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 a -year-old woman with a history of hypertension who developed 10/10 chest pain with diaphoresis and nausea at 6 p.m. on the day of admission. the patient first went to hospital emergency department. initial electrocardiogram revealed st elevations in v2 through v3. the patient became pain free with nitroglycerin with some improvement in st segment but without total return to baseline. because of her history of cerebrovascular accident of unknown etiology back in , the decision was made not to give the patient t-pa, and the patient was transferred to for catheterization. past medical history: (past medical history includes) 1. hypertension. 2. cerebrovascular accident in . 3. stomach cancer. 4. hypothyroidism. medications on admission: outpatient medications included ativan (unknown dose), atenolol (unknown dose), synthroid (unknown dose), and aspirin 81 mg p.o. q.d. allergies: the patient has no known drug allergies. medications on transfer: medications on transfer from hospital included aspirin, nitroglycerin times four, morphine, heparin, and integrilin. social history: the patient denies smoking and alcohol. she is widowed. she has no children. she lives with her sister who does much of her activities of daily living. family history: family history was noncontributory. physical examination on presentation: on physical examination, her blood pressure was 117/44, heart rate was 46, in a normal sinus rhythm, respiratory rate was 16, pulse oximetry was 99% on 2 liters. the patient was an elderly woman, lying in bed, alert, and cooperative. in no acute distress. head, eyes, ears, nose, and throat examination revealed pupils were equal, round, and reactive to light. extraocular movements were intact. sclerae were anicteric. mucous membranes were moist. the oropharynx was clear. the neck was supple. no jugular venous distention. no carotid bruits. cardiovascular examination revealed a slow rate, regular. normal first heart sound and second heart sound. no murmurs, rubs, or gallops were appreciated. the lungs were clear to auscultation bilaterally. the abdomen was soft, nontender, and nondistended. positive bowel sounds. the patient had a right femoral line sheath in the right groin region. no bruit or hematoma were present. no bleeding. the patient's distal pulses were 2+. the patient had no rash. the patient was alert and oriented times three. cranial nerves were grossly intact. motor was in all extremities. no significant differences were perceived in the right or left extremities. pertinent laboratory data on presentation: laboratories on transfer revealed white blood cell count was 13.3 and hematocrit was 39.4. chemistries were significant for a blood urea nitrogen of 50 and a creatinine of 3.1. her cardiac enzymes were 90. ast was 11 and ast was 18. radiology/imaging: electrocardiogram from the outside hospital revealed 1-mm st elevations in v2 through v3. this decreased after nitroglycerin was given. at she was noted to still be in sinus bradycardia with st elevations of 1 mm in v2 with v3 back to baseline. hospital course: at catheterization, the patient was found to have a mid left anterior descending artery 90% distal stenosis with timi-iii flow. also, the left circumflex with 80% stenosis at the first obtuse marginal and 60% at second obtuse marginal. the right coronary artery had mild luminal irregularities. stents were placed in the left anterior descending artery. hemodynamics revealed a right atrial pressure of 7, right ventricle of 30/3, pulmonary artery pressure of 26/9, and a wedge pressure of 10. cardiac output was 3.5. the patient was admitted to the coronary care unit for observation, status post cardiac catheterization. she was maintained on aspirin, plavix, and integrilin was continued for 18 hours. she was started on lipitor. an ace inhibitor was withheld initially secondary to elevated blood urea nitrogen and creatinine; however, it was then started after her creatinine had fallen from admission to 3, and it was found that her baseline was elevated; as per her primary care physician. baseline is around 2.5. however, after starting low-dose ace inhibitor, her creatinine began to rise again. the ace inhibitor was discontinued, and she was switched to hydralazine. the benefits of an ace inhibitor were discussed with her primary care physician who will follow her renal function as an outpatient, and the patient may be started on an ace inhibitor at that point. the patient had an echocardiogram which revealed an ejection fraction of 35%, moderate left ventricular systolic dysfunction, medial to distal anteroseptal hypokinesis/akinesis, apical akinesis, and trivial pericardial effusion. despite her low ejection fraction, anticoagulation was initially held secondary to the risk and benefits of bleeding and compliance in this patient. however, in the future, it may be considered beneficial starting anticoagulation. initially, the patient was in sinus bradycardia. beta blockers were held. however, her bradycardia dissipated. she became normal rate, and she was started on low-dose beta blocker at initially 12.5 mg p.o. b.i.d. on discharge, the patient was discharged on isordil 10 mg p.o. t.i.d., hydralazine 25 mg p.o. t.i.d., lopressor 25 mg p.o. b.i.d., and lipitor. her creatinine, which initially rose, fell after admission. it crept up causing discontinuation of the ace inhibitor and starting on hydralazine and isordil; however, her creatinine then stabilized around 3.6. the patient was to follow up with her primary care physician, which time a decision can be made whether to start an ace inhibitor. the patient developed a urinary tract infection during her hospital course. she was started on a 7-day course of ciprofloxacin for complicated urinary tract infection secondary to indwelling foley catheter. condition at discharge: the patient was in stable condition at the time of discharge. discharge status: discharge status was to home with . discharge diagnoses: 1. st-elevation myocardial infarction. 2. status post cardiac catheterization of the left anterior descending artery. medications on discharge: (discharge medications included) 1. isordil 10 mg p.o. t.i.d. 2. hydralazine 25 mg p.o. t.i.d. 3. metoprolol 25 mg p.o. b.i.d. 4. lipitor 10 mg p.o. q.d. 5. ciprofloxacin 500 mg p.o. q.d. (for a 7-day course). 6. synthroid 25 mcg p.o. q.d. 7. aspirin 325 mg p.o. q.d. 8. plavix 75 mg p.o. q.d. discharge instructions/followup: the patient was to follow up in the cardiology clinic. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization injection or infusion of platelet inhibitor coronary arteriography using a single catheter diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified essential hypertension unspecified acquired hypothyroidism acute myocardial infarction of other anterior wall, initial episode of care other late effects of cerebrovascular disease unspecified disorder of kidney and ureter personal history of malignant neoplasm of stomach cardiac dysrhythmia, unspecified 

Answer: The patient is high likely exposed to