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: chest pain major surgical or invasive procedure: cardiac catheterization endotracheal intubation picc line placement history of present illness: hpi: 61 y/o f with h/o cad s/p anteroseptal mi who presents s/p ?vfib arrest in ct scanner. she presented to the ed with 10/10 chest pain with associated sob and diaphoresis. no ekg changes and nl initial enzymes. she received asa, nitro, lopressor 5 iv/50 po, anzemet, and mso4. cxr showed widened mediastinum. in the ct scanner she became unresponsive after one bolus of contrast. code blue was called and she was found to be in in vfib; she converted after a 300 and 360 j shock to sinus rhythym. she was intubated and taken for cardiac cath. she underwent stenting of a 70% proximal rca lesion. ra pressure 16, co 5, ci 2.5. she is admitted to the ccu service for further management and continued to be hemodynamically stable. . ros: pt unable to provide; per ed note she reported multiple episodes of blood-streaked emesis. decreased po intake. no abd pain, bloody bms, or diarrhea. no f/c. no si/hi. past medical history: cad s/p anteroseptal mi - 2 yrs ago htn gout s/p l nephrectomy - tuberculosis in kidney? depression s/p suicide attempts seizure disorder h/o opiod abuse h/o etoh abuse lumbar stenosis h/o b12 deficiency + ppd - was tx for 1 year . social history: smoking quit 20 yrs ago, lives by herself. hx of alcohol and drug of abuse. family history: no premature cad physical exam: admission physical exam: vitals: t: 99.5 p: 70 bp: 123/82 sao2: 100% on cmv 600/12/1.00/5 general: intubated, sedated heent: nc/at. pupils were pinpoint, sclera anicteric. ett tube in place. neck: supple, thick. pulm: lungs clear anteriorly cardiac: rrr, nl s1/s2, no m/r/g appreciated abdomen: soft, nt/nd, + bs, no masses or organomegaly noted. rectal: guaiac negative in ed ext: no edema b/t, 2+ radial, femoral, dp and pt pulses b/l. r groin tlc in place. lymphatics: no cervical, supraclavicular, axillary, or inguinal lad. skin: multiple excoriations, linear cut marks neurologic: sedated and intubated. pertinent results: admission labs: . 05:25pm blood wbc-7.1# rbc-3.91* hgb-13.2 hct-38.1 mcv-97 mch-33.9* mchc-34.8 rdw-20.6* plt ct-238 05:25pm blood neuts-81.1* lymphs-13.0* monos-4.8 eos-1.0 baso-0.1 05:25pm blood anisocy-2+ macrocy-3+ 05:25pm blood plt ct-238 05:25pm blood glucose-101 urean-8 creat-0.7 na-134 k-8.1* cl-98 hco3-16* angap-28* 05:25pm blood ck(cpk)-84 05:25pm blood ck-mb-notdone ctropnt-<0.01 08:00pm blood calcium-8.3* phos-3.5 mg-1.7 08:00pm blood asa-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg . other labs: 05:29am vit b 12 813; folate 4.0; ferritin 264*; tibc 183*; iron 106 . ekg: initial ekg: st @ 117, nl axis, nl intervals, < dep in v3/v4 ekg #2: nsr @ 83 bpm, nl axis, qtc 472. no st changes. . radiologic data: cxr : endotracheal tube tip near right main stem bronchus. recommend withdrawal by 4-5 cm. . cta : no definite evidence of proximal pulmonary embolism. this exam is limited secondary to heart motion and evaluation of the more peripheral branches of the pulmonary arterial vasculature is not well assessed. 2. no evidence of pneumonia. 3. coronary artery calcifications . cath : 1) selective coronary angiography of this right dominant system revealed one vessel coronary artery disease. the left main coronary artery was without angiographic evidence of obstructive coronary artery disease. the left anterior descending coronary artery had mild atherosclerotic disease throughout. the left circumflex coronary artery had mild atherosclerotic disease throughtout. the right coronary artery had a 70-80% proximal stenosis. there were no lesions in the mid or distal rca. 2) resting hemodynamics revealed mildly elevated right and left sided filling pressures. there was no evidence of pulmonary hypertension. the cardiac output and index were preserved at 5.0 and 2.5 respectively 3) successful direct stenting of the proximal rca was performed with a 3.0x18 mm cypher stent. final angiography revealed 0% residual stenosis, no dissection, and timi 3 flow. (see ptca comments) conclusions: 1. one vessel coronary artery disease. 