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: sulfa (sulfonamide antibiotics) / strawberry attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization with drug eluting stents x3 to proximal right coronary artery pulmonary intubation history of present illness: this is a 78 year old female with history of hypertension, hypothyroidism presenting with chest pain over the last week. the chest pain had been intermittent until this morning of admission around 10 am while driving back from the grocery store, when it became constant. she denied shortness of breath, nausea, vomiting, diaphoresis at the time. she presented to the ed, vital signs were hr:46 bp:129/70 resp:18 o(2)sat:100% 2l nc. she had an ekg that showed rate 47, atrial fibrillation, axis slight right axis deviation, st elevations in ii, iii, avf, v3-5 and reciprocal depressions in i, avl, v1, v2 with inverted t waves in i, avl, v1, v2; st segments resolved in precordial leads; ? q waves in lead v1. a right sided ekg showed signifacnt st elevations in v3-6. patient was taken to the cath lab and had a v-fib arrest for less than 1 minute. she was shocked x2 and given epi x1 and amio x1 after which she resumed her baseline rhythm of atrial fibrillation with slow ventricular rates. at this time she was also started on levophed and dopamine for maps < 60s. she was transferred to the ccu; vitals at time of transfer showed hrs of 70s in atrial fibrillation, bp of 115/70, intubated, but responsive to instructions. past medical history: 1. hypothyroidism diagnoised more than 30 years ago 2. atrial fibrillation 3. hypertension 4. frequent utis 5. osteoarthritis 6. ibs social history: non-contributory family history: non-contributory physical exam: gen: caucasian female, intubated, off sedation able to follow instructions neuro: positive for dysmetria on cerebellar testing, difficulty with finger to nose cardiac: nl s1/s2, rrr no murmurs appreciable resp: lungs clear bilaterally, no rales appreciable abd: soft, nontender, nondistended, no hepatosplenomegaly, no masses palpable ext: soft, absent pulses in right lower extremity, left lower extremity 1+ pulses distally pertinent results: labs on admission: 11:44pm sodium-139 potassium-3.9 chloride-104 11:44pm ck-mb-81* 11:44pm plt count-284 04:47pm type-art temp-37.2 po2-92 pco2-35 ph-7.39 total co2-22 base xs--2 04:47pm glucose-186* lactate-2.1* 04:47pm o2 sat-95 03:26pm glucose-272* urea n-23* creat-0.9 sodium-139 potassium-3.6 chloride-104 total co2-25 anion gap-14 03:26pm alt(sgpt)-282* ast(sgot)-449* ld(ldh)-684* ck(cpk)-1084* alk phos-86 tot bili-0.8 03:26pm ck-mb-87* mb indx-8.0* ctropnt-2.68* 03:26pm albumin-3.9 calcium-9.0 phosphate-3.3 magnesium-1.4* 03:26pm wbc-15.1* rbc-4.87 hgb-14.6 hct-42.0 mcv-86 mch-30.0 mchc-34.8 rdw-14.6 03:26pm plt count-300 03:23pm pt-23.0* ptt-27.2 inr(pt)-2.1* 12:57pm type-art tidal vol-500 o2-100 po2-387* pco2-38 ph-7.32* total co2-20* base xs--5 aado2-295 req o2-55 -assist/con intubated-intubated 12:57pm glucose-284* 12:57pm hgb-14.6 calchct-44 o2 sat-97 12:20pm type-art o2 flow-15 po2-273* pco2-72* ph-7.37 total co2-43* base xs-13 -assist/con intubated-not intuba 12:20pm lactate-4.9* k+-4.4 cl--104 12:20pm hgb-14.1 calchct-42 o2 sat-98 11:20am glucose-188* urea n-22* creat-0.9 sodium-142 potassium-3.6 chloride-99 total co2-30 anion gap-17 11:20am estgfr-using this 11:20am ctropnt-<0.01 11:20am calcium-10.1 phosphate-3.6 magnesium-1.6 11:20am wbc-10.4 rbc-5.19 hgb-15.6 hct-45.0 mcv-87 mch-30.1 mchc-34.7 rdw-14.8 11:20am neuts-67.9 lymphs-25.1 monos-5.1 eos-1.3 basos-0.5 11:20am plt count-307 11:20am pt-22.7* ptt-23.2 inr(pt)-2.1* labs on discharge: 07:46am blood wbc-14.4* rbc-4.84 hgb-14.1 hct-42.1 mcv-87 mch-29.2 mchc-33.6 rdw-14.4 plt ct-519* 07:46am blood pt-36.7* inr(pt)-3.7* 07:46am blood glucose-143* urean-24* creat-1.0 na-137 k-3.9 cl-100 hco3-27 angap-14 07:45am blood alt-38 ast-39 ld(ldh)-392* alkphos-53 totbili-0.6 11:37am blood ck-mb-21* mb indx-2.6 ctropnt-4.14* 07:46am blood phos-3.4 mg-1.5* 07:27am blood tsh-6.7* 07:45am blood free t4-0.92* 05:04pm blood lactate-1.5 09:19am urine blood-mod nitrite-pos