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: motrin ib / alcohol / sulfa (sulfonamides) attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization history of present illness: ms. is an 82 year old woman with in stent thrombosis s/p cath on and . she did not take her plavix on the morning of the admission. she was brought to the cath lab for angiojet and poba. her ekg reveals q waves in v1-v4 and st elevations in v1-v4. an intraortic balloon pump and a pa catheter for further support and monitoring were placed as she was in cardiogenic shock. past medical history: cad s/p stenting of lad and lcx on and , ef 60% htn ? h/o tia arthritis falls uti social history: retired secretary in army-worked as a switch board operator. now does a lot of arts and crafts at home. lives alone in an apartment in senior living apartment complex. manages her own meds and finances. iadls. stopped smoking 60 years ago. no alcohol or illicits. has three children- one daughter lives closest in . family history: father died of an mi @ age 54 mother died of cancer at 88 years old. no cad in brothers or sisters. physical exam: vs: afebrile 156/64 93 100% ra gen: very pleasant elderly female, nad heent: perrl, op clear neck: difficult to assess jvd lungs: coarse bs/rhonchorous bs bilaterally cv: rrr, nl s1/s2, no m/r/g abd: obese, nt/nd, nabs, no masses extr: no c/c/e, pt 2+ bilaterally groin: with iabp, right groin pertinent results: echo conclusions: the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is severe regional left ventricular systolic dysfunction. overall left ventricular systolic function is severely depressed with akinesis of the anterior and anteroseptal, distal inferior, and apical walls. the anterolateral wall is hypokinetic but moves best. no masses or thrombi are seen in the left ventricle. right ventricular chamber size is normal. there is focal hypokinesis of the apical free wall of the right ventricle. the aortic valve leaflets appear structurally normal with good leaflet excursion. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is mild pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. ecg: compared with the prior study (tape reveiwed) of , the extensive left ventricular wall motion and right ventricular apical abnormalities are new and c/w interim infarction/ischemia (distal anterior septum and distal anterior wall hypokinesis were present on review of the prior study). sinus rhythm with pvcs possible acute anterolateral myocardial infarction generalized low qrs voltages intervals axes rate pr qrs qt/qtc p qrs t 96 164 68 364/417.57 85 9 70 10:15pm ck(cpk)-* 10:15pm ck-mb-544* mb indx-4.4 ctropnt->25 10:15pm wbc-18.7*# rbc-3.99* hgb-11.5* hct-33.2* mcv-83 mch-28.8 mchc-34.6 rdw-13.6 10:15pm plt count-385# 10:15pm glucose-162* urea n-14 creat-0.8 sodium-140 potassium-3.3 chloride-102 total co2-25 anion gap-16 brief hospital course: 1. cardiovascular: ms. is 82 year old with in stent thrombosis. she required a balloon pump and milrinone for her cardiogenic shock. after 3 days, the balloon pump was successfully weaned. her milrinone was weaned two days later, after she developed nsvt. she was continued on aspirin, and her plavix was increased to 150 mg per day. once she was stable, she was started on and ace inhibitor and beta blockade which were titrated up as her blood pressure allowed. she was also started on a lasix and spironolactone prior to discharge for management of her chf. ms. had a surface echocardiogram which showed an ef of 25% and an akinetic apex. for her akinetic ventricle, anticoagulation was considered, but it was decided that she was too much of a fall risk. she was also seen by the electrophysiology service for question of placement of icd. it was felt that her ef should be evaluated with surface echo in weeks. if it is still low at that time, she should be considered for icd placement. ms. remained in sinus rhythm except for a few hours when she developed nsvt while on milrinone. she initially required a nonrebreather, but as her shock improved, the oxygen was weaned. she was on a 7 day course of levofloxacin when she spiked a fever and developed what appeared to be a pneumonia on chest x ray. once she was stable, she was seen by the physical therapy team. her telemetry prior to discharge showed a 3 second pause (asymmetric, while sleeping); this was thought to be vagal response vs. evidence of conduction problem. as per electrophysiology, she was discharged on of hears monitor for 1 week, and she will follow up with ep as above in 4 weeks. 2. leukocytosis: she had a leukocytosis while in-house of unclear (wbc 14-16). she was afebrile, without signs of infection, and had negative urine, stool cultures and a negative cxr. this should be worked up as an outpatient. 