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 (sulfonamides) attending: chief complaint: generalized weakness, diaphoresis major surgical or invasive procedure: cardiac catheterization history of present illness: 79 y/o f with pmhx of cad s/p nstemi in ', pci to om1 & rca in ' who presents with acute onset of generalized weakness, shortness of breath & diaphoresis. woke up this morning and upon rising from bed, felt weak, sweaty, and short of breath. sensation reminded her of past mi in . felt need to move bowels and had a bowel movement. called 911 when episode failed to resolve. brought by ambulance to , where ekg showed ?lateral st depressions, troponin i elevated at 0.17. received asa, heparin gtt. dr. , patient's outpatient cardiologist, recommended transfer to . . episode this morning not accompanied by chest pain or any other pain or discomfort. of note, nstemi in similarly did not present with chest pain. denies lightheadedness, dizziness, sensations of syncope/presyncope. . ed course: on arrival to ed vs: t 97.1, hr 100, bp 142/76, rr 20 sats 97% 2l. ekgs showed lateral 1mm st depressions in leads v5-v6, ?st elevation and twi in avr, ?isolated st elevation in v2. pt denied symptoms at this time and was continued on heparin gtt. on arrival in ccu, pt was denying any current chest pain, shortness of breath, weakness or diaphoresis. . review of systems: admits to increased fatigue x 1 year. on review of systems, denies prior stroke, tia, dvt, pe, abnormal bleeding, myalgias, joint pains, cough, bloody stools or melena. denies recent fevers, chills, rigors, weight loss. denies exertional leg pain. . cardiac review of systems notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, lower extremity edema, syncope or presyncope. admits to diminished activity tolerance x 1 yr, but attributed to back pain scoliosis. past medical history: cad s/p nstemi in , stent to proximal rca, 2 cypher stents to mid rca, 3 minivision stents to distal rca for nstemi - s/p cypher des to om1 of lcx for ischemia noted on ett hypertension hyperlipidemia depression/anxiety gerd, esophageal strictures, s/p prior dilation social history: divorced and lives alone in a senior citizen building. formerly employed in an outpatient psychiatry office. does not have children. two pack per day smoker x 20yrs (40 pack-years) - quit 35 years ago. denies alcohol consumption. family history: maternal grandmother died of mi in her late 50s. physical exam: vs: t 99.2, bp 123/79, hr 89, rr 26, o2 96% on 2lnc. gen: elderly female in nad, resp or otherwise. oriented x3. pleaseant, with appropriate mood/affect. heent: sclerae/conjuctivae normal. oral mucosa without pallor, cyanosis or lesions. edentulous, but wearing dentures. neck: supple with jvp of 5 cm. cv: tachycardic, but rhythm mostly regular with occasional premature beats. normal s1, s2. no murmurs, rubs, gallops. chest: significant scoliosis/kyphosis. respirations unlabored w/o accessory muscle use. ctab, no crackles, wheezes, rhonchi. abd: soft, ntnd, +bs. ext: no cyanosis or edema skin: clean and warm without stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; 2+ dp left: carotid 2+ without bruit; 1+ dp pertinent results: 03:45pm wbc-11.1* rbc-4.33 hgb-12.6 hct-38.5 mcv-89 mch-29.0 mchc-32.6 rdw-13.4 03:45pm plt count-277 03:45pm pt-14.3* ptt-92.7* inr(pt)-1.2* 03:45pm ctropnt-0.26* ekg: ekg on presentation to ed demonstrated 1mm st depressions in leads v5-v6, 1/2mm st elevations in avr, and j point elevation in v2. posterior lead ekg performed without st elevations imaging: chest xray cardiac catheterization: brief hospital course: 79 y/o f with pmhx of cad s/p stenting to rca & om1 in ' who presented with acute onset of generalized malaise, diaphoresis and sob who was transferred to due to elevated troponins and concern for myocardial infarction. . # cad/ischemia: presented with weakness, diaphoresis and sob consistent with prior mi, likely patient's anginal equivalent. slightly elevated troponin to 0.26, but negative ck and ck-mb. st depressions of 1mm noted on contiguous leads (v5-v6) on ecg. heparin was continued, high dose simvastatin was given, and metoprolol 25mg was begun in place of her home atenolol. noted to be somewhat volume depleted and tachycardic. following volume repletion with normal saline and metoprolol, tachycardia resolved. furthermore, ecg was noted to be improved, with diminished st deviations. overnight, troponin gradually decreased from 0.26 to 0.16 and then 0.13. this event was thought to be most likely due to rate related ischemia from tachycardia in the setting of fixed stenosis, rather than acute coronary syndrome. cardiac cath was performed. selective coronary angiography of r dominant system showed 2 vessel disease, with normal lmca, minimal lad disease. diagonal-2 noted to have 80% proximal lesion which was too small for pci and unchanged from . lcx had 40% stenosis unchanged from . om-1 stent was patent, om-2 was normal. rca had total occlusion at mid segment from restenosis of stent, but there were large collaterals from the lca to the distal rca. left ventriculogram showed normal lv systolic function with lvef 64%. patient was discharged on aspirin, statin, beta blocker. . # tachycardia: presented in sinus tachycardia with occasional pvcs. was not symptomatic. was monitored on telemetry and remained in sinus rhythm. managed with fluid resuscitation with normal saline and metoprolol 25mg , with resolution of tachycardia. . # valves: no new murmurs, heart failure, or any signs of acute valvular dysfunction. no significant valvular disease on echo in '. . # gerd: continued on home ppi. . # fen: continued on heart healthy diet. received ivf and electrolyte repletion. # prophylaxis: heparin gtt, ppi, bowel regimen medications on admission: aspirin 81mg qod atenolol 25mg qd tylenol paxil simvastatin omeprazole discharge medications: aspirin 325 mg tablet sig: one (1) tablet po daily (daily). simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). atenolol 25 mg tablet sig: one (1) tablet po once a day. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po hs (at bedtime). paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for back pain. discharge disposition: home discharge diagnosis: primary: dehydration coronary artery disease s/p cardiac cath with no intervention secondary: hypertension discharge condition: stable discharge instructions: you were admitted due to concern for myocardial infarction. you underwent cardiac catheterization that showed that your coronary arteries were unchanged from a previous catheterization and that your heart function has been preserved. if you develop any chest pain, shortness of breath, weakness, diaphoresis or any other general worsening of condition, please call your pcp or come directly to the ed. followup instructions: cardiology: you have a follow up appointment with dr. on tuesday at 2:30pm. please call his office at if you have any questions. primary care: you have a follow up appointment with dr. on thursday at 10am. procedure: angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension old myocardial infarction hypovolemia 

Answer: The patient is high likely exposed to