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: patient is a -year-old female with no prior cardiac history who presented to emergency room on the am of with vague symptoms of dizziness and lightheadedness and found to have ischemic st changes inferiorly and in the precordium on electrocardiogram. the patient was given aspirin and started on heparin drip as well as give a 2b3a inhibitor and transferred to for cardiac catheterization. in addition at the outside hospital the patient was noted to be mildly hypotensive with heart rate in the 40's with a junctional rhythm. the patient denied any chest pain, short of breath throughout. cardiac catheterization at revealed diffuse left anterior descending disease with 40% proximal/mid-lesion, an 80% om1 lesion, 30% om2 lesion, a proximal 90% right coronary artery lesion, diffuse proximal and mid-rca disease, and a 60% mid-rca lesion. the patient is status post percutaneous transluminal coronary angioplasty and stenting to the right coronary artery. post catheterization course complicated by extensive groin bleeding and the patient taken emergently to the operating room by vascular surgery. during this time, although the details were unclear, the patient had a pea arrest requiring chest compression and then spontaneously converted to a functional rhythm. the patient noted to have a femoral artery tear and underwent repair via vascular surgery. the patient admitted to ccu, intubated/sedated with right groin surgically dressed. past medical history: 1. hypertension. 2. osteoarthritis. allergies: penicillin. medications: 1. atenolol 25 mg p.o. q day. 2. dyazide 37.5/25 mg p.o. q day. 3. aspirin 81 mg p.o. q day. 4. advil p.r.n. 5. b-12 shot q month. family history: noncontributory. social history: the patient is a resident of terrace facilitated living. physical examination: vital signs temperature 96.6, blood pressure 143/89, heart rate 72, respiratory rate 10, o2 sat of 100% on an fio2 of 100% in general the patient is an obese, elderly white female lying in bed intubated and sedated. head, eyes, ears, nose and throat exam: pupils are equal, round, and reactive to light and accommodation. neck soft and supple. heart was regular rate and rhythm. positive s1 and s2, no murmurs, rubs or gallops. lungs were clear to auscultation bilaterally. abdomen was obese, soft, nontender, nondistended, normal active bowel sounds. extremities were warm, dorsalis pedis pulses were 2+ on the right lower extremity. no clubbing, cyanosis or edema. laboratory data: from hospital on the morning of a white blood count of 12.4, hematocrit of 32.9, platelets 216. differential 72 neutrophils, 22 lymphocytes, 4 monocytes. 1% eosinophils. sodium 141, potassium 4.2, chloride 105, bicarbonate 20, bun 35, creatinine 2.0, glucose of 271, total protein 6.3, albumin 3.6. alk phos of 70, ck of 78, calcium 8.6. t-bili of 0.3 and ldh of 259. ast of 45. alt of 30. prothrombin time 12.4, ptt 29.8 and inr of 1.0. labs obtained in ccu on - in the pm white blood count of 15.0, hematocrit 36.3, platelets 96, sodium 140, potassium 4.9, chloride 113, bicarbonate 17, bun 34, creatinine 1.3, glucose of 200, lactate 3.8, a ck of 565 with an mb of 82 and an index of 1425. calcium 7.7, phosphate 5.0, mag 1.5. arterial blood gases on assist control tidal volume of 650, rate of 10, peep 5 and 100% fio2 was ph 7.33, pco2 32, and a po2 of 355. electrocardiogram: from outside hospital showed a junctional rhythm at 55 beats per minute, st elevations in 2, 3 and avf, v1 through v3. st depressions in 1 and avl. q's in v1 and a wide qrs complex. electrocardiogram at was in sinus rhythm in the 50's, normal axis. poor r-wave progression. chest x-ray showed the tip of the endotracheal tube to be approximately 3 cm above the carinii, tip of the nasogastric tube was noted to be below the diaphragm, no focal consolidations were noted. the cardiac silhouette was mildly enlarged, pulmonary vascular markings were within normal limits, and no pneumothorax or pleural effusions were noted. cardiac catheterization from showed one vessel and branch vessel disease in the codominant system, left main coronary artery normal, left anterior descending had a mild luminal irregularity, the left circ had mild luminal irregularities with 80% focal stenosis in the om1 and 30% in the om2, the right coronary artery had a , 90% lesion in the proximal portion with a 60% mid-lesion. severe elevation of right sided filling pressures with mean right atrial pressure of 22 mm of mercury, right ventricular systolic of 35 mm of mercury and diastolic to 21 mm of mercury, moderately increased left sided pressures with a wedge of 24 mm of mercury and a left ventricular and diastolic pressure of 26, moderately decreased cardiac output with a cardiac index of 2.3 and an ef noted to be 64% with mild costobasilar hypokinesis. impression: -year-old female with no known coronary artery disease, transferred from outside hospital after experiencing lightheadedness and dizziness. found to have st changes suggestive of an acute inferior myocardial infarction with right ventricular involvement. status post cardiac catheterization at and identified two vessel disease with subsequent right coronary artery stenting. post catheterization course complicated by right groin bleed and pea arrest and patient taken to operating room emergently for femoral artery repair. hospital course by system: 1. cardiac: a. ischemia. as above, the patient is status post acute inferior myocardial infarction which was managed successfully by primary stenting of the proximal right coronary artery with 