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: this is a 58 year old female with a history of hypertension, hypercholesterolemia, family history of coronary artery disease, mitral regurgitation, who presents from an outside hospital with waxing substernal chest pressure since 4:45 p.m. on . the patient was in her usual state of health until the evening of admission when after some dyspepsia she had a sudden onset of ten out of ten substernal chest pressure without radiation with diaphoresis and mild shortness of breath. negative nausea and vomiting. she felt "totally spent". she called 911 after she took one aspirin. she was taken to the where she received aspirin, heparin, lopressor 5 times three, morphine and lytics (rpa times two). she then had resolution of her symptoms to zero out of ten after the second dose of lytics. her electrocardiogram showed st elevations anteriorly as well as some ectopy and a questionable junctional rhythm after reperfusion with the lytic therapy. at this point, the patient was transferred to the for emergency percutaneous transluminal coronary angioplasty. at the , her electrocardiogram showed st elevations in leads v1 through v4 as well as i and avl. the catheterization showed: 1) coronary angiography of this right dominant circulation revealed single vessel coronary artery disease. the left main coronary artery was long but had no obstructions. the mid left anterior descending had an 80% tubular lesion with timi-3 flow. a small d2 at the lesion site had timi-2 flow. the left circumflex and right coronary artery had no significant stenoses. 2) resting hemodynamics showed normal pulmonary and central aortic pressures with mildly elevated left ventricular filling pressures. 3) left ventriculography showed anterior hypokinesis with an ejection fraction of 49%. there was no mitral regurgitation. 4) successful percutaneous transluminal coronary angioplasty/stent of the proximal left anterior descending with a 3.0 times 13mm and a 3.5 times 8mm bxvh stents. final angiography demonstrated no residual stenosis, no dissection and timi-3 flow. the patient was then transferred to the ccu for monitoring. past medical history: 1. hypertension. 2. hypercholesterolemia with an increased hdl fraction, numbers unknown at present. 3. sacrum fracture. 4. gastroesophageal reflux disease. 5. mr diagnosed ten years ago. 6. right elbow fracture. allergies: penicillin leads to hives. cephalosporin leads to hives. medications on admission: 1. premarin dose unknown. 2. hydrochlorothiazide 12.5 mg. 3. multivitamin. 4. calcium 1200 and vitamin d. social history: the patient works at . she lives alone. she smokes one pack of cigarettes per day. no alcohol use. two to three cups of coffee. minimal exercise. family history: father died of myocardial infarction at age 55. mother had a percutaneous transluminal coronary angioplasty in her 70s. brother had a coronary artery bypass graft at age 42. physical examination: blood pressure 132/71, heart rate 68, respiratory rate 12, oxygen saturation 99% on two liters nasal cannula. in general, the patient is a pleasant female lying on stretcher, appears stated age, in no apparent distress. head, eyes, ears, nose and throat reveals moist mucous membranes. the pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. visual fields are intact. gross auditory sensation intact. no oropharyngeal lesions. cardiovascular is regular rate, ii/vi systolic murmur at the left lower sternal border without radiation, no jugular venous distention, no rubs, clicks or gallops, nondisplaced point of maximal impulse, no carotid bruits. pulmonary is clear to auscultation bilaterally. no crackles, no wheezes. the abdomen is soft, nontender, nondistended with normoactive bowel sounds and no hepatosplenomegaly. no abdominal bruits. neurologic examination was nonfocal. extremities - no cyanosis, clubbing or edema, 2+ dorsalis pedis and posterior tibialis and radial pulses bilaterally. laboratory data: chem7 showed sodium 139, potassium 2.8, chloride 102, bicarbonate 18, blood urea nitrogen 27, creatinine 0.9, glucose 210. ck was 79, troponin 0.07. electrocardiogram - see history of present illness. hospital course: on , the patient was status post reperfusion and stenting of the left anterior descending and was monitored on telemetry in the coronary care unit. she was started on an ace inhibitor, beta blocker and statin as well as aspirin. her cks were cycled. she was placed on bed rest. the heparin drip was continued after the integrilin had finished (after 18 hours). plavix 75 mg was also started. on , the night prior the patient had dropped her systolic blood pressure to the 70s with the heart rate in the 40s. the patient received four 250cc normal saline boluses which brought her pressure to the normal range. her metoprolol was held. at this time, her medications included captopril 12.5 three times a day, heparin weight base scale drip, atorvastatin 20 mg, aspirin 325 mg. her ck was at 147, mb at 18, troponin greater than 50. chest x-ray from the outside hospital showed no cardiopulmonary processes, no cardiomegaly, no infiltrates. her potassium after repletion was at 4.2. her hematocrit went from 39.1 to 35.3. the patient remained asymptomatic and her oxygen saturation was at 99% in room air. she was adequately maintaining her blood pressure. on , the patient's cks had trended down nicely from 157 to 144 to 100. the patient's atorvastatin was switched to fluvastatin due to the interaction recently noted between plavix and atorvastatin (please see the article by , et in the edition of circulation , pages 32 to 37). on the day of discharge, the patient's electrocardiographic changes had for the most part resolved with some persistent t wave inversions in leads v2 and v3. significant q waves were not observed. condition on discharge: stable. discharge status: the patient was discharged hemodynamically stable, breathing in room air, symptom free. she was being discharged home with instructions to go to the nearest emergency department with any chest discomfort, shortness of breath or palpitations. she would follow-up with dr. at , as well as her primary care physician, . , , for a check of her creatinine and liver function tests within the month. she also was advised to have an exercise stress test as well as echocardiogram within the month. discharge diagnosis: anterior myocardial infarction. medications on discharge: 1. aspirin 325 mg tablet p.o. once daily. 2. nitroglycerin 0.3 mg tablet sublingual one tablet sublingual p.r.n. take one every five minutes for chest pain up to a total of three pills. 3. clopidogrel bisulfate 75 mg one p.o. once daily for nine months. 4. metoprolol 50 mg tablet twice a day p.o. 5. pantoprazole 40 mg tablet one p.o. once daily. 6. lisinopril 5 mg tablet one p.o. once daily. 7. fluvastatin sodium 20 mg capsule, four capsules p.o. q.h.s. , m.d. dictated by: medquist36 d: 20:53 t: 14:45 job#: procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care family history of ischemic heart disease 

Answer: The patient is high likely exposed to