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: codeine attending: chief complaint: troponin elevation, transfer from hospital major surgical or invasive procedure: 1. cardiac cath history of present illness: yo active female w/ pmh hypercholesterolemia and htn presents from hospital with elevated troponins. experienced chest pressure / pain x 2 weeks in setting of ekg's without acute ischemic changes. recently underwent stress echo w/ 10 min exercise w/o sxs. admitted to for observation and found to have troponins --> 1.98. referred to for cath. loaded 300 mg , 325, heparin, integrillin. cath findings: lad - mid vessel 50% stenosis; lcx - luminal irregularities; rca - distal 70% lesion, total occlusion pda and pl. team noted bradycardia, hypotension when pulled sheath in cath lab as well as floor --> sbp's 60's, hr 90's. given atropine 1 mg, dopamine gtts, ivf's. patient subsequently became confused and neurology was consulted. past medical history: l breast ca s/p partial mastectomy appendectomy hiatal hernia osteoporosis oophorectomy back surgery, nos social history: social history is significant for former tobacco use. there is no history of alcohol abuse. family history: there is no family history of premature coronary artery disease or sudden death. physical exam: vs: t 98.2, bp 111/60 , hr 108 , rr 22, 99 % on 2l nc gen: frail elderly female in no acute distress heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 10 cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. abd: thin, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: 2+ dp left: 2+ dp neuro: a+o x 3; cn 2-12 grossly intact; tired and slow to answer questions, however responded appropriatly to questions. moving all extremeties voluntarily. pertinent results: 03:51pm blood wbc-11.0 rbc-3.63* hgb-11.0* hct-33.3* mcv-92 mch-30.4 mchc-33.1 rdw-14.5 plt ct-222 03:38am blood neuts-72* bands-3 lymphs-20 monos-5 eos-0 baso-0 atyps-0 metas-0 myelos-0 03:38am blood hypochr-2+ anisocy-normal poiklo-normal macrocy-2+ microcy-normal polychr-1+ burr-1+ 01:30am blood wbc-12.5* rbc-2.77* hgb-8.5* hct-25.1* mcv-91 mch-30.6 mchc-33.8 rdw-14.6 plt ct-163 06:35am blood wbc-9.8 rbc-3.58* hgb-11.1* hct-32.1* mcv-90 mch-31.0 mchc-34.6 rdw-14.7 plt ct-127* 03:51pm blood glucose-119* urean-9 creat-0.6 na-144 k-3.0* cl-117* hco3-19* angap-11 03:51pm blood ck(cpk)-104 01:30am blood ck(cpk)-338* 03:38am blood ld(ldh)-223 ck(cpk)-284* 05:38am blood ld(ldh)-251* ck(cpk)-410* 11:50pm blood ck(cpk)-676* 06:35am blood ck(cpk)-251* 03:51pm blood ck-mb-12* mb indx-11.5* ctropnt-0.13* 01:30am blood ck-mb-14* mb indx-4.1 03:38am blood ck-mb-11* mb indx-3.9 ctropnt-0.13* 05:38am blood ck-mb-14* mb indx-3.4 ctropnt-0.16* 11:50pm blood ck-mb-16* mb indx-2.4 ctropnt-0.27* 06:35am blood ck-mb-7 ctropnt-0.25* . cardiac catheterization ptca comments: initial angiography revealed severe calcification in the rca with tortuosity and distal 70% stenosis. there was total occlusion of the pda adn pl with right to right and left to right collaterals. a 6french 0.75, 1.0, ar1, jr4 provided poor support. ultimately we exchanged for a ar2 which provided moderate fair support for the procedure. heparin and integrilin were started prophylactically. a pt graphix intermediate crossed the lesion with much difficulty after a choice pt extra support, wisdom and whisper wire would not cross. a 1.5 x 9 mm maverick balloon would not cross and an echelon catheter was used to exchange for a stabilizer xs ss wire.with much difficulty a 1.5 x 9 mm maverick balloon was used to dilate and then a 2.0 x 20 mm maverick was used to dilate. with the balloon across the elsion the patient had transient bradycardia, ste and hypotension which responded to ivf, atropine and dopamine. we were unable to cross the the lesion with a 2.0 x 12 mm minivison and a 2.5 x 18 mm minivision stent and during stent manipulation the wire prolapsed out of teh vessel. we were unable to recross the lesion again and the procedure was terminated. final angiography revealed no angiographically apparent dissection, a residual 50% stenosis and timi grade iii flow. the patient left the lab free of jaw pain, with st segment resolution and in stable condition. . comments: 1. coronary angiography of this right dominant system demonstrated single vessel disease. the lmca had no angiographically apparent cad. the lad had mild luminal irregularities and a mid-vessel 50% stenosis. the lcx had mild luminal irregularities. the rca had severe calcification with tortuosity and distal 70% lesion, total occlusion of the pda and pl with right to right and left to right collaterals. 2. resting hemodynamics revealed normal left sided filling pressures with an lvedp of 11 mmhg. there was mild systemic arterial systolic hypertensions with sbp of 143 mmhg. 3. unsuccessful stenting of the calcified rca stenosis. successful ptca of that lesion with final residual stenosis of 50%, no angiographically apparent dissection and timi grade iii flow. final diagnosis: 1. two vessel coronary artery disease. 2. unsuccessful stenting of the rca. successful ptca of the rca stenosis. . echocardiogram the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity is small. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. left ventricular systolic function is hyperdynamic (ef 70-80%). tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). 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. