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: st elevation myocardial infarction major surgical or invasive procedure: cardiac catheterization and percutaneous intervention history of present illness: 69 y/o female with h/o who presents with 2-3 days of jaw pain, doe found to have st elevation in ii, iii and avf. . she reports 3 days of chest pain. on sunday, she developed jaw pain. her pain was intermittent. no chest pain associated with it but + nausea. it will last minutes. it would come at rest or while exercising. on monday, she had this discomfort again, took asa obtaining some relieve. on monday night, she noted more shortness of breath. today, she went to see her pcp. the office, and ekg was performed that showed st elevation in the inferior leads.she was referred to the emergency department. . in the ed, vs 194/81 hr 77, rr 12 sats 97% on ra. given ekg findings, cath lab was activated. in the cath lab, a cypher stent was placed to rca. . currently, patient feels well, no chest pain or shortness of breath. . on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. . *** cardiac review of systems is notable for absence of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: anxiety social history: lives with her husband. smoking (-), - glass of wine daily. family history: has 2 children - healthy physical exam: vs: t 98 , bp121/66 , hr 79 , rr 15 , o2 % 97% gen: non apparent distress, very pleasant. heent: peerla, eom preserved. neck: supple, no jvp cv: rrr: s1-s2 normal, no murmurs chest: no chest wall deformities, scoliosis or kyphosis. resp were lungs: clear to auscultation. abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no edema pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp groin: r - no hematoma, no bruit\ pertinent results: 1/8/8 17:13 --> nsr< hr 60, sinus rhythm, left axis deviation. st elevation ii, iii and avf iii>ii, st depresions i, avl, and v2. 06:00pm wbc-10.1 rbc-4.49 hgb-13.7 hct-40.6 mcv-91 mch-30.4 mchc-33.6 rdw-14.0 06:00pm plt count-552* 07:39pm wbc-9.5 rbc-4.24 hgb-12.9 hct-37.3 mcv-88 mch-30.4 mchc-34.6 rdw-13.3 07:39pm calcium-9.4 phosphate-3.1 magnesium-2.2 07:39pm glucose-123* urea n-18 creat-0.7 sodium-139 potassium-3.8 chloride-104 total co2-27 anion gap-12 04:11am blood ck(cpk)-67 04:11am blood ctropnt-0.01 04:11am blood triglyc-89 hdl-41 chol/hd-3.8 ldlcalc-95 cath : comments: 1. selective coronary angiograohy of this right dominant system revealed two vessel coronary artery disease. the lmca had no angiographically apparent flow-limiting stenoses. the lad was angiographically normal with a proximal 80% d1 lesion and diffuse calcification. the lcx was angiographically without critical lesions. the rca was a dominant vessel with a 90% distal eccentric lesion. 2. limited resting hemodynamics revealed moderate to severe systemic arterial hypertension of 178/82 mm hg. 3. left ventriculography was deferred. final diagnosis: 1. two vessel coronary artery disease. 2. moderate to severe systemic arterial hypertension. tte: left atrium: normal la size. right atrium/interatrial septum: normal ra size. left ventricle: normal lv wall thickness and cavity size. mild regional lv systolic dysfunction. no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets. no mvp. mild (1+) mr. normal lv inflow pattern for age. tricuspid valve: normal tricuspid valve leaflets. moderate tr. borderline pa systolic hypertension. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: small pericardial effusion. no echocardiographic signs of tamponade. conclusions the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with focal hypokinesis of the basal inferior and inferolateral segments. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. impression: mild regional lv dysfunction with inferior and inferolateral hypokinesis. mild mitral regurgitation. boderline pulmonary artery systolic hypertension. brief hospital course: # stemi: the patient was taken to the cath lab emergently where she was found to have a 90% stenosis of the rca and 80% stenosis of d1. given her inferior st changes a cypher stent was placed in the rca. heparin and integrillin were administered for anticoagulation. she was continued on integrillin 18 hours post cath as well as plavix. her ck post cath was 65 consistent with her late presentation to her pcp following her symptoms. post cath the patient had a brief drop in her bp and presyncopal symptoms while her sheath was being pulled from her r groin, consistent with her past history of vasovagal syncope. she had no further episoded during her hospitalization. the patient remained pain free throughout her hospitalization. she was started on metoprolol 12.5mg and catopril 6.25mg tid, this was transitioned to atenolol 25mg daily and lisinopril 5 mg daily prior to discharge. she was also started on atorvastatin 80mg daily. she was continued on plavix as directed and aspirin 325mg. given her d1 stenosis which was not fixed, she should undergo a submaximal stress test in weeks to further evaluate this lesion. echo performed on demonstrated an ef of 50-55% with mild regional lv dysfunction with inferior and inferolateral hypokinesis. she was scheduled to follow up with cardiology on . medications on admission: lexapro 10mg daily discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 5. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: 1. st elevation myocardial infarction discharge condition: good discharge instructions: you were admitted with chest discomfort and were found to have a blockage of one of your coronary arteries. you underwent a cardiac catheterization and had a stent placed to open your right coronary artery. . you are now taking plavix to prevent a blot clot formation in your cardiac stent. it is extremely important that you take this medication every day. you should never stop taking your plavix unless instructed to stop by your cardiologist. you should also continue to take an aspirin daily. . you have also started the medication atorvastatin to lower your cholesterol level after your heart attack. please continue to take this medication as directed. . you have started the medications metoprolol and lisinopril to control your blood pressure. please continue to take these medications as directed. . please maintain your scheduled follow up appointments listed below. . you should return or call your pcp if you experience chest pain or discomfort, shortness of breath or begin to feel unwell. followup instructions: please maintain your scheduled follow up with dr. on monday at 10:30am. . you should follow up with your cardiologist dr. on at 11am. your appointment is in the building . provider: , m.d. phone: date/time: 11:00. . you were found to have an additional blockage of one of your coronary arteries during your catheterization. you should discuss undergoing a submaximal stress test in weeks for further evaluation of this blockage. . please maintain your scheduled follow up appointments listed below: provider: , md phone: date/time: 10:10 provider: density testing phone: date/time: 10:30 provider: , m.d. phone: date/time: 11:30 procedure: coronary arteriography using two catheters left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to