protein-100 glucose-neg ketone-neg bilirub-sm urobiln-2* ph-6.0 leuks-neg 09:19am urine rbc-13* wbc-7* bacteri-few yeast-none epi-0 microbiology: blood culture x 2 negative 3:36 am urine source: catheter. **final report ** urine culture (final ): gram negative rod(s). ~3000/ml and c. diff negative x 2 9:19 am urine source: cvs. urine culture (preliminary): escherichia coli. >100,000 organisms/ml.. presumptive identification. warning! this isolate is an extended-spectrum beta-lactamase (esbl) producer and should be considered resistant to all penicillins, cephalosporins, and aztreonam. consider infectious disease consultation for serious infections caused by esbl-producing species. gram positive bacteria. 10,000-100,000 organisms/ml.. sensitivities: mic expressed in mcg/ml _________________________________________________________ escherichia coli | ampicillin------------ =>32 r ampicillin/sulbactam-- =>32 r cefazolin------------- =>64 r cefepime-------------- r ceftazidime----------- r ceftriaxone----------- =>64 r ciprofloxacin---------<=0.25 s gentamicin------------ <=1 s meropenem-------------<=0.25 s nitrofurantoin-------- <=16 s piperacillin/tazo----- <=4 s tobramycin------------ <=1 s trimethoprim/sulfa---- =>16 r imaging: cardiac cath study date of hemodynamics results body surface area: 1.66 m2 hemoglobin: 15.6 gms % fick **pressures right atrium {a/v/m} -/30/25 right ventricle {s/ed} 47/25 pulmonary artery {s/d/m} 47/30/36 pulmonary wedge {a/v/m} -/38/30 aorta {s/d/m} 131/70/94 **cardiac output heart rate {beats/min} 88 rhythm afib o2 cons. ind {ml/min/m2} 125 a-v o2 difference {ml/ltr} 36 card. op/ind fick {l/mn/m2} 5.8/3.5 **resistances systemic vasc. resistance 952 pulmonary vasc. resistance 83 **% saturation data (nl) pa main 81 ao 98 other hemodynamic data: the oxygen consumption was assumed. **ptca results rca ptca comments: temporary venous pacer wire was placed in the rv apex and pacing was done at 60 beats per minutes for complete heart block. patient went into vfib with lca injection. after cpr, cardioversion and pressors, rythm was esablished with af and stable bp. patient was intubated in this process. 6f jr4 guide was used to engage the rca then which showed totally occluded proximal rca. which was crossed with prowater wire. the lesion in the prox rca was first predilated with 2.0 x 8 mm apex balloon at 12 atms at 12:10:19 pm re-establishing flow. then we further dilated the long lesion in prox and mid rca with 2.5 x 30 mm sprinter rx balloon at 12 atms. then we stented the mid and proximal rca with overlapping 3.0 x 28mm and 3.0 x 18mm promus at 10 and 12 atms. angio shoed residual stenosis distal to the mid stent and we deployed another overlapping promus 2.5 x 8 mm des at 10 atms. we post dilated the stents with 3.0 x 21 nn nc balloon at 16 atms. final angiogram showed 0% residual stenosis, no dissection and normal flow. angioseal closure device was used. pacer wire was removed. patient maintained stable rythm and was transferred to ccu. technical factors: total time (lidocaine to test complete) = 56 minutes. arterial time = 54 minutes. fluoro time = 17.2 minutes. irp dose = 283 mgy. contrast injected: non-ionic low osmolar (isovue, optiray...), vol 160 ml, indications - renal premedications: midazolam 3.5 mg iv fentanyl 75 mcg iv asa 325 mg p.o. anesthesia: 1% lidocaine subq. anticoagulation: heparin 0 units iv other medication: amiodarone bolus 300mg iv dopamine drip 40mcg/kg/min iv epinephrine bolus 1mg iv etomidate 20mg iv levophed 0.34mcg/kg/min iv lidocaine 1% 5ml sq succinylcholine 100mg iv complications: bradycardia vf cardiac cath supplies used: .014in , prowater 300cm .014in , prowater 300cm 2.0mm , balloon apex flex otw 12/1.5 2.5mm , sprinter 30mm 3.0mm , sprinter 20mm 6fr cordis, jr 4 sh 5fr bard, pacing wire 6fr , angioseal vip - allegiance, custom sterile pack - merit, left heart kit - , priority pack 20/30 3.0mm , promus otw 28mm 3.0mm , promus rx 18mm 2.5mm , promus rx 08mm comments: 1. selective coronary angiography of this right dominant system demonstrated 2 vessel coronary artery disease. the lmca had no angiographically apparent flow-limiting disease. the lad had < 50% proximal and mid-vessel stenoses. the lcx was small and had no angiographically apparent flow-limiting disease. the rca was totally occluded in the proximal segment. 