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: history of present illness: the patient is a 76-year-old female with a past medical history of coronary artery disease (status post cardiac catheterization in with stent placement to the circumflex artery and a questionable history of myocardial infarction 25 years ago), hypertension, and chronic atrial fibrillation who was admitted to the cmi service after and elective catheterization was performed on due to increasing dyspnea on exertion times one to two weeks and increasing frequency of chest pain. the cardiac catheterization was complicated by bradycardia which required 0.5 mg of atropine. the first obtuse marginal was opened by angioplasty, but stent was unable to be deployed. status post catheterization, she was noted to be stable with an initial blood pressure of 144/65 and a heart rate of 60. three hours status post catheterization, she was noted to have a decreased blood pressure to 60/40 with a heart rate still in the 60s. her hematocrit was found to be 29 (down from 36). she was given atropine with an increase in heart rate to the 100s. she was started on a dopamine drip with an increase in blood pressure to the 90s to 110s/60s to 70s. her right groin was stable and without hematoma. the integrilin was discontinued. she was transferred to the coronary care unit for further management. on transfer, she denied any chest pain or shortness of breath. no leg pain. no new low back pain. she has chronic midback pain. she did complain of diffuse abdominal pain. past medical history: (the patient has a history of) 1. coronary artery disease; status post myocardial infarction approximately 25 years ago. 2. hypertension. 3. no history of diabetes or hypercholesterolemia. 4. probable chronic obstructive pulmonary disease; she is on 2 liters nasal cannula at home at night. 5. chronic atrial fibrillation. 6. congestive heart failure. 7. osteoarthritis. 8. history of gastrointestinal bleed three years ago on coumadin. 9. gastroesophageal reflux disease. medications on admission: (home medications included) 1. aspirin 325 mg by mouth once per day. 2. nitroglycerin patch 0.4 mg transdermally. 3. digoxin 0.125 mg by mouth once per day. 4. vasotec 10 mg by mouth once per day. 5. lasix 80 mg by mouth once per day. 6. imdur 30 mg by mouth once per day. 7. protonix 40 mg by mouth once per day. 8. coumadin 4 mg to 5 mg by mouth once per day. 9. singulair 10 mg by mouth once per day. 10. zoloft 50 mg by mouth once per day. 11. combivent 2 puffs inhaled four times per day. 12. ditropan 2 mg by mouth twice per day. 13. lopressor 12.5 mg by mouth twice per day. 14. ativan by mouth as needed. 15. celebrex 200 mg by mouth as needed. allergies: social history: the patient was a former heavy tobacco smoker. she had over a 50-pack-year history. she recently quit. social alcohol. she currently lives in a nursing home. family history: her mother died of a myocardial infarction at the age of 70. physical examination on presentation: physical examination on admission revealed the patient's vital signs in the coronary care unit revealed initial blood pressure of 77/48, increased to 122/40, heart rate was 96 (in atrial fibrillation), and she was saturating 100% on 2 liters nasal cannula. generally, she was a pale elderly female in no apparent distress. she appeared comfortable. head, eyes, ears, nose, and throat examination revealed sclerae were anicteric and pale. pupils were equal, round, and reactive to light. the mucous membranes were moist. no thrush. neck examination revealed jugular venous pulsation not appreciated at 30 degrees. chest examination revealed the lungs were clear to auscultation bilaterally except for coarse upper airway sounds. cardiovascular examination revealed a irregular rate and rhythm. a 2/6 systolic murmur at the left upper sternal border. no radiation. the abdomen revealed mild diffuse tenderness to palpation. no rebound or guarding. bowel sounds were present. there was no sign. extremity examination revealed the right groin was without hematoma or bruits. fingers and toes were cold and clammy. dorsalis pedis and posterior tibialis pulses were dopplerable bilaterally. neurologic examination revealed she was alert and oriented times three, enunciating effectively. pertinent laboratory values on presentation: laboratories of significance on admission revealed hematocrit fell from 36 to 29 and increased to 32 after 2 units of packed red blood cells. complete blood count was within normal limits. pertinent radiology/imaging: catheterization in revealed right coronary artery with 80% proximal circumflex, mild left axis deviation, left circumflex was stented, left middle cerebral artery was normal, pulmonary artery pressures were 31/16, left ventricular end-diastolic pressure was 17. catheterization on showed first obtuse marginal with 99% which received percutaneous transluminal coronary angioplasty with 20% residual stenosis. they were unable to pass a stent at that time. left main coronary artery was within normal limits. left anterior descending artery with mild disease. right coronary artery with 100% stenosis which filled with collaterals. a transthoracic echocardiogram in showed an ejection fraction of 50% to 60%. her left anterior descending artery was dilated. mitral regurgitation of 1+. mild tricuspid regurgitation. persantine mibi in revealed an ejection fraction of 60% with an apical ischemia, some fixed inferoseptal defects. electrocardiogram prior to catheterization revealed atrial fibrillation, heart rate of 54, a q wave in lead iii, early r wave transition. electrocardiogram status post catheterization revealed a right bundle-branch block and 1-mm to 2-mm st depressions in leads v3 to v6, atrial fibrillation at a rate of 125. electrocardiogram at depressions (less than 1 mm) in leads v3 to v6. an electrocardiogram at changes had resolved. hospital course by