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: nitrous oxide attending: chief complaint: chest pain . hpi: ms. is a 64 yo female with history of an mi who presented to an osh on with 9/10 burning chest pain and right shoulder pain. her ekg at the osh showed bigeminy with a rate of 158, ste in avr & v1, std in i, ii, f, v3 - v6. troponin was elevated at 2.04. she was given slntg & morphine and was started on a nitro gtt and her pain improved. she underwent cardiac catheterization at which showed: rca chronically occluded, cx with tight disease, + lad disease. she then went into atrial fibrillation (per outside report, no ekg available) which is new for her and was treated with iv lopressor with successful conversion. . she was transferred to for further evaluation for possible cabg for her 3vd. since her admission, pt continues to have chest pain, similar to what she had at the osh. she describes the pain as a burning sensation with some radiation to her right shoulder. denies any associated sob, pnd, orthopnea, or dizziness. her cardiac enzymes remain elevated. she had an episode of svt on the floor with hr of 115. no new ekg changes at the time. she had a carotid ultrasound which showed bilateral stenosis, 60-69%. . she was transferred to the ccu for closer management. she is currently asymptomatic. . medications: heparin gtt nitro gtt lipitor 10mg po daily asa 325mg po daily metoprolol 50mg prednisolone eye gtt tobramycin eye gtt cyclopentolate eye gtt . . social history: she works in the post office and does a lot of heavy lifting. significant tobacco use - at least a pack a day for 44 years. occasional alcohol abuse. . physical exam: vitals t 98.7 bp 106/73 ar 54 rr 14 gen: pleasant female, nad heent: perrla, mmm heart: nl s1/s2, no s3/s4, no m,r,g lungs: ctab, no crackles abdomen: soft, nt/nd, +bs, no organomegaly extremities: no edema, 2+ dp/pt pulses . laboratory results: see below . ekg: sinus bradycardia at 57. small q in ii, iii, f. j point ele in v3 with no significant change compared with prior dated earlier today. ekgs at osh showed vent bigeminy. . relevant imaging: . 1)cardiac cath (osh-):100% rca, 80 - 85% lcx, "mod lad", ef 55%. no formal report sent. . 2)carotid u/s ():60-69% stenosis in the proximal internal carotid arteries bilaterally. this is a baseline examination at the . . 3)echo (): 1. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). regional left ventricular wall motion is normal. 2. the aortic valve leaflets (3) are mildly thickened. no aortic regurgitation is seen. 3. the mitral valve leaflets are mildly thickened . a/p: ms. is a 64 yo female with history of mi, 3vd on recent cardiac cath, bilateral carotid stenosis being transferred to the ccu for closer management as well as evaluation for cabg. . cardiac 1)3vd: pt presented with chest pain at osh and was found to have significant 3vd on cardiac catheterization. she was transferred to for further evaluation and possible cabg. pt being followed by ct surgery. - medical management w/statin, b-blocker, aspirin - hold plavix and integrillin given possible surgery and that she unlikely does not have an unstable plaque, more likely demand ischemia in the setting of tachycardia. - echo, u/a, cxr, t+s as per ct surgery - continue nitro gtt and titrate down as necessary - consult, as below; f/u reccs - f/u ct surgery reccs . 2)rhythm: pt in sinus rhythm on admission; she has episodes of tachycardia (with multiple apcs)associated with st changes (not new), likely demand ischemia. - ct with metoprolol 50 , titrate up as necessary . 2) lv function: no history of chf; appears to be normovolemic on clinical exam. - pre-op echo this afternoon . 3)bilateral carotid stenosis: ultrasound from today shows 60-69% carotid stenosis bilaterally. currently asymptomatic. - surgery consult regarding surgical intervention (cea vs. stent placement) and if this needs to be done prior to cabg. . 4)retinal detachment: s/p bubble procedure, pt being followed by opthamology. per opthamology, pt able to lye supine as well as receive high doses of heparin. per optho, pt able to lye supine for surgery. - ct with outpatient regimen: alphagan, pred forte, tobramycin, cyclopent; the latter 2 can be stopped on . - no nitrous oxide for anesthesia due to increased iop. - f/u opthamology reccs . 5)fen: cardiac healthy diet, npo after mn for likely cabg tommorow, replete electrolytes as necessary. . 6)access: 1 piv . 7)code: full . 8)prophylaxis: heparin iv for dvt prophylaxis, bowel regimen not necessary at this time. . 9)communication: , daughter: h , c , w . . 10)dispo: pending possible cabg and clinical improvement . major surgical or invasive procedure: cabg x 4 r vats/thoracic duct clipping history of present illness: 64 yo f presented to osh with cp, +nstemi. cath there showed 3vd, transferred to for pci v cabg. past medical history: past medical history: 1) cad: mi - no intervention. s/p pci in , no intervention at that time. 2) retinal detachment s/p repair on . 