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: metronidazole / tetracycline attending: chief complaint: chest pain, nausea, vomiting major surgical or invasive procedure: cardiac catheterization w/ stent placement history of present illness: ms. is a 64 yo female with a h/o niddm, htn who presents with acute onset of substernal chest pain which occurred while getting ready for bed at approximately 11 p.m. she describes the pain as a stabbing, soreness in her mid-chest. it did not radiate. she states that she ate for dinner and subsequently experienced nausea and multiple episodes of vomiting. she took motrin 800 mg po x 2, but vomited up both doses. her husband states that she became diaphoretic. ems was called approximately 4 hours after onset of symptoms. . ekg on arrival revealed st elevations in inferio-lateral leads, and code stemi was called in ed. in cath lab, 2 des were deployed to proximal rca. procedure was complicated by atrial fibrillation, with complete lost of p-waves and concomitant sbp's to 90's. temporary pacing wire was placed in coronary sinus with immediate restoration of av synchrony and improvement of bp. tte was performed during procedure with concern for vessel perforation, but there was no evidence of pericardial effusion. patient was pain-free throughout procedure. she had short runs of vt in cath lab, and she received amiodarone 150 mg iv x 2. . ros is notable for episodes of substernal chest pain which occurred with exertion for approximately the past year. review of systems is notable for absence of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. . on review of symptoms, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. all of the other review of systems were negative. past medical history: hypertension niddm dyslipidemia angina social history: social history is significant for the absence of prior or current tobacco use. there is no history of alcohol abuse. patient is originally from . family history: there is no family history of premature coronary artery disease or sudden death. physical exam: vs: t 96.9 , bp 174/89 , hr 76, rr 19, o2 99% on 2l nc gen: wdwn middle aged black female in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 8 cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. abd: soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp pertinent results: 02:45am fibrinoge-438* wbc-11.4* rbc-4.74 hgb-12.8 hct-37.6 mcv-79* mch-27.0 mchc-34.1 rdw-14.0 calcium-9.2 phosphate-4.0 magnesium-2.0 cholest-220* ctropnt-<0.01 ck-mb-3 asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg triglycer-86 hdl chol-63 chol/hdl-3.5 ldl(calc)-140* 02:50am urine bnzodzpn-neg barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg color-straw appear-clear sp -1.006 blood-neg nitrite-neg protein-neg glucose-100 ketone-15 bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 02:53am glucose-201* lactate-2.4* na+-144 k+-3.3* cl--98* tco2-29 %hba1c-7.0* lactate-1.0 na+-142 k+-2.9* 12:26pm ck-mb-86* mb indx-12.1* ctropnt-1.64* 12:26pm ck(cpk)-709* 05:35pm ck-mb-92* mb indx-9.5* ctropnt-2.33* 05:35pm ck(cpk)-965* . cardiac catheterization : comments: 1. selective coronary angiography of this right dominant system demonstrated two vessel coronary artery disease. the proximal rca was totally occluded. the lad had serial 80% stenoses. the lcx had mild disease. the lmca was normal. 2. resting hemodyanmic measurement demonstrated elevated filling pressures with an rvedp 22 mmhg and pcwp 24 mmhg. this near equalization was suggestive of an rvmi (pseudoconstriction). the mean pap was 26 mmhg. the calculated fick c.i. was depressed at 2.05 l/min/m2. 3. successful ptca and stenting of the proximal rca with a 3.5 x 18 mm xience des which was post dilated to 3. at high pressure and a 3.5 x 23 mm xience des in the distal rca. final angiography revealed no resisual stenosis in the stents, no dissection and near normal flow. (see ptca comments) 4. shock with av dysynchrony requiring cs pacing final diagnosis: 1. two vessel coronary artery disease. 2. elevated left and right sided filling pressures. 3. acute inferior myocardial infarction, managed by acute ptca. ptca of the rca vessel. echocardiogram : the left ventricular cavity size is normal. there is mild to moderate regional left ventricular systolic dysfunction with near akinesis of the basal half of the inferior and inferolateral walls. the remaining segments contract normally (lvef = 40 %). right ventricular chamber size is normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no pericardial effusion. impression: normal left ventricular cavity size with regional systolic dysfunction c/w cad. no significant pericardial effusion. . echocardiogram : the left atrium is normal in size. the estimated right atrial pressure is 0-10mmhg. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with mild basal to mid inferior wall hypokinesis. overall left ventricular systolic function is normal (lvef>55%). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the aortic arch is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: compared with the prior study (images reviewed) of , the focal left ventricular dysfunction and overall systolic function have much improved. brief hospital course: ms. is a 64 yo woman with htn, niddm, dyslipidemia who presented with a chief complaint of chest pain, nausea, vomiting due to inferior/right ventricular stemi # stemi: the patient underwent cardiac catheterization with x 2 to proximal rca. cardiac enzymes were cycled with a peak ck of ~900 at 48 hours. she was started on asa, plavix, high-dose statin as well as metoprolol and lisinopril. echo post mi showed preserved lvef (>55%). while the patient presented in atrial fibrillation in the setting of stemi, she returned to a sinus rhythm post mi and there was no indication for pacemaker evaluation. the importance of medication compliance was discussed with the patient and she was scheduled for follow-up with the cardiology clinic. . # dm: the patient had a history of dm which she treated with a home remedy of "bitter bark". her hemoglobin a1c on admission was 7. her blood sugars during hospitalization ranged from 80's to 230. she was treated in house with sliding scale insulin. metformin therapy was initiated prior to discharge and fasting blood sugars on this regimen were in the 120-130 range. the patient was instructed to follow-up with her pcp regarding further dm management. medications on admission: bitter bark for diabetes control coenzyme q10 ? vitamin d asa prn ntg prn 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:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. metoprolol succinate 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po hs (at bedtime). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 6. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) sublingual as needed as needed for chest pain. 8. vitamin d oral 9. coenzyme q10 oral discharge disposition: home discharge diagnosis: primary diagnosis: st elevation mycardial infarction coronary artery disease diabetes hypertension discharge condition: the patient was hemodynamically stable, afebrile and without pain at the time of discharge. discharge instructions: you were admitted for evaluation of chest pain and our studies indicated that you had a heart attack. you underwent a cardiac catheterization and 2 stents were placed in the blood vessels of your heart. because of these sents, it is very important for you take a new medication called plavix. this medication thins your blood and helps to keep your stents open. in addition to the plavix, we have started several other medications which will protect your heart from further damage. these medications include two blood pressure medications (toprolol and lisinopril), a medication for your cholesterol (simvastatin), and a full strength aspirin (325mg daily). we have also started a medication for your diabetes (metformin), which you will need to take twice a day. you should take all of these medications as directed. you should not stop any of these medications unless directed by your physician. in the next few weeks, you will need to follow-up with your primary care doctor as well as with our cardiology department. we have scheduled appointments for you. please be sure to attend these appointments as scheduled. in the meantime, please call your doctor or return to the emergency room if your chest pain returns or if you develop shortness of breath, nausea, vomiting, fatigue, weakness, fever chills or any other symptoms of concern. followup instructions: pcp: . () at 12:30 pm. . cardiology: , md phone: date/time: 1:00 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of temporary transvenous pacemaker system angiocardiography of right heart structures insertion of drug-eluting coronary artery stent(s) transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on two vessels diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation paroxysmal ventricular tachycardia other and unspecified hyperlipidemia cardiogenic shock acute myocardial infarction of inferolateral wall, initial episode of care 

Answer: The patient is high likely exposed to