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 catheterization history of present illness: history of presenting illness: . 49 yo female presented to today with chest pain. she awoke this am with burning substernal chest pain. the pain radiated to her neck, shoulders, left arm and back. she denies associated shortness of breath, nausea, or diaphoresis. she reports she had a very similar episode 8 months ago which resolved with rest. she reports similar but less severe chest pain during exercise. her vital signs on arrival to were 97.8, 98, 154/75, and 99% on ra. she was found to have st elevations inferiorly, ii, iii, avr and laterally, v5, v6, with reciprocal changes in v1, v2, v3, i, avl. the patient was given nitro, plavix 600mg, aspirin 325mg, 4600units of heparin bolus, 8mg of morphine, and zofran. she was air lifted to for further management. . in the cath lab, she was found to have non-obstructive coronary artery disease. she was found to have a lad ostial lesion that was not thought to be causing her ekg changes. she did have basal inferior wall motion abnormalities. upon further questioning she reported she has been going through a stressful time in her life with the death of an uncle and the attempted suicide of her daughter. -coronary diltiazem 1mg was attempted to improve vasospasm as takotsubos was suspected. she received metoprolol 10mg iv during the case for sinus tachycardia. . on arrival to the ccu, the patient is asymptomatic and vital signs stable. . on review of systems, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. . past medical history: 1. cardiac risk factors: (-)diabetes, (+)dyslipidemia, (-)hypertension 2. cardiac history: none -cabg: none -percutaneous coronary interventions: none -pacing/icd: none 3. other past medical history: depression . . social history: -tobacco history: 10pack year history, quit 22 years ago -etoh: occassionally -illicit drugs: none family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: vs: hr 67 bp 132/83 rr 14 o2 95% general: wdwn in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with 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. abd aorta not enlarged by palpation. no abdominial bruits. extremities: right groin angioseal in place, dressing clean dry intact, no femoral bruit or hematoma. no edema. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ . pertinent results: ck(cpk) alkphos amylase totbili dirbili indbili 10:45am 242* 07:03pm 441* 05:49am 832* 10:03pm 1127* 02:05pm 1127* ck-mb mb indx ctropnt 10:45am 10 4.1 1.57*1 07:03pm 24* 5.4 1.29*1 05:49am 73* 8.8* 1.47*1 10:03pm 118* 10.5* 02:05pm 138*2 12.2* 1.42*3 brief hospital course: # coronaries: her initial ekg changes were thought to be consistent with inferior wall stemi, however no obstructing lesions were seen on cardiac cath. her v-gram on cath revealed what looked like apical and inferior wall hypokinsesis. given the history of excess stress, and this v-gram our working diagnosis was takotsubos cardiomyopathy. however, when her ekg did not return to baseline, and she developed inferior q waves it was determined that she had an inferior mi with autolysis and early presentioin. she was started on aspirin, high dose atorvastatin, beta-blocker, and ace-inhibitor for her stemi. she did not have an intervention and was not started on plavix. . # pump: her wall motion abnormalities were thought to be ischemia with some contribution of stunning and myocyte death. her ef was oreserved on echo. . # rhythm: the patient had an episode of sinus tachycardia in the cath lab and received metoprolol 10mg iv. her heart rate remained well controlled on metoprolol throughout her stay. . #gerd: ms had chest pain intermittently throughout the stay. her ekgs were not consistent with cardiac source. it was relieved by maalox, and she was started on omeprazole for suppression. . # hypercholesterolemia: given her stemi her new ldl goal will be 70. towards that end and also in accordence the prove-it trial she was started on 80mg of atorvastatin. . # depression: we continued her zoloft and he was seen by an in house social worker to help her cope with both her life stressors and her new disease. . fen: she was kept on a heart healthy diet. . prophylaxis: dvt ppx was acheived with heparin sc tid pain management was acheived with tylenol and oxycodone prn bowel regimen was acheived with colace and senna prn medications on admission: lipitor 10 mg amlodipine 10 mg atenolol 25 mg discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) 2. sertraline 50 mg tablet sig: 1.5 tablets po daily (daily). 3. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for itching. 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 5. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. 6. vicodin 5-500 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 8. zolpidem 5 mg tablet sig: one (1) tablet po once a day. 9. xanax 0.25 mg tablet sig: one (1) tablet po twice a day as needed for anxiety. 10. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 11. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po twice a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: st elevation myocardial infarction depression hyperlipidemia discharge condition: mental status:clear and coherent activity status:ambulatory - independent discharge instructions: you had a heart attack that damaged a small portion of your heart. your heart function was slightly compromised. a cardiac catheterization did not show any signs of blockages or narrowings of the coronary arteries. a cardiac mri was done and results are pending at this time. you will be started on new medicines to prevent another heart attack and help your heart recover from this one. please get a blood pressure cuff and check your blood pressure at home, keep a log to show to your doctors. medication changes: 1. start aspirin 325 mg every day to prevent blood clots 2. start metoprolol 12.5 mg mg twice daily to lower your heart rate and prevent another heart attack 3. start lisinopril, this is to lower your blood pressure and help your heart recover. 4. start atorvastatin to lower your cholesterol 5. start vicodin to treat the chest pain, take only as needed 6. start omeprazole to prevent heartburn. you can try to stop this when the chest pain is gone. 7. start ciprofloxacin to treat your urinary infection. you will need a total of 7 days, take until all pills are gone. 8. stop taking pravastatin . followup instructions: primary care: , phone: date/time: friday at 11:30am . cardiology: , md phone: date/time: at 2:00pm. procedure: coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnoses: esophageal reflux depressive disorder, not elsewhere classified other and unspecified hyperlipidemia acute myocardial infarction of inferolateral wall, initial episode of care long-term (current) use of aspirin 

Answer: The patient is high likely exposed to