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: the history was obtained from sister and emergency medical service notes. this is a 51-year-old female with a history of obstructive sleep apnea, hypothyroidism, and morbid obesity who was in her usual state of health until about 10 p.m. on when she developed acute dyspnea, and emergency medical service was called. she denied chest pain, nausea, vomiting, fevers, or chills. she admitted to jaw pain times two days prior to the episode. the jaw pain was not relieved by tylenol with codeine and was not associated with shortness of breath or chest pain. emergency medical technician arrived at 10:15 and found her acutely dyspneic. she was able to walk to the stretcher and had vital signs which revealed blood pressure was 240/120, heart rate was 100, and breathing at a rate of 24, and oxygen saturation was 99% on room air. she was alert and oriented times three at 10:15 p.m. but became nonverbal by 10:40 p.m. she was given aspirin 81 mg p.o. times four and sublingual nitroglycerin and was brought to the emergency department. in the emergency department, she was hypertensive at 250/126, obtunded, and with agonal breathing. she was intubated. she diuresed 1200 cc of urine to 40 mg intravenously of lasix. past medical history: 1. obstructive sleep apnea; treated with continuous positive airway pressure at home for the last year. 2. dizzy spells. 3. hypothyroidism. 4. morbid obesity. 5. she has not had any previous intubations. medications on admission: (medications at home included) 1. levothyroxine 50 mcg p.o. once per day. 2. vioxx 50 mg p.o. once per day. 3. provera 10 mg p.o. once per day. 4. two unknown pills. allergies: she has no known drug allergies. family history: her father died of a myocardial infarction at the age of 42. her mother had cancer, breast cancer, and a history of deep venous thrombosis. no diabetes in the family. social history: she denies any alcohol, tobacco, or drug use. she lives in . she is a teacher. physical examination on presentation: on physical examination, she was a morbidly obesity woman, intubated and sedated. temperature was 97, blood pressure was 250/126 (which came down to 97/58 on a nitroglycerin drip), heart rate was 110, respiratory rate was 32, and oxygen saturation was 82% prior to intubation and 100% status post intubation. the oropharynx had a small amount of blood. an endotracheal tube was in place. she had an obese neck which made it difficult to evaluate her jugular venous pressure. she had no carotid bruits. there was bilateral coarse rales anteriorly on lung examination. no wheezing. she was tachycardic with distant heart sounds. the abdomen was soft, moderately distended, normal active bowel sounds, and obese. extremity examination revealed she had 1+ edema bilaterally in her lower extremities. her extremities were warm. pertinent laboratory values on presentation: laboratory data revealed white blood cell count was 11.9, hematocrit was 42.4, and platelets were 374, and mean cell volume was 82. chemistry-7 revealed sodium was 138, potassium was 4.1, chloride was 101, bicarbonate was 25, blood urea nitrogen was 19, creatinine was 0.8, and blood glucose was 135. inr was 1.2 and partial thromboplastin time was 26.2. creatine kinase was 50 and troponin was less than 0.3 for the first set. however, her creatine kinase subsequently peaked at 235, and her troponin peaked at 5.4. urinalysis showed 500 protein, small blood, trace glucose, no signs of infection. arterial blood gas was 7.11/58/308 with a lactate of 4.4; which in a subsequent arterial blood gas was 7.27/32/259. calcium was 8.6, phosphate was 3.5, and magnesium was 1.6. albumin was 3.7. total cholesterol was 200. hemoglobin a1c was 5.8. triglycerides were 321, high-density lipoprotein was 73, and low-density lipoprotein was 63. thyroid-stimulating hormone was 2.6. free t4 was 1.4. pertinent radiology/imaging: a chest x-ray showed endotracheal tube was in place, cardiomegaly, and bilateral congestion. no effusions or infiltrate. electrocardiogram showed a normal sinus rhythm at 90 beats per minute with normal axis. t wave inversions in leads i and avl. st elevations in v2. st depressions in v5 and v6. lateral posterior leads were normal. hospital course: the patient was aggressively diuresed for her congestive heart failure. she was kept on a nitroglycerin intravenous drip for her congestive heart failure and her hypertension to decrease her preload. the patient was diuresed several liters with improved respiratory status. she was extubated successfully