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: 52 yo f s/p anterolateral stemi major surgical or invasive procedure: cardiac catheterization with ostial lad stent placement history of present illness: this is a 52 yo f with a pmh significant for dm1 (insulin dependent), peripheral edema, chronic renal insufficiency with a baseline cr of 2.0, who went to an osh with chest pain that had started several weeks prior and had just worsened the day of admission. ecg performed demonstrated st elevations in the anteroseptal leads with small q waves in ii, iii, f, v1 and v2. patient was then transferred to for emergent cath after being started on plavix 600mg, 81, lopressor 2 iv, integrillin gtt, slntg and morphine. cardiac cath revealed a pcwp of 26, ra 21, ao 92/51, pa 49/25, and rv of 45/15 with a co of 3.11 and a ci of 2.42. coronary angio revealed 90% ostial with mild diffuse disease in the lad, mild diffuse disease in the lcx and a rca 40% ostial and 50% mid nondominant. drug eluting stent was placed in the ostial lad with the proximal edge of the stent in the distal left main. on transfer into the sicu, patient was stable vitals in nsr in the 60's. she then began to complain of chest pain, repeat ecg showed st elevations in v4-v5, ecg at 0/10 pain showed the same changes. past medical history: dm1 pvd cri cr 2.0 nephrolithiasis hx of anorexia social history: 30 pack-year history tobacco, current; 1 etoh/wk; works in a doctor's office. no children. family history: cad, mi in both parents physical exam: vitals - 96.8 96/50 60 13 general aa&ox3, nad heent no bruits, jvp not elevated heart rr no m/r/g lungs ctab with bronchial breath sounds. abd soft, nd/nt +bs ext right groin - sheath removed. no hematoma. 2+dp pulses equal bil. pertinent results: glucose-129* urea n-53* creat-2.5* sodium-139 potassium-3.0* chloride-109* total co2-14* anion gap-19 wbc-13.0*# rbc-4.18* hgb-12.6 hct-37.1 mcv-89 mch-30.1 mchc-34.0 rdw-14.30 10:03pm ck(cpk)-340* 10:03pm ck-mb-20* mb indx-5.9 ctropnt-2.63* 02:52pm ck(cpk)-571* 02:52pm ck-mb-42* mb indx-7.4* 04:32am ck(cpk)-583* 04:32am ck-mb-58* mb indx-9.9* ctropnt-2.12* brief hospital course: briefly, this is a 52 yo f s/p septal stemi who underwent emergent cath with stent placement in the ostial lad. . plan: 1. cardiac - ischemia - the patient has had a septal stemi as evidenced by st elevations on ecg and ce of trp 10 and ck of 550. she underwent revascularization with stent placement in the ostial lad before arrival to the ccu. post cath, she received 18 hours of integrillin and post cath hydration and was started on plavix 75mg , 325mg qd and atorvastatin 80mg qd. her sbp remained in the 80-90 range, which was corrected with fluid administration and therefore she wasn't able to be started on captopril until . she was titrated up and switched to lisinopril 5mg qd for discharge. this should be continued to be titrated up as an outpatient for optimal cardioprotection in a diabetic patient. pump - echo showed apical akinesis following cath and therefore, the patient will require 3 months of anticoagulation with follow up echo at that time. she was bridged to coumadin and was therapeutic by with an inr of 3.1. sbp has been in the 110's since repleting fluids. rhythm- nsr in the 60's with no events on telemetry during admission. . 2. renal insufficiency - the patient has a baseline cr 2.0. post cath, the cr did bump to 2.5 which was most likely due to the large dye load which may have contributed to non-gap acidosis. will need to monitor cr and renally dose all meds for discharge. . 3. dm1 - insulin standing doses restarted as per outpatient regimen which should be continued upon discharge. . 4. counseling: smoking cessation and diet counseling provided. . medications on admission: lantus 15 units qam nph 1 unit before breakfast, lunch, dinner discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. nicotine 21 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. coumadin 1 mg tablet sig: one (1) tablet po once a day: please start this medication on wednesday, . you will need to have your inr checked and followed by your pcp at this time. disp:*30 tablet(s)* refills:*2* 8. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) sublingual once a day as needed for chest pain: please take one tab for severe chest pain if pain is not relieved in 5 mins repeat and call 911. . disp:*20 * refills:*2* 9. outpatient lab work inr and ptt on wednesday discharge disposition: home discharge diagnosis: anterolateral stemi discharge condition: stable, afebrile, ambulating. discharge instructions: please return to the hospital if you experience chest pain, shortness of breath, palpitations, severe headache, dizziness or severe back pain. please do not stop taking your plavix for any reason without confirming with your cardiologist, dr. . please take all of your medications as directed. followup instructions: please follow up with your pcp, . on monday for inr and chem 7 check. please follow up with your cardiologist dr. in 2 weeks. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters transfusion of packed cells insertion of drug-eluting coronary artery stent(s) transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: acidosis other iatrogenic hypotension coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension accidental puncture or laceration during a procedure, not elsewhere classified acute myocardial infarction of anterolateral wall, initial episode of care other and unspecified hyperlipidemia unspecified disorder of kidney and ureter diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to