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: penicillins / epinephrine / novocain / codeine / celebrex / naprosyn attending: chief complaint: shortness of breath major surgical or invasive procedure: cardiac catheterization history of present illness: patient is an 89f with hx of cad s/p cypher to 80% om in who reports that she has't been feeling well all week. had some sob during exertion that was not alleviated with rest. she denies any chest pain, but describes tightness with breathing. also complained of nausea and headache in the back of her head. she had a constant feeling of weakness all over that lasted for a couple of hours. she felt fatigued for the remainder of the weak. and was unable to complete a flight of stairs. . she denies cp, palpitations. reports chronic orthopnea with 2 pillows, some lightheadeness with shortness of breath. chronic lower extremity edema. + hemmorhoids with occasional blood on tp. . on review of symptoms, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. . *** cardiac review of systems is notable for absence of chest pain, paroxysmal nocturnal dyspnea, palpitations, syncope or presyncope. past medical history: htn hyperlipidemia coronary artery disease s/p stent in gout osteoarthritis hyperparathyroidism. social history: social history is significant for the absence of current tobacco use. 42 pack/yr history, quit 35 yrs ago. there is no history of alcohol abuse. family history: there is no family history of premature coronary artery disease or sudden death. physical exam: vs: t 35.8, bp 132/77 , hr 73 , rr 21, o2 99% on 2l gen: wdwn elderly female in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. r lid ptosis neck: supple with jvp of 8 cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi anteriorly abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: 2+ pitting edema to mid-calf bilaterally. no femoral bruits. skin: +chronic venous stasis dermatitis pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 1+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 1+ dp neuro: r lid ptosis; otherwise cx ii-xii intact; tongue midline; decreased light touch over toes bilaterally; moves all 4- unable to assess strength 2/2 femoral sheath pertinent results: 03:30pm pt-12.6 ptt-28.1 inr(pt)-1.1 03:30pm plt count-207 03:30pm neuts-62.5 lymphs-27.0 monos-9.3 eos-1.1 basos-0.1 03:30pm wbc-4.8 rbc-3.75* hgb-12.1 hct-35.7* mcv-95 mch-32.3* mchc-33.9 rdw-14.3 03:30pm ctropnt-0.82* 03:30pm ck(cpk)-45 03:30pm glucose-146* urea n-40* creat-1.6* sodium-139 potassium-4.5 chloride-103 total co2-26 anion gap-15 03:53pm hgb-12.2 calchct-37 o2 sat-99 03:53pm type-art po2-123* pco2-31* ph-7.44 total co2-22 base xs--1 intubated-not intuba 05:00pm urine rbc-0-2 wbc->1000 bacteria-many yeast-none epi-0 05:00pm urine blood-neg nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-mod 05:00pm urine color-yellow appear-hazy sp -1.024 11:15pm ck-mb-notdone ctropnt-0.69* 11:15pm ck(cpk)-33 . echo:mild symmetric left ventricular hypertrophy with regional systolic dysfunction. mild aortic regurgitation. pulmonary artery systolic hypertension. dilated ascending aorta. compared with the report of the prior study (images unavailable for review) of , the regional left ventricular systolic dysfunction is new and c/w multivessel cad or takotsumo cardiomyopathy. the estimated pulmonary artery systolic pressure is higher. the ascending aorta dilation is similar. . mri/mra head: 1. infundibulum at the origin of the left posterior cerebral artery p1 segment versus sub-3-mm aneurysm in this area. a cta of the head would be valuable in clarifying this issue. 2. extensive bilateral white matter t2/flair hyperintensity consistent with small vessel ischemic disease. 3. incompletely evaluated degenerative change of the upper cervical spine. . cardiac catheterization: 1. non-obstructive cad with 40% proximal lad thrombus likely representing resolved thrombus. 2. elevated left sided filling pressures. 3. mild pulmonary arterial hypertension. brief hospital course: assessment and plan, to be reviewed and discussed in multidisciplinary rounds: . 89f with pmh of cad s/p des to om , htn, hyperlipidemia presents with 1 week of shortness of breath. . # cad/ischemia: patient presented with one week of shortness of breath but denied chest pain. noted to have diffuse, nonspecific st elevations on ecg. underwent cardiac catheterization significant for patent stent and 40% proximal lad thrombus. pt had persistent st elevations post cath. unclear etiology. no evidence of pericarditis clinically. esr was slightly elevated making myocarditis unlikely. no apical ballooning noted on echo but patient did have diffuse hypokinesis making stress cardiomyopathy a possible etiology of her ecg changes. no evidence of aneurysm. patient was continued on aspirin, statin, started on ace inhibitor and bblocker was titrated. her plavix was discontinued as her stent was placed in . . # pump: echo with ef of 25%. patient required nasal cannula and was decompensated heart failure with pulmonary edema. she was treated with diuresis and discharged on double her home dose lasix. an ace inhibitor was added for afterload reduction. . # rhythm: patient had one episode of afib with rvr complicated by hypotension converted to sinus rhythm s/p amiodarone load. remained in sinus on telemetry for duration of stay. discharged on amiodaron 200mg daily. toprol was titrated up as tolerated by her blood pressure. . # htn: titrated her toprol and lisinopril as tolerated by blood pressure. . # pansensitive e.coli uti: treated with 5 days of bactrim. foley was removed. symptoms improved. . # chronic kidney disease: presumed chronic kidney disease. hx of partial nephrectomy. creatinine remained stable in setting of diuresis. . # fen: cardiac/heart healthy diet; replete lytes prn . # code: full, discussed with patient and husband . # communication: patient and husband ( (home); office ( . medications on admission: toprol xl 12.5 daily diovan 80mg daily lasix 40mg daily lipitor 10mg daily protonix 40mg daily plavix 75mg daily aspirin 325mg daily sl nitro prn allopurinol 100mg daily colchicine? triamcinolone creme silver sulfadiazine discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 4. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 5. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 6. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 7. miconazole nitrate 2 % powder sig: one (1) appl topical tid (3 times a day) as needed. 8. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 9. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 10. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). discharge disposition: extended care facility: for the aged - macu discharge diagnosis: primary: congestive heart failure, atrial fibrillation secondary: coronary artery disease discharge condition: good, chest pain free, vital signs stable discharge instructions: you were admitted to the hospital with shortness of breath. adjustments were made to your medications. you were also noted to develop an abnormal heart rhythm. this resolved with the addition of a new medication. changes to your medication include: toprol xl 25mg daily amiodarone 200mg daily lasix 40mg twice daily lisinopril 5mg daily lipitor 40mg daily discontinue diovan . please follow up with your cardiologist in 2 weeks. please follow up with your primary care doctor in 4 weeks. . please contact your doctor or return to the emergency room i f you develop any worrisome symptoms such as chest pain, worsening shortness of breath, lightheadedness, fluttering in your chest, passing out, etc. followup instructions: please follow up with your cardiologist in 2 weeks. please follow up with your primary care doctor in 4 weeks. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation personal history of tobacco use percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified systolic heart failure, unspecified other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia osteoarthrosis, unspecified whether generalized or localized, site unspecified pressure ulcer, lower back hyperparathyroidism, unspecified 

Answer: The patient is high likely exposed to