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: lisinopril attending: chief complaint: stemi major surgical or invasive procedure: cad s/p 2 cardiac catheterizations with stents to lcx, rca, lad history of present illness: 59 yo f with pmh of htn who developed l sided sharp chest pain on saturday morning. she also complained of bilateral arm pain with numbness and tingling, orthopnea, sob. the sob and pain got worse with exertion (walking around). she thought it was from the heat, but went inside and laid down, without relief of her sx. she tried ultram with no benefit. on sunday evening the pain continued and she called an ambulance at 3:30am monday morning. no nausea, vomiting. in the ed she was found to be hypertensive to 200/ depressions in ii, iii, avf, v4, v5. she got a cta which was negative. she was started on nitro gtt, asa, hydralazine. she then developed 1-2 mm ste in ii, iii, avf and std in v2-v4. she was started on integrillin, plavix and taken to cath lab where she had 80%lad after d1, lcx 90% prox stenosis, rca 90% ulcerated prximal stenosis, 50% before pda. stents were placed in rca and lcx. plan for pci of lad in 48 hours. she was transferred to the ccu with bradycardia in the 50's, nausea and hypertension. she was started on nipride upon arrival to ccu. * also says that she can walk 1.5 blocks, then becomes fatigued, with leg cramping. this has been going on for 10 years. she says she stops, then rests, then can walk another 1.5 blocks. this occurs on stair climbing as well. past medical history: hypertension degenerative spine social history: lives alone, no children, smokes 2 ppd for many years, no etoh, no drugs family history: mgm with cad dm physical exam: vitals: t 96.6 bp 170/85 (170-200-85-105) hr 54-60 r 16 sat 100% 2l * pe: g: nad heent: clear op, mmm neck: no lad, no jvd. no carotid bruits. lungs: cta cardiac: rrr, nl s1s2. no murmurs abd: soft, nt, nd. nl bs. no hsm. with groin bruits bilaterally. ext: no edema. 2+ dp pulses bl. neuro: a&ox3. appropriate. pertinent results: rad: cta - no pe, coronary artery calcif. * ekg: initial: sr, rate 66, nl axis, nl int, std in ii, iii, avf, v4, v5 subsequent: sr, rate 66, nl axis, nl int, 1-2mm ste in ii, iii, avf; std in v2-v4 with biphasic tw in v2-v4. * ce peaked: 2am ck 125, with tnt 0.14 . cardiac cath comments: 1. selective coronary angiography demonstrated three vessel coronary artery disease in this right dominant circulation. the lmca was without angiographically apparent flow limiting disease. the lad had moderate proximal calcifications. there was an 80% stenosis after the d1. the distal lad, d1 and d2 were without flow limiting disease. the lcx had a 90% proximal stenosis after a high om1 branch. om2 through om4 were small vessels without flow limiting disease. the rca had a 90% proximal ulcerated stenosis. there was 50% stenosis in the distal rca before the pda branch. 2. limited resting hemodynamics demonstrated severe systemic arterial hypertension (210/99). cardiac output and index were preserved at 4.0 l/min and 2.2 l/min/m2 respectively. 3. no left ventriculogram was performed in order to reduce contrast load. 4. successful ptca and stenting of the proximal rca with overlapping 2.5 x 8 mm and 2.5 x 28 mm cypher otw des. final angiography revealed no residual stenosis in the stented segment of the rca, no apparent dissection, and normal epicardial flow (see ptca comments). 5. successful direct stenting of the proximal lcx with a 3.0 x 13 mm cypher des. final angiography revealed no residual stenosis in the stented segment of the lcx, no apparent dissection, and normal epicardial flow (see ptca comments). final diagnosis: 1. three vessel coronary artery disease. 2. acute inferior mi managed by ptca and placement of 2 drug-eluting stents in the rca and placement of 1 drug-eluting stent in the lcx. 3. severe systemic arterial hypertension. . cardiac cath comments: 1. selective coronary angiography revealed angiographically significant 1 vessel disease. the lmca was free of angiographically significant stenoses. the lad had a tubular 80% stenosis in the mid vessel. the lcx was a nondominant vessel with a widely patent stent and moderate diffuse disease in om3. the rca was a dominant vessel with a widely patent stent. 2. liited resting hemodynamics revealed moderate systemic systolic hypertension (171 mmhg). 3. successful ptca and stenting of the mid lad with a 3.0 x 28 mm cypher des. final angiography revealed no residual stenosis, no apparent dissection, and normal flow (see ptca comments). 4. successful closure of the left common femoral arteriotomy with an 8 french angioseal device. final diagnosis: 1. one vessel coronary artery disease. 2. successful placement of a drug-eluting stent in the lad. 3. successful angioseal. . echocardiogram ef>60% conclusions: the left atrium is mildly dilated. a left-to-right shunt across the interatrial septum is seen at rest c/w a small secundum atrial septal defect (asd). left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. impression: preserved global and regional biventricular systolic function. mild-moderate mitral regurgitation. small secundum type atrial septal defect. based on aha endocarditis prophylaxis recommendations, the echo findings indicate a low risk (prophylaxis not recommended). clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. . brief hospital course: 59 yo f with stemi status post cardiac catheterization on with three vessel coronary artery disease, and acute inferior mi managed by ptca and placement of 2 drug-eluting stents in the rca and placement of 1 drug-eluting stent in the lcx. she is also status post cardiac cath on with stent to lad. her hospital course was complicated by angioedema presumably secondary to an ace inhibitor (captopril), which was discontinued, and her angioedema managed with iv solumedrol transitioned to prednisone taper with benadryl as needed. she also has systemic hypertension, complicated by medication non-compliance secondary to fear/anxiety concerning the angioedema side effect. . 