2. resting hemodynamics revealed seveverely elevated left- and right-sided filling pressures with a mean pcwp of 30 mmhg and an rvedp of 25 mmhg. systemic arteral pressures were normal on vasopressor support. cardiac output was preserved at 5.76 l/min with an index of 3.47 l/min/m2, again on vasopressor support. 3. successful ptca/stenting of proximal and mid rca with three overlapping promus drug eluting stent prox to distal: 3.0 x 18 mm, 3.0 x 28 mm and 2.5 x 8 mm, the prox two stents were post dilated with 3.0 mm nc balloon at high pressure (details below). final angiogram showed 0% residual stenosis, no dissection and normal flow. final diagnosis: 1. one vessel significant coronary artery disease with rca occlusion. 2. inferior stemi and rv infarction. 3. severely elevated left- and right-sided filling pressures. 4. successful des of proximal and mid rca with three overlapping promus stents. - portable tte (complete) done at 11:33:12 am final echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.2 cm <= 4.0 cm left atrium - four chamber length: *5.9 cm <= 5.2 cm right atrium - four chamber length: *6.0 cm <= 5.0 cm left ventricle - septal wall thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.8 cm <= 5.6 cm left ventricle - systolic dimension: 3.5 cm left ventricle - fractional shortening: *0.27 >= 0.29 left ventricle - ejection fraction: 45% >= 55% left ventricle - lateral peak e': *0.07 m/s > 0.08 m/s left ventricle - septal peak e': *0.06 m/s > 0.08 m/s left ventricle - ratio e/e': 14 < 15 aorta - sinus level: 3.1 cm <= 3.6 cm aorta - ascending: 2.2 cm <= 3.4 cm aorta - arch: *3.3 cm <= 3.0 cm aortic valve - peak velocity: 1.7 m/sec <= 2.0 m/sec aortic valve - peak gradient: 7 mm hg < 20 mm hg mitral valve - e wave: 0.9 m/sec mitral valve - e wave deceleration time: *104 ms 140-250 ms tr gradient (+ ra = pasp): 21 mm hg <= 25 mm hg findings left atrium: mild la enlargement. right atrium/interatrial septum: moderately dilated ra. increased ivc diameter (>2.1cm) with <35% decrease during respiration (estimated ra pressure (10-20mmhg). left ventricle: mild symmetric lvh. normal lv cavity size. mildly depressed lvef. no resting lvot gradient. right ventricle: normal rv free wall thickness. normal rv chamber size. rv function depressed. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. focal calcifications in ascending aorta. mildly dilated aortic arch. focal calcifications in aortic arch. aortic valve: three aortic valve leaflets. moderately thickened aortic valve leaflets. mild as (area 1.2-1.9cm2). mitral valve: mildly thickened mitral valve leaflets. no mvp. mild mitral annular calcification. mild thickening of mitral valve chordae. calcified tips of papillary muscles. no ms. trivial mr. tricuspid valve: mildly thickened tricuspid valve leaflets. normal tricuspid valve supporting structures. no ts. mild tr. normal pa systolic pressure. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. normal main pa. no doppler evidence for pda pericardium: no pericardial effusion. conclusions the left atrium is mildly dilated. the right atrium is moderately dilated. the estimated right atrial pressure is 10-20mmhg. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly depressed (lvef= 45 %) secondary to mild hypokinesis of the inferior septum and posterior wall, and moderate hypokinesis of the inferior free wall. the right ventricular free wall thickness is normal. right ventricular chamber size is normal. with depressed free wall contractility. the aortic arch is mildly dilated. there are focal calcifications in the aortic arch. