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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain, vomiting major surgical or invasive procedure: cardiac catheterization with stent placement history of present illness: 39f with dmi x 9 years, htn, no known cad, presented to ed with few episodes nausea and vomiting, and subsequent chest and left arm tightness. she noticed her blood glucose was very high and not responding to insulin for the past 24 hours. she began feeling nauseous and started vomiting early this afternoon. at around 2pm, she developed chest tightness, radiating to her l arm. she was brought in by ambulance to and was found to be in dka (hco3 12, ag 20) and was started on an insulin gtt. her ekg at 4:50pm showed large ste in v4-v6 with smaller ste in v2-3, i, and avl. she received asa 325mg, plavix 600mg, heparin, and integrilin. she was then transferred to for emergent cath. . cath revealed an ulcerated plaque in the prox-mid lad with distal emboli. she got a bare metal stent to her mid-lad lesion. hemodynamics revealed normal r and l filling pressures and a ci of 3.2. ekg postcath had persistent large ste in v4-5, smaller ste in v6, i, ii, and avl. she was admitted to the ccu for further monitoring. . upon arrival to the ccu, her fs was 230s and she was continued on insulin gtt. she complained of an ache in her l arm. she denied chest pain/tightness, sob, n/v, lightheadedness. vitals were stable and ekg showed further improvement in her stes. her l arm achiness resolved with sl ntg x 2. past medical history: - dm, type i: dx 9y ago, on insulin pump, no known complications, states hga1c has been 8.4 x 1y, followed at - htn: reports spbs in high 130s, on quinapril - major depressive disorder: on bupropion and trileptal - cervical disc herniation: c5-6, moderate spinal stenosis, stable - vitamin b12 deficiency: monthly injections social history: married, 2 children, works at , exercises daily, denies tobacco and drugs family history: no heart disease or dm physical exam: vitals- t 97.0, hr 80, bp 154/83, rr 14, o2sat 100% 2lnc general- young woman lying flat in bed, nad, flat affect heent- sclerae anicteric, moist mm, op clear neck- no jvd, no carotid bruits lungs- ctab anteriorly heart- rrr, 2/6 sem heard throughout abd- soft, nt, nd, nabs ext- no le edema, dp/pt pulses 2+ b/l pertinent results: osh ecg: nsr at 86, 6-8 mm ste in v4-6, 1 mm ste in v2-3/i/l/ii, twi v1 ecg p cath: nsr at 76, 4 mm ste in v5-6, <1mm ste i/l/ii, twi v1 ecg in ccu: nsr at 85, persistent 1 mm stes v4-6. ecg at discharge: persistent 1 mm stes v4-6. . cath: 50% ulcerated prox-lad with distal thrombus, lv apical segment occluded; no rca disease. s/p bare metal stent to prox-lad. . echo (): la is normal in size. lv wall thicknesses normal. lv cavity size normal. mild regional lv systolic dysfunction. there is probable mild regional lv systolic dysfunction with a small area of focal septal apical hypokinesis. tissue velocity imaging demonstrates an e/e' <8 suggesting normal lv filling pressure. rv chamber size and free wall motion are normal. (there is an area of outpouching in the distal rv wall (just proximal to the apex) without any definite associated wall motion abnormality; this may represent a normal variant.) the aortic root is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. . echo (): unchanged compared with prior study except focal dyskinesis involving the very distal apex is now present. . chest x ray: no acute process . glucose: initially in 200s but trended down. . bicarbonate: initially 14 with anion gap but corrected to normal within 12 hours on insulin drip. . peak ck 1063; peak tropt 2.24. brief hospital course: a/p: 39f with diabetes mellitus type 1 x 9 years and mild htn who presented to with nausea, vomiting, and chest discomfort, found to be in diabetic ketoacidosis and to have large lateral st elevations on ecg. brought emergently to cath lab s/p stent to mid-lad. stemi with peak ck 1063. . # cad: admitted with an st elevation myocardial infarction, s/p bare metal stent to mid-lad. risk factors include suboptimally managed dm1 x 9 years (hba1c in mid-8% range), mild htn, mild hyperlipidemia with (ldl 108, tg ~90, hdl ~70 in ). no tobacco, no family hx early mi. peak ck 1063. echo on revealed preserved ejection fraction and no anterior wall dyskinesis. st elevations slowly improved post-cath but persisted even at discharge. repeat echo on revealed small area of dyskinesis at distal apex, which likely accounts for patient's persistent st changes. initially with occasional pvcs on telemetry, likely from reperfusion. patient was started and continued on asa, plavix, atorvastatin, and beta blocker (metoprolol then atenolol). pt was on integrilin x 18h peri-cath. patient's ace-i (quinapril) was increased to 10 daily. plan outpatient follow-up with dr. (since patient lives in ). . # diabetic ketoacidosis: pt initially with fs glucose in 300-400 range at , with low bicarbonate, and anion gap, all consistent with dka. pt was continued on an insulin drip which was slowly weaned as her glucose and bicarbonate improved. pt was also supported with iv fluids and potassium repletion as needed. pt was then transitioned to her insulin pump. was consulted (because she is followed at as an outpatient). precipitant of pt's dka was likely her acute myocardial infarction. basic infectious work-up was normal, including chest x-ray and urinalysis. no other localizing symptoms. plan close follow-up. . # htn: ace-i and beta blocker were titrated to good bp control. . # history of depression: clinically stable. continued on outpatient wellbutrin and trileptal. . # fen: maintained on a cardiac, diabetic diet. electrolytes were repleted as needed. . # prophylaxis: pt was maintained on sc heparin for dvt prophylaxis and was eating well so was not on ppi. . # code status: full code. medications on admission: insulin (novalog, pump) quinapril 5mg qd wellbutrin 150mg trileptal 300mg qd vitamin b12 im qmonth discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. quinapril 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed): take 1 tab for chest pain every 15 minutes x 3. after the 3rd tab, seek medical attention immediately. disp:*qs tablet, sublingual(s)* refills:*2* 5. bupropion 75 mg tablet sig: two (2) tablet po bid (2 times a day). 6. oxcarbazepine 300 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 7. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. atenolol 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 9. insulin pump: using as directed by doctor. discharge disposition: home discharge diagnosis: st elevation mi diabetic ketoacidosis hypertension discharge condition: good discharge instructions: please take all of your medications as prescribed. if you experience chest pain, shortness of breath, vomiting, or other concerning symptoms, please call your doctor or go to the er. followup instructions: 1) cardiology: dr. , at 9:45am, 148 chestnut, (. 2) please call your pcp, . (, to schedule a follow up within the next 1-2 weeks. if you are looking for a new pcp who is located closer to you, dr. ( works in . 3) : please call dr. to schedule a follow-up appointment. procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor 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 unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care other b-complex deficiencies major depressive affective disorder, single episode, unspecified diabetes with ketoacidosis, type i [juvenile type], not stated as uncontrolled examination of participant in clinical trial painful respiration insulin pump status eating disorder, unspecified 

Answer: The patient is high likely exposed to