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: phenytoin attending: chief complaint: chest pain and sob major surgical or invasive procedure: cardiac cath; no intervention history of present illness: yo f w/ a h/o who noted the onset of sscp last night. reports that she had the sudden onset of severe sscp associated with sob last night. the pain began last night. associated w/ nausea, vomiting x2 (non-bloody). . per ems notes, patient was initially c/o sob, not responsive to nebs. subequently had onset of cp -> given sl nitro x3 w/o response. noted to have rales, given 40mg iv lasix. initial bp 110/60, hr 122. . in ed, given lopresser 5mg iv x1, asa, and started on heparin gtt. transiently on bipap. ck 49, tnt 0.513, nt-probnp 5088. d-dimer 2.77. . in ed, t100.6, hr 93, bp 88/64, 96% nrb. given levoxyl, flagyl, heparin. attempted to place rij. converted to fem line. started on levophed. had bedside tte. past medical history: osteoporosis benign cns tumor, removed age 70, by report now recurrent diverticulosis hypertension r pubic ramus fracture and r humerus fx fall sustained social history: lives with daughter. denies history of etoh, tobacco. prior to fall from chair one month ago was independent for adls. family history: mother died 78 of mi. daughter 50s, has mitral valve replacement of unknown etiology. physical exam: bp 97.2, hr 89, bp 105/60, rr 22, 6l nc well appearing elderly female. no respiratory distress. speaking in full sentences. perrl. op clr. 10cm jvp. thyroid benign. regular s1,s2. iv/vi sem, radiating throughout the precordium b/l rales to lung height. +bs. soft. nt. nd. no le edema. pertinent results: ecg (osh): 2mm st elevation in iii, 1mm in f. std in i/l, and v3-v6. subsequent ecg in house shows resolution of ste, but remaining depressions. follow up on micu admission shows resolution of lateral changes, new qws inferiorly and hyperacute tws. . tte: severely depressed lvef with regionality c/w cad. severe mitral regurgitation. moderate pulmonary hypertension. . ct chest/abd: 1. no evidence of aortic dissection, aneurysmal dilatation, or pulmonary embolism. bilateral pleural effusions with perihilar edema and interstitial edema are suggestive of underlying congestive heart failure. 2. multiple thoracic wedge compression fractures of uncertain chronicity and probable nonacute right humeral surgical neck fracture. recommend correlation to clinical exam and if acute fracture is suspected, dedicated imaging to this region. 3. diffuse coronary and vascular calcifications. 4. noncalcified sub 5 mm right lower lobe pulmonary nodule. given patient's age followup is probably not needed, however, if clinically indicated, a repeat scan in one year may be ordered to assess stability if patient has no known primary malignancy. 5. cholelithiasis without evidence of cholecystitis. . cxr: probable chf with pulmonary edema and/or associated multilobar pneumonia. incidental note of fracture of neck of right humerus. . cardiac cath: 1. selective coronary angiography of this heavily calcified right dominant system revealed diffuse severe three vessel and mild-moderate left main disease. the lmca was heavily calcified with ostial 30-40% and distal 40% stenoses. the lad had diffuse disease with a proximal-mid 80% lesion after a small-caliber d1 branch (which itself was subtotally occluded proximally prior to a bifrucation). a long d2 had a proximal subtotal occlusion. the mid lad had an 80% lesion involving d3 followed by an aneurysm with diffuse disease in a long distal lad. septal collaterals supplied the rpda. the lcx had an ostial 40% lesion, a proximal 80% lesion, a modest av groove vessel with mid 50% and distal 80% lesions before lpls. distal collaterals supplied the rpl system. the major om had an aneurysmal bifurcation lesion with 80% stenosis into the lower pole. the rca had a proximal 60-70% lesion and then was totally occluded after the conus and atrial branches with only faint filling of acute marginal branches via vasa collaterals; the mid-distal rca filled only retrogradely via left-to-right collaterals. 2. resting hemodynamics revealed mild pulmonary hyptertension with pa pressures 38/14 mmhg. the mean pcw was slightly elevated at 12 mmhg. cardiac index was low normal at 2.75 l/min/m2 (based on an assumed oxygen consumption). although the systemic arterial saturation was low on 4 l/min nc, it rose appropriately with higher concentration oxygen therapy, arguing against significant right-to-left shunting. 3. left femoral vascular access was utilized due to a right pelvic fracture. the left common femoral artery was calcified. the patient had a heavily calcified and tortuous left common iliac artery looping into the abdominal aorta (traversed using a magic torque wire and a -tip introducing sheath). 4. left ventriculography was not performed. . pelvic xray: evidence of remote trauma involving the right inferior pubic ramus. no acute fracture seen. . discharge labs: na 136, k 4.5, bicarb 28, bun 19. cr 1.0, wbc 4.2, hct 28.4, plt 164 . wbc 4.2, hct 28.4, plt 164 brief hospital course: a/p: yo f w/ inf stemi and subsequent pulmonary edema, 4+mr, and hypotension. . 