without any complications. the patient continued to require oxygen immediately after extubation with subsequent diuresis. her oxygen was weaned off. she was able to saturate 98% on room air. she was kept on continuous positive airway pressure at night while she was sleeping. to work up the cause of her congestive heart failure, she underwent a cardiac echocardiogram which showed a normal left atrium, a moderately dilated right atrium, mild symmetric left ventricular hypertrophy, with an ejection fraction of 60% to 65%. the right ventricle was normal. there was a markedly dilated ascending aorta. no aortic regurgitation. trivial mitral regurgitation was seen, and there was no pericardial effusion on this echocardiogram. the patient also underwent a renal ultrasound to rule out renal artery stenosis. this was a limited study due to the patient's habitus and lack of cooperation. there was no evidence of renal pathology on the renal ultrasound. there was a simple cyst on the upper lobe measuring 2.1 cm to 2.3 cm. there was a normal-looking arterial wave form. no hydronephrosis or nephrolithiasis. the patient also underwent a cardiac catheterization which showed no angiographically significant flow-limiting disease. the left main coronary artery was normal. the left anterior descending artery had an eccentric proximal 20% to 30% stenosis. the left circumflex had mild luminal irregularities throughout, but no flow-limiting lesions. the dominant right coronary artery had significant proximal spasm upon catheter engagement which was relieved by intracoronary nitroglycerin to reveal an underlying proximal 20% stenosis, but no angiographically significant lesions in the rest of the vessel. resting hemodynamics revealed an elevated right-sided and left-sided filling pressures with a mean arterial pressure of 14, and left ventricular end-diastolic pressure of 21. there was mild pulmonary hypertension with a mean pulmonary artery pressure or 25. there was no significant gradient across the aortic valve. left ventriculography revealed no mitral regurgitation. there was no regional wall motion abnormalities. the calculated ejection fraction was high normal at 67%. she was diagnosed with mild coronary artery disease and moderate diastolic ventricular dysfunction. it was felt that the etiology of the heart failure and acute pulmonary edema was likely multifactorial; associated with obesity, with sleep apnea, hypertension, and possible sodium retention. the patient did well after diuresis. the patient was evaluated by physical therapy who recommended a home safety evaluation and home physical therapy. her renal function and pulmonary function remained stable. she was started on toprol-xl 25 mg p.o. once per day and lisinopril 10 mg p.o. once per day. as well, she was sent out on lasix 40 mg p.o. twice per day. she remained stable. she was also evaluated by the pulmonary service to evaluate for pulmonary disease. their impression was that given she had gained substantial weight since her last sleep study, she should have a repeat sleep study as an outpatient and follow up with dr. as an outpatient. dr. also recommended an aggressive weight loss program which would improve her cardiac and pulmonary function. the patient was also seen by nutrition who educated her on a low-sodium diet and a weight loss diet. condition at discharge: the patient was discharged in good condition. discharge diagnoses: diastolic congestive heart failure with pulmonary edema and respiratory failure. medications on discharge: 1. klonopin 0.125 mg p.o. q.h.s. 2. toprol-xl 25 mg p.o. once per day. 3. lisinopril 10 mg p.o. once per day. 4. lasix 40 mg p.o. twice per day. 5. protonix 40 mg p.o. once per day. 6. aspirin 325 mg p.o. once per day. 7. levothyroxine 50 mcg p.o. once per day. discharge status: the patient was discharged to home with home physical therapy and a home safety evaluation. discharge instructions/followup: 1. the patient was to follow up with dr. on . 2. the patient was to follow up with dr. and the heart failure service on and . 3. the patient was also to follow up with her primary care physician and to schedule a sleep study as an outpatient. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of endotracheal tube combined right and left heart angiocardiography diagnoses: subendocardial infarction, initial episode of care congestive heart failure, unspecified unspecified acquired hypothyroidism acute respiratory failure unspecified sleep apnea morbid obesity acute diastolic heart failure 

Answer: The patient is high likely exposed to