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: transferred for management of stemi major surgical or invasive procedure: temporary dialysis line placement cordis placement arterial line placement history of present illness: 80 year old woman (dnr) with two recent mi's, known severe cad with a 95% lm stenosis (felt not to be a candidate for cabg), cardiomyopathy with an lvef of 15-20%, moderate aortic stenosis, htn, af, hepatitis c with thrombocytopenia, s/p recent cath/admission at where pci was not an option and cabg is too high risk. patient has continued to have ischemic events since then with recent presentation with new onset af, echo revealing wall motion abnormality involving the anterior wall and apex with possible thrombus in the lv apex. medical management continued with eventual discharge to home earlier this week. she did okay initially and then represented to on evening with chest pain radiating to the left arm and back, associated with diaphoresis, lightheadedness, shortness of breath and st elevation. family refused tpa due to hx of thrombocytopenia. iv nitro inititated, heparin, aspirin initiated and now painfree. troponin last drawn was 13 (still rising) although there's no lab sent with her. currently with minimal chest discomfort. ekg demonstrated st elevation inferiorly at tuft's. plans are for evaluation here for further treatment. dr. to consult. on arrival here pt's pain free and without complaint. past medical history: 1. cardiac risk factors: htn, hl 2. cardiac history: -cabg: n/a -percutaneous coronary interventions: n/a -pacing/icd: n/a 3. others: hepatitis c multiple hepatic nodules with multiple biopsies with no evidence of malignancy. severe diffuse coronary artery disease severe cardiomyopathy with ef of 15-20% severe tricuspid regurgitation with estimated pa pressure of 53mmhg moderate aortic stenosis hypertension hyperlipidemia atrial fibrillation thrombocytopenia social history: patient lives with daughters. she denies tobacco, alcohol or iv drug use family history: non-contibutory physical exam: temp 97.6, hr 62/min, bp 110/62, sats 97% on ra general: in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with no jvd. cardiac: rrr, nl s1, faint s2, esm as well as psm. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: 1+ dp and pt pulses. pertinent results: admission labs: 11:48pm blood wbc-7.7 rbc-3.83* hgb-12.9 hct-37.4 mcv-98 mch-33.6* mchc-34.4 rdw-15.0 plt ct-112* 11:48pm blood glucose-147* urean-34* creat-1.4* na-138 k-3.8 cl-98 hco3-28 angap-16 11:48pm blood alt-115* ast-303* ck(cpk)-1379* alkphos-99 totbili-0.6 11:48pm blood ck-mb-250* mb indx-18.1* ctropnt-3.03* 06:18am blood ck-mb-217* mb indx-16.2* 03:44pm blood ck-mb-122* mb indx-12.6* ctropnt-4.02* 05:22am blood ck-mb-22* ctropnt-4.05* microbiology urine cx: , negative imaging: echo : symmetric left ventricular hypertrophy. mild regional dysfunction consistent with cad. moderately dilated right ventricle with borderline normal function. tricuspid leaflets do not coapt and there is corresponding moderate to severe tricuspid regurgitation. pulmonary pressures cannot be accurately determined. mild mitral regurgitation. moderate aortic stenosis. ecg : sinus rhythm with pacs prolonged qt interval inferior infarct - age undetermined anteroseptal infarct - age undetermined st-t changes may be due to myocardial ischemia no previous tracing available for comparison brief hospital course: mrs. is an 80 year old female with a history of lmain and 3vd, moderate aortic stenosis and with status post cardiac cath for stemi back on at osh that was not intervened upon by pci or cabg who then presented to another osh with an inferior stemi on and was transferred to for further management and a second opinion regarding options for revascularization. cabg versus high risk pci were considered and ct surgery was consulted. patient remained chest pain free on medical management of her cad, however, the acute renal failure she presented with evolved rapidly from the beginning of her course, making either surgical or pci less of an option. renal was consulted and felt her renal failure was likely attributable to evolving atn in the setting of poor forward flow related to her recent mi and possibly due to contrast nephropathy given a recent catheterization. the patient became oliguric and subsequently volume overloaded and hypoxic. aggressive diuresis with iv lasix and diuril were unsuccessful so cvvh was initiated. at this point she had become hemodynamically unstable requiring pressor support with dopamine. hemodynamic instability was likely also affected by patient's development of slow atrial fibrillation which requried placement of a trancutaneous pacer. her dopamine requirement increased significantly with cvvh which likely contributed to the development of metabolic acidosis. on the patient was found to have a lactate of 11 and had developed agonal respirations. she underwent intubation which did not help to improve her worsening acidemia. the patient's family decided to change her code status to dnr/dni and soon after to cmo when it was clear that her prognosis had become very poor. she was pronounced dead on at 0313. her three daughters were at her bedside and agreed in declining an autopsy. medications on admission: outpatient meds: lipitor 80mg daily plavix 75mg daily toprol xl 50mg daily zestril 5mg daily alsix 80mg daily aspirin 81mg daily meds on transfer: iv heparin at 600u/hour iv nitro at 30mcg / min asa 325mg, lipitor 20mg daily lasix 80mg po plavix 75mg zestril 5mg discharge medications: na discharge disposition: expired discharge diagnosis: primary: status post st elevation myocardial infarction, acute heart failure, renal failure, metabolic acidosis, respiratory failure secondary: aortic stenosis, hepatitis c discharge condition: expired discharge instructions: patient admitted for further management of stemi. her course was complicated by acute renal failure, acute heart failure which ultimately led to pressor support. patient developed metabolic acidosis and subsequent respiratory failure requiring intubation. her family ultimately decidied to make her dnr/dni and soon after cmo given her critical condition and poor prognosis. she died on at 0313 with her family at her bedside. an autopsy was declined. followup instructions: na procedure: hemodialysis venous catheterization for renal dialysis insertion of temporary transvenous pacemaker system diagnoses: other primary cardiomyopathies acidosis other iatrogenic hypotension thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified unspecified essential hypertension chronic hepatitis c without mention of hepatic coma atrial fibrillation aortic valve disorders acute respiratory failure acute myocardial infarction of other inferior wall, initial episode of care sinoatrial node dysfunction tricuspid valve disorders, specified as nonrheumatic other specified disorders of liver coronary vasodilators causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to