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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain major surgical or invasive procedure: cardiac cath : lmca: no cad lad: mid vessel 50% diffuse. 70% proximal diagonal lcx: total occlusion mid vessel rca: proximal 60% diffuse and distal rca into pda 60% intervention: promus desx2 placed into the lcx history of present illness: 72 y/o woman with no known cad, hx of htn,diabetes, hypercholesterolemia with c/o non radiating chest pain with n/v that started overnight the night prior to admission and prevented her from sleeping. had intermittant chest pain through the night that continued upon waking up. accompanied by nausea and and non-bloody vomiting. also acommpanied by shortness of breath. denies having chest pain ever in the past. went to pcp on morning of admission and was transferred to ed when st elevations noted in leads i, avl, st depressions in ii, iii and avf on ekg. in the ed, she was a&ox3, bp 191/81, hr 96, o2 at 100% on nrb. she was given asa, 5000units heparin, 600mg plavix, 2mg morphine and ntg given in ed. her pain resolved. she then was transferred to cardiac cath at the , which showed total occlusion of the lcx; two des were placed. upon arrival to the floor, vitals were hr 85, sat 100% on 2l nc, rr 16, bp 176/81. she continued to have mild chest pain, improved from prior. past medical history: 1. cardiac risk factors: diabetes (doesn't check fs), htn, hypercholesterolemia 2. cardiac history: none social history: -tobacco history: no -etoh: glasses wine/month -illicit drugs: no family history: mi in parents, can't remember specifics physical exam: general: anxious appearing elderly woman with italian accent. oriented x3. heent: ncat. sclera anicteric. perrl, eomi. cardiac: rr, normal s1, s2. no m/r/g. no s3 or s4. chest pain reproducible with palpation. lungs: resp were unlabored, no accessory muscle use. ctab anteriorly (not assessed posteriorly given need to lie flat post cath.) abdomen: soft, ntnd. no hsm or tenderness. extremities: no le edema. 2+ dp pulses. r-sided cath side non-erythematous, no bleeding. pertinent results: admission labs: chem7: 138/3.7/104/21/10/0.5/237 ck-md 58, trop 0.66 cbc: 12.9/38.1/213, inr 1.2 04:25pm glucose-237* urea n-10 creat-0.5 sodium-138 potassium-3.7 chloride-104 total co2-21* anion gap-17 04:25pm alt(sgpt)-45* ast(sgot)-84* ck(cpk)-941* alk phos-78 amylase-43 tot bili-0.7 04:25pm ck-mb-58* mb indx-6.2 ctropnt-0.66* 04:25pm %hba1c-8.3* eag-192* 04:25pm wbc-12.9* rbc-4.67 hgb-13.6 hct-38.1 mcv-82 mch-29.2 mchc-35.8* rdw-13.7 04:25pm glucose-237* urea n-10 creat-0.5 sodium-138 potassium-3.7 chloride-104 total co2-21* anion gap-17 04:25pm glucose-237* urea n-10 creat-0.5 sodium-138 potassium-3.7 chloride-104 total co2-21* anion gap-17 ekg: : nsr at changes, small q waves in lead i at 3pm: nsr at elevations in i, avl, v5, v6 and st depressions in ii, iii, avf at 5:30 pm: nsr at changes, q waves in i, avl, v5, v6 . cardiac cath: lmca: no cad lad: mid vessel 50% diffuse. 70% proximal diagonal lcx: total occlusion mid vessel rca: proximal 60% diffuse and distal rca into pda 60% intervention: promus desx2 placed into the lcx echo :the left atrium is elongated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. lv systolic function appears depressed (ejection fraction 40 percent) secondary to severe hypokinesis of the posterior and lateral walls, and mild hypokinesis of the inferior free wall. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. the tricuspid regurgitation jet is eccentric and may be underestimated. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. discharge labs: 06:55am blood wbc-8.2 rbc-3.83* hgb-11.3* hct-32.4* mcv-85 mch-29.6 mchc-34.9 rdw-13.9 plt ct-199 06:55am blood plt ct-199 06:55am blood pt-13.8* ptt-24.6 inr(pt)-1.2* 06:55am blood glucose-217* urean-23* creat-0.6 na-141 k-4.3 cl-105 hco3-26 angap-14 06:55am blood alt-42* ast-46* alkphos-62 totbili-0.6 06:55am blood calcium-8.9 phos-3.8 mg-2.0 04:25pm blood %hba1c-8.3* eag-192* brief hospital course: 72 yo woman with pmh dmii with retinopathy, htn, hypercholesterolemia who presents with one day of chest pain, shortness of breath and n/v who was found to have lateral