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: penicillins attending: chief complaint: stemi major surgical or invasive procedure: cardiac catheterization and bare metal stent placement to left anterior descending artery history of present illness: 78-year-old female with chest pain since wednesday but ignored it until today at 4 pm when she presented to ed at osh with persistent chest pain. she reports that on wednesday morning, after a discussion over the phone, she felt a sharp pain over the mid chest. it lasted about 15 minutues. radiated to the left arm. her pain never went away completely, it became a dull chest pain. she tookk an advil at that time. the following day, she still had the same dull chest pain, but went to work. denied sob, palpitations, lightheadeness. this morning, her pain increased in intensity and she felt that she had to go to the emergency department. she reported some nausea this morning. at baseline, she denied orthopnea, pnd, dyspnea on exertion. she is able to walk a flight of stairs or walk around with no chest pain. in the osh, vs: 98, hr 84, bp 138/77, rr 18, sats 98%. she was found with st elevation in v1-v5 with q waves on v1-v3. she was given morphine iv, asa, plavix 600, iv nitro and iv heparin were started. she was transfer to emergently for cadiac catheterization in the cath lab, lad 90% proximal with thrombus, lcx om1 50%, rca non dominantl ostial 50%. a bare metal stent was placed. currently, she still refers chest pain, improved from admission but not completely resolved. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. all of the other review of systems were negative. past medical history: hyperlipidemia hypothyroidism s/p appendectomy social history: smoking cigg a day for the last 30 years. works in retail. she lives with her husband. family history: no family history of premature cad, or sudden death . physical exam: physical examination: vs: t 98.4 , bp 127/76 , hr97 , rr 18, o2 100% on 4 l gen: wdwn middle aged female, nad somnolent, oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. moist oral mucose neck: supple with jvp ~ 8 cm cv: pmi located in 5th intercostal space, midclavicular line. rrr s1-s2 normal, no murmurs appreciated chest: no chest wall deformities, scoliosis or kyphosis. lungs: + crackles bilaterally abd: obese, soft, ntnd, no hsm or tenderness. 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 pertinent results: 06:00pm wbc-8.8 rbc-3.70* hgb-11.7* hct-34.1* mcv-92 mch-31.7 mchc-34.3 rdw-14.1 06:00pm plt count-259 06:00pm pt-13.3 ptt-80.4* inr(pt)-1.1 07:27pm hgb-12.1 calchct-36 o2 sat-98 07:27pm glucose-122* lactate-0.6 k+-3.5 07:27pm type-art po2-113* pco2-44 ph-7.35 total co2-25 base xs--1 intubated-not intuba 11:56pm calcium-8.2* phosphate-3.7 magnesium-1.8 11:56pm ck(cpk)-1872* 11:56pm ck-mb-329* mb indx-17.6* ctropnt-2.77* 04:02am blood alt-118* ast-267* ck(cpk)-* alkphos-79 11:40am blood ck(cpk)-1539* 08:51pm blood ck(cpk)-960* 04:02am blood ck-mb-313* mb indx-15.5* ctropnt-3.05* 11:40am blood ck-mb-168* mb indx-10.9* ctropnt-2.73* 08:51pm blood ck-mb-64* mb indx-6.7* ctropnt-2.79* 04:02am blood tsh-0.82 04:02am blood free t4-1.2 . ekg osh: hr 100, normal axis, nsr, st elevation v1, v2, v3, v4., t wave inversion avl. q wave v1, v2. . cath : comments: 1. selective coronary angiography showed a left dominant system with apatent lmca. lad had a proximal thrombotic 90% lesion and some mild diffuse disease throughout. lcx had a 50% ostial om1 lesion. rca was small and non-dominnat and had a 50% ostial stenosis. 2. left ventriculography was deferred. 3. hemodynamic assessment showed elevated right and left sided filling pressures and moderate pulmonary hypertension. 4. successful stenting of the proximal lad with a 3.0 x 23 mm vision bare metal stent with no residual stenosis (see ptca comments for detail). final diagnosis: 1. one vessel coronary artery disease. 2. stemi treated with primary angioplasty of the lad. 3. successful stenting of the lad with a bms stent . tte : the left atrium is normal in size. the estimated right atrial pressure is 0-10mmhg. left ventricular wall thicknesses and cavity size are normal. there is moderate regional left ventricular systolic dysfunction with severe hypokinesis/near akinesis of the distal half of the anterior wall and septum,, distal inferior wall and apex. the basal anterior septum is also severely hypokinetic. the remaining segments contract normally (lvef = 30 %). no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. physiologic mitral regurgitation is seen (within normal limits). the pulmonary artery systolic pressure could not be determined. there is a small pericardial effusion around the right atrium (clip ) without evidence of hemodynamic compromise. impression: normal left ventricular cavity size with extensive regional systolic dysfunction c/w cad (proximal/mid lad distribution). . cath: comments: 1. selective coronary angiography of this left dominant system demonstrated no significant coronary artery disease. the right coronary artery is a small non-dominant vessel with a 30% ostial lesion. the left main demonstrated no angiographically apparent disease. the left anterior descending artery demonstrated a widely patent stent with normal flow throughout. the left circumflex demonstrated no angiographically flow limiting lesions. 2. lv ventriculography was deferred. 