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 78-year-old caucasian female with a past medical history significant for hypertension who was taken to emergency room on the morning of by ambulance secondary to intermittent right chest pain for the past three days. on arrival she was found to be in ventricular fibrillation. as a result, she was shocked one time with 200 joules into rapid atrial fibrillation with inferior st elevations (greater in lead iii than in lead ii), and st depressions in leads i, avl, v2 through v3. there, she was given 5 mg of intravenous lopressor, 150 mg of intravenous amiodarone, intravenous morphine, intravenous heparin, and aspirin. she then turned dusky in color, stopped breathing, and was emergently intubated. as a result, she was med-flighted to for an emergent catheterization. in the catheterization laboratory, she was found to have mitral regurgitation and a right-dominant coronary system. there was a 90% mid left anterior descending artery lesion as well as a 50% mid distal left anterior descending artery lesion. the left circumflex had mild disease. the right coronary artery displayed a total occlusion at the proximal end and a 40% mid lesion. thus, a stent was placed in her right coronary artery without any complications. equalization of catheterization pressures were consistent with right ventricular involvement, so the patient was aggressively fluid resuscitated and started on a dobutamine drip. she was then transferred to the coronary care unit in stable condition on the afternoon of for further monitoring. past medical history: 1. hypertension. 2. degenerative joint disease. 3. hiatal hernia. 4. gastroesophageal reflux disease. 5. thrombophlebitis of the right leg. 6. sciatica of the right leg. 7. status post total abdominal hysterectomy. 8. status post cystocele/rectocele removal with resultant upper gastrointestinal bleed; of note, an esophagogastroduodenoscopy/colonoscopy performed last month was negative. medications on admission: (medications on admission included) 1. potassium chloride 10 meq q.d. 2. hydrochlorothiazide 50 mg p.o. b.i.d. 3. os-cal d 500 mg p.o. b.i.d. 4. motrin 600 mg p.o. b.i.d. 5. robaxin 750 mg p.o. b.i.d. allergies: amoxicillin and codeine. social history: the patient is a widower since . she is a retired professional photographer and lives alone. she is apparently very active and independent. her son died of cancer, and she has one sister and one brother. she denies any tobacco or intravenous drug use, and she reports to occasional alcohol use. family history: family history was not obtained. review of systems: review of systems not obtained. physical examination on presentation: physical examination revealed temperature was 98, blood pressure was 154/81, pulse was 99, respiratory rate was 14, oxygen saturation of 99% on ventilation machine. her swan numbers revealed pulmonary artery pressure was 29/16, pulmonary artery mean was 19, central venous pressure was 13. her ventilator settings on admission were synchronized intermittent mandatory ventilation 500 x 14, positive end-expiratory pressure of 5, 50% fio2. the swan numbers were on a dobutamine drip of 4.6. in general, she was an elderly caucasian female who was intubated and sedated but appeared comfortable. her pupils were pinpoint but equally round and reactive to light. her nares were patent, and her oropharynx was clear. she had an endotracheal tube present, and her mucous membranes were moist. her neck was without any jugular venous distention, carotid bruits, or thyromegaly. her lungs were clear to auscultation bilaterally; anteriorly. cardiovascular examination revealed a regular rate and rhythm with a 1/6 systolic ejection murmur heard best at the apex. her point of maximal impulse was nondisplaced. there were no heaves, rubs or gallops noted. her abdomen was soft, nontender, and nondistended with normal bowel sounds. there was no apparent hepatosplenomegaly. her right groin had an arterial sheath present without any evidence of oozing or hematoma. her extremities revealed 2+ dorsalis pedis and posterior tibialis pulses in the lower extremities bilaterally. there was no clubbing, cyanosis or edema present. pertinent laboratory data on presentation: laboratories on admission revealed white blood cell count was 11.8, hemoglobin was 12.4, hematocrit was 33.5, platelets were 163. pt was 15.7, ptt was 150, inr was 1.7 (these were on an integrilin drip at 2). sodium was 136, potassium was 3.1, chloride was 103, bicarbonate was 13, blood urea nitrogen was 17, creatinine was 1, blood glucose was 368. arterial blood gas showed a ph was 7.46, pco2 was 22, pao2 was 325 on 100% fio2. ldh was 284. ast was 85. creatine kinases peaked at 1195, mb peaked at 204. radiology/imaging: electrocardiogram status post catheterization revealed st elevations with t wave inversions in leads ii, iii, and avf. a normal sinus rhythm with a rate of 80. normal axis and normal intervals. hospital course: ms. was immediately started on aspirin, plavix, and an integrilin drip for the first 18 hours status post catheterization. her cardiac enzymes were cycled every eight hours until a peak was reached. she was not started on an ace inhibitor or a beta blocker for the first few status post catheterization given her transient hypotension. however, she was immediately started on pravachol. she was kept on a dobutamine drip for the first 24 hours status post catheterization to maintain her mean arterial pressures at greater than 65, and her urine output at greater than 