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: daypro / shellfish derived / lipitor attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization with rca drug eluting stents x2. history of present illness: 60 y/o f with history of hyperlipidemia presents to the er with chest pain of 3hrs duration, diagnosed with stemi. patient states that she has had several episodes of chest pain over the past three weeks and had been recently admitted to for romi. ms. recently had a nuclear stress that was negative for perfusion defects. this afternoon, patient stated that she had an episode of cp while carrying groceries that was radiating to both arms and was associated with diaphoresis and shortness of breath. she stated that she took an aspirin and took three of ntg ten minutes apart with no relief in cp. she then decided to come to the er when she was diagnosed with stemi. patient had two des placed in rca and was found to have 50% stenosis of left diag. patient's cath was complicated by a small groin hematoma. . on arrival to the floor, patient's vs were 95.6, 58, 119/63, 15, 100% 2l. patient currently denies n, v, d, cp, soa. . past medical history: oa, depression, anxiety, dyslipidemia social history: tobacco history: former smoker family history: father died of pancreatic cancer in his 70s, however, suffered from an mi at the age of 36. mother has a history of cad with multiple mis in the past. physical exam: vs: 95.6, 58, 119/63, 15, 100% general: wdwn in 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: unable to examine for jvd cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. w/ ii/vi sm at llsb, no radiation to carotids. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. unable to auscultate bases for exam. abdomen: soft, ntnd. no hsm or tenderness. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 06:45am blood wbc-6.5 rbc-3.71* hgb-10.9* hct-32.1* mcv-87 mch-29.3 mchc-33.8 rdw-13.4 plt ct-187 06:00pm blood neuts-63.5 lymphs-25.8 monos-6.2 eos-3.4 baso-1.1 05:17am blood pt-12.7 ptt-25.3 inr(pt)-1.1 06:45am blood glucose-89 urean-23* creat-1.0 na-141 k-4.3 cl-105 hco3-32 angap-8 01:38pm blood ck(cpk)-106 01:38pm blood ck-mb-12* mb indx-11.3* ctropnt-0.17* 06:45am blood mg-2.0 05:17am blood triglyc-70 hdl-59 chol/hd-4.9 ldlcalc-218* ldlmeas-199* echo : the left atrium is elongated. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). transmitral and tissue doppler imaging suggests normal diastolic function, and a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. no mitral regurgitation is seen. there is no pericardial effusion. impression: normal global and regional biventricular systolic function. normal diastolic function. cath report not available. brief hospital course: 60 year old female with history of hyperlipidemia presents with inferior stemi. underwent catheterization with 2 drug eluding stents placed in proximal to mid rca. # stemi: patient presented with ekg changes consisted with inferior stemi. she was taken to the cath lab where she was found to have ulcerated plaque in mid rca, subsequently removed and des placed. left diagonal had 50% occulusion in proximal portion, but no stent placed. post cath pt developed a groin hematoma requiring stopping of integrillin. pt was initiated on medical management with asa, plavix, metoprolol, high dose statin and ace inhibitor. post mi echocardiogram showed normal systolic and diastolic function. pt had no furthur complications during her stay, mechanical, arrhythmic or pain related. # anxiety/depression - pt was continued on her home regimen. - continue home medications medications on admission: citalopram 60 mg daily clonazepam 0.5 mg 2-3 times daily nabumetone 750 mg twice daily pantoprazole 20 mg once daily protonix phentamine 37.5. discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily): take day for one year, do not stop taking unless your cardiologist tells you to. . disp:*30 tablet(s)* refills:*11* 3. simvastatin 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 4. citalopram 40 mg tablet sig: 1.5 tablets po once a day. 5. clonazepam 0.5 mg tablet sig: three (3) tablet po three times a day. 6. wellbutrin 75 mg tablet sig: one (1) tablet po twice a day. 7. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). 8. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: st elevation myocardial infarction ef% >55% hyperlipidemia discharge condition: bun=23 creat=1.0 k=4.3 hct=32.1 discharge instructions: you had a heart attack on the inferior wall of your heart. your heart function is normal according to the echocardiogram. your blood pressure was slightly low here, likely because of the heart attack. you were started on the following new medicines: 1. metoprolol: to lower your heart rate and prevent another heart attack. 2. clopodigrel: to prevent the stents from clotting off, do not miss or stop this medicine for at least one year. 3. lisinopril: to help your heart beat stronger. also lowers blood pressure. 4. aspirin: to prevent blood clots and another heart attack. 5. simvastatin: to lower your cholesterol. 6. stop taking nabumetone, take tylenol instead. . please follow a high fiber, low fat diet with lots of fruit and vegetables as discussed. . please call dr. if you have any further chest pain, unusual swelling, trouble breathing, bleeding or nausea/vomiting. . please go to cardiac rehab after seeing dr. . followup instructions: primary care: provider: , md phone: date/time: 12:30 cardiology: provider: , md phone: date/time: at 2:20pm. procedure: coronary arteriography using two catheters left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery dysthymic disorder other and unspecified hyperlipidemia acute myocardial infarction of other inferior wall, initial episode of care osteoarthrosis, unspecified whether generalized or localized, site unspecified 

Answer: The patient is high likely exposed to