2. mildly elevated right and left sided filling pressures. 3. successful stenting of the proximal rca. . echo (): 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 akinesis of the basal inferior wall. the remaining segments contract well/are hyperdynamic. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets appear structurally normal with good leaflet excursion. mild (1+) aortic regurgitation is suggested (could not be confirmed). the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. moderate (2+) mitral regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is an anterior space which most likely represents a fat pad. . abdominal u/s : 1. no ascites or biliary dilatation identified. 2. diffuse increased echogenicity of the liver consistent with fatty infiltration. other forms of liver disease and more advanced liver disease including significant hepatic fibrosis/cirrhosis cannot be excluded on this study. . microbiology h. pylori ab test negative urine cx and blood cxs and sputum cx were negative during this admission . discharge labs: 05:14am blood hct-30.2 brief hospital course: 61 y/o f with h/o cad s/p anteroseptal mi who presented with chest pain and arrested in ct scanner, which required intubation. her hospital course for this admission is as follows: . 1. questionable v fib arrest - it was unclear whether patient had vf when she became unresponsive at the ct scan, our leading explaination was that she had a respiratory arrest after one dose of iv contrast for chest ct, in setting of vomiting and low bicarb, also some qt prolongation. no recorded strip available for confirmation. she received two shocks at 300j and 360j, which converted her back to sinus rhythm. her initial serum drug screen was negative. she was started on amiordorone gtt for ? v fib, but developed prolonged qt, so amiodorone was stopped, and qt inteval normalized. her urine tox screen was positive for benzo and opioids, but she received versed and fentanyl during cath. given she presented with chest pain and she coded at the ct scan, she was taken to the cath lab which showed one vessel disease (70% stenosis of rca) and stent was placed, and she was started on asa and plavix post cath. given her initial ck and tropinin was negative, it was unlikely that ischemia is the course of her chest pain on presentation. echo showed lvef >70% with normal lv thickness. we monitored her on telemetry, and she remained nsr without any events throughout her hopsital stay. we don't think there is any need for defibrillator given normal ef. . 2. ischemia - patient presented with chest pain, n/v, sob and diaphoresis, although her initial ck and tropinin was negative, and ecg showed no evidence of acute change suggesting ischemia. however, she coded while at the ct scan, given her initial presentation of chest pain, she was intubated and taken directly to the cath lab which showed one vessel disease 70% stenosis of rca s/p cypher stenting. echo showed >70% ef with normal lv thickness. regional left ventricular systolic dysfunction c/w cad. she was started on asa 325' and plavix 75', and started metoprolol 12.5mg po bid, which was increased to 37.5mg po bid at the time of discharge. she was initially started on imdur 60mg (home dose), but was discontinued on this admission given tolerating increasing bblock doses. . 3 htn - initially hypertensive, hypotensive in ed on propofol. we started metoprolol and titrated up as tolerated. . 4 resp - intubated during cardiac arrest; gradually wean vent and self-extubation on , gradually weaned her off the supplemental o2. she was saturating up 90% on ra at the time of discharge. . 5 abd pain/nausea and vomiting - patient initially presented with abdominal pain/n/v. intially chest ct showed fatty liver, and ruq ultradsound showed normal gall bladder and fatty liver. her abdominal/n/v resolved prior to discharge. . 6 anemia - she was anemic post-cath (hct in the 23-24), iron studies showed anemia of chronic disease, normal folate and b12. given concerns for gi bleeding, gi was consulted, but no egd per gi due to multiple cardiac risk factors at this time. she was transfused a total of 2 units of prbcs on this admission, her discharge hct is 30.2. she was told to follow up with her pcp for outpatient anemia workup. . 