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: sob and chest pressure major surgical or invasive procedure: cardiac catheterization with cypher stenting of the proximal rca history of present illness: pt is an 80 y.o. female h/o htn, niddm, hypercholeserolemia presented to bidcm from hospital er where she originally presented with c/o of chest pressure and sob. she developed sob and chest pressure across her upper chest after walking into the grocery store from the parking lot. this occurred just prior to 10 am. shopped for 30 mins, went home, began to have ache in bilateral shoulders and was dripping in sweat. denies n/v, lightheadedness, abd pain or syncope. called 911, was given 4 baby asa en route to er. at er (10:37 am) ekg showed elevation in leads ii,iii avf. , depressions in i and avl and twi in v2-v3. she was immediately transferred to (11:57) for cath. prior to arrival she received asa 325 mg, morphine 2 mg ivx2, ntg gtt that was dc'd in med flight shortly after it was started, heparin bolus and drip. cath report: lmca: no angiographically apparent cad lad: tortuous vessel with 30% stenosis in d1 lcx: tortuous vessel with only mild luminal irregularities rca: large ectatic vessel with thrombotic 95% lesion in the proximal vessel 105 contrast co/ci: 6.87/3.51 pcwp mean 19 ra mean 13 ao: 156/66 pa: 44/26 rv: 44/9 atropine b/c bradycardic post reperfusion, received integrilin, heparin, nitroprusside, plavix . arrived on floor, plts were low so integrellin stopped. plts stable throughout day. past medical history: pmh: cva- , holter after was negative, no hx of stress test, echo niddm dx , high cholesterol bleeding gastric ulcer, last bleed yrs ago primary biliary cirrhosis dx in 80s htn oa hip replacement bilateral knee replacement tonsillectomy ankle fracture d&c social history: no smoking, minimal etoh hx, no drugs lives alone, functional and still drives, one daughter lives close by family history: non-contributory physical exam: vs t 96.0 bp 148/71 rr20 o2 98% gen: pleasant 80 yo female, a&ox3, nad heent: anicteric sclera, perioral skin appears darker than rest of face neck: supple, 8 cm jvp, no carotid bruits cardio: reg rate, nl s1s2 pulm: cta bilaterally abd: soft, nt, nd with +bs ext: lle cool, rle warm with good pulse pressure bandage in place in right groin no edema pertinent results: 02:07pm blood wbc-9.3 rbc-4.02* hgb-12.5 hct-36.8 mcv-91 mch-31.1 mchc-34.0 rdw-13.6 plt ct-110* 10:20pm blood hct-34.4* 06:35am blood wbc-12.3* rbc-4.14* hgb-12.4 hct-37.3 mcv-90 mch-30.0 mchc-33.2 rdw-13.6 plt ct-143* 06:55am blood wbc-7.1 rbc-3.69* hgb-11.3* hct-32.8* mcv-89 mch-30.8 mchc-34.6 rdw-13.2 plt ct-109* 02:05pm blood plt ct-150 02:07pm blood plt ct-110* 03:24am blood plt ct-125* 06:35am blood plt ct-143* 06:55am blood plt ct-109* 06:35am blood pt-13.0 ptt-24.2 inr(pt)-1.1 06:55am blood pt-13.0 ptt-24.6 inr(pt)-1.1 02:07pm blood glucose-194* urean-18 creat-0.9 na-142 k-4.3 cl-111* hco3-21* angap-14 10:20pm blood glucose-152* urean-17 creat-1.1 na-140 k-3.9 cl-107 hco3-25 angap-12 06:55am blood glucose-118* urean-16 creat-1.1 na-141 k-4.0 cl-106 hco3-25 angap-14 02:07pm blood alt-2 ast-15 ld(ldh)-198 ck(cpk)-182* alkphos-32* amylase-89 totbili-0.4 10:23pm blood ck(cpk)-358* 03:24am blood ck(cpk)-285* 02:07pm blood ck-mb-26* mb indx-14.3* ctropnt-0.76* 03:24am blood ck-mb-43* mb indx-15.1* ctropnt-2.51* 02:07pm blood albumin-1.8* calcium-9.5 phos-3.4 mg-1.4* cholest-134 06:55am blood calcium-10.0 phos-3.3 mg-1.7 02:07pm blood hdl-47 chol/hd-2.9 ldlmeas-82 03:24am blood triglyc-140 hdl-40 chol/hd-3.2 ldlcalc-61 12:37pm blood type-art po2-94 pco2-50* ph-7.25* calhco3-23 base xs--5 cardiac catherization: 1. selective angiography of this right dominant system revealed single (1) vessel coronary artery disease. specifically the proximal rca demonstrated a 95-100% thrombotic occlusion with severe limitiation in flow distal to the occlusion. the left main demonstrated no angiographic evidence of any flow limiting disease. the lad was a very tortuous vessel with a 30% stenosis in d1 - timi iii flow throughout the vessel. the lcx demonstrated only mild luminal irregularities. 2. limited resting hemodynamics demonstrated elevated right and mildly elevated left filling pressures (ra mean 13; rvedp 15; pcwp 19. the cardiac output/index was 6.8/3.3 using the fick method. 3. lv ventriculography was not performed. 4. successful senting of the rca with a 3.5 mm cypher drug-eluting stent, which was post-dilated to 4.5 mm. final angiography showed no residual stenosis, no dissection and normal flow (see ptca comments). final diagnosis: 1. one vessel coronary artery disease. 2. successful senting of the rca. echocardiogram: 1. the left atrium is mildly dilated. a small secundum atrial septal defect (asd) is present. 2.there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50-55%). 3. right ventricular chamber size is normal. right ventricular systolic function is normal. 4.the aortic root is moderately dilated. 5. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. 