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: penicillins / aspirin attending: chief complaint: chest pain, positive exercise tolerance test major surgical or invasive procedure: cardiac catherization with 2 stents (des) placed to right coronary artery. history of present illness: this is a 55-year-old woman with dm ii, htn, hyperlipidemia and an extensive family history of early cad who is admitted on after anginal symptoms during outpatient ett and ekg changes suggestive of myocardial ischemia. . ms. complains of 4 months of exertional chest pain. she is aware of a "pressure" in her chest after about 10 minutes of exercise (such as walking up stairs). it is associated with some mild sob and palpitations; she nausea, vomiting, or diaphoresis. prescribed nitro by outpatient provider. . on admission, ms. chest pain, shortness of breath, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. other review of systems is negative for abdominal pain, constipation, fever, chills, or other concerning signs or symptoms. ms. does complain of a headache, which she states is her usual migraine. past medical history: --dm ii --dyslipidemia --hypertension --anxiety --migraines --osteoporosis --iron deficiency anemia social history: originally from . lives with uncle. 5 children ranging in age from 42 to 34. tobacco, etoh, or other drug use. family history: brothers died at 60 and 65 of mi. mother died at 57 of mi. sister died at 56 of mi. father died at 80 of mi. multiple family members with dm ii and hypertension. no family history of cancer. physical exam: vs: t 98.0 bp 154/66, hr 75 rr 16 o2 sat 100% ra, blood sugar 135 general: pleasant woman, appears stated age, nad heent: ncat. sclera anicteric. perrl, eomi. neck: supple, jvp not elevated cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. midline scar from tubal ligation surgery. extremities: no clubbing, cyanosis, or edema skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+, radial 2+, popliteal 2+ left: carotid 2+, radial 2+, popliteal 2+ pertinent results: 09:55pm glucose-256* urea n-21* creat-1.1 sodium-138 potassium-4.7 chloride-97 total co2-31 anion gap-15 09:55pm estgfr-using this 09:55pm ck(cpk)-58 09:55pm ck-mb-notdone ctropnt-<0.01 09:55pm calcium-10.2 phosphate-4.5 magnesium-1.6 09:55pm wbc-6.6 rbc-4.45 hgb-12.8 hct-39.2 mcv-88 mch-28.7 mchc-32.6 rdw-13.1 09:55pm plt count-301 09:55pm pt-12.2 ptt-24.1 inr(pt)-1.0 . ekg: t wave inversions in v1-v5. st depressions in i and ii. . ett : ms is a 55 year old woman with history of hyperlipidemia, diabetes, hypertension who presents with typical angina for several months. she completed 4 minutes of protocol representing a poor exercise tolerance for her age; ~ 2.8 mets. the test was stopped due to fatigue. she complained of substernal chest pain () 2 minutes into exercise that peaked at 7/10 which resolved 5 minutes into recovery. there were 0. depression at peak exercise which resolved upon rest. during recovery she had t wave inversions starting from 2 minutes in recovery to 7 minutes in recovery. she had a run of atrial tachycardia 2 minutes into recovery lasting for 6 beats. the rhythm was sinus. the patient was hypertensive at baseline however had appropriate hemodynamic response to exercise. impression: anginal symptoms at low workload with st changes suggestive of myocardial ischemia. nuclear report sent separately. . nuclear stress : probably normal myocardial perfusion at level of exercise achieved with mild fixed apicoanterior and apical defect which is commonly seen with our current camera. however, given the stress results an lad distribution lesion can not be excluded. . cath : comments: 1. coronary angiography in this right dominant system demonstrated single vessel cad. the lmca had no angiographically apparent cad. the lad had a 50% stenosis in the mid vessel. the lcx had no angiographically apparent cad. the rca had a proximal 50% stenosis and a distal 70% stenosis. 2. limited resting hemodynamics revealed moderate systemic arterial systolic hypertension with an sbp of 154 mmhg. 3. successful ptca and placement of a 2.5x12mm promus drug eluting stent in the mid rca and a 2.5x12mm promus drug eluting stent in the proximal rca. final angiography showed normal flow, no apparent dissection, and no residual stenoses. (see ptca comments.) 