issue/system: the patient was admitted to the coronary care unit. 1. cardiovascular system: the patient was felt to be at an increased risk of bleed given that she had just had cardiac catheterization, and her hematocrit had dropped. her aspirin and plavix were held. the integrilin was discontinued. the patient had a computed tomography scan of the abdomen and pelvis on the morning after admission which showed that she had a right retroperitoneal 5 x 6 hematoma. a follow-up computed tomography on showed that the hematoma was stable, so no further action was taken at that time. vascular surgery was consulted and did not feel that intervention was necessary. of note, on the computed tomography, the patient was noted to have a 5-cm abdominal aortic aneurysm which was asymptomatic. vascular surgery said that they would follow that as an outpatient. the patient had serial hematocrit levels checked. throughout her hospital stay, her only required 3 units of packed red blood cells. her hematocrit levels remained stable afterwards, and she had no signs of further bleeding or infection at her groin site. (a) coronary artery disease: she was continued on her lipitor. enalapril and beta blocker were started after her blood pressure had stabilized. cardiac enzymes were cycled and remained negative. the patient did require pressor support during the first 24 hours of her hospital admission. she was initially on dopamine which was discontinued due to tachycardia which was causing some demand ischemia. she was placed on neo-synephrine and weaned off as her blood pressure tolerated. her ejection fraction was 60% (per echocardiogram in ). she had no signs or symptoms of congestive heart failure throughout her hospital course. a repeat echocardiogram was not done at this time as it was not clinically indicated. (b) rhythm: the patient has a history of chronic atrial fibrillation with occlusion bursts of rapid ventricular response. she was rate controlled on digoxin and beta blockers. amiodarone was not started due to her baseline chronic obstructive pulmonary disease. during the hospital course due to the risk of increased bleeding, her coumadin was held. coumadin was to be restarted on monday morning at the nursing home. 2. hematologic issues: her hematocrit had fallen due to an unknown etiology. a computed tomography of the abdomen and pelvis showed a retroperitoneal hematoma which was stable by follow-up computed tomography. vascular surgery said to follow up with serial hematocrit checks, which stabilized. no further action was taken at this time. 3. gastroenterology issues: for nausea and retching the patient was given antiemetics. she had no response to phenergan. she did respond to ativan. the nausea and vomiting resolved after the first night of admission. 4. pulmonary issues: the patient has a history of chronic obstructive pulmonary disease with a significant tobacco history. she was continued on her combivent and singulair inhalers and given albuterol nebulizers as needed. 5. fluids/electrolytes/nutrition issues: she was started on a cardiac diet, and her electrolytes were repleted as needed. 6. code status: she was do not resuscitate/do not intubate. 7. other issues: the patient remained stable throughout her hospital course. her hemoglobin and hematocrit remained stable. she had no further episodes of chest pain or other problems. the patient was discharged to the nursing home on . of note, the patient was seen by physical therapy. physical therapy recommended physical therapy training two to five times per week for gait balance and endurance training. lastly, the patient was noted to have several loose stools on the evening of . stool studies were sent. the patient was taken off her bowel regimen. the patient had no further complaints. discharge disposition: the patient was discharged to the nursing home in stable condition on . discharge instructions/followup: 1. if she had any recurrence of her chest pain, shortness of breath, diaphoresis, or any other concerning symptoms please call medical doctor or return to the hospital. 2. follow the post interventional guidelines that have been provided for her. 3. the patient was to follow up with dr. in two weeks. 4. the patient was also to follow up with vascular surgery as an outpatient in one to two weeks. 5. the patient was to see dr. in the clinic to follow up the abdominal aortic aneurysm. 6. the patient was to have outpatient physical therapy at her nursing home. discharge diagnoses: 1. coronary artery disease. 2. chronic obstructive pulmonary disease. 3. congestive heart failure. 4. gastroesophageal reflux disease. 5. atrial fibrillation. 6. anemia secondary to blood loss. 7. arthritis. 8. hypertension. 9. gastrointestinal bleed. 10. gastroesophageal reflux disease. major surgical or invasive procedures: the patient had percutaneous transluminal coronary angioplasty for 90% obtuse marginal stenosis. condition at discharge: right groin was without hematoma or bruits. medications on discharge: 1. aspirin 325 mg by mouth once per day. 2. plavix 75 mg by mouth every day. 3. nitroglycerin 0.3-mg tablets sublingually q.5min. as needed (for chest pain). 4. enalapril 10 mg by mouth once per day. 5. digoxin 0.125 mg by mouth once per day. 6. furosemide 80 mg by mouth once per day. 7. isosorbide dinitrate 30 mg by mouth q.24h. 8. protonix 40 mg by mouth once per day. 9. montelukast sodium 10 mg by mouth once per day. 10. sertraline 50 mg by mouth once per day. 11. albuterol/ipratropium inhalers as needed. 12. tolterodine tartrate 2 mg by mouth q.24h. 13. nitroglycerin patch 0.4 mg transdermally q.24h. 14. toprol-xl 25 mg by mouth once per day. dr., 12-641 dictated by: medquist36 procedure: angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified atrial fibrillation hematoma complicating a procedure other specified cardiac dysrhythmias 

Answer: The patient is high likely exposed to