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 the present illness: the patient is an 82-year-old female with a past medical history significant for coronary artery disease, status post cardiac catheterization at in showing 70% lad, status post ptca, diabetes mellitus with neuropathy and nephropathy, hypertension, presenting to on with nausea, vomiting, and chest pain for several days. on presentation to , blood pressure was 181/93, respiratory rate 13, temperature 101.2, fingerstick 283. initial ekg showed the rate of 115, atrial fibrillation, left axis deviation consistent with left anterior hemiblock, st depression 1 to 2-mm anterolaterally and t wave inversion inferiorly. per the admission history and physical at , the patient's st segment changes were about the same as in . the patient was started on heparin, iv nitroglycerin, levaquin for faint bilateral infiltrates on chest x-ray. also, in the emergency department at , the patient was given charcoal for possible medication ingestion because the patient was slightly confused. head ct was negative and serum toxicology screen was negative. at initial cardiac enzymes were as follows: ck #1: 250, ck #2: 246. ck #3: 136. troponin was 1.34 (normal less than 0.4) mb fraction 5.7 to 6. followup ekg during the hospitalization showed questionable prolonged qt interval and, therefore, zoloft and levaquin were discontinued. on the morning of , the patient developed more chest pain, unrelieved with nitroglycerin. the patient was given iv morphine and aggrastat iv. the ekg showed normal sinus rhythm with rate of 62, normal axis, t-wave inversions anterolaterally and inferiorly. the patient was transferred to . on transfer to , the patient was chest-pain free. past medical history: 1. coronary artery disease, status post cardiac catheterization at in , showing 70% lad lesion, with ptca of the lesion and 20% residual stenosis. 2. type 2 diabetes mellitus complicated by nephropathy and neuropathy. the patient requires a walker at home. 3. hypertension. 4. gastroesophageal reflux disease. 5. history of urinary tract infection. 6. depression. 7. stress urinary incontinence. the last echocardiogram was done on showing a normal ejection fraction with mild inferior hypokinesis. allergies: the patient is allergic to tegretol. medications on transfer: 1. aspirin 325 mg p.o. q.d. 2. lopressor 50 mg p.o.b.i.d. 3. neurontin 300 mg p.o.q.d. 4. lasix 80 mg p.o.q.d. 5. lisinopril 20 mg p.o. b.i.d. 6. protonix 40 mg p.o.q.d. 7. ditropan xl 10 mg p.o.q.d. 8. humulin 70/30, 14 units subcutaneously q.a.m. 9. multivitamin one p.o.q.d. 10. potassium chloride 20 meq p.o.b.i.d. 11. valsartan 80 mg p.o.b.i.d. 12. percocet. family history: the patient denied a family history of coronary artery disease. social history: the patient denied social or alcohol use. the patient has three children. physical examination: examination on admission revealed the vital signs of a temperature 98.6, heart rate 53, respiratory rate 15, blood pressure 115/50, mean arterial pressure of 72, 96% room air, oxygen saturation. general: the patient is an elderly female, who is in no acute distress and comfortable. head and neck: pupils equal, round, and reactive to light. oropharynx clear. no jugular venous distention. brisk carotid upstroke. cardiovascular: regular rhythm, bradycardia, normal s1 and s2. no s3 or s4. no murmurs. lungs: crackles bilaterally ?????? of the way up; good aeration. abdomen: good bowel sounds in all four quadrants. minimal tenderness to deep palpation of the lower quadrant. groin: no bruits. extremities: 1+ edema bilaterally up to the knees, 1+ dorsalis pedis pulses bilaterally, 0-1 pt pulse bilaterally. laboratory data: laboratory data revealed the following: admission labs at were as follows: white blood cell count 15.9, hematocrit 40.6, platelet count 230,000, 76 neutrophils, 12 basophils, 6 lymphocytes. pt and ptt, inr were 11.5, 24, 1.0. urinalysis showed no leukocyte estrace, no nitrates, 0 to 1 white blood cell count. chem 7 showed the sodium of 139, potassium 3.5, chloride 101, bicarbonate 28, bun 19, creatinine 1, glucose 159. follow-up labs: follow up labs at revealed the following: a drop in the hematocrit from 40.6 on admission to 33.4 on . admission labs at were as follows: wbc 7.6, hematocrit 33.8, platelet count 234,000, 62% neutrophils, sodium 132, potassium 4.1, chloride 97, bicarbonate 27, bun 20, creatinine 1.4, glucose 124, pt 12.6, ptt 63.6, inr 1.1. the ekg at showed t-inversions anteriorly in v1 through v3 and inferiorly; normal sinus rhythm; normal axis. hospital course: the impression was that this was an 80-year-old female with a history of coronary artery disease status post ptca to lad in , type i diabetes mellitus, hypertension, transferred from an outside hospital, presenting with angina, elevated troponin. the patient was admitted from an outside hospital with non-st segment elevation mi. the patient