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: the patient is an 82 year old female with no known prior history of coronary artery disease, with a history of lung, breast and colon carcinoma, who presented to hospital with a ck of 3,243. the patient was in her usual state of health prior to her presentation to that hospital until three days prior when she developed dyspnea on exertion. her symptoms developed into dyspnea at rest, and she was noted to have an o2 saturation of 83%. the patient denied any chest pain at that time. at the outside hospital, her ekg showed st elevations in v2 through v6, with q waves present. she was transferred to at which time she had a heart rate of 87, a blood pressure of 128/80 and an o2 saturation of 97 on five liters. she got aspirin, nitro paste, lopressor intravenously, intravenous lasix, and a heparin drip. she was then taken to the catheterization laboratory on arrival at which showed a total occlusion of her proximal left anterior descending, total occlusion of her left circumflex, 60% proximal right coronary artery and a 30% obtuse marginal coronary artery. she had minimal right to left collaterals and left to left collaterals. her right heart catheterization showed a wedge pressure of 27 and a pa-saturation of 49%. her ejection fraction was 15% with anterior and inferior septal akinesis with an apical thrombus present. an intra-aortic balloon pump was placed secondary to cardiogenic shock. she was going to be evaluated by cardiothoracic surgery for whether she is an operable candidate. past medical history: 1. hypertension. 2. osteoporosis. 3. colon carcinoma status post partial colectomy in 11/98. 4. lung carcinoma. 5. status post left upper lobe lobectomy in . 6. breast carcinoma. 7. peripheral vascular disease. 8. irritable bowel syndrome. 9. chronic obstructive pulmonary disease. 10. spinal stenosis. 11. history of transient ischemic attack. 12. depression. medications: 1. imipramine 25 q. day. 2. oxybutynin 5 q. day. 3. aricept 10 q. day. 4. zestril 20 q. day. 5. tylenol 650 three times a day. 6. lomotil 2 tablets q. day. 7. aspirin 325 q. day. allergies: aricept causes nausea and the patient is allergic to penicillin. social history: the patient lives with her husband in a senior living complex. she has a remote smoking history. family history: noncontributory. physical examination: on admission, vital signs are temperature 98.9 f.; heart rate 85; blood pressure 127/68; o2 saturation 97%; respiratory rate 24. in general, the patient is mildly agitated, answering questions appropriately, in no acute distress. heent: pupils are equal, round, and reactive to light and accommodation. extraocular movements intact. tongue midline; moist mucous membranes. neck: no bruits. jugular venous distention above clavicle with minimal head elevation. heart is regular rate and rhythm with normal s1 and s2, positive s3. no murmurs, rubs or gallops. lungs are clear to auscultation anteriorly. abdomen with positive bowel sounds, soft, nontender, nondistended. guaiac negative on presentation at outside hospital. extremities with palpable dorsalis pedis pulses bilaterally, trace lower extremity edema. left groin sheath without hematoma. neurological: cranial nerves ii through xii intact. moving all extremities. laboratory: on arrival, white blood cell count 17.9; hematocrit 41.9, platelets 226; 85% neutrophils, 11 lymphs, 3 monocytes. pt 14.8, ptt 150 and inr 1.5. sodium 149, potassium 4.5, chloride 113, bicarbonate 20, bun 23, creatinine 1.1 and glucose 146. ck 3294, up from 3243 at the outside hospital. arterial blood gas was 7.48, 29 and 94. ekg after catheterization showed st elevation as well as q waves in v2 through v6, with q's in ii and avl. chest x-ray showed congestive heart failure with a left sided effusion. hospital course: 1. cardiovascular: 1) ischemia - the patient who presented with acute st elevation myocardial infarction. she had cardiac catheterization with a total occluded proximal left anterior descending, totally occlusion in the left circumflex and 60% proximal right coronary artery. the patient had three-vessel disease. also noted on catheterization was severe systolic dysfunction and elevated filling pressures with cardiogenic shock. she had an intra-aortic balloon pump placed. she was continued on heparin and aspirin. the patient was found not to be a surgical candidate. she was eventually started on an ace inhibitor and beta blocker after her blood pressure had stabilized when she was out of the intensive care unit and continued on aspirin. the patient was also sent home on coumadin given her low ejection fraction. 2) pump - the patient was found to be in cardiogenic shock and had an intra-aortic balloon pump placed during cardiac catheterization. she developed some hypotension on the following day and the patient was started on dobutamine. the patient also was put on nipride. she had an echocardiogram that was done on , which showed ejection fraction of 20 to 25% and severe left global hypokinesis and severe pulmonary artery hypertension. the patient was then weaned off the intra-aortic balloon pump on the 2nd and pressors were eventually weaned off. she was started on ace inhibitor and beta blocker. given her poor ejection fraction, she was continued on heparin and started on coumadin. she was discharged home on coumadin. the patient was also started on low-dose lasix and eventually sent home on 20 q. day. discharge diagnoses: 1. acute myocardial infarction. 2. cardiogenic shock. 3. hypertension. 4. osteoporosis. 5. colon carcinoma. 6 lung carcinoma. 7. breast carcinoma. 8. peripheral vascular disease. 9. irritable bowel syndrome. 10. chronic obstructive pulmonary disease. 11. spinal stenosis. 12. history of transient ischemic attack. 13. depression. 14. severe systolic dysfunction with an ejection fraction of 20%. discharge medications: 1. imipramine 25 q. day. 2. oxybutynin 5 q. day. 3. aricept 10 q. day. 4. zestril 10 q. day. 5. tylenol 650 three times a day. 6. lomotil 2 tablets q. day. 7. aspirin 325 q. day. 8. lopressor 12.5 twice a day. 9. lasix 20 q. day. discharge instructions: 1. the patient is going to follow-up with dr. of cardiology at , whose phone number is . 2. the patient will follow-up with her primary care physician, . . disposition: the patient will be discharged home to with 24-hour care, visiting nurses association and physical therapy. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization angiocardiography of left heart structures other and unspecified coronary arteriography implant of pulsation balloon diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified personal history of malignant neoplasm of bronchus and lung personal history of malignant neoplasm of breast acute myocardial infarction of anterolateral wall, initial episode of care cardiogenic shock osteoporosis, unspecified personal history of malignant neoplasm of large intestine 

Answer: The patient is high likely exposed to