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: history of present illness: ms. is a 56-year-old female with known coronary artery disease, status post right coronary artery stent four days ago, transferred from outside hospital for catheterization to rule out acute stent thrombosis. she was urgently admitted to hospital on , after presenting to primary care provider's office for routine physical exam with complaints of left scapular pain. she had reported to her primary care provider that she had been having this dull steady pain behind her left scapula radiating to her left shoulder and arm x two days. the pain was not associated with shortness of breath, nausea, diaphoresis. it was not related to position or activity except for some improvement at times with movement of neck or rubbing the arm. when she told her primary care provider of these symptoms during her routine annual physical exam, an electrocardiogram was done which revealed changes consistent with an inferior myocardial infarction (q waves in the inferior leads and t wave inversions that were different from prior electrocardiogram in by report). he gave the patient sublingual nitroglycerin x 4 with some relief of pain and the patient was admitted to hospital and later transferred to where she underwent cardiac catheterization that revealed total occlusion of the mid right coronary artery that was stented x two with good results. the patient had cks, mbs and troponins all negative during this previous hospitalization. she had an uncomplicated hospital course and was discharged home on the 31. she was doing well until the evening of when she again began experiencing left subscapular pain following dinner. this pain continued overnight and into the morning so the patient called her primary care provider on and was told to take sublingual nitroglycerin. when she took two sublingual nitroglycerin, within five minutes she experienced some relief, but upon taking the second sublingual nitroglycerin became lightheaded and passed out while seated in chair. the patient regained consciousness and was pain-free, but because of prior symptoms and now syncope, her husband called ambulance. the patient was taken to emergency department and was admitted to rule out myocardial infarction. electrocardiogram showed inferior q waves, reportedly unchanged from prior, and cardiac enzymes were initially negative. a myocardial viability scan was done at hospital and reportedly revealed no viability in the inferior wall. the patient was pain-free for some time at hospital, but then at 7:00 pm on again began experiencing left shoulder pain. she was given some intravenous fluid boluses of normal saline and sublingual nitroglycerin with resultant drop in her blood pressure from a systolic of 90 to 80, but no significant improvement in left shoulder pain. because of concern over possible acute right coronary artery stent thrombosis, the patient was anticoagulated with heparin and started on intravenous integrelin and then transferred to for cardiac catheterization. cardiac catheterization was performed at upon arrival and revealed patent right coronary artery stents and on preliminary review of catheterization films, no significant change in coronary anatomy from study four days prior. femoral artery sheath was pulled in the catheterization laboratory and the patient was angio-sealed and was then sent to coronary care unit for monitoring. angio-seal was discontinued soon after arrival to coronary care unit. the patient complained of mild back pain mostly in the lower back for which she was given tylenol #3. otherwise, she currently was without complaints. denied shortness of breath, chest pain, shoulder pain, arm pain, nausea, vomiting, diaphoresis, lightheadedness. past medical history: 1) coronary artery disease, status post inferior myocardial infarction in the past (exact date unknown), status post percutaneous transluminal coronary angioplasty and stenting of totally occluded right coronary artery, 2) status post right knee surgery, 3) hypercholesterolemia, 4) peripheral vascular disease, status post right lower extremity bypass operation with ongoing bilateral lower extremity claudication, 5) chronic obstructive pulmonary disease. medications: 1) lopressor 50 mg po bid, 2) lipitor 10 mg po qd, 3) lisinopril 10 mg po qd, 4) plavix 75 mg po qd, 5) aspirin 325 mg po qd, 6) sublingual nitroglycerin prn chest pain. allergies: no known drug allergies. review of systems: significant for bilateral lower extremity claudication, worse over the past couple of years. no orthopnea, dyspnea on exertion, fever, chills, cough, nausea, lightheadedness, palpitations. the patient denies having episodes of left shoulder pain prior to . she does report an episode of shortness of breath on for which she was seen at emergency department, reportedly had an unremarkable electrocardiogram, was thought to have anxiety-related shortness of breath. discharged home. reported feeling ill for the next seven to eight days. the patient suspects that this is when she had her myocardial infarction. family history: significant for myocardial infarction in father who died at age 41, aunt died at age 36, and sudden death in uncle at age 21 of unclear etiology. social history: married, four children. works part-time in customer service. smoker - 1.5 packs per day x four years. social alcohol. denies illicit drugs. physical exam: this is a pleasant female, in no acute distress, laying flat in bed. her heart rate has been in the 60s outside the hospital, respiratory rate 16, blood pressure anywhere from 92-109/60-70. co2 99% on room air. head, eyes, ears, nose and throat exam reveals moist mucous membranes. no evidence of jugulovenous distention. chest is clear to auscultation anteriorly. heart regular rate and rhythm with ii/vi systolic murmur best heard at left upper and lower sternal borders without radiation. abdomen soft, nontender, nondistended, no palpable masses. extremities - no clubbing, cyanosis or edema, 2+ dorsalis pedis and posterior tibial and radial pulses bilaterally. labs: at outside hospital the only white count is 7.7, hematocrit 35.5, platelets 254, mcv 85, sodium 142, potassium 4.1, chloride 106, bicarb 24, bun 15, creatinine 0.8, glucose 103, calcium 9.6. electrocardiogram shows q waves in iii and avf, question of less than 1 mm st segment elevation in lead iii and t wave inversions in ii, iii, avf, v4 through v6. no old electrocardiograms available for comparison. cardiac catheterization preliminary results reveal right coronary artery 40% proximal, normal mid with patent stents and diffuse distal occlusion, acute marginal shows discrete 70%, right posterior descending artery shows diffuse disease, right posterolateral shows diffuse disease, proximal circumflex shows discrete 40%, normal left main with diffuse disease in the proximal and mid left anterior descending and d1 and d2 in the mid to distal circumflex, and in om1, om2 and om3. she has a right dominant system. summary of hospital course: the patient was admitted to the coronary care unit and monitored overnight. because of recent hypotension was placed on a lower than usual dose of lopressor at 25 mg po bid. she was continued all of her other previous medications and given intravenous fluids at 75 cc/h overnight. given dye load of 70 cc in catheterization. she had no major events overnight and in the morning was without complaints. had not had any further left shoulder pain since receiving tylenol #3 the night before. exam was largely unchanged. groin site exam was benign. morning cpk was 29. the patient was felt to be stable for discharge home. the patient will be discharged home with follow-up with dr. , the patient's cardiologist in , in four days. the patient will continue previous medical regimen for coronary artery disease. discharge medications: 1) lipitor 10 mg po qd, 2) lopressor 50 mg po bid, 3) lisinopril 10 mg po qd, 4) plavix 75 mg po qd x 1 month, 5) aspirin 325 mg po qd, 6) sublingual nitroglycerin prn chest pain as directed. the patient was advised to lay down before taking sublingual nitroglycerin in the future. the patient was also given a prescription for tylenol #3 1 tablet po q 4-6 h prn musculoskeletal shoulder pain, dispensed 15, with no refill. discharge condition: stable. discharge diagnoses: 1) left shoulder pain, ruled out acute stent thrombosis by catheterization, 2) known coronary artery disease with no significant change in coronary anatomy and patent right coronary artery stent, status post cardiac catheterization , 3) hypercholesterolemia, 4) peripheral vascular disease, 5) questionable history of chronic obstructive pulmonary disease, 6) history of right knee surgery. , m.d. dictated by: medquist36 d: 14:23 t: 05:17 job#: procedure: coronary arteriography using two catheters left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery percutaneous transluminal coronary angioplasty status other chest pain 

Answer: The patient is high likely exposed to