was transferred for a cardiac catheterization. #1. cardiovascular: ischemia. the patient was chest-pain free when admitted to the hospital. the patient was continued on heparin, iv nitroglycerin, and aggrastat iv. the patient was continued on antihypertensive regimen on transfer with the exception of the valsartan, as the patient was already on an ace inhibitor. cardiac enzymes were cycled and noted to have trended down from an outside hospital. cardiac catheterization was done on , showing mildly elevated left ventricular and diastolic pressure (20) no mitral regurgitation, normal left ventricular ejection fraction, focal posterobasal hypokinesis. the patient had multivessel ptca. the lad showed proximal diffuse disease to maximum 80% stenosis and extending to ostial v2. the rca had proximal calcified 80% stenosis, mid 80% stenosis. the patient had two stents placed in the proximal and distal lad, with no residual stenosis. the patient also had two stents placed in the proximal rca with 10 to 20% residual stenosis. after cardiac catheterization, the patient was started on plavix and aggrastat drip was continued until the morning after cardiac catheterization. post cardiac catheterization hospital course was complicated by mucous membrane bleeding for a short period (from nose, mouth), followed by abrupt cessation. the patient was continued on aggrastat without further bleeding. the patient's cardiac enzymes were cycled post cardiac catheterization and were all negative. the patient's antihypertensive regimen was modified as follows during the hospital course: the patient was continued on lisinopril 40 mg p.o.q.d.; lopressor 50 mg t.i.d.; and amlodipine 2.5 mg p.o.q.d. added for optimal blood pressure control. the patient's systolic blood pressures were noted to be mildly elevated (150s to 160s). #2: congestive heart failure: the patient was noted to have crackles ?????? of the way up on admission. however, chest x-ray showed no evidence of chf, and clinically, the patient did not have s3 or elevated jugular venous pressure. the patient was continued on her standing dose of lasix 80 mg p.o. q.d. oxygen saturations were followed and were within normal limits throughout the hospital course with the patient not requiring more oxygen above her baseline. as the admission chest x-ray did not show any infiltrates and the patient did not have the signs and symptoms of pneumonia, antibiotics, which were started at the outside hospital were followed. #3. renal: the patient's creatinine was noted to be 1.2 on admission. with the patient's history of diabetic nephropathy, mucomyst was administered prior to cardiac catheterization and the patient was given pre-catheterization and post-catheterization hydration. the patient's creatinine remained stable throughout the hospital course. the patient's sodium was noted to have fallen to 129 on the morning after the cardiac catheterization presumably secondary to iv fluid hydration pre-cardiac catheterization and post-cardiac catheterization. the patient was given one liter of iv normal saline with return of sodium to baseline. #4. infectious disease: the patient was started on antibiotics at an outside hospital for presumed pneumonic infiltrate on chest x-ray. however, on admission to , the patient was not febrile and had no clinical signs or symptoms of pneumonia. therefore, antibiotics were not continued. the patient remained afebrile throughout the hospital course. urine culture was done and it was negative. #5. gastrointestinal: the patient was continued on protonix. #6: endocrine: the patient was continued on her diabetic regimen of nph 14 units subcutaneously q.a.m. regular insulin sliding scale. the patient was given one half normal nph dose on the morning of cardiac catheterization as the patient was npo since the night prior. #7: fluids, electrolytes, and nutrition: the patient was given a cardiac diet during the hospital stay. magnesium was repleted during the initial part of the hospital stay. condition on discharge: stable. discharge status: the patient is going for rehabilitation pending the nursing home placement. the patient was diagnosed as status post non-st elevation mi, status post ptca with four stents placed. medications on discharge: 1. protonix 40 mg p.o.q.d. 2. ditropan xl 10 mg p.o.q.d. 3. humulin insulin 70/30 14 units subcutaneously q.a.m. 4. multivitamin, one tablet p.o. q.d. 5. regular insulin sliding scale. 6. percocet one tablet p.o.q.4 to 6h.p.r.n. pain. 7. aspirin 325 mg p.o.q.d. 8. atenolol 50 mg p.o.q.d. 9. neurontin 300 p.o.q.d. 10. lasix 80 mg p.o.q.d. 11. plavix 75 mg p.o.q.d. 12. amlodipine 5 mg p.o.q.d. 13. lipitor 10 mg p.o.q.d. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified unspecified essential hypertension polyneuropathy in diabetes diabetes with renal manifestations, type i [juvenile type], not stated as uncontrolled diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to