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: aspirin / penicillins attending: chief complaint: aspirin desensitization major surgical or invasive procedure: cardiac cath: bms to mid lcx history of present illness: this is an 80 y.o. woman with a history of cad s/p cabg (svg-lad, svg-om, and svg-distal rca). her lima reportedly had severe proximal disease and was not used. she had done well up until 5 years ago when she developed recurrent chest pain. however she now has been experiencing increased frequency along with the development of nocturnal rest angina. she notes that this began in when she noticed pain while sitting in a chair one night. since then, the pain has remained stable ocurring most days, with radiation to the left shoulder. she also notes occasional fatigue and doe. she underwent a cardiac catheterization on with revealed occlusion of the rca graft and om graft. the lad graft was patent. native vessels included lad after 2 small diagonals, the rca was diffusely diseased proximally and occluded at the mid vessel, and the lcx had an 80% proximal stenosis with a 90% in om2. it appears they discussed an attempted to rotablate the lcx and om2. she however wanted it performed in . there was also some note of a stent in the svg-lad although patient denies that she ever had a stent placed. she underwent a nuclear stress on which revealed mild inferior hypokinesis, a preserved ejection fraction, and mild inferobasal ischemia with exercise. of note, she was on plavix, but recently switched to prasurgrel by her cardiologist. she also has an anaphylactic aspirin allergy. . she presented today for cardiac cath and was found to have 3vd with bms to the prox and mid lcx. the cath was without complication, but she presents to the ccu for aspirin desensitization. . on transfer to ccu vitals are: t: 96.8 hr: 68 bp: 127/64 o2:95% ra . on review of systems, 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. she denies recent fevers, chills or rigors. she does endorse abdominal pain which is baseline for her . cardiac review of systems is notable for mild chest pain and sob which she says is at her baseline. she also endorses pnd, but denies ankle edema, or orthpnea past medical history: 1. cardiac risk factors: none 2. cardiac history: - cabg : (svg-lad, svg-om, and svg-distal rca - percutaneous coronary intervention : occlusion of the rca graft and om graft. the lad graft was patent. native vessels included lad after 2 small diagonals, the rca was diffusely diseased proximally and occluded at the mid vessel, and the lcx had an 80% proximal stenosis with a 90% in om2. - pacing/icd: none 3. other past medical history: -vertigo -chronic diarrhea social history: lives alone in , independent with adls - tobacco history: smoked 2ppd x35 yrs, quit after cabg in - etoh: none - illicit drugs: none family history: - no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death. sister has dm physical exam: vs: t: 96.8 hr: 68 bp: 127/64 o2:95% ra general: nad. oriented x3. 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 flat at 30 degrees cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. there is reproducible chest pain to palpation diffusely lungs: no chest wall deformities. ctab, no crackles, wheezes or rhonchi. decreased bs on the right abdomen: soft, diffuse tenderness. no hsm. abd aorta not enlarged by palpation. no abdominial bruits. bs + extremities: no edema, 2+ dp/pt pulses. right femoral cath site c/d/i without hematoma or significant tenderness to palapation no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pertinent results: admission labs: . 12:40pm blood glucose-84 urean-12 creat-0.7 na-140 k-4.1 cl-104 hco3-27 angap-13 12:40pm blood wbc-4.6 rbc-4.25 hgb-13.3 hct-38.3 mcv-90 mch-31.3 mchc-34.8 rdw-13.0 plt ct-181 . cardiac cath: 1. three vessel coronary artery disease. 2. patent svg to lad, occluded svg to omb and svg to rca. 3. successful bare metal stent placed in proximal and mid cx. 4. aspirin desensitization with integrillin bridge. 5. continue prasugrel. final diagnosis: 1. three vessel coronary artery disease. . labs at discharge: 07:30pm blood ck(cpk)-68 07:30pm blood ck-mb-5 brief hospital course: 80 yof w/ hx of cad s/p cabg in who developed unstable angina in , found to have multivessel disease on osh cath, now admitted to for pci, s/p bms x2 to lcx and transferred to ccu for aspirin desensitization in setting of anaphylactic history to aspirin. . # cad s/p cardiac catheterization: found to have 3vd on cath today, s/p bare metal stents x2 to lcx. admitted to ccu for aspirin desensitization. patient tolerated aspirin. she was started on an integrillin gtt for 18 hours. after calling her cardiologist in , it was decided to continue prasugrel at 10 mg upon discharge. she was continued on metoprolol xl 25 mg and ranexa . she developed a rash 24 hours after aspirin desensitization. an allergist evaluated the mrs and felt that this was related to the first dose of lisinopril and not caused by the aspirin. she was continued on aspirin 325 mg daily and should avoid missing any aspirin doses for more that 2 days in a row. the rash resolved after benedryl administration. she was not on a statin at discharge and as she has an medication allergy, this was deferred to her outpatient cardiologist. . # heart function: nuclear stress test showed mild inferior hypokinesis with a preserved ejection fraction. no signs of failure on exam. mangement as above. - cont toprol-xl as above - no acei because of resultant rash. . # vertigo: patient continued on home meclizine. medications on admission: -toprol -xl 25mg po daily -meclazine 25mg q8h prn vertigo -lomotil prn diarrhea -ranexa 500mg -promethazine 25 mg -prasugrel 10mg daily -fish oil discharge medications: 1. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual q5min () as needed for chest pain. disp:*25 tablet, sublingual(s)* refills:*0* 2. promethazine 25 mg tablet sig: one (1) tablet po q12h (every 12 hours) as needed for nausea. 3. ranexa 500 mg tablet sustained release 12 hr sig: one (1) tablet sustained release 12 hr po bid (). 4. meclizine 25 mg tablet sig: one (1) tablet po three times a day as needed for dizziness. 5. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po hs (at bedtime). 6. diphenoxylate-atropine 2.5-0.025 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for diarrhea. 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 8. prasugrel 10 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home discharge diagnosis: coronary artery disease hyperlipidemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. vs: 66-20 116/51 lungs clear ap rrr abdomen is soft, nontender right groin without hematoma, bruit (+) peripheral pulses discharge instructions: you were admitted to the hospital following a cardiac catheterization and two bare metal stents were placed in the left circumflex artery to clear a blockage. you cannot drive for 48 hours and cannot lift more than 10 pounds for one week. this means that you will need help with your suitcases on your way home and will need to be picked up at the airport. you underwent a desensitization to aspirin in the ccu. a rash developed but we think this may be due to another medicine, lisinopril, instead of the aspirin. it is very important that you take aspirin every day from now on. do not miss any more than 2 days of aspirin for any reason. we made the following changes to your medicines: 1. take nitroglycerin as needed for chest pain. you can take up to 2 tablets 5 minutes apart. if you still have chest pain after 2 tablets, call 911. call dr. for any chest pain at home. 2. take aspirin 325 mg every day to keep the stent from clotting off. dr. may decrease the dose to 81 mg after 1 month. 3. please talk to dr. about starting a cholesterol medicine and checking your cholesterol levels. followup instructions: cardiology: please make an appt to see your cardiologist, dr. in 3 weeks to check your heart function and review your medicines. . name: address: , , fl phone: appt: at 10:15am md, procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization other and unspecified coronary arteriography transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension other and unspecified hyperlipidemia benign paroxysmal positional vertigo chronic total occlusion of coronary artery coronary atherosclerosis of artery bypass graft 

Answer: The patient is high likely exposed to