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: ms. is a 69 year-old outside hospital for cardiac catheterization after ruling in for non-st elevation mi. the patient was in her usual state of health until five days prior to arrival. she had an episode of chest tightness around two hours of duration while at rest. relieved spontaneously, no sublingual nitroglycerin at home. two days pain radiating to the right shoulder and neck. this persisted two to three hours. the patient presented to outside hospital chest pain free. ruled in for non-st elevation mi. she was given nitro paste and beta blocker and aspirin. the patient with peak ck mb index of 4.3, peak ck of 189. she was transferred to on heparin and aggrastat started on the evening of after receiving enoxaparin for cardiac catheterization. at presentation at no chest pain times three days. denies fever, chills, nausea, vomiting, diarrhea or constipation. positive melena times two days, no bright red blood per rectum, no urinary symptoms. past medical history: 1. coronary artery disease status post rca stent and ptca of the left circumflex on . restenosis / ptca of left circumflex branch in 08/96. both of these procedures were done at hospital in . 2. hypertension. 3. hypercholesterolemia. 4. status post myocardial infarction in . outpatient medications: 1. gemfibrozil 600 milligrams po bid. 2. plendil 5 milligrams po q day. 3. hygroton. 4. naprosyn. 5. aspirin 325 milligrams. 6. vitamin c. 7. fluvastatin medications at transfer: 1. metoprolol 25 milligrams . 2. aggrastat. 3. heparin. 4. aspirin 325 milligrams po bid. 5. nitro paste one inch q six. 6. plendil 5 milligrams po q day. 7. gemfibrozil 600 milligrams po bid. 8. prevacid 15 milligrams po q day. allergies: 1. lipitor causes arthralgias. social history: the patient lives in with husband. habits - no tobacco, rare alcohol. family history: father died of cad at age 67. mother with cad. physical examination: on admission temperature 98.7 f, blood pressure 156/55, pulse 57, respiratory rate 93 on room air. weight 200 lbs. in general pleasant, in no acute distress. heent - anicteric. op clear. neck - 2+ carotids, no thyromegaly. cardiovascular - regular rate and rhythm, s1, s2. ii/vi systolic ejection murmur at right upper sternal border without radiation. pulmonary - clear bilaterally. abdomen - soft, nontender, nondistended, positive bowel sounds, obese. extremities - trace edema bilaterally. neuro - alert and oriented times 3, mentating well. cranial nerves ii through xii intact grossly. rectal exam - brown stool guaiac positive. laboratory data: from outside hospital first ck was 189 with an mb of 5.5, index of 2.9, troponin i 2.8. ck #2 at outside hospital ck 137, mb 5.3, index 3.9 and troponin i of 4.2. in a.m. at outside hospital white count 5.4, hematocrit 35.9, platelet count 243,000. ptt 70.9, sodium 140, potassium 3.2, chloride 102, co2 24, bun 20, creatinine 0.7, glucose 134, calcium 9.2. in the afternoon chloride 164, triglycerides 231, hdl 31, ldl 77, total protein 7.7, albumin 4.4, tbili 0.6, alkaline phosphatase 79, ast 32, alt 35. ekg no prior comparisons, normal sinus rhythm at 100 beats per minute, axis 0 degrees, st depressions in i, v2, v3, v4, v5. st elevation 1 mm in iii, biphasic ts in v4 and v5, small q wave in i. brief summary of hospital course: assessment and plan: a 69 year-old female with past medical history of coronary artery disease status post mi with stent to rca in presents from outside hospital after ruling in for myocardial infarction. the patient transferred here for cardiac catheterization. 1. cardiac - coronaries the patient with known disease, increased troponin and index at outside hospital with ekg changes all suggestive of acute coronary syndrome. at presentation the patient was chest pain free times three days. the patient was originally continued on heparin, aggrastat, beta blocker, aspirin, statin and gemfibrozil. plendil was discontinued in favor of starting an ace inhibitor. the patient underwent cardiac catheterization on and this showed one vessel coronary artery disease. the patient underwent successful stenting of 95% mid rca stenosis. ejection fraction was preserved. the patient suffered from no flow phenomenon requiring diltiazem and nitroglycerin secondary to chest pain and st elevations with stent deployment. the patient also suffered complete heart block secondary to diltiazem in cath lab requiring transient pacer. the patient was transferred to the ccu with chest pain and persistent st elevations. aggrastat was stopped prior to catheterization secondary to epistasis and guaiac positive stools. in the cath lab the patient stabilized on nitro drip. complete heart block resolved and pacing wire was taken out. the patient was transferred to the floor without chest pain and with complete resolution of ekg changes to continue medical management. the patient had no further episodes of chest pain throughout her hospital stay. the patient's ace inhibitor was changed to lisinopril for two day dosing. the patient continued on gemfibrozil and fluvastatin for cholesterol and was to complete a 30 day course of plavix. estimated ejection fraction at cardiac catheterization was 60%. 2. hematocrit - the patient with a hematocrit drop peri catheterization thought to be secondary to anticoagulation. the patient received three units of packed red blood cells. the patient hematocrit low was 26.. on day of discharge the patient's hematocrit bumped to 39.1. 3. infectious disease - the patient had a temperature spike to 101.2 f the evening of . the patient was started on bactrim for mildly positive urinalysis which consisted of large blood, small leukocytes, negative nitrites, 5 whites, moderate bacteria, one squamous epithelial cell. the patient had received temporary foley catheter in the ccu and complained of mild urinary burning after its being taken out. the patient defervesced over the next few days but had a low grade temperature on the evening of . the patient was changed to ciprofloxacin and chest x-ray was unrevealing. blood cultures were drawn which showed no growth to date at the time of discharge. the patient to be followed as an outpatient and instructed to take her temperature and if over 100 to seek medical attention. the patient to complete a seven day course for uti. urine culture was uninterpretable due to fecal contamination. discharge follow up: the patient to follow up with pcp next week as well as dr. for primary cardiologist. discharge condition: stable. discharge status: to home. discharge diagnosis: 1. coronary artery disease. 2. hypercholesterolemia. 3. uti. discharge medications: 1. atenolol 25 milligrams po q day. 2. aspirin 325 milligrams po q day. 3. lisinopril 20 milligrams po q day. 4. gemfibrozil 600 milligrams po bid. 5. protonix 40 milligrams po q day. 6. fluvastatin 20 milligrams po q day. 7. plavix 75 milligrams po q day times 28 days. 8. ciprofloxacin 250 milligrams po bid times six days. code status: the patient is full code. , m.d. dictated by: medquist36 d: 11:05 t: 13:18 job#: , md procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization insertion of temporary transvenous pacemaker system diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia urinary tract infection, site not specified atrioventricular block, complete family history of ischemic heart disease nonspecific abnormal findings in stool contents epistaxis other and unspecified agents primarily affecting the cardiovascular system causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to