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: sub sternal chest pain major surgical or invasive procedure: cardiac cathertization balloon pump history of present illness: 42 yo f w no pmh developed severe sub-sternal chest pain at rest for about 20 miuntes, then collasped at her place of work. she was then transferred to the er. she was awake and still had 10/10 chest pain. ekg in at , her place of employment showed dramatic st elevationa sin v2 - v6 in inferior limb lead st elevations. ekg at er showed st elevations in the precordium. she was emergently taken for cardiac cath. past medical history: none social history: works as a nurse in cardiac rehab. originally from . married with 2 children. denies alcohol, drugs, tobacco. family history: no h/o mi or thromboembolic events in her family. physical exam: vitals: t= afebrile, hr = 90, bp = 92/75 on iabp, rr = 20 general: pleasant female sleeping, appears comfortable, nad. heent: normocephalic and atraumatic head, no nuchal rigidity, anicteric sclera, moist mucous membranes. neck: no thyromegaly, no lymphadenopathy, no carotid bruits. chest: her chest rose and fell with equal size, shape and symmetry, her lungs were clear to auscultation bilaterally. no erythema around hickmann line, non tender. cv: pmi appreciated in the fifth ics in the midclavicular line without heaves or thrills, rrr, normal s1 and s1 no murmurs rubs. iap heard abd: normoactive bs, nt and nd. no masses or organomegaly back: no spinal or cva tenderness. ext: no cyanosis, no clubbing or edema with 2+ dorsalis pedis pulses bilaterally. right groin with oozing from iabp. integument: no rash neuro: cn ii-xii symmetrically intact, perrla. pertinent results: 06:10am ck-mb-notdone ctropnt-<0.01 03:02pm ck-mb-314* mb indx-29.7* ctropnt-8.1* 03:02pm ck(cpk)-1057* 06:10am wbc-6.3 rbc-3.94* hgb-12.2 hct-34.5* mcv-88 mch-30.8 mchc-35.2* rdw-12.3 06:10am alt(sgpt)-13 ast(sgot)-14 ld(ldh)-194 ck(cpk)-70 alk phos-69 tot bili-0.3 06:10am glucose-191* urea n-13 creat-0.7 sodium-138 potassium-3.3 chloride-104 total co2-20* anion gap-17 chest, single ap portable supine view: the heart is not enlarged for technique. a femoral approach iabp is present, with radiopaque tip lying along the inferior edge of the aortic knob. two very small radiopaque markers are superimposed over the spine, one to the left of the t6 vertebral body and one overlying the l3-4 disc space. these are of unknown etiology or significance to me, but are new compared with film from earlier the same day. also new compared with earlier the same day is a faint alveolar opacity superimposed over both lungs. this most likely represents dependent atelectasis, given its rapid evolution and absence of upper zone redistribution or effusions. however, attention to this finding on follow-up films is recommended to exclude a superimposed pulmonary process. ekg: sinus rate of 96. qrs changes v3/v4 - probably due to lvh but consider anterior infarct hyperacute t waves in leads v4,v5 consider acute anterior current of injury/myocardial infarction cardiac cath: : 1. selective coronary angiography revealed a right-dominant system with severe single vessel coronary artery disease. the lmca, lcx, and rca had no angiographically apparent flow-limiting stenoses. the lad had a 100% occlusion in the mid vessel. 2. resting hemodynamics demonstrated normal elevated right sided pressures (rv 41/13 mmhg), and elevated left sided pressures (lvedp 28, mean pcwp 28 mmhg) with no gradient upon movement of the catheter from the ventricle back to the aorta. the cardiac index was mildly low (2.5 l/min/m2). 3. left ventriculography showed severe anterior hypokinesis and inferoapical dyskinesis (ef 30%) with severe mitral regurgitation. 4. acute anterior stemi treated with primary pca and stenting with two overlapping cypher dess (2.5x28mm and 2.5x23mm deployed at 16 atms). the stents were postdilated with a 3.5x33 mm highsail baloon at 16 atms (see ptca comments). final diagnosis: 1. one vessel coronary artery disease. 2. severe mitral regurgitation. 3. severe systolic ventricular dysfunction. 4. acute anterior myocardial infarction, managed by acute ptca. echo: views of left ventricular function were limited. there appeared to be at least mild regional left ventricular systolic dysfunction with hypokinesis of the lateral apex. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are mildly thickened. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate to severe (3+) mitral regurgitation is seen. there is no pericardial effusion relook cardiac cath: 1. resting hemodynamics demosntrated mildly elevated right and left-sided filling pressures with a preserved cardiac output. 2. selective coronary angiography demonstrated no significant coronary artery disease. the lmca and lcx were angiographically normal. the lad stents were widely patent without residual stenoses. however, there was a pulsatile flow pattern in the lad with slowed flow and delayed initiation of myocardial blush. the rca was a small vessel that exhibited cathter-damping, but there was no angiographically apparent coronary artery disease. 3. the left femoral arteriotomy site was closed with a 6 french angioseal device brief hospital course: 1. cad: this patient had a large anterior mi with extensive myocardial damage at a very young age without a strong family history or risk factors. the primary team sent a hypercoaguable workup which the results of were still pending on discharge. her peak ck was and peak trop was 2.86. she had a stent placed in her lad. during the procedue she had a very high wedge pressure and evidence of failure. she was placed on a balloon pump and transferred to the ccu. the balloon pump was weaned slowly. this was complicated by an external and likely retripenittal bleed around her balloon pump. the pump was removed and she was transfused a unit of blood. she continued to have chest pain for some time after her mi. a re-look cath showed a widely patent stent. she was placed asa, bb, plavix. she had an echo before her discharge which showed mild regional left ventricular systolic dysfunction with hypokinesis of the lateral apex with 3+ mr. she will follow up in clinic. 2. thrombocytopenia: the patient's platlets dropped from 165 on admission to the 80's in 2 days. all heparin products were stopped and hit ab were sent. this was still pending on discharge and should be followed up by her primary physcian. medications on admission: none discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. atorvastatin calcium 40 mg tablet sig: one (1) tablet po daily (daily). disp:*40 tablet(s)* refills:*2* 3. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) sublingual see below as needed for chest pain: 1 - 2 tablets every 5 minutes for maximum of 3 doses in 15 minutes. disp:*15 tablet* refills:*5* 5. toprol xl 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*45 tablet sustained release 24hr(s)* refills:*2* discharge disposition: home discharge diagnosis: anterior myocardial infarction systolic heart failure discharge condition: good discharge instructions: call your cardiologist if you have any chest pain or shortness of breath. take all your medications as directed. followup instructions: call cardiac rehab to find out details on how to join. make an appointment with your pcp 2 weeks. provider: , .d. where: cardiac services phone: date/time: 1:00 you will need a referral from your pcp before this appointment. test for consideration post-discharge: homocysteine test for consideration post-discharge: protein c test for consideration post-discharge: protein s test for consideration post-discharge: prothrombin mutation analysis procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor implant of pulsation balloon transfusion of packed cells insertion of drug-eluting coronary artery stent(s) diagnoses: thrombocytopenia, unspecified subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified systolic heart failure, unspecified hemorrhage complicating a procedure cardiogenic shock lumbago 

Answer: The patient is high likely exposed to