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: mrs. is a -year-old woman with a significant history of coronary artery disease, status post myocardial infarction times three, congestive heart failure (last echo with an ejection fraction of 40%) paroxysmal atrial fibrillation with a rapid response, presented with chest pain and a rapid rate, and respiratory decompensation. she was emergently intubated, had admitted from the emergency department to ccu. the patient was noted to have st elevations with her rapid rate which cleared when her rate was adequately controlled with beta-blockers. however, later that evening she developed sinus bradycardia. this is a known response in the patient to administration of beta-blockers. in the ccu she was diuresed with resolution of respiratory distress, ckmb fraction was positive but troponin i was negative. she was initially started on heparin but this was stopped due to the feeling that she was likely not suffering infarction. she was called out to the floor in stable condition. past medical history: 1. coronary artery disease. status post myocardial infarction times three. 2. congestive heart failure. echo with an ef of 40 to 45% 3. hypertension. 4. glaucoma. 5. depression. 6. paroxysmal atrial fibrillation/flutter. 7. chronic renal insufficiency. 8. hypothyroidism. 9. early dementia. 10. cll. 11. asthma. allergies: penicillin and codeine. medications on transfer to floor: 1. protonics 40 mg p.o. q day. 2. fentanyl intravenous p.r.n. 3. captopril 6.25 mg three times a day. 4. aspirin 325 mg q day. medications on admission: 1. levoxyl 100 mcg p.o. q day. 2. cefrolucas 20 mg p.o. b.i.d. 3. isordil 40 mg p.o. three times a day. 4. zestril 10 mg p.o. q day. 5. aspirin 81 mg p.o. q day. 6. colace 100 mg p.o. b.i.d. 7. senokot. 8. 60 mg p.o. q day. 9. azapt drops to each eye. 10. serevent two puffs b.i.d. 11. lasix 10 mg p.o. q day. 12. flexeril 20 mg p.o. q day. 13. zyprexa 2.5 mg q h.s. 14. asthmacort two puffs p.o. twice a day. 15. lactulose p.r.n. social history: lives in . primary care physician is . . physical examination: on admission temperature 97.8, blood pressure 123/77, heart rate in the 60 sating at 98% on 40% fio2 with a peep of 5. nasally intubated. awake, alert, mouthing words appropriately. mucosa dry. heart rate rhythm regular, no murmurs. lungs clear to auscultation bilaterally and superiorly. scattered expiratory wheezes. abdomen soft, nontender, nondistended. rectal exam: heme negative. extremities had 1+ edema. she was alert and oriented times three and her neurological exam was grossly nonfocal. laboratory: on admission initial white count 202, hematocrit 38.1, platelets 351, sodium 141, potassium 5.0, chloride 104, bicarbonate 24, bun 52, creatinine 1.5. glucose 242. ck 66, troponin i less then 0.3. calcium 9.4, magnesium 2.3, phosphorus 4.7. urinalysis with 30 protein, 3 to 5 red blood cells, 0 to 2 white blood cells. arterial blood gases: 7.27/54/281 on 40% o2, peep of 5, tidal volumes of 500. chest x-ray showing congestive heart failure without infiltrates. electrocardiogram: 1. atrial flutter at 104, no q-waves 2, elevations in v1 through v3. st depressions v4 through v6, 1 and l. 2. atrial flutter at 57. st changes noted above had resolved. brief hospital course: mrs. was initially intubated, admitted to the ccu as detailed in above note. although her resuscitation status was dnr/dni this was not noted at this time and she was inadvertently intubated. while in the ccu she was rapidly extubated. there was an initial concern for cardiac ischemia with the elevated ckmb fraction in the absence of troponin i elevation. this was thought to be consistent with an enzyme leak secondary to strain. she was seen by covering physicians for her primary care cardiologist dr. and decision was made not to pursue further interventions or workup at this time. initially her rate which was very rapid and probably precipitated her decompensation was controlled with beta-blockers. however, she did not tolerate this well although it initially decreased her rate allowing for control. she then became bradycardiac. upon further review the patient had apparently done this in the past. however, through the rest of her admission her rate remained well controlled without the use of beta-blockers. congestive heart failure that she initially suffered secondary to her rapid rate was thought to be from flash pulmonary edema, responded well to diuresis at the time of this dictation she is sating well on room air and able to ambulate comfortably without desaturation. her chronic renal insufficiency was stable with a creatinine of 1.5 which was close to her baseline. this did not change even with aggressive diuresis following her pulmonary edema. she was continued on her asthma medications while in house using our formulary substitutions, montolucast, betamethasone, albuterol mdi. she had no asthma exacerbations while in house. her initial white count was elevated over 200 however, this subsequently declined to less than 100 with no interventions. it was thought this initial laboratory was actually spurious and that her white count was below 100 which is near her baseline. at the time of discharge her last white count was 97. no further workup or intervention was taken at this time and she can follow-up as an outpatient with her own hematologist. a physical therapy consult was requested to evaluate her for home safety. their recommendations were that she could return home but would require home physical therapy to increase her functional mobility balance and endurance. our caseworkers will assist in arranging this. the patient does have baseline anemia and given her enzyme leak she was transfused with one unit of packed red blood cells for a hematocrit of 28.7. discharge diagnosis: 1. atrial fibrillation with a rapid ventricular response. 2. flash pulmonary edema. 3. cll. 4. hypertension. 5. congestive heart failure. 6. chronic renal insufficiency. 7. hypothyroidism. discharge condition: stable. discharge disposition: to home, . discharge medications: as upon admission with the addition of lisinopril 10 mg p.o. q day. follow-up: the patient should follow-up with primary care physician . within the next one to two weeks. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: congestive heart failure, unspecified unspecified acquired hypothyroidism atrial fibrillation asthma, unspecified type, unspecified atrial flutter other persistent mental disorders due to conditions classified elsewhere old myocardial infarction unspecified disorder of kidney and ureter chronic lymphoid leukemia, without mention of having achieved remission 

Answer: The patient is high likely exposed to