutive days. discharge disposition: extended care facility: rehab unit at - discharge diagnosis: 2 vessel cad stemi htn copd chf discharge condition: good discharge instructions: 1) please take all medications as prescribed 2) call your pcp or visit the ed if you experience worsening sob, chest pain or pressure, sweating, nausea, vomitting, weight gain > 5 pounds, increasing weakness. followup instructions: 1) f/u with your pcp (patient can not remember name but daughter knows name of pcp, is unreachable by phone currently) 2) please make f/u appt with dr. ( in weeks procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care chronic airway obstruction, not elsewhere classified personal history of malignant neoplasm of breast depressive disorder, not elsewhere classified 

Answer: The patient is high likely exposed to