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: naprosyn attending: chief complaint: chest pain major surgical or invasive procedure: na history of present illness: patient is a yo russian speaking woman with hx of as, cad (hx of + stress test, but declined cath because she is dnr/dni and wants no invasive interventions), and a recent hospitalization in for chest pain (ruled out for mi) and chf who now presents with several days of worsening le edema and increased weight. she had called several days ago and had been adjusting her lasix dose accordingly to 80mg po lasix. . over the past few years she has been followed for chest pain, worse with exertion, somewhat releived with nitroglycerin. per patient's family, she has had a positive stress test before; however, declined cardiac catheterization at that time. . in the ed, she was initially in respiratory distress and found with st depressions in the lateral leads and new rapid afib. troponin 0.24, confirming nstemi. she then spontaneously converted to nsr, rate 80's, at 1pm with some improvement in st seg depressions. she was noted to be in heart failure and received 40 mg iv lasix x2 with total urine output 500 cc. . . of note, patient and her son understood the risks, but decided against further work-up (no cta) and no invasive procedures. this was discussed with patient and son via . also, in the ed, it was confirmed with that she is dnr/dni, but is unsure about dccv or bipap sicne does not know much about them. past medical history: - aortic stenosis: tte showed mild as with 1.1 cm2, preserved ef -htn -?cad: partially reversible inferior wall defect mibi;pt declining cath or other interventions -hyperlipidemia -osteoarthritis -ckd (baseline 2.1-2.4) social history: sh: lives by herself in elder housing, has visiting rn and son now visits . family history: nc physical exam: vs: ed - bp high 90/70s, hr 80s, o2 sat 99% nrb gen: elderly woman appearing fearful, anxious, struggling to breathe, moderate distress heent: engorged ej, elevated jvp 5-6 cm above sternal angle at 70 degrees, op moist lungs: bilateral basilar crackles, no wheeze, no rhonchi heart: irregularly irregular, sm across precordium. abd: distended, prominent abdomen-chest paradoxic movement extrem: warm, indurated, 2+ pitting edema to mid shins bilaterally pertinent results: . . . . . . . . . cxr: impression: chf with bilateral moderate-sized pleural effusions . conclusions: 1.the left atrium is normal in size. 2. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). intrinsic lv function may be depressed given the severity of the mr. 3 .right ventricular chamber size is normal. right ventricular systolic function is normal. 4.the aortic valve leaflets (3) are mildly thickened. there is moderate aortic valve stenosis. no aortic regurgitation is seen. 5.the mitral valve leaflets are moderately thickened. moderate to severe (3+) mitral regurgitation is seen. 6.moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. 7.there is no pericardial effusion. . 12/99 persantine mibi: impression: partially reversible inferior wall defect with inferior wall hypokinesis. stress: 1. non-diagnostic persantine. 2. chest pain in late recovery period following the infusion. brief hospital course: y/o russian speaking female, admitted for medical management of stemi, chf exacerbation (ef =25%, 4+mr) and acute on chronic renal failure. the patient and her family declined intervention (ie, cath) and were very clear that the patient was dnr/dni. the patient was treated medically with heparin, plavix, aspirin and a statin. she also had oliguric arf upon admission. she was started on a dopamine drip to maintain her blood pressure, natrecor was added which did improve urine output, however, her cr remained elevated. on the patient was noted to be in distress; an ekg was performed revealing worsening of st elevations anteriorly likely representing further infarct or a new mi. she became hypotensive and her respiratory status declined; she refused oxygen. her family decided to focus her care on comfort at this point and she was started on a morphine drip. she passed away later in the morning with her family at her bedside. medications on admission: aspirin e.c. 325 mg--take one by mouth every day atenolol 50 mg--take one by mouth every day atorvastatin calcium 20 mg--take one by mouth every day colace 100 mg--take three by mouth every day diltiazem xt 120 mg--take one tablet each day furosemide 80 mg--1 by mouth daily (***note, recently increased due to increased weight and edema) lorazepam 1 mg--take one tablet by mouth at bedtime as needed for insomnia/anxiety nitroglycerin 300 mcg (1/200 gr)--as directed os-cal 500+d 500-125--one by mouth three times a day quinine sulfate 260 mg--one by mouth at bedtime as needed for leg cramps ultram 50 mg--one by mouth four times a day as needed for pain discharge medications: na discharge disposition: expired discharge diagnosis: na discharge condition: deceased discharge instructions: na followup instructions: na procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified non-invasive mechanical ventilation injection or infusion of oxazolidinone class of antibiotics infusion of vasopressor agent diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery acute kidney failure, unspecified atrial fibrillation candidiasis of mouth true posterior wall infarction, initial episode of care rheumatic heart failure (congestive) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia cardiogenic shock mitral valve insufficiency and aortic valve stenosis volume depletion, unspecified 

Answer: The patient is high likely exposed to