1) cv: a. coronaries: pt presented with inf stemi. cardiac cathterization showed severe diffuse three vessel and mild-moderate left main coronary artery disease; these lesions were not ammenable to stenting or cabg. she was medically with heparin gtt x48h, asa 325, plavix 75 qd, lipitor at 40. she tolerated metoprolol xl at 75mg daily. she developed hypotension with both imdur and lisinopril (which were stopped). her outpatient cardiologist/pcp should restart lisinopril if her bp can tolerate. . b. pump: ms has left ventricular dysfunction and chf with ef 25-30%. she also has papillary muscle dysfunction with 4+ mr, 2+tr. she has had persistant pulmonary edema on exam (l>r) but this has improved over her course. she was on aldactone for class iii-vi heart failure but this was discontinued due to poor po intake and hypotension. . c. rhythm: ms had no ectopy on telemetry . 2) hypotension- ms has been periodically hypotense inhouse likely combination of volume depletion in the setting of severe mitral regurg. she was briefly on levophed which was d/c'd and she was able to be started on bb. . 4) pelvis fracture- ms has a pelivic xr showing remote trauma of r inf pelvic ramus. she also has an old rue humerus fx s/p sling. ortho was consulted and did not rec any further imaging or treatment as fx was old. she was started on lovenox for anticoag given her pelvic fracture. she should wbat with a walker and limit wb to 10lbs of rue. . 5) renal insufficiency- ms ' cr has ranged between 0.7 and 1.1 largely secondary to very poor po intake and dehydration.- encourage po intake . 6) fen- cardiac diet; very poor po intake decreased appetite. . 8) ppx: senna, pantoprazole, lovenox . 9) full code- confirmed with patient on medications on admission: mvi tylenol prn asa 81mg qday folic acid clonazepam iron sulfate triamterene/hctz phenobarbital 30mg qid sertraline 50mg qhs vitamin d 400iu metoclopromide discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. phenobarbital 30 mg tablet sig: one (1) tablet po qid (4 times a day). 3. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed. 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 8. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 9. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid w/meals (3 times a day with meals). 10. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 11. enoxaparin 30 mg/0.3 ml syringe sig: one (1) subcutaneous q24h (every 24 hours). 12. clonazepam 0.5 mg tablet sig: 0.5 tablet po tid (3 times a day): hold for sedation or rr<10. 13. metoprolol succinate 25 mg tablet sustained release 24hr sig: three (3) tablet sustained release 24hr po daily (daily). 14. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed) as needed for chest pain. 15. isosorbide mononitrate 30 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). discharge disposition: extended care facility: of discharge diagnosis: primary diagnosis: interior stemi cad class iii-iv nyha chf hypotension hypertension left ventricular dysfunction and systolic chf with ef 25-30% and mr 4+, tr 2+ pelvic fracture and right humoral from discharge condition: fair afvss discharge instructions: you had a heart attack. you have been given new medications to help regulate your heart rate and function and try to prevent any chest pain. please take these medications as prescribed. . you should be careful with your diet and limit your fluid intake to 1l per day and your salt intake to 2g per day. you should also weight yourself daily and call your physician if you gain >3lbs. . your lisinopril was stopped because your blood pressure was low. your primary care physician may decided to restart this medication if your blood pressure can tolerate it. . please notify your physician or go to the emergency room if you have fevers >100.4, chills, chest pain, shortness of breath, swelling in your legs, vomiting or abdominal pain or any other symptoms which are concerning to you. followup instructions: follow up appointment made with dr. , m.d. and dr. . phone: date/time: 3:00pm . please follow up with your outpatient orthopaedic doctor for your right arm fracture procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnoses: anemia of other chronic disease coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified acute kidney failure, unspecified other pulmonary insufficiency, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other chronic pulmonary heart diseases peripheral vascular disease, unspecified depressive disorder, not elsewhere classified hypopotassemia chronic kidney disease, unspecified hypotension, unspecified osteoporosis, unspecified benign neoplasm of cerebral meninges acute myocardial infarction of other inferior wall, initial episode of care dehydration combined systolic and diastolic heart failure, unspecified aftercare for healing traumatic fracture of other bone aftercare for healing traumatic fracture of hip 

Answer: The patient is high likely exposed to