3. limited resting hemodynamics demonstrated elevated left sided filling pressures with an lvedp of 22 mm hg. there was no significant gradient across the aortic valve upon pullback from the lv to the aorta. final diagnosis: 1. coronary arteries are normal - widely patent lad stent. brief hospital course: assessment and plan, to be reviewed and discussed in multidisciplinary rounds: . 58 y/o f with h/o hyperlipidemia, hypothyroidism who presents with chest pain, stemi now s/p lad bare metal stent. . # stemi - the patient was taken to the cath lab on arrival where initial angiography reveleaved a thrombotic proximal 90% lesion of the lad. a bare metal stent was placed to the lesion. her peak ck was 582. she was continued on integrillin x36 hours post cath for persistent chest pain. also continued on aspirin and plavix. started on atorvastatin 80mg post cath. she was started on metoprolol and captopril and transitioned to toprol xl 12.5mg daily and lisinopril 5mg. on the patient developed recurrent chest pain with question of st changes and was taken back to the cath lab. angiography revealed a widely patent lad stent. tte revealed moderate regional left ventricular systolic dysfunction with severe hypokinesis/near akinesis of the distal half of the anterior wall and septum,, distal inferior wall and apex. also the basal anterior septum was severely hypokinetic. ef 30%. she was started on anticoagulation for her depressed ef and akinetic wall. cardiac mr revealed a lv thrombus and the patient was discharged home on a lovenox bridge and coumadin. . # pericarditis - the patient developed chest pain consistent with post-mi pericarditis. she was treated with ibuprofen and has resolution of her pain prior to discharge. cardiac mr was performed to evaluate the pericardium and on prelim read there was no evidence of pericarditis but concern for lv thrombus. the patient was continued on anticoagulation as above. . # hypothyroidism: continued home dose synthroid . the patient was discharged home in good condition. she will follow up with her pcp for inr checks as well as referral to a cardiologist for further management. medications on admission: current medications: home: lipitor 20 synthroid 125 mcg day . on transfer: heparin at 800 units nitroglycerin at 84 mcg discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 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. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 5. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily): take in pm. disp:*30 tablet(s)* refills:*2* 6. metoprolol succinate 25 mg tablet sustained release 24 hr sig: 0.5 tablet sustained release 24 hr po daily (daily): take in am. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 7. warfarin 2 mg tablet sig: 2.5 tablets po once a day: take 5mg on saturday and sunday . you should have your inr check on and contact your pcp for further dosing. disp:*50 tablet(s)* refills:*2* 8. lovenox 60 mg/0.6 ml syringe sig: one (1) syringe subcutaneous every twelve (12) hours for 7 days. disp:*14 syringes* refills:*0* discharge disposition: home discharge diagnosis: primary: anterior myocardial infarction discharge condition: good, chest pain free, vital signs stable discharge instructions: you were admitted to the hospital because of a heart attack. you had a stent placed to open up your blocked coronary artery. you were noted to have a clot in a chamber of your heart (ventricle) and you were started on blood thinning medication (coumadin). . you were started on several new medications including: aspirin 325mg daily plavix 75 mg daily lipitor 80mg daily lisinopril 2.5mg daily toprol xl 12.5mg daily coumadin 5mg daily on and . you will follow up with dr. for further dosing of this medication. lovenox injections for a total of 7 days. please take your toprol xl in the morning and lisinopril in the evening. . you are taking the medications aspirin and plavix to prevent a clot formation in your coronary artery stent. it is extremely important that you take these medications every day. you should not stop taking your aspirin and plavix unless directed to by your cardiologist. please call your physician with any questions about your medications. . you should follow up with a cardiologist within 1 month. your primary care physician . will refer you to a local cardiologist. . you are scheduled to follow up with dr. on at 11:15am. dr. will also be following your inr and coumadin dosing. you should follow up to have your inr checked on monday . please call dr. office to set up this lab draw closer to your home or go to his clinic on monday. please call with any questions. . please call your doctor or return to the emergency room if you develop any worrisome symptoms such as chest pain, shortness of breath, lightheadedness, bleeding. followup instructions: you should follow up with a cardiologist within 1 month. your primary care physician . will refer you to a local cardiologist. . you are scheduled to follow up with dr. on at 11:15am. dr. will also be following your inr and coumadin dosing. you should follow up to have your inr checked on monday . please call dr. office to set up this lab draw closer to your home or go to his clinic on monday. please call with any questions. procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter 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 tobacco use disorder urinary tract infection, site not specified unspecified acquired hypothyroidism acute myocardial infarction of other anterior wall, initial episode of care other and unspecified hyperlipidemia streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, group d [enterococcus] postmyocardial infarction syndrome 

Answer: The patient is high likely exposed to