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: mrs. is an 82 year-old woman with a history of coronary artery disease and angioplasty in , diabetes mellitus and hypertension who presents to the hospital after a routine check up at her primary care physician's office revealed supraventricular tachycardia and some t wave changes concerning for ischemic disease. there she was evaluated for acute myocardial infarction and cardioverted for her dysrhythmia, although it was unclear whether the dysrhythmia represented supraventricular tachycardia or atrial flutter and fibrillation. she was subsequently sent to the for cardiac catheterization. during the examination she had no chest pain, shortness of breath, palpitations, nausea, vomiting or diarrhea. there is no abdominal pain or problems with her bowel control. past medical history: 1. hypertension. 2. diabetes mellitus. 3. percutaneous transluminal coronary angioplasty in for coronary artery disease. 4. asthma and bronchitis. 5. anemia. 6. scheduled for colonoscopy shortly. 7. chronic renal insufficiency. 8. status post appendectomy and cholecystectomy. allergies: no known drug allergies. medications: 1. lisinopril 20 mg po q day. 2. labetalol 100 mg po b.i.d. 3. verapamil sr 120 mg po q day. 4. dyazide 37.5/2.5 monday and thursday. 5. glipizide 10 po q day. 6. somantadine 400 b.i.d. 7. fexofenadine 60 b.i.d. 8. iron sulfate 325 mg b.i.d. 9. azthmacort b.i.d. 10. antevert 12.5 mg po b.i.d. 11. quinapril 150 po b.i.d. prn. 12. enteric coated aspirin 325 mg po q day. 13. colace 100 mg po b.i.d. social history: mrs. does not drink or smoke. she lives in with her husband. she has three children with one daughter living nearby in the area. physical examination: vital signs weight 165. blood pressure 148/54 to 167/62. heart rate between 83 and 95. 94% on room air. finger stick 109. general, the patient is a pleasant, elderly woman in no acute distress. head and neck showed mucous membranes are moist. extraocular movements intact. neck no jvd. no lymphadenopathy. chest with some bibasilar rales right greater then left. cardiovascular regular rhythm, regular rate, no murmurs. abdomen nontender, nondistended. no organomegaly. extremities no clubbing, cyanosis or edema. no carotid or femoral bruits. neurological nonfocal. pupils are equal, round and reactive to light. extraocular movements intact. hospital course: mrs. was admitted to the cardiovascular service for cardiac catheterization. cardiac catheterization revealed a 50% stenosis in the proximal right coronary artery and a 30% stenosis in the distal circumflex with diffusely diseased distal left anterior descending coronary artery. however, there was no flow limiting stenoses appreciated. mrs. hospital course was complicated by some left sided weakness one day post cardiac catheterization. this history began on the where she awoke at 2:00 a.m. after having gone to bed several hours earlier with new onset of left sided weakness and left sided facial droop and left sided neglect. mr imaging study of the head revealed a small diffusion signal increase in the right basal ganglia internal capsule area without flow distal to the take off of the right mca from the ica. as part of a experimental study here at the caused difuse, she was given intravenous tissue plasminogen activator. at that time her was 12. after the treatment a follow up mr imaging study revealed recannulization of the right mca with distal flow. there is a larger area of a diffusion flowing appreciated on diffusion sensitive sequences. over the next several days mrs. improved to 4. her left sided neglect improved significantly. she reports no problems with her vision, numbness and tingling, although she can now appreciate that she has weakness on her left side. mrs. suffered what appears to be a post catheterization ischemic stroke. the complicating feature is that she had this event two days prior to cardioversion. token together we cannot be certain that this stroke was not secondary to some cardioembolic disease. however, what is clear is that a transesophageal echocardiogram done at the time of cardioversion revealed no evidence of atrial disease or thrombus present. to evaluate for any changes post cardioversion and catheterization mrs. is undergoing a surface cardiac echocardiogram today the results of which are still pending. after extensive discussion with the stroke service we have decided to continue mrs. on an aspirin a day to protect both her heart and brain. depending upon the results of this cardiac echocardiogram we may consider anticoagulation although in the absence of any evidence of thrombus formation it is unlikely that anticoagulation is of any benefit. one may also consider the addition of aggrenox via the extended release formulation of aspirin and dipridamole and this will be considered at her next visit with her neurology physicians as well as the stroke service. at the time of this dictation mrs. is clinically stable and appropriate for transfer to a rehabilitation facility for an emphasis on improving her hemiparesis after her right sided mca infarction. although her left sided neglect has improved significantly, she would benefit from education with regard to compensatory mechanisms to deal with neglect. this is important as although she may not have any significant left sided neglect in the setting of any infection in the future, any stress of any sort in future days to years and may bring out this old left sided neglect and present as a problem for mrs. . discharge condition: markedly improved. discharge status: discharged to a rehabilitation facility. discharge diagnoses: 1. supraventricular tachycardia status post cardioversion. 2. right mca ischemic infarction status post ivtpa as part of the difuse study. she has had significant clinical improvement after treatment. secondary diagnoses: 1. coronary artery disease status post percutaneous transluminal coronary angioplasty in . 2. hypertension. 3. diabetes mellitus. 4. chronic renal insufficiency. 5. appendectomy. 6. cholecystectomy. 7. asthma. 8. iron deficiency anemia with colonoscopy as scheduled. discharge medications: 1. enteric coated aspirin 325 mg po q day. 2. lisinopril 20 mg po q day. 3. verapamil sr 120 mg po q day. 4. labetalol 100 mg po b.i.d. 5. dyazide 37.5/2.5 po q monday and thursday. 6. glipizide 10 mg po q day. 7. fexofenadine 60 mg po q day. 8. ferrous sulfate 325 mg po q day. 9. azthmacort b.i.d. 10. antevert 12.5 mg po b.i.d. 11. protonix 40 mg po q day. 12. colace 100 mg po b.i.d. 13. dulcolax 10 mg po prn q day. follow up: 1. mrs. should follow up with her primary care physician. 2. she should also follow up with neurology dr. at . 3. she should also follow up with stroke neurology dr. at . 4. follow up with neurology and stroke can be done in a couple of months time. outstanding studies: cardiac echocardiogram is still pending at the time of this dictation, but we expect the results will be available before discharge and any changes in medication will be noted. , m.d. dictated by: medquist36 procedure: coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery asthma, unspecified type, unspecified diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes other specified cardiac dysrhythmias family history of ischemic heart disease iron deficiency anemia, unspecified hemiplegia, unspecified, affecting unspecified side iatrogenic cerebrovascular infarction or hemorrhage 

Answer: The patient is high likely exposed to