30 cc. because she had displayed right ventricular infarct physiology, she was kept well hydrated. she was also monitored on telemetry. on , she self-extubated herself and did well ever since on nasal cannula. her dobutamine drip was discontinued on , and her pressures were maintained enough to start a low-dose beta blocker on . hospital course: throughout the hospital course, the patient's pressure remained stable to slightly high. as a result, her metoprolol was gradually increased, and an ace inhibitor was added. an echocardiogram was performed on which revealed an ejection fraction of 35%, mild left ventricular hypertrophy, severe global right ventricular free wall hypokinesis, 1+ aortic regurgitation, 2+ mitral regurgitation, 3+ tricuspid regurgitation, inferior and basilar inferolateral akinesis, along with inferoseptal hypokinesis. her pravastatin was transiently held secondary to increased liver function tests and right upper quadrant tenderness on palpation; most likely due to hepatic congestion. since her liver function tests started to trend down, and the right upper quadrant tenderness virtually disappeared, her pravachol was restarted on without any problems. she did have an episode of questionable atrial fibrillation on the morning of . an electrocardiogram performed soon after showed that the patient was in normal sinus rhythm with a great deal of atrial ectopy. her metoprolol was increased further in the hopes of better rate control, but she was not started on any anticoagulation or amiodarone. her electrolytes were checked daily, and her potassium and magnesium were repleted as necessary. she received a cardiac diet with boost supplements throughout her hospital stay. she did have an episode of coffee-grounds emesis via her nasogastric tube on ; soon after her catheterization procedure. this did clear on lavage, and her hematocrit remained stable. as a result, she was started on a high-dose proton pump inhibitor. renally, her creatinine remained stable, and her urine output remained excellent throughout her hospital stay. her swan was discontinued on without any complications. she was transfused one unit or packed red blood cells for a hematocrit of 29.2 on as well. she remained afebrile for the majority of her hospital stay with the exception of a temperature of 101.4 on ; most likely secondary to her recent myocardial infarction. she was not started on any antibiotics, and all of her cultures remained negative. because her blood sugar was elevated in the 300s on admission, a hemoglobin a1c was checked, and the patient was put on a sliding-scale insulin with q.i.d. fingerstick checks. she was transferred to the cardiac stepdown unit on in stable condition. physical therapy was consulted. her foley was discontinued on , and the patient urinated on her own without any difficulty. on the day of discharge (), the patient's only complaint was some mild left hip pain. she denied any chest pain, shortness of breath, or palpitations. on examination, she appeared comfortable. she had about a 10-cm jugular venous distention. her lungs sounded clear bilaterally. the cardiovascular examination revealed a regular rate and rhythm with a 1/6 systolic ejection murmur at the apex. her abdomen was completely benign with no more right upper quadrant tenderness to palpation. there was no hepatosplenomegaly noted either. her extremities revealed trace edema in her bilateral lower extremities without any signs of calf tenderness, and her groin site was without hematoma or oozing of blood. her laboratories on discharge were significant for a white blood cell count of 7.4, hematocrit was 31.2, platelets were 160. alt was 42, ast was 27, alkaline phosphatase was 140, total bilirubin was 0.9, and a hemoglobin a1c was 6.8. discharge diagnoses: 1. acute st elevation inferior myocardial infarction with right ventricular physiology. 2. status post right coronary artery stent. 3. hypertension. 4. transient upper gastrointestinal bleed. 5. atrial ectopy. 6. occasional hypokalemia and hypomagnesia. medications on discharge: 1. atenolol 75 mg p.o. q.d. 2. lisinopril 20 mg p.o. q.d. 3. plavix 75 mg p.o. q.d. 4. protonix 40 mg p.o. q.d. 5. pravachol 20 mg p.o. q.d. 6. enteric-coated aspirin 325 mg p.o. q.d. 7. robaxin 750 mg p.o. b.i.d. condition at discharge: condition on discharge was good. discharge status: the patient was discharged on to home with home physical therapy. discharge instructions: 1. she was to follow up with dr. in cardiology in approximately one month. her follow-up appointment was on at 9 a.m. 2. in the interim, she was to follow up with her primary care physician (dr. ) on tuesday, , at 9:45 a.m. 3. she was to take all of her cardiac medications prescribed above. 4. she was to eat a cardiac healthy low-sodium/low-fat diet. 5. her elevated hemoglobin a1c was concerning for an underlying undiagnosed diabetes mellitus that needs to be further worked up. 6. her increased alkaline phosphatase was likely not related to the administration of pravastatin, but also needs to be worked up at a later date. 7. her significantly stenosed left anterior descending artery may require further angioplasty at a later date. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension atrial fibrillation mitral valve insufficiency and aortic valve insufficiency osteoarthrosis, unspecified whether generalized or localized, site unspecified acute myocardial infarction of inferoposterior wall, initial episode of care diseases of tricuspid valve 

Answer: The patient is high likely exposed to