7 psych - patient has mdd and borderline personality disorder. she states she has suicidal ideation but both her outpatient psychiatrsit (dr. and psych feels like this is just for attention; she was initially on 1:1 sitter, but d/c'ed per psych rec. she admits to significant etoh history, we started cymbalta 30 mg per psych rec and continued oxcarbazepine 300 mg po tid. we started her on ciwa precautions q8h, and lorazepam 2 mg prn when ciwa >10. she was to follow up with her outpatient pscyhiatrist on . . 8 chronic pain - she was initially started on both po and iv pain meds, but we d/c'ed iv morphine and dilaudid, and only continued home narcotic regimen. she did well on this regimen. . 9 diet - cardiac healthy diet . 10. prophylaxis - ppi, sc heparin, bowel regimen . 11 code status: full presumed medications on admission: medications: taken from d/c summary in . 1. senna 8.6 mg tablet po bid 2. docusate sodium 100 mg capsule po bid 3. bisacodyl 5 mg tablet po daily prn 4. zolpidem 5 mg tablet sig: four (4) tablet po hs (at bedtime). 5. clonidine 0.1 mg tablet po daily 6. colchicine 0.6 mg tablet po bid 7. pantoprazole 40 mg tablet, po q24h (every 24 hours). 8. aspirin 81 mg tablet, po daily (daily). 9. atorvastatin 20 mg tablet po daily 10. oxcarbazepine 300 mg tablet po bid 11. duloxetine 20 mg capsule po bid (2 times a day). 12. metoprolol tartrate 25 mg po bid 13. amlodipine 5 mg tablet po daily (daily). 14. isosorbide mononitrate 30 mg tablet sustained release 24hr 15. morphine 180 mg tablet sustained release po q12h 16. quinine sulfate 325 mg po hs 17. morphine sulfate 4-8 mg iv q4h:prn 18. hydromorphone 8 mg tablet po qid allergies: nkda discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*11* 3. morphine 30 mg tablet sustained release sig: six (6) tablet sustained release po qpm (once a day (in the evening)). 4. morphine 30 mg tablet sustained release sig: four (4) tablet sustained release po qam (once a day (in the morning)). 5. oxcarbazepine 300 mg tablet sig: one (1) tablet po tid (3 times a day). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 7. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 8. duloxetine 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: primary diagnosis: chest pain major depression anemia . secondary diagnosis: htn gout s/p l nephrectomy - tuberculosis in kidney? depression s/p suicide attempts seizure disorder h/o opiod abuse h/o etoh abuse lumbar stenosis h/o b12 deficiency chronic pain discharge condition: the patient was discharged hemodynamically stable, afebrile with appropriate follow up. discharge instructions: if you experience any chest pain, sob, heart palpitations, fever, or abdominal pain different than your baseline or any other serious medical condition, please go to the emergency room immediately. . you have had a cardiac catherization with a stent placed in one of your coronary arteries to keep it open. you have been started on asa 325 mg and plavix 75 mg by mouth every day post cath and stent placement. please make sure you take them everyday to keep the stents open. do not miss a single dose. . you are anemic in the hospital requiring two units of prbc transfusion. please follow up with your pcp for work up of anemia (egd and/or colonoscopy). . please take your medications as prescribed. . please follow up with your appointments see below. followup instructions: please follow up with your psychiatrist dr on at 10:00am. . please follow up with your pcp . in weeks by calling ( for an appointment. . please follow up with dr. (cardiologist) in weeks ( for an follow up appointment. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified left heart cardiac catheterization coronary arteriography using a single catheter insertion of endotracheal tube angiocardiography of right heart structures 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 gout, unspecified other convulsions cardiac arrest major depressive affective disorder, single episode, unspecified ventricular fibrillation spinal stenosis, lumbar region, without neurogenic claudication borderline personality disorder 

Answer: The patient is high likely exposed to