3. headaches. she had severe migraines while in-house. she was seen by neurology who recommended continuing percocet and butalbital as needed (triptans contraindicated given heart disease). 4. disposition: she was discharged to follow up with a tte/ep evaluation in 1 month. she will have her creatinine/potassium checked a few days after discharge (she was not discharged on potassium supplementation even with lasix, for she did not require much potassium supplementation on this regimen in-house). she will follow up with her pcp, . , who should arrange for outpatient cardiology follow up as well. medications on admission: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 3. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 4. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily) for 300 days. disp:*30 tablet(s)* refills:*3* 5. atorvastatin calcium 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. metoprolol succinate 100 mg tablet sustained release 24hr sig: three (3) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 8. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. clopidogrel bisulfate 75 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day). 7. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. trazodone hcl 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed. 9. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 10. metoprolol succinate 100 mg tablet sustained release 24hr sig: four (4) tablet sustained release 24hr po daily (daily). disp:*120 tablet sustained release 24hr(s)* refills:*2* 11. lactulose 10 g/15 ml syrup sig: thirty (30) ml po tid (3 times a day). 12. lisinopril 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 13. pantoprazole sodium 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:*2* 14. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for headache: for migraines. disp:*30 tablet(s)* refills:*0* 15. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 16. meclizine hcl 12.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for dizziness. disp:*45 tablet(s)* refills:*0* 17. acetaminophen-caff-butalbital mg tablet sig: tablets po q4-6h (every 4 to 6 hours) as needed for headache. disp:*45 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: q wave mi, in stent thrombosis s/p angiojet and poba cad hypertension discharge condition: stable discharge instructions: 1. please take all your medications as listed on the following page. we made the following changes to your medication regimen: - you will take plavix 150 mg per day, twice your previous dose. - you can take butalbital as needed for your headaches - we added lasix 40 mg to be taken daily - we increased your toprol to 400 mg daily - we increased your lisinopril to 40 mg daily - we increased your lipitor to 80 mg daily - we added spironolactone 25 mg daily - we stopped your hydrochlorothiazide - we stopped your coumdadin 2. call your doctor immediately if you have chest pain, nausea, dizzyness, shortness of breath, palpitations, sweating, or swelling of your feet. 3. be sure to drink less than 1.5 liters per day. weigh yourself each day and call your doctor if you gain 3 pounds or more or if you notice swelling feet. avoid salty food such as chinese food, deli meat, or hot dogs. 4. you will go home with of hearts monitor. this will record your heart rhythm for 1 week. dr. will get the results of this. followup instructions: 1. please see your pcp: , on at 1pm. you may need to be evaluated for hyperglycemia since your sugars were briefly high while in the hospital. he may also want to do a work up for your elevated white blood cell count. 2. please have your creatinine and potassium checked by your vna on . these results should be faxed to dr. at . 3. you will go home with of hearts monitor, to record your heart rhythm for 1 week. 4. in weeks you need to have another echocardiogram and be evaluated for placement of icd. this test has been ordered, but you must call to schedule this appointment. please get the echocardiogram before you follow up with dr. . 5. provider: , m.d. where: cardiac services phone: date/time: 2:00 md procedure: injection or infusion of platelet inhibitor arterial catheterization pulmonary artery wedge monitoring transfusion of packed cells nonoperative removal of heart assist system diagnoses: pneumonia, organism unspecified subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia other chronic pulmonary heart diseases unspecified fall other specified cardiac dysrhythmias cardiogenic shock cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other complications due to other cardiac device, implant, and graft diastolic heart failure, unspecified migraine, unspecified, without mention of intractable migraine without mention of status migrainosus urinary incontinence, unspecified epistaxis home accidents other drugs and medicinal substances causing adverse effects in therapeutic use contusion of hip 

Answer: The patient is high likely exposed to