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: inferior myocardial infarction major surgical or invasive procedure: cardiac catheterization and coronary stent placement history of present illness: this is a 62 yo f with h/o htn, obesity, and angina x 10 yrs who presented to an osh with gradual onset of ss and l ant chest pain x 9hrs. the pain started on the morning of admission and the patient arrived in the er at ~11pm. she denied nausea, vomiting, or dyspnea. at the osh the patient's bp 230/117 p 100. her ekg showed st elevation ii, iii, avf with recipricol dep v2-v6. she received plavix 600mg and asa 325 mg. metoprolol 5mg iv and nitro gtt. the patient was transferred to for ccath. her ekg showed 2- elevations in ii,iii, avf, v5, v6 and st depressions in i and avl. right sided v4 lead showed st elevation in v4 with q waves, consistent with rv involvement. the patient went into vfib arrest in the er, was intubated and had pea arrest with cpr for approx 5 min, was transported to the ccath lab with a dopamine gtt. they found an occluded pda with ulcers in proximal and mid rca. the pda underwent poba with 30% residual stenosis. cypher stents (3.5 x 28 and 3.5 x 23) were placed in the proximal and mid rca with 0% residual stenosis. dopamine drip was discontinued in the cath lab. past medical history: htn obesity angina x 10 yrs social history: lives at home with husband, non . no etoh. family history: nc physical exam: vitals t: 97.4 bp:130/84 hr:88 rr: 18 spo2: 100% ac 650 r17 peep 5 fio2 1.0 abg 7.52/23/387 gen: obese female intubated and sedated heent: perrla, eomi, 2mm pupils, anicteric sclera, no scleral injection. neck: soft, supple, no carotid bruits, jvd not appreciated cvs: rrr, s1&s2 heard, no m/r/g lungs: ctab ant, no wheezes, rales or rhonchi abd: obese, soft, nt, obese, no bruits heard, +bs ext: cool, no pedal edema, 1+ dp pulses, no iliac bruits heard, r groin with incision site w/some serosang ooze/d/i. soft, no hematoma neuro: sedated, unable to assess pertinent results: laboratory results: 11:00pm pt-12.0 ptt-21.5* inr(pt)-1.0 11:00pm plt smr-normal plt count-369 11:00pm hypochrom-normal anisocyt-normal poikilocy-normal macrocyt-normal microcyt-normal polychrom-normal 11:00pm neuts-64.9 bands-0 lymphs-30.7 monos-2.3 eos-0.6 basos-1.4 11:00pm wbc-8.2 rbc-3.80* hgb-11.7* hct-35.5* mcv-93 mch-30.7 mchc-32.9 rdw-14.0 11:00pm ferritin-978* 11:00pm magnesium-2.0 11:00pm ck-mb-30* mb indx-13.2* ctropnt-0.42* 11:00pm ck(cpk)-227* 11:00pm glucose-270* urea n-21* creat-1.0 sodium-136 potassium-3.6 chloride-101 total co2-19* anion gap-20 11:29pm hgb-12.7 calchct-38 o2 sat-91 11:29pm glucose-249* na+-141 k+-3.3* cl--106 11:29pm type-art peep-5 po2-68* pco2-49* ph-7.26* total co2-23 base xs--5 intubated-intubated 11:57pm type-art po2-235* pco2-46* ph-7.30* total co2-24 base xs--3 07:44am ck 905* 05:43pm ck 1764* 01:11pm ck * 06:43am ck 1885* 11:00pm ck 227* relevant imaging: 1)cardiac catheterization: lm nl. lad w/mild dz. lcx mild dz, occluded pda with ulcers in proximal and mid rca--> dilated pda with 30% residual stenosis and stented prox and mid rca with 0% residual stenosis. rhc done: ra 16/15/14 rv 33/11/15, pa 36/19/26, pcwp 20/20/17 **arteriography results morphology % stenosis collat. from **right coronary 1) proximal rca normal 30 2) mid rca ulcerated 40 3) distal rca diffusely diseased 30 4) r-pda discrete 100 **arteriography results morphology % stenosis collat. from **left coronary 5) left main normal 6) proximal lad diffusely diseased 10 6a) septal-1 diffusely diseased 10 7) mid-lad diffusely diseased 10 8) distal lad diffusely diseased 10 12) proximal cx diffusely diseased 10 13) mid cx diffusely diseased 10 13a) distal cx diffusely diseased 10 comments: 1- selective coronary angiography of nthis right dominant system demonstrated three vessel coronary artery disease. the lmca was normal. the lad and lcx had mild luminal irregularities. the rca had proximal and mid vessel ulcerated lesions each with 20-30% luminal stenosis. the pda had embolic occlusion. 2- hemodynamic assessment revealed mildly elevated right sided pressure with pcwp of 18 mmhg and mildly elevated systolic pa pressure (38 mmhg). 3- left ventriculography was deferred. final diagnosis: 1. one vessel coronary artery disease. 2. left ventricular deferred. 3. acute inferior myocardial infarction, managed by acute ptca. 2)tte: the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly depressed (ejection fraction 40-50 percent) secondary to hypokinesis of the anterior septum and extensive apical akinesis. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: anteroapical infarct brief hospital course: this is a 62 yo f with h/o htn, obesity, angina x 10 yrs who was transferred to with inferior stemi with rv involvement who is s/p v-fib with defibrillation x 3 and pea arrest, now s/p 2 stents to the rca and poba to pda. the following issues were addressed during her hospitalization: 1) cad: the patient had a h/o angina and untreated htn and presented with an inferior stemi w/ rv involvement by rhc. she experienced a v-fib arrest in the ed, followed by a pea arrest with 5 min of cpr. she was intubated and taken to the cath lab. they found an occluded pda with ulcers in proximal and mid rca. the pda was dilated with a 30% residual stenosis. the rca was revascularized with two cypher stents (3.5 x 28 and 3.5 x 23) to the proximal and mid portion of the