1. st semgent elevation myocardial infarction: the pt is status post inferior myocardial infarction with cardiac cath showing 3 vessel disease, taken for stents to lcx and 2 stents to rca on , then taken back to cath lab on for stenting of lad. she was given integrillin for 18 hours post-each catheterization. she was started on asa, plavix, and a statin. all blood pressure meds were held in light of new angioedema, including lisinopril 10mg po qd, hctz 25mg po qd, coreg to 25po . after her angioedema started to improve, coreg was re-introduced, and she was placed back on hctz as well. she refused these medications when they were re-introduced. the risks of uncontrolled hypertension were explained to the patient. she adamantly refused the these medications at first, but two days before discharge, agreed to take her coreg, with her blood pressure decreasing from 180/70s to 160/70s. at discharge, her blood pressure was 160s/70s-80s on coreg. she was given prescriptions for hctz, coreg, and isosorbide mononitrate. the decision was left to the patient as to whether she would take her medications, as she is competent to make decisions regarding her care. her echocardiogram post-caths demonstrated an ef of >60%, with preserved global and regional biventricular systolic function, mild-moderate mitral regurgitation, and a small secundum type atrial septal defect. she was monitored on telemetry throughout her stay. . # angioedema- most likely secondary to the ace inhibitor captopril that we started her on post-catheterization for blood pressure control. her blood pressure is 180s-200/80s-100 off medication. all blood pressure meds were discontinued immediately after the angioedema developed. at no time did she ever have airway compromise. her lungs were without wheezes, or stridor. she did not have any throat swelling or difficulty breathing. her oxygen sats were between 97-100% throughout her stay. she received 60mg prednisone x 2 over 32 hours, which was subsequently increased to iv solumedrol per allergy attending recommendations. she received benadryl and pepcid as well, iv q6 hours, then tapered. her angioedema mainly involved swelling of the lips and periorbital areas, with gradual resolution over 4 days. per allergy and immunology consult, she is to be discharged on a prednisone po taper over 1 week, with over the counter benadryl. i spoke with her primary care physician, . , who was notified of the angioedema and her uncontrolled hypertension with refusal to take all of her blood pressure meds. he said for her to call his office upon discharge, and he will see her within the week. this was conveyed to the patient. it was documented in the computer that she is allergic to captopril. . 2. hypertension: the pt was initially started on iv nipride post-cath which was discontinued and she was changed to po meds. she was persistently hypertensive this admission, complicated by her refusal to take her medications, as documented above. also this admission was complicated by angioedema, presumably secondary to ace inhibitor captopril. she was explained the side effects of having high blood pressure. she was given information pamphlets on all of her medications. her pcp was notified of her noncompliance, and he will see her this week to adjust her medications/stress compliance. . 3. back pain: the pt has a history of low back pain secondary to degenerative joint ds/slipped disc in her lower spine. she was given ultram prn, which controlled her pain well. this was exacerbated likely by her lying flat for several hours each time she went for cardiac catheterization. at discharge, she was not complaining of low back pain. * 4. smoking: we stressed the importance of quitting, and started her on wellbutrin. she was caught smoking in her bathroom by her rn. the rn explained to her that the hospital is a no-smoking area, and that she should not smoke. she was immediately seen by a physician, started on nicotine patch, however, she would not hand over her cigarettes and refused to quit, so the nicotine patch was discontinued for fear of her wearing both the patch and continuing to smoke. she was encouraged to quit on several occasions by both rn staff and physicians during this admission. . 5. code: full code discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*6* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) for 30 days. disp:*30 tablet(s)* refills:*9* 3. bupropion 150 mg tablet sustained release sig: one (1) tablet sustained release po twice a day. disp:*60 tablet sustained release(s)* refills:*6* 4. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*6* 5. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*6* 6. isosorbide mononitrate 60 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*6* 7. carvedilol 12.5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*6* 8. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 9. prednisone 20 mg tablet sig: four (4) tablet po daily (daily): take four tabs per day on . take 3 tabs per day on . take 2 tabs per day on . take 1 tab qd on then stop. . disp:*20 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: 1. stemi 2. cad s/p cardiac catheterization with stents to lcx, rca, lad 3. hypertension 4. chronic low back pain discharge condition: good discharge instructions: take all medications as prescribed. it is imperative that you continue the plavix, otherwise your stents may clot. return to the er for chest pain, shortness of breath or other concerning symptoms. please follow up with all of your physicians. please take all of your medications. followup instructions: 1. follow up with dr. within 1 week. you will need to call his office as soon as possible. his number is: . 2. follow up with dr. (cardiology). please call his office as soon as possible. his number is: (. procedure: injection or infusion of platelet inhibitor injection or infusion of platelet inhibitor left heart cardiac catheterization left heart cardiac catheterization coronary arteriography using a single catheter coronary arteriography using a single catheter angiocardiography of right heart structures angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders unspecified essential hypertension ostium secundum type atrial septal defect acute myocardial infarction of other inferior wall, initial episode of care angioneurotic edema, not elsewhere classified other and unspecified agents primarily affecting the cardiovascular system causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to