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: fever, chest pain major surgical or invasive procedure: cardiac catherization history of present illness: f with h/o cad, s/p cath 8yr ago, who presents after developing left sided chest pressure, sob, diaphoresis ~11am on the morning of admission. pt awoke this morning, and was noted to be febrile to 101. she was walking to the elevator when she notes onset of cp as above. she was given 1sl ntg with some improvement, however her pain was not releived until a second sl ntg was given in ed. . pt denies recent orthopnea/pnd, uri, chest trauma, medication non-compliance. of note she had a similar episode 1 week ago, lasting 2-3 minutes, occured while walking, and resolved after 1sl ntg. a second episode 3hrs later a/w sob/diaphoresis prompted presentation to osh ( ). per pt's daughter she has had 3 episodes of cp in past 2-3 weeks. . at nwh, ekg with std in v4-6, ?ruled in by enzymes (trop 0.03, 0.01, 0.15), but pt was started on sestamibi (? in setting of acs), however could not complete inability to give consent, and decision was made to manage pt's coronary disease medically. . . pt presented to ed with vs=100.6 132 135/69 98%2l. cxr read as unremarkable. ua clean. labs revealed cre 1.2 (baseline 0.9 in ), wbc 11, and troponin 0.51. . pt was felt to be in afib based on ekg, she was given diltiazem 10mg iv x 1, but no oral load sbp 100s. her rate improved, she had already received asa, and was therefore given plavix 300mg x 1, and started on heparin gtt + bolus. past medical history: cad s/p cath in 8yrs ago htn hyperlipidemia cva () osteoporosis breast cancer s/p appendectomy s/p carotid endarterectomy vascular dementia (?alzheimers) social history: no tobacco history, she lives in an facility and her daughter is very involved in her care. family history: non-contributory physical exam: vital signs: 96.5 131/60 83 18 97%2l general: wdwn middle aged female in nad. oriented x1. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of ~6 cm at 45 degrees. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. 2/6 sem loudest @ lsb, no r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. cta b, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no c/c/e. + bilateral femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. . pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 09:15pm ck-mb-notdone ctropnt-0.51* ck(cpk)-58 07:20am ck-mb-notdone ctropnt-0.63* ck(cpk)-65 cardiac catheterization final diagnosis: 1. three vessel coronary artery disease. 2. severe systolic and diastolic ventricular dysfunction. 3. acute non-st elevation anterior myocardial infarction, managed by medical therapy. 4. aortoilliac disease. ecg:possible ectopic atrial tachycardia with premature atrial beats. left anterior fascicular block. rsr' pattern in lead v1. non-specific st-t wave changes. cannot exclude ischemia. no previous tracing available for comparison. brief hospital course: f h/o cad, presents with cp/sob, after similar episodes over past week. #chest pain - patient was found to have chest pain on presentation that seemed cardiac in nature. was diagnosed wtih nstemi based on ecg changes and troponin elevation. this was initially planned for medical management given her high risks associated with catherization. however, on , she had frequent chest pain that required multiple doses of nitroglycerin wihtout resolution of symptoms. again in the morning of , she had chest pain that required ntg and then developed pulmonary edema. given that she was not tolerating medical management she was then taken emergently to the cath lab and found to have severe and unintervenable 3 vessel disease with significant calcification and thrombus. surgery reviewed films and felt that the disease was not amenable to grafting. additionally she was started on an integrillin gtt with the plan to treat for >18 hours with the hope that this will limit thrombus burden. family was made aware of brevity of situation. extensive discussions with the family resulted in a change in code status to dnr/i. given the severity of her disease, the difficulty of intervention and the risks post catherization and prolonged integrilin, she was taken to the ccu for closer monitoring. # pulmonary edema: likely secondary to ongoing cardiac ischemia and poor lv function acutely. initially responded to iv lasix. over the 18 hours post-cathaterization, patient became progressively more tachypnic with worsening crackles on exam secondary to cardiogenic shock induced by her global heart ischemia. patient subsequently became hypoxic despite 100%nrb and anuric despite active diuresis attempts with iv lasix. # pump - global ischemia resulted in cardiogenic shock and respiratory failure. # rhythm: over the evolution of the patient's nstemi, she developed sinus tachycardia, likely an attempt to sustain a poor co. as respiratory failure ensued the patient became progressively bradycardia and finally cardiac arrest. the patient was pronounced dead at 3:40 am on from cardiac arrest. medications on admission: aspirin 325 mg po qdaily lipitor 40mg po qdaily norvasc 5mg po qdialy mvi oscal 250mg po qdaily (?) lopressor 37.5 mg po bid isosrbide mononitrate 30mg po qdaily ** had been on plavix until ~1yr ago, then d/c'd. discharge medications: none discharge disposition: expired discharge diagnosis: cause of death - cardiac arrest minutes coronary artery disease months discharge condition: deceased discharge instructions: none followup instructions: none procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified acute kidney failure, unspecified atherosclerosis of aorta personal history of malignant neoplasm of breast other specified cardiac dysrhythmias cardiac arrest cardiogenic shock osteoporosis, unspecified personal history of noncompliance with medical treatment, presenting hazards to health atherosclerosis of native arteries of the extremities, unspecified combined systolic and diastolic heart failure, unspecified vascular dementia, uncomplicated cerebral atherosclerosis 

Answer: The patient is high likely exposed to