3) s/p tonsillectomy 4) s/p cataract surgery . social history: lives with daughters works at post office 1 ppd x 44 years social etoh family history: family history: there is a + family history of premature coronary artery disease - dad had mi in 40's, mom had "heart problems and " physical exam: 70 20 108/50 nad heent r eye bloodshot, pupil nonreactive, l pupil reactive no lympadenopathy lungs ctab ant/post heart rrr, no m/r/g abd benign extrem warm, no edema 1+ dp/pt/femoral pulses, 2+ radial pulses pertinent results: 06:50am blood wbc-4.2 rbc-3.56* hgb-10.0* hct-28.8* mcv-81* mch-28.0 mchc-34.6 rdw-16.5* plt ct-213 06:50am blood plt ct-213 03:09am blood pt-13.2* ptt-26.7 inr(pt)-1.2* 06:50am blood glucose-106* urean-28* creat-0.9 na-140 k-4.1 cl-104 hco3-30 angap-10 brief hospital course: ms. was seen by opthomology for her recent retinal detachment and gas bubble placement. she was ok'd for anticoagulation with heparin. she was seen in consultation by surgery for her bilateral carotid stenosis of 60-69, she will have a repeat carotid u/s in 6 months, and see dr. as an outpatient. ms. was taken to the operating room on where she underwent a cabg x 4. she was transferred to the sicu in critical but stable condition. she was extubated later that same day. the following day she was reintubated for low co and possible ischemia. she was started on milrinone, and remained on amiodarone (for some vt postop) and neo. tee showed no areas of potential ischemia. she was again extubated on pod #2. she was again reintubated late on pod #3 for hypoxia. bronchoscopy showed minimal amounts of clear secretions. she was ready for extubated on pod #5. on , she underwent a thoracentesis for ~2l cloudy fluid. the fluid was positive for triglycerides. she was transferred to the floor. a repeat cxr showed almost complete reaccumulation of the chylothorax and a chest tube was placed. she was started on tpn and made npo. she was seen in constulation by thoracic surgery, and on she underwent a right vats and thoracic duct ligation. she was given clear liquids and reminade on tpn. she was transferred back to the floor 11.13. she was started on a regular diet which she tolerated. her chest tubes were discontinued with small stable bilated pneumothoraces. she was placd on keflex for some continued mild erythema of her sternal incision. she was ready for discharge home on pod #25/11. medications on admission: asa discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 2. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 1 weeks. disp:*28 capsule(s)* refills:*0* 3. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 7. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 9. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 5 days. disp:*20 capsule, sustained release(s)* refills:*0* 10. cyclopentolate 1 % drops sig: one (1) drop ophthalmic (2 times a day): right eye. disp:*qs 1 month* refills:*0* 11. prednisolone acetate 1 % drops, suspension sig: one (1) drop ophthalmic qid (4 times a day): right eye only. disp:*qs 1 month* refills:*0* 12. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day): right eye only. disp:*qs 1 month* refills:*0* 13. hydromorphone 2 mg tablet sig: one (1) tablet po q2h (every 2 hours) as needed. disp:*40 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: cad chylothorax mi () pci retinal detachment teonsils cataract surgery discharge condition: good. discharge instructions: call with fever, redness or draiange from incision or weight gain more than 2 pounds in one day or five in one week. no heavy lifting or driving until follow up with surgeon or while taking narcotic pain medicine. shower, no baths, no lotions, creams or powders to incisions. bandaid to chest tube sites. followup instructions: dr. 2 weeks dr. 2 weeks dr. 4 weeks dr. office to make follow up and appointment and appointment for cxr stone, rvt date/time: 10:00 , surgery (nhb) date/time: 11:00 dr. (opthamology) after discharge procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery parenteral infusion of concentrated nutritional substances diagnostic ultrasound of heart insertion of endotracheal tube insertion of endotracheal tube thoracentesis ligation of thoracic duct diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery accidental puncture or laceration during a procedure, not elsewhere classified paroxysmal ventricular tachycardia occlusion and stenosis of carotid artery without mention of cerebral infarction family history of ischemic heart disease other noninfectious disorders of lymphatic channels accidental cut, puncture, perforation or hemorrhage during surgical operation other forms of retinal detachment 

Answer: The patient is high likely exposed to