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: sulfa (sulfonamides) attending: chief complaint: pcp: . . chief complaint: transferred from osh for nstemi/chf major surgical or invasive procedure: none history of present illness: this is an 80-year-old female patient with history of copd and presumed cad and chf who presented to ed the day prior to trasnfer to with chief complaint of sob. cxr was consistent with chf and bnp was 727. the patient was intubated for hypoxia to 80% on room air. the patient was given solumedrol and lasix in the ed and sent to the icu. in the icu, the patient was diuresed with lasix and placed on ntg gtt. her cardiac enzymes was initially flat but subsequent enzymes returned elevated with ck 1796 and trop i 34. echocardiogram showed ef approximately 30% without previous baseline. she received plavix 300 mg and lovenox (last dose at 10 am the day of transfer). she also received lopressor 2 mg iv and was placed on insulin gtt 4 units/hour with her last fsbs of 147. she has an elevated creatine at 1.6 and her wbc is now 18.6. she is in a sinus rhythm and ekg shows st depressions in the inferoanterior leads. . today, cardiac cath revealed severe 3-vessel disease not suitable for pci (80% lmca, rca 80% ostial, long mid disease to 80%, lcx with 80%, lad small vessel with moderate disease at d1). pa 55/38/45, mean pwcp 36, ci 2.26, co 3.92, lv 110/40. ct surgery was consulted and reviewed the cath but declined surgery secondary to poor target site. the patient was noted to have severe pvd including aortoiliac disease, and iabp was not able to be placed for chf. swan ganz was placed to monitor hemodynamics. . currently, patient is sedated and intubated, therefore unable to answer any questions regarding current symptoms or review of systems. past medical history: copd cad not previously diagnosed chf not previously diagnosed htn hyperlipidemia gerd anxiety dm ii social history: per osh report, she lives alone and is independent. she has 5 children. past smoking history but none currently. there is no history of alcohol abuse. family history: unknown. physical exam: vs - 98.5, 94/51, 88, 14, 95% on ac 0.4/600/14/5 gen: sedated, intubated. heent: ncat. perrl. neck: lying flat, difficult to assess jvp. cv: difficult to auscultate heart sounds due to coarse breath sounds and diffuse wheezes. chest: mechanically ventilated, diffuse coarse breath sounds and wheezes. abd: soft, nd, decreased bs. ext: cool extremities, trace edema bilaterally. skin: no stasis dermatitis, ulcers, scars, or xanthomas. . pulses: right: carotid 1+ dp dopplerable pt dopplerable left: carotid 1+ dp dopplerable pt dopplerable pertinent results: 12:30pm blood wbc-17.7* rbc-3.55* hgb-10.4* hct-31.8* mcv-89 mch-29.4 mchc-32.9 rdw-16.3* plt ct-282 04:42am blood wbc-12.0* rbc-2.93* hgb-8.8* hct-25.8* mcv-88 mch-29.9 mchc-34.1 rdw-16.3* plt ct-233 12:30pm blood neuts-94.8* bands-0 lymphs-3.5* monos-1.4* eos-0.2 baso-0.1 04:42am blood pt-12.3 ptt-86.6* inr(pt)-1.1 04:42am blood glucose-132* urean-62* creat-2.4* na-139 k-3.9 cl-104 hco3-23 angap-16 12:30pm blood glucose-168* urean-35* creat-1.8* na-138 k-4.7 cl-104 hco3-24 angap-15 04:35am blood ck(cpk)-1446* 07:59pm blood alt-60* ast-187* ck(cpk)-* alkphos-97 totbili-0.6 12:30pm blood alt-59* ast-182* alkphos-95 totbili-0.5 07:59pm blood ck-mb-131* mb indx-6.5* ctropnt-4.58* 04:35am blood ck-mb-90* mb indx-6.2* ctropnt-4.11* 12:30pm blood albumin-3.4 04:42am blood calcium-7.7* phos-5.7* mg-2.5 07:59pm blood caltibc-231* vitb12-222* folate-4.6 ferritn-141 trf-178* 12:30pm blood %hba1c-6.5* -done -done 04:50am blood type-art rates-12/ peep-5 fio2-40 po2-90 pco2-40 ph-7.40 caltco2-26 base xs-0 -assist/con intubat-intubated 11:51am blood type-mix temp-36.6 05:15am blood type-art rates-14/ tidal v-600 peep-5 fio2-40 po2-73* pco2-36 ph-7.44 caltco2-25 base xs-0 -assist/con intubat-intubated 05:41pm blood type-art rates-/14 tidal v-600 peep-5 fio2-100 po2-408* pco2-37 ph-7.42 caltco2-25 base xs-0 aado2-266 req o2-51 -assist/con intubat-intubated vent-controlled . cath comments: 1. selective coronary angiography in this right dominant system revealed severe three vessel coronary artery disease. the lmca was a short diffusely disease vessel with an 80% stenosis. the lad was a small vessel with moderate disease throughout. the lcx was a small vessel with diffuse disease to 80% in the mid vessel. the rca had an 80% ostial stenosis and diffuse disease to 80% in the mid vessel. 