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: lisinopril attending: chief complaint: chest pain major surgical or invasive procedure: cardiac cath history of present illness: ms is an 84 year old woman with history of labile hypertension, coronary artery disase (per report with 40% rca lesion seen in cath), cll, h/o breast cancer s/p left mastectomy and ischemic cardiomyopathy, presenting with new episode of chest pain this evening. . history is obtained via russian interpreter; patient reports she was at home resting when she started having severe chest pain localized to the left chest and which radiated to the left arm. patient took imdur and diovan and pain resolved in approximately 5 minutes. denies any dizziness, syncope or pre-syncope, nausea, vomiting, diarrhea, diaphoresis, but did feel some difficulty breathing. . patient denies any recent joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. . patient believes this pain is more of a "pressure" than the pain she has been experiencing for the last few months. denies paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. . in the ed, 181/94, 70, 26 200% ra. given 5mg iv lopressor, aspirin, plavix and heparin drip after discussion of ecg with cardiology fellow. patient admitted for further evaluation. past medical history: hypertension diet-controlled diabetes congestive heart failure breast cancer diagnosed 15 years ago, s/p left mastectomy cll social history: no smoking history. denies etoh or illicit drugs. widowed. lives alone. competent in iadls. grandchildren live nearby. family history: no family history of early mi, otherwise non-contributory. physical exam: vs: 97.9 140/55 71 20 99% ra general: well appearing elderly femaly in no distress. appears frustrated. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 16 cm. 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: trace bilateral pedal 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: 09:00pm blood wbc-8.8 rbc-4.14* hgb-12.7 hct-36.1 mcv-87 mch-30.7 mchc-35.2* rdw-13.9 plt ct-221 09:00pm blood pt-12.5 ptt-23.8 inr(pt)-1.1 09:00pm blood glucose-148* urean-13 creat-0.7 na-139 k-3.6 cl-100 hco3-26 angap-17 09:00pm blood ck(cpk)-79 05:40am blood alt-20 ast-34 ck(cpk)-200* 01:10pm blood ck(cpk)-173* 05:35am blood ck(cpk)-102 05:30am blood ck(cpk)-62 05:25am blood ck(cpk)-51 09:00pm blood ck-mb-4 probnp-255 09:00pm blood ctropnt-0.03* 05:40am blood ck-mb-19* mb indx-9.5* ctropnt-0.38* 01:10pm blood ck-mb-14* mb indx-8.1* ctropnt-0.25* 12:05am blood ck-mb-7 ctropnt-0.16* 05:35am blood ck-mb-6 ctropnt-0.15* 05:30am blood ck-mb-notdone ctropnt-0.11* 05:25am blood ck-mb-notdone ctropnt-0.15* 05:40am blood calcium-8.8 phos-4.6* mg-2.3 iron-71 05:40am blood caltibc-347 ferritn-58 trf-267 cardiology report ecg study date of 8:54:32 pm sinus rhythm. left anterior fascicular block. inferolateral t wave abnormalities are non-specific but cannot exclude ischemia. since the previous tracing of sinus bradycardia is absent. clinical correlation is suggested. cxr impression: no evidence of pneumonia. probable trace right pleural effusion. tte the left atrium and right atrium are normal in cavity size. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild regional left ventricular systolic dysfunction with hypokinesis of the basal inferolateral wall. the remaining segments contract normally (lvef = 50 %). right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: mild symmetric left ventricular hypertrophy with mild regional systolic dysfunction c/w cad. mild moderate mitral regurgitation. mild pulmonary artery systolic hypertension. clinical implications: based on aha endocarditis prophylaxis recommendations, the echo findings indicate prophylaxis is not recommended. clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. .. cardiac catheterization: comments: 1. selective coronary angiography of this right dominant system revealed one vessel cad. the lmca, lad and lcx had no angiographically apparent flow limiting disease. the rca had a calcified ostial 95% lesion with left to right collaterals to the distal rca. 2. successful rotational atheretomy, ptca and stenting of the ostial rca with two overlapping cypher (3x18mm distal; 3.5x13mm) drug eluting stents postdilated distally with a 3.25mm balloon and 3.5mm balloon proximally. final angiography demonstrated no angiographically apparent dissection, no residual stenosis and timi iii flow throughout the vessel (see ptca comments). 3. successful closure of the right femoral arteriotomy site with a mynx closure device. 4. limited resting hemodynamics demonstrated systemic arterial hypertension, with bp of 180/72 mmhg. 5. left ventriculography was deferred. final diagnosis: 1. one vessel coronary artery disease. 2. successful rotational atheretomy, ptca and stenting of the ostial rca with two overlapping cypher drug eluting stents. 