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 / tetracycline / detrol / nitrofurantoin attending: chief complaint: chest pain major surgical or invasive procedure: coronary catheterization history of present illness: the patient is a 65 y.o.f. with diverticulitis and ibs who p/w inferior stemi. last night at approximately 10 p.m. she developed right sided chest discomfort that radiated to the underside of her right arm. this occurred on and off throughout the night and was accompanied by diaphoresis. "breathes fast" at baseline (improved now with weight loss), but no increasing sob, orthopnea, pnd, palpitations, or prior episodes of chest pain. she was able to sleep, but when she awoke this a.m. she continued to have the chest discomfort and when getting up felt faint, lightheaded, and nauseated, so she caller her daughter who is a nurse . ems was called and bp on the scene was 96/60, hr 52, 99% ra. she was brought to where ekg showed st elevations in ii, iii, avf, v6, st depressions in i, avl, v2-v5. stemi protocol was initiated, she was given asa 324mg, heparin started, atorvastatin 80mg x 1, plavix 600 mg x 1, 500cc ns, 0.5 mg ativan, and she was sent to for cardiac catheterization. . cardiac catheterization showed right dominant system with 95% lesions in rca with slow flow, no obstructive disease in lmca, lad, lcx. she underwent bms if rca with temporary pacer placement. during stent deployment became hypotensive to sbp 60's, given atropine 1 mg iv x 2, and bp responded. pacer d/c'd at end of case. . of note her recent history is remarkable for a cough/flu in mid . she then had a precancerous lesion removed and tooth pulled on . subsequent to that she developed loose stools for the next 2 weeks. yesterday she was seen at her gi doctor's office and placed on a brat diet and was prescribed lomotil, which she took at 3pm and 9pm. . 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. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. she has chronic upper back discomfort x 2 months, felt by her to be d/t water aerobics, which comes and goes, not worsening. +urinates frequently. all of the other review of systems were negative. +recent intentional weight loss of 36 pounds in one year. . cardiac review of systems is notable for absence of chest pain currently (see above), dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, palpitations, syncope. past medical history: diverticulitis - no surgeries ibs radical hysterectomy uti's (uretheral narrowing) pna sciatica htn ? chf - per patient, was in in and developed sob and found to have mild chf, 'd/t stress' - prompted stress test which was not optimal per patient, but never but on cardiac meds and never told that she had an mi . cardiac risk factors: hypertension, remote minimal tobacco . cardiac history: stress test in - could not reach capacity d/t obesity social history: social history is significant for the absence of current tobacco use (very occasional 30 yrs ago, 'didn't inhale', 1 pack would last 2 weeks). there is no history of alcohol abuse. there is no immediate family history of premature coronary artery disease or sudden death. maternal uncle died of mi at 47, brother with cad recently in 60s. mother with , father deceased at 92. . family history: social history is significant for the absence of current tobacco use (very occasional 30 yrs ago, 'didn't inhale', 1 pack would last 2 weeks). there is no history of alcohol abuse. there is no immediate family history of premature coronary artery disease or sudden death. maternal uncle died of mi at 47, brother with cad recently in 60s. mother with , father deceased at 92. . physical exam: vs: t 96.4 , bp 143/80 , hr 72 , rr 18, o2 100% on 2l gen: wdwn middle aged male in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. obese. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple without jvd. 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. abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. no femoral bruits bilaterally. fresh blood around groin lines, no hematoma. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp pertinent results: comments: 1. selective coronary angiography in this right dominant system revealed single vessel coronary artery disease. the lmca had no obstructive disease. the lad had no obstructive disease. the lcx had no obstructive disease. the rca had a 95% focal lesion in the mid vessel. 2. left ventriculography was not performed. 3. central aortic pressure was normal at 120/66 (systolic/diastolic in mmhg). 4. successful direct stenting of the mid rca with a 3.0x18mm vision stent which was postdilated to 3.5mm. successful temporary venous pacing wire insertion which was subsequently removed. final angiography revealed 0% residual stenosis, no angiographically apparent dissection and timi 3 flow. the patient left the lab with persistent st elevation but pain free and hemodynamically stable and was transfered to the ccu service for further care. (see ptca comments) final diagnosis: 1. one vessel coronary artery disease. 2. normal ventricular function. 3. acute inferior myocardial infarction, managed by acute ptca. ptca of vessel brief hospital course: 65 y/o f with hypertension and no previous cardiac history presenting with imi. . # cad/ischemia: ekgs showed inferior stemi with reciprocal lateral depressions. cardiac cath consistent with this, showing a 95% mid-rca lesion s/p bms without complications. transient hypotension during deployment of stent that resolved with atropine. st changes persist s/p catheterization, but improved, and patient currently without chest discomfort. - aspirin 325mg daily - plavix 75mg daily for 12 months - atorvastatin 80mg daily - added lopressor 12.5 yesterday, tolerated well - lipid panel shows ldl 91 on statin now . # pump: questionable history of episode of chf, not on cardiac meds for this as an outpatient. currently no signs or symptoms of hf. - tte shows ef 40-45, with inferior, inferolateral and basal inferoseptal hypokinesis - ischemic dysfunction of the posteromedial papillary muscle with posterior leaflet tethering and a jet of moderate (2+) mitral regurgitation - give trial metoprolol 12.5mg today, add ace once patient;s bp tolerates as an outpatient. - i/o show patient autodiuresing, euvolemic, no dyspnea or orthopnea, no furosemide indicated . # rhythm: nsr, bradycardia in setting of imi. no history of arrhythmia. - telemetry shows pvc's, sr - replete k and mg . # htn: on atenolol as outpatient, so presumed htn. - trial metoprolol yest tol. well, add ace as outpatient given low blood pressure. . # chronic back pain - tylenol and codeine prn . # fen: - adat, follow lytes and replete . # prophylaxis: ppi, sq heparin . # dispo - home today, f/u dr/ ( . # code: full, confirmed with patient . # communication: patient. hcp is daughter, medications on admission: atenolol 50mg daily prevacid 30mg daily discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. prevacid 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 5. atenolol 25 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: st elevation myocardial infarction htn cad discharge condition: stable discharge instructions: you were admitted to with an st elevation myocardial infarction. please take your previous medications as prescribed. the following changes has been made to your medications: - please start taking aspirin 325 mg daily for secondary cardiovascular prevention (to prevent another heart attack) - please start taking atorvastatin 80mg daily for your heart and for your cholesterol - please continue taking atenolol but change the dosing to 25mg daily (split the 50mg tablet in half) for your heart and blood pressure (prevents remodelling of the heart) - please start taking clopidogrel (plavix) 75 mg daily to keep stents open - do not take the estrogen patch, this may increase risk of heart attack - you have follow scheduled with dr. on at 130pm if you develop chest pain, jaw pain, or chest pressure with pain radiating into arm, or if you for any reason become concerned about your medical condition please call 911 or present to nearest ed. - we also gave you nitroglycerin tablets to take if you experience chest pain, please call 911 or your doctor if chest pain recurs even if it dissapears with nitroglycerine. **do not stop taking the aspirin or plavix unless instructed to do so by your cardiologist even if another doctor tells you to** we strongly recommend you stop smoking as discussed. followup instructions: , j. on at 130pm of cardiology procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters left heart cardiac catheterization cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders unspecified essential hypertension other specified cardiac dysrhythmias family history of ischemic heart disease acute myocardial infarction of inferoposterior wall, initial episode of care personal history of other diseases of digestive system 

Answer: The patient is high likely exposed to