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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization with drug eluting stent placed in the proximal left anterior descending artery history of present illness: 63 y/of with pmh of htn, type 2 dm p/w chest discomfort that started yesterday. complained of acute onset sharp chest discomfort, rated which resolved with rest, and was accompanied by severe dyspnea. no associated nausea/ vomiting or diaphoresis. did have an assoicated dry cough, felt faint, and had some palpitations with the pain. dyspnea persisted throughout the night, preventing the patient from sleeping. as symptoms persisted, patient called ems. she has never had these sx before or any prior heart issues. denies edema. . ekg performed by ems showed ste in v1-v4 and avr, and std in v5-v6, i, avl leads and qwave in iii, and avf upon arrival in the ed, code stemi was activated. initial vs: 94 146/80 16 and 96% on nrb. received asa 325, plavix 600mg and heparin gtt. chest pain resolved with sln x 2 and initiation of nitro gtt. cxr showed bilateral pleural effusions and pulmonary congestion. repeat ekg showed persistent ekg changes. bedside echocardiogram performed by cards and ed attending showed possible septal wall hypokinesis. initial labs remarkable for trop of 0.63 and lactate of 3.3. pt was given 500mg ivf bolus. levaquin 750mg iv was also given. . in the cath lab pt was found to have 90% lad at s1 and had a des placed. lcx was a small vessel with diffuse mod disease. rca proximally occluded with lad collaterals. pt had continued hypoxia during the procedure requiring a nrb and was given lasix 80mg iv. edp was elevated. no right heart cath was done. . on review of systems, s/he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, joint pains, black stools or red stools. she denies recent fevers, chills or rigors. no ha, vision changes, or rashes. . cardiac review of systems is notable for absence paroxysmal nocturnal dyspnea, prior orthopnea to yesterday, ankle edema, or syncope. past medical history: past medical history: 1. cardiac risk factors: -diabetes -hypertension social history: retired, lives at home with her husband. from . -tobacco history: none -etoh: none -illicit drugs: none family history: brother: htn physical exam: admission: vs: afebrile, 145/73, 86, 19, 91% on nrb and high flow nc general: a+o x 3, nad heent: ncat. sclera anicteric. neck: jvd below jaw line when lying at 20 degrees with +hepatojugular reflex cardiac: rr, normal s1, s2. no m/r/g. no s3 or s4. lungs: crackles way up both lungs abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominal bruits. soft burits in right groin at pci site with small about red blood on dressing, no hematoma. extremities: warm, +1 dp b/l, no edema discharge: general: a+o x 3, nad heent: ncat. sclera anicteric. neck: jvp to 2-3 cm above clavicle at 30 degrees cardiac: rr, normal s1, s2. no m/r/g. no s3 or s4. lungs: bilateral crackles to mid lungs abdomen: soft, ntnd. normal bs, no hsm or tenderness. extremities: warm, +1 dp b/l, no edema pertinent results: admitting labs (): wbc-8.6 rbc-3.63* hgb-11.0* hct-32.2* mcv-89 mch-30.1 mchc-34.0 rdw-13.2 plt ct-455* hct-30.3* plt ct-388 pt-13.1 ptt-21.6* inr(pt)-1.1 glucose-290* urean-12 creat-0.9 na-133 k-4.9 cl-99 hco3-18* angap-21* . imaging: echocardiogram : the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is moderate regional left ventricular systolic dysfunction with thinning and akinesis of the basal inferior wall (most c/w prior rca-territory infarct) and edematous/akinetic anterior wall, septum and apex (c/w recent lad-territory infarct). the remaining segments contract normally (lvef = 30%). no masses or thrombi are seen in the left ventricle. the right ventricular cavity is mildly dilated with mild global free wall hypokinesis. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. impression: moderate regional left ventricular systolic dysfunction, c/w multivessel cad. moderate mitral and tricuspid regurgitation. mild pulmonary hypertension. left pleural effusion. . cardiac catheterization : 1. selective coronary angiography in this right dominant system demonstrates two vessel coronary artery disease. the lad contained a 90% lesion at the first septal. the circumflex artery contained diffuse moderate disease that was not flow limiting. the right coronary artery was chronically occluded proximally and supplied by collaterals from the left anterior descending. 2. limited resting hemodynamics demonstrate systemic normotension and marked elevation of the lvedp to 33mmhg. final diagnosis: 1. two vessel coronary artery disease. 2. mild diastolic ventricular dysfunction. 3. nstemi due to ulcerated plaque of the proximal lad. . pcxr (): reason for examination: shortness of breath. portable ap chest radiograph was compared to prior study obtained the same day earlier. the study demonstrates gradual progression of pulmonary edema currently being moderate to severe. the edema is also accompanied by bilateral pleural effusions, at least moderate in size. there is no pneumothorax. . discharge labs (): wbc-7.6 rbc-3.73* hgb-10.8* hct-32.7* mcv-88 mch-29.0 mchc-33.1 rdw-13.6 plt ct-528* pt-14.6* ptt-65.0* inr(pt)-1.3* glucose-143* urean-23* creat-0.9 na-143 k-4.4 cl-106 hco3-28 angap-13 brief hospital course: mrs. is a 63 year-old woman with diabetes who presented with chest pain and ekg changes consistent with acs/nstemi. . # coronaries: she had acs/nstemi changes on ekg and found to have 90% lad obstruction now for which she received pci with des. she was also found to have moderate diffuse lcx disease and proximally occluded rca with lad collaterals. she remained cp free post procedure and remained hypodynamically stable throughout her