0% residual stenosis. no dissection and normal flow. in light of post catheterization complications, a decision was made to not utilize 2b3a post catheterization as well as to defer use of aspirin or plavix until the morning of . during the subsequent part of the hospital stay the patient was maintained on a cardiac medical regimen of aspirin, plavix, lopressor, captopril and lipitor. the doses of the lopressor and captopril were titrated up, blood pressure and heart rate tolerating. discharge doses of zestril 20 mg p.o. q day and toprol xl 150 mg p.o. q day. b. pump. as above patient had an ef of 64% with mildly decreased cardiac output and mild posterior basilar hypokinesis. the patient was not noted to be in failure by radiographic evidence nor clinical findings and was not diuresed during her hospital stay. rhythm. the patient was noted to have a junctional rhythm at outside hospital with rates in the 40's. on admission to the ccu at the patient was noted to be in sinus bradycardia with rates in the 50's which subsequently improved to the 70's and 80's allowing for titration of beta-blocker for better rate control. 2. hypertension. the patient's blood pressure noted to be poorly controlled while at and doses of beta-blocker and ace inhibitor were titrated up accordingly. in addition from the medical records from outside hospital it was noted that the patient was on a standing dose of a diuretic as an outpatient and patient should be started on hydrochlorothiazide at 25 mg p.o. q day. lipid. lipid panel was sent off and noted to be elevated at a total cholesterol of 146 with an ldl 82 and a hdl of 42 which in light of recent coronary events was likely low and decision was made to start the patient on lipitor 10 mg p.o. q day. 3. vascular. as above. the patient a status post right femoral artery tear with subsequent repair in the o.r. by vascular surgery. as per vascular surgery team, all anti-coagulation on hospital day one to be held to ensure that patient was hemodynamically stable with a stable hematocrit. the patient's right groin was dressed on admission to the ccu and vascular team continued to follow daily noting warm extremities and good pulses distally with no expansion of the groin hematoma. at the time of discharge a resolving hematoma was noted and decision for suture removal to occur approximately 10 to 12 days after placement on as per pcp as an outpatient. 4. heme. patient with anemia, status post transfusion at outside hospital of two units of packed red blood cells. in addition during the patient's surgical repair the patient was transfused two units of packed red blood cells without complications. the patient's hematocrit remained relatively stable at however on the patient's hematocrit was noted to drop from 33.5 down to 24.7 and there was great concern for a retroperitoneal or intra-thigh bleed. the patient was transfused two units of packed red blood cells with an appropriate rise in hematocrit. in addition, ct scan of the abdomen, pelvis and thigh was undertaken and there was no evidence of an intra-abdominal, pelvic or retroperitoneal hematoma. the patient was hemodynamically stable throughout this episode and subsequent vascular surgery evaluation prompted recommendations for continued clinical monitoring as well as serial hematocrits. after that episode the patient's hematocrit remained stable ranging from 32 to 36 with a value of 36.2 at the time of discharge. 5. renal. patient with a creatinine of 2.0 at outside hospital which was thought to be likely pre-renal in nature versus chronic renal insufficiency. the patient was hydrated at and subsequently the patient creatinine decreased to a value of 1.0 at the time of discharge. 6. pulmonary. the patient was intubated and sedated at the time of admission to the ccu. the patient was extubated the following morning without complications and there were no acute pulmonary issues while an inpatient at . 7. physical therapy. the patient was evaluated by the physical therapy team at and was able to walk 100 feet without complications and the feeling of the physical therapy team that patient was not in need of any acute rehabilitation. condition on discharge: stable. the patient is to be discharged to terrace facilitated living with vna. discharge diagnosis: 1. acute inferior myocardial infarction with right ventricular involvement. status post percutaneous transluminal coronary angioplasty and stenting of the right coronary artery to right femoral artery tear, status post vascular surgery repair. 2. hypertension. 3. hypercholesterolemia. discharge medications: 1. aspirin 325 mg p.o. q day. 2. plavix 75 mg p.o. q day times 30 days. 3. protonix. 4. toprol xl 150 mg p.o. q day. 5. zestril 20 mg p.o. q day. 6. lipitor 10 mg p.o. q day. 7. hydrochlorothiazide 25 mg q day. follow-up appointment with primary care physician . in naddick in two to three days for post cardiac event care as well as referral to a cardiologist in the naddick area. in addition the patient will need removal of right groin sutures 10 to 12 days after initial placement on . as per primary care physician. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures suture of artery diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension cardiac complications, not elsewhere classified hematoma complicating a procedure cardiac arrest acute myocardial infarction of other inferior wall, initial episode of care unspecified disorder of kidney and ureter cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure aneurysm of artery of lower extremity 

Answer: The patient is high likely exposed to