6.the mitral valve leaflets are mildly thickened. trace mitral regurgitation seen. 7.the estimated pulmonary artery systolic pressure is normal. 8. there is no pericardial effusion. brief hospital course: 80 yo female with h/o htn, hyperlipidemia and niddm s/p imi with stent to proximal rca . 1. st elevation inferior mi s/p cypher stenting proximal rca: pt had imi enzymes trended down but had some residual st elevation persisting post cypher stent placement in proximal rca. post-cath course was otherwise uncomplicated and patient received aspirin, plavix, metoprolol, and integrilin drip, which was discontinued as platelets dropped. an ace-i was not started at admission as her creatinine had been slightly increased and it was unclear whether or not there was a contraindication from past use. her pcp was and said that this could be started as her creatinine was stable at 1.1 and she did not have problems with this in the past. she was started on lisinopril 5 mg po qday on the day of discharge and will have her electrolytes checked within the next few days by her pcp or at rehab. she was told to stop he aldactone and continue plavix, aspirin, lipitor (now at 80 mg) and metoprolol. her echocardiogram on the day before discharge showed low normal ef (50-55%), mild symmetric lvh, estimated pulmonary artery pressurewas normal, 1+ ar, trace mr. she will follow up with her new cardiologist dr. 2 weeks. 2. pump: patient had no jvp or other evidence of fluid overload on exam. her echocardiogram on day before discharge showed ef of 50-55%. she will continue the medications listed above and follow with her cardiologist on 2 weeks. . 3. rhythm: patient in nsr on day of discharge and had no events on telemetry. 4. thrombocytopenia: platelets have been low in the past and decreased to 110 which may have been secondary to integrilin or heparin which were discontinued. platlets were 109 on day of discharge but there is no evidence of active bleeding. she will have her hematocrit and platelets re-checked in the next few days along with her electrolytes and these will be followed by her pcp on an outpatient basis. 5.htn: pt was on spirinolactone at home and pressures were elevated while in house. she was started on metoprolol, norvasc and her spironolactone was discontinued. her metoprolol was titrated up to 100 mg xl qday and she was started on lisinopril 5 mg q day on the day of discharge which she tolerated well. she will have her electrolytes checked in the next few days and will follow up with her pcp. 6. diabetes: patient recently dx with dm. she was on metformin at home which was discontinued on admission and she was put on an insulin sliding scale. her glucose was well controlled while in house with finger sticks 110's-140's. she was discharged on metformin and will follow up with her pcp. . 7. primary biliary cirrhosis: lfts were checked b/c increasing lipitor dose. lfts were normal except slightly elevated alk phos. she will continue her ursodiol at her current home dose at discharge. . 8. h/o bleeding ulcer: treated yrs ago, no episodes since or while in house and stools were guaiac negative. hemtocrit stable. is on prilosec at home and she will continue this at discharge and follow with her pcp. medications on admission: metformin 100 mg po bid glyburide ursodiol 100 mg po bid (but patient thinks she may ahve written down the incorrect dose) aldactone prilosec otc ?? ecotrin 325 mg lipitor 10 mg po qday discharge disposition: extended care facility: hospital - discharge diagnosis: st elevation inferior mi discharge condition: chest pain resolved, blood pressure stable discharge instructions: if you have chest pain, shortness of breath, dizziness, palpitations of any other concerning symptoms call you doctor or come to the emergency room. the following changes have been made to your medications: 1. do not take your aldactone 2. do not take you klor 3. your new medications for your blood pressure are: 1.lisinopril 5 mg once daily 2.metoprolol xl 100 mg once daily 4. you may restart your metformin 500 mg twice a day when you are discharged from the hospital and make sure you check your fingersticks 4 time per day 5. you can restart your prilosec otc 6. you can restart your ursodiol 300 mg twice per day 7. your lipitor dose has been increased from 10 mg to 80 mg once per day. 8. you have been started on plavix 75 mg daily. it is important that you remember to take this medication each day. followup instructions: please schedule an appointment with your primary doctor as soon as you are discharged from rehab. you will need to have your blood electrolytes checked in the next 3 days while you are at rehab as you have been started on a new blood pressue medicine(lisinopril). please make an appointment with a cardiologist within the next 2 weeks. we recommend of . procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of drug-eluting coronary artery stent(s) diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute myocardial infarction of other inferior wall, initial episode of care biliary cirrhosis 

Answer: The patient is high likely exposed to