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 80 year old female with a past medical history significant for hypertension, hypercholesterolemia and remote tobacco use, who presented to on complaining of several days of shortness of breath and a nonproductive cough. the patient was dyspneic but denied any chest pain. she was admitted for treatment of a chronic obstructive pulmonary disease exacerbation and was treated with steroids, nebulizers and antibiotics. the patient later ruled in for an acute myocardial infarction with a troponin of 0.30 and a peak ck of 138 with an mb fraction of 12.8. her admission electrocardiogram had approximately elevations in v2 through v4 and t wave inversions in v3 through v5. the patient went on to develop, over the course of the next two days, global t wave inversions with very deep waves across the precordium and inferiorly. she was treated with lovenox, aspirin, lopressor, integrilin and an esmolol drip at the outside hospital and was transferred for management of her acute coronary syndrome. past medical history: 1. hypertension. 2. tobacco use. 3. emphysema. 4. glaucoma, right eye. 5. hypercholesterolemia. allergies: the patient has no known drug allergies. social history: the patient has a remote but extensive tobacco history and denies any alcohol use. the patient lives alone, she is very functional and active and able to handle her own activities of daily living. medications on admission: lescol, zestril, fosamax, alphagan eye drops and cosopt eye drops. laboratory data: admission white blood cell count was 25.8, hematocrit 37.7, platelet count 380,000, prothrombin time 15.2, inr 1.6, partial thromboplastin time 150, sodium 134, potassium 4.4, chloride 102, bicarbonate 22, bun 10 and creatinine 0.6. ck on admission was 73; subsequent cks were 57 and 95. the patient had a troponin-i of 8.9. calcium was 8.6, phosphorous 2 and magnesium 2. chest x-ray was consistent with chronic obstructive pulmonary disease with possible superimposed interstitial pulmonary edema. electrocardiogram on showed elevations in v2 through v4, t wave inversions in v4 through v5, t wave flattening in v6. electrocardiogram on showed t wave inversions globally with small q waves in v3 through v6. electrocardiogram on showed t wave inversions globally, very deep in the precordial leads, prolonged qt interval. a femoral ultrasound revealed a right groin hematoma but no pseudoaneurysm. hospital course: the patient was admitted for management of her acute coronary syndrome. she was placed on 24 hour telemetry. she was continued on aspirin, lopressor, captopril and lipitor. in addition, she was maintained on integrilin and heparin drips. the patient was hemodynamically stable. she had occasional episodes of tachycardia which were controlled with additional beta blocker dosages. the patient was asymptomatic throughout her stay and denied any chest discomfort or shortness of breath. the patient had an echocardiogram on the day of admission to evaluate her cardiac function. the echocardiogram revealed overall left ventricular function moderately depressed, mid and distal septal, apical and probably anterior severe hypokinesis. the patient was taken for a cardiac catheterization on with the following findings: resting hemodynamics after angiography revealed elevated left sided filling pressures with a mean right atrial pressure of 6, pulmonary capillary wedge pressure 12 and a left ventricular end-diastolic pressure of 19; the cardiac index was depressed at 2.1. left ventriculography revealed apical akinesis with anterior and inferior hypokinesis; left ventricular ejection fraction was 37%. the coronary arteries were free of any flow limiting stenoses. the patient returned from the cardiac catheterization laboratory in stable condition. our goal became to maximize her medical regimen. she continued to remain asymptomatic, however, on physical examination the patient had a new right femoral artery bruit after her procedure. an ultrasound of her right groin was performed, which revealed a large hematoma but no pseudoaneurysm. the patient's hematocrit was monitored to insure that it was stable. her hematocrit upon discharge was 33.6, which was stable post cardiac catheterization. given the finding of apical and anterior hypokinesis, the patient was started on coumadin. she will remain on this coumadin for at least three months pending a repeat cardiology evaluation and repeat transthoracic echocardiogram. in light of the cardiac catheterization findings of clean coronary arteries, we concluded that the most likely scenario in this patient was a ruptured plaque. condition on discharge: the patient was clinically stable and discharged to home after a physical therapy evaluation deemed her safe to do so. discharge diagnosis: coronary artery disease, status post ruptured plaque. hypertension. chronic obstructive pulmonary disease. hypercholesterolemia. discharge medications: zestril 5 mg p.o.q.d. atenolol 50 mg p.o.b.i.d. lipitor 10 mg p.o.q.h.s. enteric coated aspirin 81 mg p.o.q.d. coumadin 5 mg p.o.q.h.s. fosamax 10 mg p.o.q.d. alphagan eye drops. cosopt eye drops. follow-up: the patient was instructed to follow up with her primary care physician within five days for monitoring of her pt/inr and re-evaluation of her hematocrit. the patient will be referred to a cardiologist in her area for continued monitoring. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor diagnoses: subendocardial infarction, initial episode of care pure hypercholesterolemia unspecified essential hypertension hyposmolality and/or hyponatremia chronic airway obstruction, not elsewhere classified hematoma complicating a procedure personal history of tobacco use 

Answer: The patient is high likely exposed to