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis (valve area 1.2-1.9cm2). the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. compared with the findings of the prior report (images unavailable for review) of , evidence of intercurrent inferior posterior and right ventricular infarction now present, with relatively well-preserved overall left ventricular ejection fraction and significant (but likely reversible) right ventricular contractile dysfunction. - chest (portable ap) study date of 9:33 am frontal chest radiograph the heart is mildly enlarged. there is no pneumothorax or effusion. on background chronic increased interstitial markings, there is linear opacity at the right lung base most likely representing atelectasis. aspiration cannot be entirely excluded. there is linear left retrocardiac atelectasis. degenerative changes of both glenohumeral joints are moderate in extent - ecg study date of 11:16:08 am atrial mechanism appears to be atrial fibrillation but ventricular response is regular suggesting independent junctional rhythm. st-t wave configuration consistent with acute inferoposterior ischemic injury and possible myocardial infarction. since the previous tracing of the ventricular response is now a regular bradycardia and st-t wave abnormalities as outlined are now present. - ecg study date of 8:16:50 am atrial fibrillation. left axis deviation. compared to tracing #1 the t wave abnormalities in the inferior and lateral leads persist. clinical correlation is suggested. - ct head w/o contrast study date of 11:06 am impression: no acute intracranial abnormality. if there is a high concern for acute infarction, an mri with dwi can be performed for further evaluation. - portable abdomen study date of 1:52 pm findings: single portable supine abdominal radiograph demonstrates scoliosis. there is air present in non-dilated small bowel and colonic segments, without frank obstruction. this is a nonspecific small bowel gas pattern. some air is seen within the rectum brief hospital course: 78 year old female s/p inferior stemi with rv infarction and observed v-fib arrest, now in slow atrial fibrillation, extubated, off pressors. # s/p right ventricular/inferior stemi + v-fib arrest: the patient arrived with complaints of chest pain, and was noted on ekg to have st elevations in ii, iii, avf, v3-5 and reciprocal depressions in i, avl, v1, v2 with inverted t waves in i, avl, v1, v2. she was taken to the cath lab, where her cath report showed one vessel significant coronary artery disease with rca occlusion, an inferior stemi and rv infarction, severely elevated left and right sided filling pressures, in addition to successful des of proximal and mid rca with three overlapping promus stents. however, her catheterization was notable for a v-fib arrest which lasted for less than 1 minute. she was shocked x2 and given epi x1 and amio x1 after which she resumed her baseline rhythm. she was intubated, and was started on pressors, and was transferred to the ccu. she was started on aspirin, plavix, and atorvastatin; her metoprolol and ace-i were initally held in the setting of bardycardia and hypotension requiring pressors; however, she eventually no longer required pressors, and was started on metoprolol and lisinpril. her echo (for which the full report is in the results) showed mild symmetric left ventricular hypertrophy, with left ventricular systolic function mildly depressed (lvef= 45 %) secondary to mild hypokinesis of the inferior septum and posterior wall, and moderate hypokinesis of the inferior free wall. # atrial fibrillation - the patient's known rhythm was atrial fibrillation, and she was on coumadin for her afib on admission as well. her inrs were trended in the hospital, but her coumadin was discontinued on secondary to a rise in her inr to 4, likely secondary to changes in her warfarin dosing in-house from 4 days a week to daily. on the day of her discharge, she was still supra-therapeutic at 3.7 (her inr had peaked around 6), and so she was discharged and told not to take her coumadin until she had had labs drawn with her pcp, would then instruct her if she should need to restart. her coumadin was also initally held on her admission secondary to concerns for dysmetria, with concern for possible hemmoragic stroke; when ct head was negative, her coumadin was restarted. # hypotension - the patient was initially treated in the ccu