admission. she was started on aspirin, plavix, atorvastatin and metoprolol. she was continued on her home dose of lisinopril. . # pump: following her percutaneous intervention, she was found to be in acute heart failure with evidence of chf on cxr and with an elevated lvedp subsequently becoming acutely hypoxic requring a nrb. her bnp was 7604. her ef was 30%. it was believed that this was likely this is secondary to acute mi. she was diuresed in the ccu with iv lasix and her breathing improved significantly although she received extra dose of lasix on pm of due to sudden worsening of chf symptoms. she quickly improved with iv lasix and was stablized within 30min and did well the next day. she was subsequently transfered to the general medicine floor and maintained on a stable dose of lasix and was also started on spironolactone. she was also started on warfarin for lv akinesis and lwo ef to prevent clot formation. although she was did not have therapeutic inr at time of discharge it should rise over the coming days and the risk of ventricular clot is not high enough in this setting to demand enoxaparin bridging at home. she should have a repeat echo in 6 weeks to evaluate for improvement of hypokinesis and ejection fraction. . # rhythm: she remained in sinus rhythm throughout her hospitalization . # dmii: her glucose control remained stable on humalog sliding scale with fsbg in the low 100s. . # htn: her blood pressure remained stable and she was continued on her home dose of lisinopril and was started on metoprolol in place of amlodipine with excellent blood pressure control. . # anemia: her baseline hematocrit appears to be around 32. she continued to have stable hcts without evidence of active bleeding. she will need outpatient colonoscopy following discharge. . #transition of care: patient should have routine outpatient colonoscopy and repeat echocardiogram in 6 weeks. she will need to have inr followed as she is on coumadin and potassium followed as she is on spironolactone. medications on admission: - amlodipine 10mg qhs - lisinopril 40mg qam - metformin unclear dose - vitamin c, unclear dose discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily): do not stop taking this medicine unless dr. tell you to. . disp:*30 tablet(s)* refills:*11* 3. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed) as needed for chest pain: take up to 2 tablets 5 minutes apart . disp:*25 tablet, sublingual(s)* refills:*0* 4. lisinopril 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 5. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. metoprolol succinate 100 mg tablet extended release 24 hr sig: 1.5 tablet extended release 24 hrs po daily (daily). disp:*45 tablet extended release 24 hr(s)* refills:*2* 8. spironolactone 25 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. metformin oral 10. vitamin c oral 11. outpatient lab work check pt/inr and chem-7 on wednesday and call results to at 12. warfarin 2 mg tablet sig: 2.5 tablets po once a day. disp:*75 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: non st elevation myocardial infarction acute systolic congestive heart failure diabetes mellitus type 2 hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you had a heart attack and required a cardiac catheterization and a drug eluting stent was placed in your left anterior descending coronary artery. you will need to take plavix and aspirin every day for at least one year and possibly longer. do not stop taking plavix or miss unless dr. says that it is ok. missing increases the chance that the stent will clot off and cause another heart attack or death. your heart is weaker since the heart attack and you required diuretics to get rid of excess fluid. you will need to monitor yourself for return of shortness of breath and chest pain. call dr. if these symptoms return. weigh yourself every morning before breakfast, call dr. if weight goes up more than 3 lbs in 1 day or 5 pounds in 3 days. your weight at discharge was 110 pounds. . we made the following changes to your medicines: 1. stop taking amlodipine 2. start taking a full dose aspirin (325 mg) and clopidogrel (plavix)to prevent the stent from clotting off 3. use nitroglycerin at home if the chest pain comes back. you can take up to 2 tablets 5 minutes apart for the pain. call dr. if you have any chest pain. 4. start taking spironolactone to help keep the fluid out of your lungs 5. start taking metoprolol to slow your heart rate and help your heart pump better 6. start taking furosemide to get rid of extra fluid 7. start taking atorvastatin to lower your cholesterol. 8. start taking warfarin (coumadin) to prevent blood clots from forming in your heart. 8. continue metformin and vitamin c as before. followup instructions: department: cardiac services when: friday at 3:00 pm with: , md building: campus: east best parking: garage department: when: monday at 10:40 am with: dr. location: post clinic building: sc clinical ctr campus: east best parking: garage this appointment is with a hospital-based doctor as part of your transition from the hospital back to your primary care provider. this visit, you will see your regular primary care doctor in follow up. department: when: tuesday at 1:45 pm with: , md building: sc clinical ctr campus: east best parking: garage procedure: coronary arteriography using two catheters left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: anemia of other chronic disease subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery mitral valve disorders unspecified pleural effusion congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other chronic pulmonary heart diseases acute systolic heart failure diseases of tricuspid valve 

Answer: The patient is high likely exposed to