4. the right common femoral arteriotomy was successfully closed using a 6 fr angioseal vip device. . final diagnosis: 1. single vessel cad. 2. successful placement of des to rca. brief hospital course: this is a 55-year-old woman with a past medical history of dm ii, htn, hyperlipidemia, and a strong family history of cad who was admitted to after an ett suggestive of myocardial ischemia. patient underwent cardiac catherization on and had 2 des placed to rca. cad: patient has multiple risk factors for cad including htn, hyperlipidemia, dm ii, and a strong family history of heart disease. an ett on was suggestive of myocardial ischemia. patient underwent cardiac catherization (via right groin) on without complications. two des were placed to rca. ms. was maintained on home lisinopril 10mg qd and started on plavix, toprol 25mg qd, simvastatin 40mg qd, and asa 325mg qd. she was maintained on telemetry and monitored with serial ekgs. last hgba1c is 7.9--patient is on 3 oral hypoglycemics as an outpatient, but may be switched to insulin by primary provider. (dr. , patient's pcp, been notified of patient admission and elevated hgba1c). patient will follow-up with dr. in cardiology clinic on . . aspirin desensitization: patient with known allergy to aspirin including shortness of breath, chest pain, and diaphoresis. ms. was successfully desensitized to aspirin in ccu on via asa desensitization protocol. she should continue taking aspirin daily; if she fails to do so, her allergy may return. . diabetes: patient with dm ii for the last ~20 years not ideally controlled on 3 oral agents. (last hgba1c is 7.9). during this admission she was started on glargine and an insulin sliding scale. ms. will be discharged on her home hypoglycemics, but her pcp may decide to switch to insulin for superior control. dr. is in agreement with this plan. . hyperlipidemia: patient was discharged on simvastatin 40mg qd. . hypertension: patient was maintained on home ace-i and started on toprol 25mgqd. . anxiety: patient with baseline anxiety, exacerbated by hospital stay. patient was seen by social work consult, and may benefit from counseling as an outpatient. . chronic back pain, neuropathy: nortryptaline was continued. medications on admission: glimepiride 4 mg tablet lisinopril 10 mg tablet lovastatin 40 mg tablet metformin 1,000 mg tablet nitroglycerin 0.4 mg tablet, sublingual nortriptyline 10 mg capsule pioglitazone 45 mg tablet propoxyphene n-acetaminophen 100 mg-650 mg tablet tid prn omeprazole discharge medications: 1. nortriptyline 10 mg capsule sig: one (1) capsule po daily (daily). 2. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed) as needed for chest pain: take one tablet as needed for chest pain for up to 3 tablets in 15 minutes. call your doctor if you take more than one tablet, and call 911 if you take 3 tablets. 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*11* 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. ranitidine hcl 150 mg capsule sig: one (1) capsule po once a day. disp:*30 capsule(s)* refills:*2* 7. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 8. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 9. metformin 1,000 mg tablet sig: one (1) tablet po twice a day: do not take until evening of . 10. glimepiride 4 mg tablet sig: one (1) tablet po once a day. 11. actos 45 mg tablet sig: one (1) tablet po once a day. 12. propoxyphene n-acetaminophen 100-650 mg tablet sig: one (1) tablet po three times a day as needed for pain. discharge disposition: home discharge diagnosis: primary: 1. coronary artery disease 2. stable angina 3. abnormal exercise tolerance test . secondary 1. dm ii 2. hypertension 3. hyperlipidemia discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: dear ms. , it was a pleasure taking care of you on this admission. you were admitted to the hospital because of an exercise tolerance test (stress test), which showed some damaged heart muscle. you had a cardiac catherization on and 2 des (drug eluding stents) were placed into your right coronary artery. it is very important that you take a medication called plavix (clopidogrel) until instructed otherwise by your doctor. . you also underwent a procedure during which we "desensitized" you to aspirin. you can now take aspirin without having an allergy to this medication. it is very important that you take aspirin every day or else your allergy may return. . the following changes were made to your medications: 1. start plavix (clopidogrel) 75mg once a day 2. start aspirin 325mg once a day 3. start toprol xl 25mg once a day 4. stop taking omeprazole 5. start ranitidine 150mg once a day . please take all of your medications as prescribed. please keep all of your follow-up appointments. . return to the hospital if you develop chest pain, shortness of breath, severe headache, palpitations, nausea, vomiting, diarrhea, bleeding in your urine or stools, fevers, chills, or other concerning signs or symptoms. followup instructions: 11:00a , (, ma), - adult medicine (sb) 04:00p -cc7 , cc7 cardiology (sb) procedure: coronary arteriography using two catheters left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) immunization for allergy transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel 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 gout, unspecified need for desensitization to allergens other and unspecified angina pectoris osteoporosis, unspecified family history of ischemic heart disease iron deficiency anemia, unspecified mononeuritis of unspecified site salicylates causing adverse effects in therapeutic use other drug allergy 

Answer: The patient is high likely exposed to