with dopamine and levophed, and was subsequently able to be weaned off these medication. upon her discharge, she was no longer hypotense, and was tolerating her metoprolol as well as her lisonpril. # dysmetria - the patient on admission was noted to have difficulty with finger-to-nose on her ccu exam. a ct head was performed which was normal, and the patient's dysmetria subsequently resolved. there was some concern initially that her dysmetria might be secondary to alcohol withdrawal (the patient endorsing drinking drinks a night) but the patient did not exhibit any signs of withdrawal, so her ciwa (which was order) did not need to be used. # hypothyroidism: the patient in house was treated with a slightly larger dose of her home levothyroxine at 137 mcg; at home she had been taking 125 mcg. her tsh in house was around 6, but with a free t4 on the low side of normal at 0.94, possibly consistent with a sick euthyroid. as an outpatient, she should have her tsh/free t4 repeated to ensure that she is an appropriate dose of levothyroxine. # uti: the patient has a known history of chronic utis. in house, she had complained of some cystitis-type pain, for which a u/a was performed and initially did not show any signs of infection. however, during her hospitalization, she continued to have dysuria; a repeat u/a and culture was performed indicating an infection with e. coli. she had initially been treated with cefpodoxime, but her culture turned out to be resistent; given her age and history of multiple urinary tract infections, she was treated as a complicated uti with cipro for a 10 day course, starting on to end on . # urinary retention: around the same time as the patient's dysuria, the patient was noted to have some urinary retention as well, with bladder scans showing 600 cc in her bladder at one point, requiring straight catherterization. urology was consulted, and they reocmmended leaving foley for 5 days; she was discharged with a foley and plans to follow-up with her pcp or with her vna for foley removal. her retention was felt likely secondary to her uti. urology indicated that they would follow-up if the pcp so desired. # brbpr: the patient one night noted bright red blood on the toilet paper after having had a bowel movement. hematocrits were monitored and noted to be stable, and the brbpr was felt to be most consistent with hemmoroids; the patient was instructed to contact her pcp if this started to bother her or if her bleeding worsened. # diarrhea: in house the patient was noted to have some diarrhea; c. diff x 2 was sent off and was negative. the patient's diarrhea resolved with loperamide. medications on admission: amlodipine - 5 mg tablet - 1 tablet(s) by mouth once a day atenolol - 50 mg tablet - 1 tablet(s) by mouth once a day celecoxib - 200 mg capsule - 1 (one) capsule(s) by mouth once a day levothyroxine - 125 mcg tablet - 1 (one) tablet(s) by mouth once a day and extra tablet once weekly - no substitution lisinopril - 5 mg tablet - 1 (one) tablet(s) by mouth once a day qhs risedronate - 35 mg tablet - 1 (one) tablet(s) by mouth once weekly - no substitution warfarin - 5 mg tablet - 1 tablet(s) by mouth at bedtime as directed by your primary care doctor, based on inr readings medications - otc calcium - (otc) - 500 mg tablet - 2 (two) tablet(s) by mouth twice a day ergocalciferol (vitamin d2) - (otc) - 1,000 unit tablet - 1 (one) tablet(s) by mouth every other day glucosamine-chondroitin - (otc) - dosage uncertain 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:*11* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. ciprofloxacin 250 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 10 days. disp:*20 tablet(s)* refills:*0* 5. metoprolol succinate 100 mg tablet extended release 24 hr sig: 1.5 tablet extended release 24 hrs po daily (daily). disp:*45 tablet extended release 24 hr(s)* refills:*2* 6. levothyroxine 137 mcg capsule sig: one (1) capsule po daily (daily). 7. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. loperamide 2 mg capsule sig: one (1) capsule po qid (4 times a day) as needed for diarrhea. 