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: fatigue, stemi major surgical or invasive procedure: cardiac catheterization with a bare metal stent to left anterior descending coronary artery history of present illness: f with unknown pmhx presented to this afternoon after being found in her home, unable to get up from toilet, complaining of fatigue. at she was noted to have st elevations on ecg in inferior and lateral leads. she was given a full dose aspirin, high dose statin, plavix load and a heparin bolus. she was transferred directly to the cath lab and underwent left heart catheterization. she was found to have a tight lesion in the proximal lad, and a bms was deployed. she tolerated the procedure well. she was brought to the ccu for further monitoring. she was noted to have persistent stes on ecg post-catheterization. . on arrival to the ccu, she was tachycardic but was otherwise stable. she had no complaints. she did not recall exactly what prompted her ed referral and did not know why she was here. she knew that her friend had tried calling her and that she was unable to come to the phone but is unable to tell me more than that. she denies current chest pain or having ever had chest pain. no sob, doe, pnd, orthopnea. no syncope or presyncope. no palpitations. she notes that she has had slight bilateral lower extremity swelling for the past three days. other ros is negative. past medical history: 1. cardiac risk factors:: diabetes-, dyslipidemia-, hypertension ? 2. cardiac history: none -cabg: n/a -percutaneous coronary interventions: n/a -pacing/icd: n/a 3. other past medical history: osteoporosis scarlet fever as a child ? hypertension social history: -tobacco history: never -etoh: 1 scotch per night -illicit drugs: none pt lives alone, is twice widowed, her second husband passed away in . she has a house cleaner weekly and a close friend in the area. she is responsible for her own bills and cooking. she walks with a cane, admits that she has been having more difficulty at home with stairs. family history: non-contributory physical exam: vs 96.9 113 119/66 19 98% 2l nc general: elderly, frail appearing woman, very pleasant. nad heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. small xanthalesma near palpebral fissure neck: supple with jvp to the angle of the jaw. cardiac: tachycardic, regular. very distant. unable to appreciate clear heart sounds. 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. extremities: no femoral bruits. r groin site c/d/i, non-tender, no hematoma. trace b/l le edema to mid tibia. extremities cool, sensation intact. skin: no stasis dermatitis, ulcers. b/l heels and sacrum pink, blanching. pulses: right: femoral 2+ dp 1+ pt 1+ left: femoral 2+ dp 1+ pt 1+ pertinent results: admission labs: 10:23pm blood wbc-15.2* rbc-4.13* hgb-12.1 hct-36.2 mcv-88 mch-29.2 mchc-33.3 rdw-14.4 plt ct-475* 10:23pm blood pt-14.2* ptt-29.1 inr(pt)-1.2* 10:23pm blood glucose-172* urean-18 creat-0.6 na-132* k-4.5 cl-96 hco3-25 angap-16 10:23pm blood calcium-8.3* phos-2.9 mg-1.7 . discharge labs: 06:30am blood wbc-14.2* rbc-3.32* hgb-9.8* hct-29.2* mcv-88 mch-29.5 mchc-33.5 rdw-14.3 plt ct-400 06:30am blood pt-13.7* ptt-29.7 inr(pt)-1.2* 06:30am blood glucose-103 urean-13 creat-0.5 na-134 k-4.0 cl-97 hco3-27 angap-14 06:30am blood albumin-2.9* calcium-7.8* phos-2.8 mg-1.7 . cardiac enzymes: 10:23pm blood ck(cpk)-207* ck-mb-6 ctropnt-0.43* 04:50am blood ck(cpk)-161* ck-mb-5 ctropnt-0.46* 06:30am blood ck(cpk)-127 ck-mb-3 ctropnt-0.37* . metabolic profile: 04:50am blood %hba1c-5.5 04:50am blood triglyc-91 hdl-40 chol/hd-2.8 ldlcalc-53 . anemia studies: 04:50am blood caltibc-194* vitb12-191* folate-11.3 ferritn-313* trf-149* . c.cath study date of 1. selective coronary angiography of this right dominant system demonstrated single vessel coronary artery disease. the lmca was without significant disease. the lad had 80-90% serial lesions in the proximal lad just before d1. the lcx and rca had no significant coronary artery disease. 2. limited resting hemodynamics demonstrated normal systemic arterial pressure of 107/63 mmhg. 3. successful ptca and stenting of the proximal lad with a 2.5 x 28 mm minivision bms which was deployed at 14 atm. the proximal stent was post dilated with a 2.75 x 12 quantum maverick balloon at 14 atm. final angiography revealed no residual stenosis in the stent, no dissection and timi iii flow. (see ptca comments) 4. right femoral arteriotomy site was closed with a 6 french mynx device. final diagnosis: 1. one vessel coronary artery disease. 2. acute anterior myocardial infarction, managed by acute ptca. ptca and stenting of the proximal lad. . portable tte (complete) done at 11:56:38 am the left atrium is dilated. the left ventricular cavity size is normal. there is moderate to severe regional left ventricular systolic dysfunction with mid to distal anterior and septal akinesis with apical akinesis/dyskinesis. right ventricular chamber size and free wall motion are normal. the aortic arch is mildly dilated. the aortic valve leaflets are moderately thickened. there is a minimally increased gradient consistent with minimal aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is a small pericardial effusion. there is brief right atrial diastolic collapse. left ventricle - ejection fraction: 30% to 35%. brief hospital course: f with no prior cardiac history presented with stemi, now s/p bms to lad. echo showed systolic chf with ef 30-35%. pt was medically optimized and discharged to rehabilitation in stable condition. . # coronaries: