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 x 5 hours major surgical or invasive procedure: cardiac catheterization history of present illness: 62 y/o woman without significant pmhx, presents as a transfer from after developing persistent 9.5/10 sscp and tightness for 5 hours, with sob, profuse diaphoresis. pt report she initially "felt funny" on sunday (4d pta), with sob and inability to take a deep breath and mild cp. this resolved, and then, on wednesday, pt had pain radiating from right to left across chest. no n/v. she was with cp/tightness on arrival to ed at . on arrival, vitals bp: 240/139 with hr 121, satting ekg showed stemi v2-v6 with hr 126. she received chewable asa (4 of the 81mg), lopressor iv x 2, lipitor 20, bb, plavix 300, heparin gtt, and integrillin gtt. no sl ntg given. trop i 4.05, with ck 506. she was transferred to for cath. ros: had runny nose on sunday, no f/c. no nausea, vomiting. no abdominal pain. no diarrhea/constipation. no swelling in legs bilaterally. no pnd, orthopnea. able to walk "as far as she wants" without difficulty. past medical history: none tonsillectomy while in high school social history: nonsmoker, (tried a few cigarettes in high school), no alcohol, no ivda. is a nun. family history: mother- with dm, sister- with dm, father- with esrd, no family history of heart disease physical exam: vitals: bp: 145/81 p: 75 rr: 25 oxygen sat: 99% on 3l nc pa: 30/16 (22) general: 62 y/o woman breathing comfortably. nad. aox3 heent: perrl, eomi, mmm neck: supple, difficult to assess jvd b/c of lying flat with adipose tissue in neck, but appears to mid-neck, no carotid bruits lungs: ctab cv: rrr 2/6 sem at rusb abd: soft, nt, nd, nabs, no masses, no hsm peripheral ext: 2+ symmetric pulses bilateral dp and pt pulses. trace edema. neuro: no focal deficits. pt is lying flat for post-cath. right groin site: no hematoma, no bruit, no oozing. pertinent results: ekg: (osh) sinus tachy to 122, left axis deviation, nl intervals, with q waves in leads v2-v4 ekg (here): ?atrial rhythm (low right atrial ectopic vs accelerated bundle vs lead placement) leftward axis, absent precordial rwp with q's in all leads and st segment elevation in v2-v6 (without changes in osh ekg), and twi c/w poorly perfused myocardium. . cardiac enzymes peaked at 5am: ck 3389, mb 300, tn 9.47 . cath co/ci: 3.41, 1.95 pcw (m/a/v) 19/22/21 ra (m/a/v) ao (s/d/m) 160/88/101 pa (s/d/m) 32/21/25 rv (s/d/e) 31/5/10 coronary angiography: right dominant lmca: normal lad: proximal occlusion. distal mild disease lcx: non-dominant vessel without lesions rca: dominant vessel without critical lesions intervention: cypher stent to lad with no flow and distal tng/dilt given. final residual was 0% with normal flow. comments: 1. selective coronary angiography showed a right dominant system with one vessel disease. the lmca was without stenoses angiographically. the lad was occluded proximally. the mid and distal lad did not have flow limiting stenoses. the lcx was filling 3 om branches and did not have flow limiting stenoses. the rca was a large dominant vessel without flow limiting stenoses angiographically. 2. limited resting hemodynamics showed mild pulmonary hypertension (pa mean 27 mmhg, on nitro iv). the right sided filling pressures were normal, the left sided filling pressure mildly elevated (pcw mean 19 mmhg). the cardiac output was borderline low (co 3.5 l/min, ci 2.0 l/min/m2). the central aortic pressure was elevated (ao mean 119 mmhg). 3. successful treatment of acute st elevation myocardial infarction with placement of 3.0 x 28 mm cypher drug-eluting stent in the proximal lad. postdilation was with a 3.25 mm balloon. final angiography demonstrated no residual stenosis, no angiographically apparent dissection, and normal flow (see ptca comments). 4. successful placement of 6 french angioseal device in right femoral arteriotomy at the conclusion of the procedure without complications. final diagnosis: 1. one vessel coronary artery disease. 2. mild diastolic dysfunction. 3. mild pulmonary hypertension. 4. successful treatment of proximal lad with drug-eluting stent. 5. successful placement of angioseal in right femoral arteriotomy. . echo ef: 40% conclusions: 1. the left ventricular cavity size is normal. overall left ventricular systolic function is moderately depressed. anterior, distal septal and apical akinesis is present. 2. the mitral valve leaflets are mildly thickened. brief hospital course: impression: 62 y/o woman with no pmh admitted for anterior st segment elevation myocardial infarction status post cardiac catheterizaiton with drug-eluting stent to left anterior descending artery with evidence of persistent st elevation on ekg. no evidence of gross hemodynamic compromise, with good cardiac output, and wedge slightly elevated on cath. 1. cardiac * pt presented with q's on admission to cath lab, and persistent st elevation post-cath. she was started on aspirin, plavix and statin. she was given an integrillin drip for 18 hours post-cath. her cardiac enzymes peaked at 5am: ck 3389, mb 300, tn 9.47. she was started on a beta-blocker, metoprolol, and this was titrated up to maximize blood pressure control. she was also started on an acei post-cath, and will be discharged on lisinopril 10mg po qd. she remained chest-pain free throughout her admission. *pump- the patient had no evidence of chf on exam. she demonstrated good hemodynamics for ami. she received lasix in the cath lab with good diuresis. her echocardiogram post-cath showed an ef of 40% with lv cavity nl size, left ventricular systolic dysfunction moderately depressed with anterior, distal septal, and apical akinesis. she was begun on coumadin 5mg po qd, and also started on lovenox injections for anticoagulation given her anterior, septal and apical akinesis. she was told to have labwork done within a week (and given a rx for this), which will be followed up by her primary care physician, . in clinic. she was discharged with the number to the cardiology clinic, and will make an appt for the first available. * the pt was in normal sinus rhythm on telemetry throughout her stay. daily ekgs were checked. she demonstrated persistent q's and st elevation post-cath. 2. risk factor workup her blood sugars were wnl during this admission. she was started on lipitor. she does not smoke, or drink alcohol. she was advised to limit her salt and fat intake with a cardiac/heart healthy diet. 3. full code medications on admission: none 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:*5* 3. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. warfarin sodium 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 5. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. enoxaparin sodium 80 mg/0.8 ml syringe sig: one (1) 80mg/0.8ml syringe subcutaneous q12h (every 12 hours): call , md clinic to follow up with your inr. . disp:*5 80mg/0.8ml syringe* refills:*2* 7. metoprolol succinate 100 mg tablet sustained release 24hr sig: two (2) tablet sustained release 24hr po daily (daily). disp:*60 tablet sustained release 24hr(s)* refills:*3* discharge disposition: home discharge diagnosis: st segment elevation myocardial infarction status post cardiac catheterization with stent placement discharge condition: stable discharge instructions: if you experience any chest pain, sweating, shortness of breath, please report to the er immediately. please take all of your medications. please follow up with your physicians. see information below. followup instructions: an appointment will be scheduled for you with , md in the clinic on the of building. you will be called tomorrow with the appointment. you will need to follow up with a cardiologist. please call to schedule the first available appointment at . procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery acute myocardial infarction of other anterior wall, initial episode of care 

Answer: The patient is high likely exposed to