9. calcium 500 500 mg (1,250 mg) tablet sig: one (1) tablet po twice a day. 10. vitamin d 1,000 unit tablet sig: one (1) tablet po once a day. 11. glucosamine chondroitin maxstr oral 12. actonel 35 mg tablet sig: one (1) tablet po once a week. 13. outpatient lab work please check inr on saturday with results to dr. at discharge disposition: home with service facility: vna discharge diagnosis: right ventiricular stemi ventricular fibrillation arrest atrial fibrillation on warfarin dysmetria after arrest gastroenteritis with diarrhea urinary retention discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you had a heart attack and needed a cardiac catheterization. three drug eluting stents were placed in your right coronary artery to fix a blockage. these stents will stay in place from now on and you will need to take aspirin and plavix every day for at least one year and possibly longer to prevent the stents from clotting off and causing another heart attack. do not stop taking aspirin/plavix or miss unless dr. . you also had some diarrhea that appeared to be from stress and laxative use, there was no evidence of infection. you should follow a brat diet and avoid dairy products. you can use imodium after each diarrhea episode. you had a small amount of blood from your rectum, probably from internal hemorrhoids or irritation to the colon. you are not losing significant amounts of blood but please call dr. if this worsens. you had urinary retention from bladder distention after the foley catheter was removed, there was also an infection in your urine. the foley was replaced and can be removed on tuesday at dr. office. you will need to take antibiotics for 7 days. . we made the following changes to your medicines: 1. start taking aspirin and plavix daily to prevent the stent from clotting off 2. start taking atorvastatin to lower your cholesterol 3. start taking ciprofloxacin to treat your urinary tract infection 4. increase lisinopril to lower your blood pressure and help your heart pump better 5. start taking metoprolol to lower your heart rate instead of atenolol 6. stop taking amlodipine, celebrex and atenolol. 7. stop taking coumadin for now. your inr was 3.7 today and we expect it will be lower tomorrow. the vna will send an inr tomorrow and dr. office will tell you how much coumadin to take. followup instructions: department: medical specialties when: tuesday at 11:00 am with: , md building: sc clinical ctr campus: east best parking: garage department: medical specialties when: tuesday at 10:00 am with: bone density testing building: campus: east best parking: garage department: when: friday at 10:00 am with: , m.d. building: campus: east best parking: garage department: when: tuesday at 9:00 am with: , m.d. building: campus: east best parking: garage department: cardiac services when: thursday at 9:00 am with: , md building: campus: east best parking: garage md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours coronary arteriography using two catheters intraoperative cardiac pacemaker insertion of endotracheal tube other electric countershock of heart cardiopulmonary resuscitation, not otherwise specified right heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel insertion of three vascular stents diagnoses: other and unspecified noninfectious gastroenteritis and colitis coronary atherosclerosis of native coronary artery urinary tract infection, site not specified unspecified acquired hypothyroidism cardiac complications, not elsewhere classified atrial fibrillation other specified cardiac dysrhythmias hypotension, unspecified atrioventricular block, complete osteoporosis, unspecified acute myocardial infarction of other inferior wall, initial episode of care cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure long-term (current) use of anticoagulants retention of urine, unspecified ventricular fibrillation accidents occurring in residential institution chronic total occlusion of coronary artery lack of coordination unspecified hemorrhoids with other complication personal history, urinary (tract) infection 

Answer: The patient is high likely exposed to