single vessel cad, s/p 2 bms to lad. hba1c for risk stratification 5.5, so wnl. lipid panel: cholest 111, triglyc 91, hdl 40, ldlcalc 53, so all within acceptable ranges. started high dose statin with atorvastatin 80mg po hs for recent mi and discharged on atorvastatin 40mg po hs for ongoing lipid management over high dose for risk of adverse events in this elderly patient. trended ces until falling. ck peaked at 207 on the day of transfer. continued asa 325mg po daily and plavix 75mg po daily for thombotic ppx. initialy beta blocker therapy with metoprolol tartrate 25 mg po bid. discharged on toprol xl 50mg po daily. . # pump: patient stated that she has a history of lower extremity swelling over the past several weeks which is new. no echo in our system. tte this admisison showed ef 30-355 with apical hypokinesis. held off anticoagulation for apical hypokinesis given age and risk factors. will continue on asa + plavix for antiaggregation therapy and as thrombosis ppx. started lisinopril 2.5 mg po daily for decreased ef and chf. . # rhythm: currently in sinus tachycardia with low-normal blood pressures, given large territory of infarct tachycaridia is likely compensatory mechanism to maintain co. initially held bblockers to avoid precipitating cardiogenic shock. was able to titrate up bblockade. telemetry showed frequent pacs. pt very pre-renal with falling hct. unclear if this is due to dilution or hemorrhage. ultimately believed to be due to hypovolemia. encouraged pos and improved. . # leukocytosis: pt with ongoing leukocytosis. unclear if this is due to recent mi, infection, or clonal process such as cll. cbc with diff with 17% lymphcytes. this may be early cll but ultimately was felt to be reactive leukocytosis from the mi. cdiff, ua, ucx all negative. . # hyponatremia - na on admission was 132 and fell to 130. improved with improvement of volume status and was ultimately believed to be hypovolemia. . # anemia - patient with drop in hct this admission. ultimately the admisison hct was believed to be hemoconcentrated. amemia studies were sent which showed mild iron and b12 def. added supplementation. stools were guaiac negative. medications on admission: fosomax 70mg qweek pred forte 1% 1gtt l eye qid vigamox 0.5% 1gtt l eye qid combigen 1gtt both eyes aspirin 81mg daily tums daily occuvite discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain, fever. 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. prednisolone acetate 1 % drops, suspension sig: one (1) drop ophthalmic qid (4 times a day). 6. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. 7. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 8. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 9. cyanocobalamin 250 mcg tablet sig: one (1) tablet po daily (daily). 10. calcium with vitamin d 600-400 mg-unit tablet sig: one (1) tablet po twice a day. 11. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily): hold sbp< 100. 12. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 13. alphagan p 0.1 % drops sig: one (1) drop ophthalmic three times a day: 1 drop ou tid. 14. vigamox 0.5 % drops sig: one (1) drop os ophthalmic four times a day: 1 drop os qid until your ophthalmology appointment . 15. xalatan 0.005 % drops sig: one (1) drop ophthalmic at bedtime: 1 drop qhs ou. discharge disposition: extended care facility: & rehab center - discharge diagnosis: st elevation myocardial infarction iron defeciency anemia chronic systolic congestive heart failure, ef 30% . secondary: osteoporosis scarlet fever as a child ? hypertension discharge condition: stable vital signs, afebrile, chest pain free discharge instructions: you had a heart attack and a bare metal stent was placed in your left coronary artery to fix a blockage. your heart function is weakened now and you will need to be followed closely for signs of fluid retention that include swelling in your feet, trouble breathing, or a dry cough. you were started on multiple new medicines to help your heart work better: new medicines: - plavix (clopidogrel) 75mg daily to prevent blood clots and keep the arteries of your heart open. do not stop taking this medication unless told to by your cardiolgist. stopping this medications prematurely could lead to a heart attack. - aspirin 325mg daily to prevent blood clots - iron tablets and vitamin b12 to treat your anemia and help your body make more red blood cells - colace and senna to prevent constipation - metoprolol succinate (toprol xl)50mg daily to slow your heart rate and help your heart pump better - atorvastatin (lipitor) 40mg before bed to treat high cholesterol - lisinopril 2.5mg daily to keep your blood pressure low and help your heart pump better . please call your doctor if you have any chest pain, trouble breathing, nausea, fevers, cough or any unusual bleeding. . weigh yourself every morning. please call your doctor if you gain more than 3lbs in a day or 10lbs in a week. adhere to 2000mg sodium diet followup instructions: we have made you a follow up appointment to see your cardiologist as below. cardiology: , t. phone: date/time: at 2:45 pm procedure: insertion of non-drug-eluting coronary artery stent(s) left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension hyposmolality and/or hyponatremia acute myocardial infarction of anterolateral wall, initial episode of care osteoporosis, unspecified chronic systolic heart failure pressure ulcer, lower back iron deficiency anemia, unspecified hypovolemia leukocytosis, unspecified pressure ulcer, stage i 

Answer: The patient is high likely exposed to