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: mental status and vision changes major surgical or invasive procedure: cardiac catheterization on history of present illness: 61 yo f with cad s/p mi, dm, pvd, rca stenosis, and cri who was admitted for elective cardiac catheterization and transferred post-cath for mental status and vision changes. the patient was referred for cardiac catheterization after abnormal stress testing prior to planned carotid endarterectomy. she was admitted yesterday for post-cath hydration. she received , plavix, heparin bolus, and integrillin during the procedure. cardiac cath showed co 4.67, ci 2.50, pcw 12, pa 24/13, rv 25/5. cath showed 80% occlusion of lad, s/p stent in lima - lad. . post cath she was noted to be confused and complained of new loss of vision. the stroke service was urgently consulted. integrillin gtt was stopped. head ct showed a lesion concerning for r occipital cva. she underwent mri/mra demonstrating patency of the arterial circulation. . on exam she denies vision changes (diplopia, eye pain, photophobia). she has no memory of the morning's events (cath, ct or mri, vision problems). she reports nausea and frontal headache. she denies chest pain, sob, abdominal pain. past medical history: pmh: htn, cad, s/p mi ', niddm, hypothyroidism psh: cabg with harvest b saphenous veins social history: previous smoker / quit 10 years ago no alcohol lives with husband family history: father, brother died of mi at age 47 mother mi in 70s sister died of mi at age 39. physical exam: vitals: 98.6f hr 75 bp 149/79 rr 10 97 ra weight 84 kg gen: awake, oriented x 2, pleasant, c/o mild headache. exam limited due to patient laying flat post-cath heent: perrl/eomi, anicteric sclera. op clear, mmm neck: supple, 2+ carotid pulses, no carotid bruits appreciated. unable to assess jvd. cv: rrr, distant s1, s2. pulm: clear anteriorly abd: +bs, soft, nd/nt ext: warm, 1+ dp/pt b/t. l toes with erythema, no skin breaks, mild tenderness to palpation. no edema b/t, no calf tenderness. r groin without hematoma, 1+ femoral pulse. neuro: a & o x 2, cn ii-xii grossly intact, except for inferior field defect to left eye. mild agnosia. 4+ strength in ue/le. 3+reflexes in lue, nl in rue and lle (unable to assess rle due to post-cath monitoring). sensation intact. neg romberg. down-going babinskis b/t. pertinent results: 09:21pm pt-11.3 ptt-26.9 inr(pt)-1.0 09:21pm plt count-226 09:21pm wbc-7.9 rbc-4.02* hgb-12.7 hct-35.9* mcv-89 mch-31.6 mchc-35.3* rdw-13.1 09:21pm calcium-9.6 phosphate-3.3 magnesium-2.3 09:21pm glucose-135* urea n-31* creat-1.5* sodium-142 potassium-3.9 chloride-107 total co2-23 anion gap-16 ekg: nsr, rate 80. nl intervals. q waves in iii, avf, slight l axis. poor r-wave progression . cardiac cath : co 4.67, ci 2.50, pcw 12, pa 24/13, rv 25/5. 80% occlusion of lad, s/p stent in lima -> lad. . ct head : findings suggestive of ischemic event involving the right occipital lobe with perfusion in that area. there is also possibly involvement of the left occipital lobe. old lacune disease. . echo: per report, moderate depression of lv fx, distal septal inferior hypokinesis. . brief hospital course: a/p: 61 yo f with cad s/p mi, dm, pvd, rca stenosis, and cri who was transferred post-elective cath for mental status and vision changes, now s/p r post occipital stroke. the following issues were investigated during this hospitalization: . # cva: likely thromboembolic in setting of cardiac catheterization and not thought to be due to ica stenosis. since she had already received , , plavix during her catheterization, tpa administration was thought to be too risky (and perhaps not needed). integrillin was stopped on transfer to the ccu and the stroke/neurology team continued to follow her progress. initially, she was disoriented and had a left inferior field vision cut. otherwise, her vision was intact. she was also febrile to 101.9. blood and urine cultures show no growth to date and cxr was unremarkable. she was given tylenol and started on empiric treatment with levaquin, mostly for pna and uti organisms, since fever can worsen a stroke. she continued to be afebrile 2 days after her initial fever and since cultures showed no growth, levaquin was d/c'd. a sbp goal of 140-180 was set by the stroke team to provide adequate perfusion of the brain in the setting of a stroke. however, despite fluid boluses and holding anti-hypertensive medications, her sbp never went above 130. pt was only able to tolerate trendelenberg for a few hours before becoming nauseous and vomiting. no other interventions were made. an eeg showed no seizure activity. pt's orientation and memory slowly improved and she was d/c'd with aspirin and plavix. per pt and ot consults, patient will need 24 hour supervision at home, which her husband is able and willing to provide. . # cvs: patient had an abnormal outpatient stress echo and was referred to for a cardiac catheterization which revealed an 80% occlusion of lad. she received a stent in lima -> lad. while in the unit, she had an echo which showed a normal ef. she was discharged on , plavix and lipitor. her beta-blocker and ace-inhibitor were held since her blood pressure seemed to be well-controlled and since the recommendations of the stroke team was to allow for better perfusion of her brain with a higher bp. she was d/c'd on her outpatient beta-blocker dose. . # pvd:`pt. has a history of 80-90% rca stenosis for which she has already been evaluated as an outpatient. surgery was aware that the patient was in-house. they recommend that the patient continue with the current plan of follow-up as an outpatient and eventual carotid endarterectomy. . # dm: during this hospitalization, patient's metformin was held because of concern for lacic acidosis in the setting of cri and being post-cath. her fs were well-controlled on a regular insulin finger stick. hba1c is 7. on discharge, she was sent out on her outpatient doses of glipizide and glucophage. . # cri: patient's creatinine was maintained at baseline during this hospitalization and was not an active issue. . # hypothyroidism: pt. was maintained on outpatient dose of synthroid medications on admission: clopidogrel 75 mg qday ecaspirin 325 mg qday coreg 3.125 fosinopril 10 mg qday glucophage 1,000 mg po bid synthroid 125 mcg po qday glipizide 10 mg discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 4. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). 5. fosinopril 10 mg tablet sig: one (1) tablet po once a day. 6. glucophage 1,000 mg tablet sig: one (1) tablet po twice a day. 7. glipizide 10 mg tablet sig: one (1) tablet po twice a day. 8. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: right occipital stroke coronary artery disease diabetes mellitus carotid stenosis peripheral disease discharge condition: stable discharge instructions: please call your physician or call 911 if you experience a change in vision, severe headache, slurred speech or sudden weakness, chest pain, shortness of breath, fevers, numbness, weakness, leg pain, leg/foot ulcers or other concerning symptoms. followup instructions: provider: , md date/time: 9:30 am. you will need to get a referral from dr. for your appointment with neurology on . provider: , surgery (nhb) date/time: 1:45 provider: , dpm phone: date/time: 3:40 provider: , md phone: at 1:00 pm provider: , , md neurology phone: ( time/date: at 1:30 pm on the of the building, of procedure: coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) 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 diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism coronary atherosclerosis of autologous vein bypass graft chronic kidney disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified angina pectoris cerebral embolism with cerebral infarction 

Answer: The patient is high likely exposed to