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. . femoral ultrasound -scale and doppler son of the right groin demonstrate normal waveforms in the right common femoral vein and the right common femoral artery. a pseudoaneurysm is identified anterior to the vessels measures 1.3 x 1.8 x 1.5 cm. the neck of the pseudoaneurysm was not identifiable on this exam. no fluid collections or hematomas were identified. . thrombin injection of femoral artery psuedoaneurysm ultrasound of the right groin demonstrates a 1.6- cm lesion with turbulent flow consistent with pseudoaneurysm. the common femoral artery is patent. the right groin was prepped and draped in usual sterile fashion. under ultrasound guidance, 22- gauge needle was advanced into the pseudoaneurysm and approximately 2 cc of thrombin was slowly injected. occlusion of the pseudoaneurysm was demonstrated on real-time imaging. post- procedure imaging demonstrates a patent common femoral artery with normal waveforms. patient tolerated the procedure well without immediate complications. the attending dr participated in the entire procedure. impression: successful thrombin injection of right pseudoaneurysm. brief hospital course: yo female w/ htn, hypercholesterolemia pw nstemi from osh w/ elevated troponins, ekg without signs of acute ischemia, and acute lethargy post cath s/p atropine. . course by problem . #cad / nstemi trop leak at w/ trop 1.98. underwent cardiac catheterization with failed stenting of calcified rca stenosis. underwent plain baloon angioplasty. peak ck 676 post catheterization. catherization was complicated by vagal reaction of bradycardia and hypotension during sheath removal and was started on dopamine and given atropine. on the medical floor patient experienced another bout of bradycardia, was given atropine, and transferred to the icu for observation. she became extremely confused after 2 mg of atropine and neurology was consulted to comment on acute change in mental status. . for cad, aspirin 325 mg, 75 mg, toprol xl 50 mg, simvistatin, and lisinopril were provided and should be continued as an outpatient. nifedipine was discontinued, the dose is full instead of baby 81 mg, and both and lisinopril are new medications for her. she was scheduled to follow up with her cardiologist and pcp upon discharge. she was scheduled for vna, home pt, and home health aid. . catheterization was complicated also by psuedoaneurysm of the right femoral artery. hematocrit dropped 8 points and she was transfused 2 units of blood. vascular surgery was consulted; definitive treatment was taken via direct thrombin injection which resulted in termination of the pseudoaneurysm. she is scheduled to follow with vascular sugery in 2 weeks. . #pump / rhythm lisinopril was initiated for htn and cardioprotective effects post myocardial ischemia . #change in mental status initially confused s/p 2mg atropine after catheterization in setting of hypotension and bradycardia. initial concern for drug effect of atropine, however also concerned for cva with hypoperfusion. neurology was consulted and patient underwent urgent head ct. no acute bleeding or midline shift was identified on ct scan. as time wore on the atropine wore off and patient regained normal mental status function at baseline. . patient remained afebrile during hospitalization. excluding 2 episodes of bradycardia and hypotension, she remained hemodynamically stable. cardiac catheterization was performed with unsuccessful stenting of rca lesion. pseudoaneurysm was discovered and definitively treated. she was started on and lisinopril. nifedipine was stopped. aspirin was increased to 325 mg daily. she will follow with cardiology, her pcp, vascular surgery. medications on admission: 81 zocor detrol prilosec nifedipine toprol xl 25 isordil 20 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). disp:*30 tablet(s)* refills:*0* 3. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 4. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. detrol la 2 mg capsule, sust. release 24 hr oral discharge disposition: home with service facility: home health care discharge diagnosis: 1. non-st-elevation myocardial infarction 2. pseudoaneurysm, right groin discharge condition: hemodynamically stable. discharge instructions: you were admitted and diagnosed with an acute myocardial infarction (heart attack). it will be important for you to take all your medications, as prescribed. please note the following changes. 1. . in addition to aspirin, this helps to thin your blood. you should be sure to take this medication for one month. 2. aspirin. please take 325mg daily until you follow-up with your cardiologist. 3. lisinopril. this medication is for blood pressure control and helps to protect the heart. please stop the nifedipine. in addition, you also had a small pseudoaneurysm in your right groin. please follow-up with dr. in two weeks time. followup instructions: please call to make a follow-up appointment with your pcp weeks. in addition, you have an appointment with vascular surgery: at 2pm -- dr. (vascular surgery). phone #. dr. office will call you after you return home. you should be sure to follow-up with him within 1-2 weeks. procedure: coronary arteriography using two catheters left heart cardiac catheterization injection or infusion of thrombolytic agent transfusion of packed cells excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: other iatrogenic hypotension subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension acute posthemorrhagic anemia cardiac complications, not elsewhere classified hematoma complicating a procedure personal history of malignant neoplasm of breast personal history of tobacco use other specified cardiac dysrhythmias peripheral vascular complications, not elsewhere classified delirium due to conditions classified elsewhere aneurysm of artery of lower extremity 

Answer: The patient is high likely exposed to