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: the patient is an 83-year-old female with a past medical history of hypertension, hypercholesterolemia, and chronic renal insufficiency who was in her usual state of health until when she was admitted to hospital where she ruled in for a myocardial infarction and was transferred to for cardiac catheterization, who is now in the coronary care unit after a large groin bleed secondary to sheath difficulties. the patient was in her usual state of health until when she presented to hospital with 7/10 substernal chest pain at rest with radiation to her left arm and jaw. the pressure was not associated with nausea, vomiting, shortness of breath, or diaphoresis. at hospital, the patient was given nitroglycerin, morphine, lopressor, and aspirin with a decrease in her blood pressure from 210/110 to 150/80. the patient was started on a heparin drip and nitroglycerin drip, and her enzymes peaked at a creatine kinase of 107, with a mb fraction of 6.5, and a troponin of 1.7. the patient was started 2b3a inhibitor. on hospital day two, the patient was found to have a decreased hematocrit from 35 to 27.5, as the patient developed a large groin hematoma of her left upper extremity. the patient was transfused 2 units of packed red blood cells and was continued on anticoagulation. of note, the patient's partial thromboplastin time was greater than 250 at this time. upon transfer to the , the patient remained chest pain free. a cardiac catheterization on the day of admission revealed a first diagonal lesion with 90% stenosis, now status post percutaneous transluminal coronary angioplasty. the patient's post catheterization course was complicated by the patient sitting up after the procedure with the falling out of her femoral sheath. the patient had developed a right inguinal hematoma. the patient was given fentanyl for the pain and was noted to have a brief period of hypotension with a systolic blood pressure to the 50s and required transient dopamine which was weaned prior to coming to the coronary care unit. the patient was then admitted to the coronary care unit for observation. past medical history: 1. hypertension. 2. hypercholesterolemia. 3. mitral valve prolapse. 4. she had a zenker diverticulum; status post repair times two. 5. status post total abdominal hysterectomy. medications on transfer: lipitor 10 mg p.o. q.d., labetalol, excedrin, vioxx, ativan, and prilosec. allergies: there were no known drug allergies. social history: the patient lives in with her calico cat. the patient is a retired librarian. the patient denies tobacco and denies any alcohol. physical examination on presentation: physical examination on revealed the patient was afebrile with a blood pressure of 112/66, heart rate was 99 and regular, respiratory rate was 18, and oxygen saturation was 95% on 2 liters nasal cannula. in general, the patient was resting comfortably in bed supine. her head, eyes, ears, nose, and throat examination revealed pupils were equal, round, and reactive to light. extraocular movements were intact. mucous membranes were moist. her chest examination revealed clear to auscultation bilaterally. cardiovascular examination revealed normal first heart sound and second heart sound. a regular rate and rhythm. there was no third heart sound or fourth heart sound. no murmurs, rubs, or gallops. her abdomen was soft, nontender, and nondistended. normal active bowel sounds. of note, she had a large ecchymosis of her left arm and a right thigh hematoma with a pressure dressing. extremity examination revealed no clubbing, no cyanosis, no edema. dorsalis pedis pulses were 2+ bilaterally. her neurologic examination revealed she was alert and oriented times three. pertinent laboratory values on presentation: laboratories from outside hospital revealed a chemistry-7 which was within normal limits with the exception of a creatinine of 1.1. hematocrit on admission was 38. inr was 1.3 and partial thromboplastin time was 43.3. the patient had a peak creatine kinase at the outside hospital of 137 and a troponin of 1.7. radiology/imaging: catheterization at showed a right-dominant system. the left main was normal. the left anterior descending artery with diffuse narrowing proximally, mid lesion with up to 50% stenosis, a 90% occlusion of first diagonal. the left circumflex with minimal irregularities and right coronary artery with minimal irregularities. intervention was percutaneous transluminal coronary angioplasty. electrocardiogram on admission in the coronary care unit revealed a normal sinus rhythm at 87, with normal axis and normal intervals. t wave inversions in leads i and avl, v2 and v3. 1-mm st depressions in v2 and v3. electrocardiogram status post cardiac catheterization revealed a normal sinus rhythm at a rate of 91, normal axis and normal intervals. t wave inversions in leads i, avl, and v2. 1-mm st depressions in ii, iii, avl, and v2 through v6. electrocardiogram at the outside hospital on was notable for a normal sinus rhythm at 84, normal axis and normal intervals. t waves in leads in i, avl, and v1 through v6 with no st changes. impression: the patient is an 83-year-old woman with cardiac risk factors of hypertension and high cholesterol who presented to an outside hospital with chest discomfort and electrocardiogram changes. hospital course by issue/system: the patient was transferred to for cardiac catheterization and is now status post catheterization with percutaneous transluminal coronary angioplasty of her first diagonal. the catheterization was complicated by a right groin hematoma secondary to traumatic loss of groin sheath. the hospital course at the outside hospital was also notable for a left arm hematoma in the setting of a supratherapeutic partial thromboplastin time. 1. cardiovascular system: (a) coronary artery disease: the patient is status post percutaneous transluminal coronary angioplasty to first diagonal. the patient was started on lopressor and captopril. plavix, integrilin, and heparin were all held secondary to bleed. the patient was also continued on a statin. her creatine kinases continued to trend downward throughout her admission, and there were changes in her electrocardiogram. the patient was called out of the coronary care unit on hospital day two and was followed by the c-med service and continued to do well and was discharged on hospital day three. (b) pump: the patient had an ejection fraction of 55% estimated from her left ventriculography. the patient was continued on lopressor and an ace inhibitor and was titrated up throughout her hospital stay as necessary. (c) rhythm: the patient was in a normal sinus rhythm. there were no rhythm issues throughout this hospital stay. 2. hematoma issues: the patient was status post a large right groin bleed. the patient had serial hematocrit checks, and her hematocrit remained stable throughout her hospital stay, and she required no transfusion of packed red blood cells. anticoagulation was held secondary to this issue. 3. chronic renal insufficiency issues: the patient's creatinine decreased to 0.9 at the time of discharge, and there were no active issues. condition at discharge: condition on discharge was good. discharge status: discharge status was to home. discharge diagnoses: 1. coronary artery disease. 2. status post percutaneous transluminal coronary angioplasty. 3. right groin hematoma. 4. gastroesophageal reflux disease. 5. chronic renal insufficiency. 6. hypercholesterolemia. 7. hypertension. medications on discharge: 1. lipitor 10 mg p.o. q.d. 2. atenolol 50 mg p.o. b.i.d. 3. lisinopril 5 mg p.o. q.d. 4. aspirin 325 mg p.o. q.d. 5. prilosec 40 mg p.o. q.d. discharge instructions/followup: the patient was to follow up with dr. at hospital. , m.d. dictated by: medquist36 procedure: coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia mitral valve disorders unspecified essential hypertension hematoma complicating a procedure unspecified disorder of kidney and ureter 

Answer: The patient is high likely exposed to