2. limited hemodynamics demonstrated pulmonary arterial hypertension with a pulmonary artery pressure of 56/36 mmhg. the left ventricular end diastolic pressure was 36 mmhg. central aortic pressure was 107/60 mmhg. there was no gradient across the aortic or mitral valve. cardiac index was perserved at 2.5 l/min/m2. right ventricular and right atrial pressures were not obtained. 3. left ventriculography was deferred. final diagnosis: 1. three vessel coronary artery disease. . echo general comments: suboptimal image quality - poor parasternal views. suboptimal image quality - ventilator. emergency study performed by the cardiology fellow on call. conclusions: the estimated right atrial pressure is 11-15mmhg. left ventricular wall thicknesses and cavity size are normal. no masses or thrombi are seen in the left ventricle. overall left ventricular systolic function is severely depressed with global hypokinesis and akinesis of the distal lv and apex. right ventricular chamber size is normal. there is mild global right ventricular free wall hypokinesis. the number of aortic valve leaflets cannot be determined. the aortic valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. . cxr endotracheal tube and nasogastric tube are in standard position. cardiac silhouette is mildly enlarged but stable in size. vascular engorgement and perihilar haziness are present consistent with mild chf. within the right upper lobe, a new focal opacity has developed with associated slight elevation of the minor fissure. this is most likely due to an area of atelectasis but aspiration should also be considered in the appropriate clinical setting. bibasilar retrocardiac opacities are likely due to atelectasis, and there are probable small pleural effusions. brief hospital course: 80 year-old female with cad, chf, transferred from osh for nstemi and chf causing respiratory failure. the patient was transferred intubated and on a ventilator. cardiac catheterization revealed severe 3-vessel disease. the patient's anatomy was not suitable for pci and cardiac surgery declined due to poor targets. echocardiogram revealed ischemic cardiomyopathy with worsened ejection fraction of %. the patient was not a candidate for iabp due to severe pvd involving the aortoiliac system. the patient's family was made aware of her poor prognosis. the patient was initially managed in the ccu with lasix gtt despite worsening creatinine. the patient did not improve after 24 hours and blood pressure was tenuous. the health care proxy and family were made aware of the poor prognosis. after discussion with the family, the goals of care were changed to comfort. the patient expired at 13:15. medications on admission: lasix 80 iv bid asa 325mg qday protonix 40mg iv qam metoprolol 2mg iv q6h lovenox 70mg sc q12h regular insulin gtt plavix 300mg qday solumedrol 125mg q12h discharge medications: n/a discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours coronary arteriography using two catheters right heart cardiac catheterization diagnoses: other primary cardiomyopathies subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other chronic pulmonary heart diseases peripheral vascular disease, unspecified chronic kidney disease, unspecified other and unspecified hyperlipidemia anxiety state, unspecified acute respiratory failure cardiogenic shock 

Answer: The patient is high likely exposed to