mi on ekg. cath showed complete lcx occlusion which was stented with 2 des. . # stemi of lcx: presented with typical chest pain, ste in the lateral leads with reciprocal changes in the inferior leads, as well as subsequent development of q waves in the lateral leads in the setting of elevated cardiac enzymes, with troponins and ckmb of 0.66 and 58, respectively, on admission, peaking at 3.76 and 99, respectively, within 24 hours. the patient underwent emergent catheterization and 2 promus drug eluting stents were placed in the lcx, which was found to be 100% occluded. the patient remained in sinus rhythm and hemodynamically stable post-catheterization and throughout the course of the admission; her cardiac exam remained stable; she also remained clinically euvolemic. her percutaneous access site remained without clinical evidence of bruits, hematoma, or pseudoaneurysm. post-catheterization, the patient was started on asa 325 mg daily for an indefinite course, and plavix 75 mg daily x12 months; metoprolol 25 mg and captopril 6.25 mg tid were started to optimize rate control and afterload reduction, with the captopril transitioned to lisinopril 5 mg daily prior to discharge and metoprolol transition to toprol xl 50 mg qd; atorvastatin 80 mg daily was also started to optimize her lipid profile and for potential pleotrophic survival benefits. echo showed: lv systolic function appears depressed (ejection fraction 40 percent) secondary to severe hypokinesis of the posterior and lateral walls, and mild hypokinesis of the inferior free wall. . # dm2: glucose was controlled with an insulin sliding scale; the patient resumed oral diabetes medications upon discharge. . # transaminitis: presented with a mild trans aminitis that peaked 24h after admission, with alt 80 and ast 226 and showed a normalizing trend prior to discharge. medications on admission: januvia (sitagliptin+metformin) simvastatin 40 mg qd amaryl (glimepiride) ecotrin (asa) discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 5. nitroglycerin 0.3 mg tablet, sublingual sig: tablet, sublinguals sublingual prn (as needed) as needed for chest pain: place under tongue for chest pain, can use three times for an episode of chest pain, call 911 immediately. disp:*30 tablet, sublingual(s)* refills:*0* 6. januvia oral 7. glimepiride oral 8. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 9. outpatient lab work please draw the following labs on friday : na, k, bun, cr, wbc, hgb/hct, platelets. discharge disposition: home discharge diagnosis: myocardial infarction discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted because you had a heart attack. we performed a procedure called cardiac catheterization that identified a blockage in your artery and we opened this blockage. we know that there was some damage to your heart and you will have to followup with a cardiologist. you will also have to start taking various different medications. . please start taking the following new medications: start plavix 75 mg daily (for one year) start toprol xl 50 mg daily start lisinopril 5 mg daily start nitroglycerin below your tongue as needed for chest pain stop taking simvastatin 40 mg daily start atorvastatin 80 mg daily instead stop taking ecotrin start taking aspirin 325 mg daily instead please have blood taken on friday so that labs can be checked; you can do this at . please attend the follow-up appointments detailed below. followup instructions: you have an appointment with dr. at 10/13 at 10am. please call for directions and if you need to make a change. please follow-up with your pcp in the next week. please return to the ed if you have any chest pain, shortness of breath, nausea/vomiting or any other symptoms that are concerning to you. procedure: coronary arteriography using two catheters left heart cardiac catheterization 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 single vessel diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension other and unspecified hyperlipidemia diabetes with other specified manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy acute myocardial infarction of other lateral wall, initial episode of care 

Answer: The patient is high likely exposed to