3. successful closure of the right femoral arteriotomy site with a mynx closure device. brief hospital course: ms is an 84 year old woman with history of cad, systolic heart failure, presenting with complaint of chest pain. . # nstemi: patient with complaints of chest pain the day of admission. she was chest pain free after sl nitro. she ruled in for nstemi with a peak trop of 0.38. she was started on heparin and integrelin gtt. she was also given asa 325, plavix loaded with 600mg and continued on 75mg daily, and continued her bb. she remained chest pain free thoughout her admission. she underwent cardiac cath on and showed one vessel coronary artery disease with 95 % occluded proximal rca. she then underwent successful rotational atheretomy, ptca and stenting of the ostial rca with two overlapping cypher drug eluting stents as well as successful closure of the right femoral arteriotomy site with a mynx closure device. she will plan on long-term plavix therapy. . # chronic systolic heart failure: the patient underwent echo on and showed an ef 50%. she was continued on her bb and therapy. . # hypertension: pt with labile blood pressures during her stay. her bp would be elevated into sbp 150's later in the evening. her valsartan was changed to noon time dosing to improve evening pressures. her bp improved with the adjustment. she was continued on diltiazem, isosorbide, metoprolol, and valsartan. . # diabetes: she is diet controlled. her am glucose has been elevated with a high of 148. she was monitored with qachs fs and covered with an iss. she should have outpatient follow-up regarding further management. . # glaucoma: she was continued on her outpatient regimen . # fen: cardiac/ diabetic diet was continued and her electrolytes were monitored daily and repleted as needed. . # access: piv's . # prophylaxis: heparin drip . # code: the patient was maintained as a full code status for the entirety of her hospital course and this was confirmed with family . # contact: -daughter ( / ( medications on admission: -- atenolol 25 mg tablet sig: one (1) tablet po daily (daily). -- diltiazem hcl 300 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). -- valsartan 160 mg tablet sig: one (1) tablet po bid (2 times a day). -- aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). -- rosuvastatin 20 mg tablet sig: one (1) tablet po hs (at bedtime). 6. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: 0.5 tablet sustained release 24 hr po daily (daily). 7. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 8. polyvinyl alcohol 1.4 % drops sig: 1-2 drops ophthalmic prn (as needed). 9. betimol 0.5 % drops sig: one (1) ophthalmic once a day discharge medications: 1. valsartan 160 mg tablet sig: one (1) tablet po twice a day. 2. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: 0.5 tablet sustained release 24 hr po once a day. 3. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 4. timolol maleate 0.5 % drops sig: one (1) ophthalmic daily (). 5. polyvinyl alcohol 1.4 % drops sig: ophthalmic prn. 6. diltiazem hcl 180 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). disp:*30 capsule, sustained release(s)* refills:*2* 7. toprol xl 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po once a day. disp:*90 tablet sustained release 24 hr(s)* refills:*2* 8. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* discharge disposition: extended care facility: for the aged - macu discharge diagnosis: primary: nstemi hypertension diet-controlled diabetes diastolic congestive heart failure discharge condition: stable, chest pain free, ambulating, o2 sat >95% on ra discharge instructions: it was a pleasure taking care of you while you were in the hospital. you were admitted to because of a heart attack. you underwent cardiac catheterization that showed a blockage of one of the arteries of your heart and you had a stent placed. please take all your medications as prescribed. the following changes were made to your medication regimen. 1. please take aspirin 325 mg daily instead of 81 mg daily 2. please take plavix 75 mg daily. it is very important that you take this medication every day. do not stop this medication until you are told to do so by your cardiologist. 3. you will start taking toprol xl 150mg daily 4. your diltiazem was decreased to 180mg daily 5. you were started on omeprazole 40mg daily 6. you will start lipitor 80mg daily please follow up with the appointments below. please call your pcp or go to the ed if you experience chest pain, palpitations, shortness of breath, nausea, vomiting, fevers, chills, or other concerning symptoms. weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet followup instructions: you have an appointment with your primary care physician . on 4:30. if this is not convenient you can call and reschedule. the office number is . . provider: , md phone: date/time: 2:20 procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of temporary transvenous pacemaker system 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: other iatrogenic hypotension subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other chronic pulmonary heart diseases personal history of malignant neoplasm of breast unspecified glaucoma other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia chronic systolic heart failure surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation drug-induced delirium chronic lymphoid leukemia, without mention of having achieved remission other sedatives and hypnotics causing adverse effects in therapeutic use acquired absence of breast and nipple 

Answer: The patient is high likely exposed to