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: morphine / levaquin attending: chief complaint: chest pressure major surgical or invasive procedure: repair of r common femoral artery, ptca and stent history of present illness: 86 f with pmh htn presented on with sscp x 3 days. started when dusting. pain is dull ache, substernal and radiates to jaw. no other associated symptoms. did take an aspirin. from to the pain progressed to occur with minimal exertion. on , she noticed a marked increase in the severity of the pain. she waited 5 hours, then called ems. went to osh and found to respond to sl ntg. received lovenox x 1 and plavix 600mg x 1. past medical history: htn bilateral total hip replacement polio as child w/ residual facial droop osteoarthritis social history: ----- family history: mother with cad physical exam: pe: af 117/66 67 14 95%ra gen: nad, a&o x3 heent: eomi, r-sided facail droop (old) neck: no jvd heart: distant rrr no mrg lungs: ctab anterior abd: benign ext: r groin with 3x 2cm soft hematoma. 2+ peripheral pulses. pertinent results: labs (osh): cr 1.4, ck 175 mb 5.5 tni 0.33 cxr: neg ecg: nsr, 1st degree delay, normal qrs/qt, nl , no st-t changes, no q's . 08:24pm glucose-129* urea n-28* creat-1.2* potassium-3.8 08:24pm ck(cpk)-127 08:24pm ck-mb-4 ctropnt-0.11* 08:24pm magnesium-1.5* 08:24pm hct-31.1* 08:24pm plt count-211 . upper gi with barium: impression: evaluation for ulceration is limited by patient debility. no evidence of esophageal stricture or web, although there is a large impression of the heart upon the esophagus. there is an ineffective primary peristaltic wave. . femoral r us: conclusion: superficial hematoma without evidence of pseudoaneurysm or av fistula. . cardiac cath: 1. selective coronary angiography of this right dominant system demonstrated two (2) vessel coronary artery disease. the right coronary artery demonstrated an 80% ostial lesion along with a proximal 95% lesion. the left main coronary artery demonstrated no angiographic evidence of flow limiting lesions. the left circumflex demonstrated no obstructive lesions. the left anterior descending artery contained a 30% lesion along with a 1st diagonal with an 80% lesion. 2. lv ventriculography was deferred 3. limited resting hemodynamics demonstrated an elevated central filling pressure with a pressure of 180/82. 4. successful ptca and stenting of the ostial and proxmal rca with overlapping 3.0 x 8 mm and 3.0 x 28 mm cypher des which were postdilated to 3.5 mm (see ptca comments). 5. a 6 french angioseal device was deployed in the right common femoral arteriotomy and was complicated by hematoma formation (see ptca comments). final diagnosis: 1. two vessel coronary artery disease. 2. successful placement of 2 drug-eluting stents in the rca. 3. failed angioseal brief hospital course: 86 f with pmh htn, with inferior nstemi and r groin hematoma. . # inferior nstemi and r groin hematoma: pt initially presented to osh with substernal chest pain, ruled in for an nstemi (peak ck 354), and was sent to for cardiac cath. pt had 2 x stent placed in rca. the post cath course was complicated by a r groin bleed with transient hypotension (sbp 50 and briefly on dopamine on floor). after this incident of hypotension, the pt remained hemodynamically stable. physical exam revealed femoral bruit and r groin enlarging hematoma. femoral us of r groin showed no pseudoaneurysm or av fistula at the puncture site. am ptt found to be 108.8 on only heparin sc, so pt was not placed on heparin products for the remainder of admission (pneumoboots for ppx). pressure was held at the groin for >1 hr, she was given 25 mg protamine. . pt's hematoma remained stable for 3 days, but pt continued to have frequent belching and epigastric and chest discomfort. she was placed on ppi iv bid and carafate, and upper gi series with barium swallow was normal. . after the ugi series with barium procedure, the pt's r groin hematoma began to re-bleed, and pt lost approximately 3 units into her r groin. hematoma was evacuated by vascular surgery, during which there was in one of the veins of the legs more distal to the puncture site for cath. pt did well after evacuation of the hematoma, with resolution of pain. pt received a total of 6u rbc. . during hospital course, she was placed on asa, plavix x1yr, statin, metoprolol, lisinopril, and was discharged on these meds. tte showed ef=70%, + mr, 2+ tr, moderate pa systolic htn. pt remained in nsr, with no events on tele. . # shortness of breath: patient had sob only overnight after cardiac cath, then resolved. was likely from anxiety. per pt, she has a history of sleep apnea (also evidenced on echo with mod pulmonary htn). pnd also on differential given large amounts of fluid received during her hypotensive episode, although per echo pt w/ good ef. but does have + mr. currently appears euvolemic, with no crackles in lungs, no other signs fluid overload. therefore likely slight apneic episode contributed to by anxiety. . # gi upset: after cath, pt complained of nausea associated with dry heaving, some "gas" feeling in abdomen, some feeling as though food gets stuck in lower esophagus. also + constipation. no evidence of aspiration. likely sxs related to gerd being in hospital w/ more time spent in supine position and not ambulating, also with consitpation. pt was placed on protonix qd, gi cocktail, tums, anzemet prn. she was also placed on bowel regimen (colace and senna , lactulose prn). upper gi series w/ barium swallow found no gastric erosions, esophageal strictures . # hypotension: occurred immediately post-cath, then resolved, likely due to mildly prolonged vagal response after sheath pull and rca x2 des, as well as hemorrhage in groin post-cath. . # htn: ace and bb had been held hypotension post-cath, but was restarted. . # oa: tylenol prn . # code: full medications on admission: medications on admission: asa 325 colace serax atenolol 50 norvasc 10 hctz 25 vit d pepcid 20 lisinopril 10 discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. docusate sodium 150 mg/15 ml liquid sig: one y (150) mg po bid (2 times a day). 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 5. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 6. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 9. lansoprazole 30 mg susp,delayed release for recon sig: thirty (30) mg po daily (daily). 10. amoxicillin 500 mg capsule sig: one (1) capsule po q8h (every 8 hours) for 6 days. 11. acetaminophen 160 mg/5 ml solution sig: 325-650 mg po q4-6h (every 4 to 6 hours) as needed. discharge disposition: extended care facility: at discharge diagnosis: primary diagnosis: des to rca x2 r groin hematoma . secondary diagnosis: htn discharge condition: good, vss stable, r groin hematoma stable, hct stable. discharge instructions: 1. please take all medications as prescribed. 2. please keep all appointments below. followup instructions: please follow-up with dr. (vascular surgery), , 2:45 pm, , , , room 5b. . please follow up with dr. (primary care), , in 1 week. . please follow up with dr. (cardiology), , 3:30 pm, , , ma. procedure: coronary arteriography using two catheters left heart cardiac catheterization arteriography of femoral and other lower extremity arteries other incision with drainage of skin and subcutaneous tissue transfusion of packed cells suture of artery 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 urinary tract infection, site not specified unspecified essential hypertension hematoma complicating a procedure accidental puncture or laceration during a procedure, not elsewhere classified other and unspecified hyperlipidemia unspecified sleep apnea urinary complications, not elsewhere classified streptococcus infection in conditions classified elsewhere and of unspecified site, streptococcus, unspecified hip joint replacement late effects of acute poliomyelitis dyspepsia and other specified disorders of function of stomach osteoarthrosis, unspecified whether generalized or localized, pelvic region and thigh accidental cut, puncture, perforation or hemorrhage during heart catheterization 

Answer: The patient is high likely exposed to