vessel with 0% residual stenosis. a rhc was also done showing elevated ra pressures and rv failure. peak ck was . the patient was extubated the day after her cardiac catheterization without difficulty. she was started on asa, plavix, lipitor, metoprolol, and lisinopril. subsequent ekgs showed twi laterally. the patient remained asymptomatic and was not thought to be ischemic. these findings are thought to be evolution of her postero-lateral wall. she was discharged with a follow up appointment with her pcp who will refer her to a cardiologist in her home town. 2) pump: the patient had no previous history of chf. an echo done the day after the catheterization showed an ef 40-50% with extensive apical akinesis and hypokinesis of anterior septum. therefore, the patient was started on coumadin with a heparin bridge for the apical akinisis. however, it beacame very difficult to draw blood from her due to vein collapse. it was determined that comadin monitoring would be inadequate given the difficulty in obtaining a blood sample. therefore, the heparin drip and coumadin were discontinued. she was continued on the bb and acei for their anti-remodelling properties. 3) rhythm: the patient had a vfib and pea arrest in er. subsequent to revascularization, she had one 10 beat run polymorphic nsvt within 48 hrs of mi, likely due to reperfusion. the patient has had no further episodes of vt or nsvt. she was monitored on telemetery throughout her hospitalization. she was maintained on metoprolol and her electrolytes were aggressively repleted. 4) rue edema: one the third hospital day the patient developed a tense rue. the ddx included an infiltrated iv, dvt, and thrombophlebitis. the rue ivs were removed with subsequent improvement in the arm. therefore, no rue usn was done as it was likely due to infiltration of her iv. 5) hyperglycemia: the patient's bs were elevated upon admission. this is likely secondary to glucose intolerance secondary to acs. hgb a1c was 6.4. fingersticks were check qid and she was maintained on a humalogue sliding scale. she was discharged with outpatient follow up with her pcp. 6) anemia: the patient's hct from the osh was 41 and 35 upon admission to . the day after her intervention her hct was 30 which raised concern for possible pr blled or gib. however, the patient did not complain of any back pain and her hct remained stable througout the duration of her hospitalization and her stool was guiac negative. it is possible that the initial value of 41 was incorrect. other possibilities include a dilutional drop secondary to hydration an/or to blood loss during the procedure. medications on admission: none discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. 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* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. metoprolol succinate 100 mg tablet sustained release 24hr sig: 1.5 tablet sustained release 24hrs po bid (2 times a day). disp:*90 tablet sustained release 24hr(s)* refills:*2* discharge disposition: home with service facility: , discharge diagnosis: inferior myocardial infarct discharge condition: good. discharge instructions: 1. please call your pcp or return to the er if you experience chest pain, shortness of breath, or any other symptoms that concern you. . 2. you have been started on several new medications. please take all of these medications as prescribed. . 3. you have been started on plavix and aspirin. you must take these medications daily without missing any doses. failure to take this medication as prescribed could lead to failure of your cardiac stents which could be life threatening. . 4. please keep all follow up appointments. . 5. please adhere to a low sodium diet. 6. here is a copy of your cath report. please give it to your pcp and cardiologist. **arteriography results morphology % stenosis collat. from **right coronary 1) proximal rca normal 30 2) mid rca ulcerated 40 3) distal rca diffusely diseased 30 4) r-pda discrete 100 **arteriography results morphology % stenosis collat. from **left coronary 5) left main normal 6) proximal lad diffusely diseased 10 6a) septal-1 diffusely diseased 10 7) mid-lad diffusely diseased 10 8) distal lad diffusely diseased 10 12) proximal cx diffusely diseased 10 13) mid cx diffusely diseased 10 13a) distal cx diffusely diseased 10 comments: 1- selective coronary angiography of nthis right dominant system demonstrated three vessel coronary artery disease. the lmca was normal. the lad and lcx had mild luminal irregularities. the rca had proximal and mid vessel ulcerated lesions each with 20-30% luminal stenosis. the pda had embolic occlusion. 2- hemodynamic assessment revealed mildly elevated right sided pressure with pcwp of 18 mmhg and mildly elevated systolic pa pressure (38 mmhg). 3- left ventriculography was deferred. final diagnosis: 1. one vessel coronary artery disease. 2. left ventricular deferred. 3. acute inferior myocardial infarction, managed by acute ptca. followup instructions: please see your pcp , . on tuesday for referral to a cardiologist. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization injection or infusion of platelet inhibitor insertion of endotracheal tube 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 two vessels diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension ventricular fibrillation obesity, unspecified 

Answer: The patient is high likely exposed to