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: found down at home. major surgical or invasive procedure: cardiac catheterization. history of present illness: 79yof with dementia, htn, found down at home, presented to outside hospital for syncope workup. ecg done in outside hospital ed revealed rbbb and l fascicular block. labs revealed ck 238, mb 8.4, and trop 1.45. pt. was transferred to for catheterization, where she underwent stenting of lad lesion with taxus stents x3. pt. denies cp, sob. upon transfer to floor, pt. was agitated and required restraints. her mental status improved during her first few hours in the ccu, but she remained somewhat agitated and disoriented. past medical history: 1. htn 2. hyperlipidemia 3. diabetes social history: retired, 2 daughters, 1 son. lives alone in . according to family, is able to perform most adls independently. family history: non-contributory. physical exam: pe: vs: 97.9 | 171/55 | 86 | 18 | 96% on 4lnc gen: agitated, restless, responsive. heent: op clear, mmm, perrl and eom intact, surgical pupils. neck: no lad, no jvd, no carotid bruit cv: rrr, nl s1s2, no murmurs chest: cta b/l, no crackles or wheezes abd: soft, nt/nd, +bs, no organomegaly extr: r groin no hematoma or bruit, 2+ femoral pulse b/l, 1+ dp pulse b/l; no cyanosis, clubbing, min. le edema. neuro: not oriented, cn ii-xii intact; motor, sensory, coordination grossly intact, no focal deficits. pertinent results: 07:55pm blood ck(cpk)-319* ck-mb-17* mb indx-5.3 ctropnt-0.67* 03:08am blood ck(cpk)-543* ck-mb-22* mb indx-4.1 ctropnt-0.51* 02:16pm blood ck(cpk)-617* ck-mb-13* mb indx-2.1 ctropnt-0.38* 06:45am blood ck(cpk)-449* ck-mb-5 ctropnt-0.32* . cardiac cath : final diagnosis: 1. two vessel coronary artery disease. 2. normal left ventricular systolic function. 3. pci of lad with taxus stents. 4. left renal artery stenosis. comments: 1. selective coronary angiography demonstrated two vessel coronary artery disease in this right dominant circulation. the lmca was without angiographically apparent flow limiting disease. the lad was heavily calcified with eccentric disease in the mid vessel up to 90% stenosis and 80% stenosis distally. the lcx was a large vessel with a large bifurcating om1 that supplied extensive collaterals to the rca. the om2 was without flow limiting disease. the rca was a dominant vessel with a total occlusion proximally. the distal rca filled well via left to right collaterals. 2. limited resting hemodynamics revealed normal left sided filling pressures (lvedp=11mmhg). there was severe systemic hypertension present. no transaortic gradient seen on catheter pullback from left ventricle to ascending aorta. 3. left ventriculogram revealed normal wall motion and preserved systolic function (lvef=65%). no mitral regurgitation seen. 4. selective renal angiography demonstrated a high grade (70-80%) proximal left renal artery stenosis. 5. patient was electively intubated for airway protection. 6. successful pci of the proximal and mid-lad with rotational atherectomy with a 1.5 mm burr, followed by ptca and stenting with three overlapping taxus des (3.0 x 16 mm, 2.5 x 24 mm (post-dilated to 3.0 mm), and 2.5 x 16 mm). . echo : lvef 55-60%. the left atrium is elongated. there is mild symmetric left ventricular hypertrophy. there is mild regional left ventricular systolic dysfunction. overall left ventricular systolic function is mildly depressed. resting regional wall motion abnormalities include distal anterior septum and apical hypokinesis with otherwise preserved lv systolic function. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets are mildly thickened. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. there is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded. . cxr : some bibasilar atelectasis is seen. otherwise, no acute cardiopulmonary process is identified. . ecg : sinus rhythm. a-v conduction delay. left atrial enlargement. right bundle-branch block. left anterior fascicular block. the t wave inversion recorded in leads v1-v5 exceedes that, in association with right bundle-branch block consistent with active anterolateral ischemic process and/or myocardial infarction. compared to the previous tracing of the rate is increased. otherwise, no diagnostic interim change. . head ct : no evidence of intracranial hemorrhage or fracture. . bilateral hip xr : no evidence of fracture. brief hospital course: a/p: a 79yof with cad, dm, htn, hyperlipidemia transferred from osh for catheterization after being found down (syncopal event), now s/p rotablation/dess to lad. . this pt. had multiple cad risk factors including diabetes, htn, former tobacco use, and hyperlipidemia. the pt. underwent pci for nstemi (peak ck=617) on , with successful rotablation and dess to lad lesions. the pt. was electively intubated for the procedure due to agitation, and was extubated prior to arrival in the ccu. the pt. was monitored on telemetry with no significant events recorded. the pt. was continued on asa, plavix (she will take this for 9 months), statin, beta-blocker and ace-i. a tte revealed a preserved lvef. the pt. was euvolemic on exam. . the pt. was initially quite hypertensive, with sbp>200. a nitroglycerin drip was used, and was transitioned to her home antihypertensives, when pt. was tolerating po. the pt. was noted to have a wide pulse pressure, with sbps in the 160-170s and dbps in the 30-40s. this finding is likely secondary to calcification of her arteries. . the pt. was agitated on admission to the ccu, and remained so during the first night following admission. the pt. required haldol for agitation and was placed in 2-point limb restraints for several hours due to pulling at lines. the patient was noted to be quite disoriented for the first several days of admission, and her speech was slowed. of note, the pt. did not receive aricept for the first three days of admission; this was restarted. according to pt's family, at baseline, pt. is functional at home and can perform all adls independently, and that her speech is more fluent at baseline. one morning during the hospitalization, she was found down in bathroom on floor with head against wall in corner of bathroom. there was no evidence of traumatic injury, and extremities had full rom. pt. reported no pain, and there was no focal neurologic deficit. a head ct and hip xr were both unremarkable. by the time of discharge, the pt. was alert and oriented and her speech was normal. . the pt. was evaluated by geriatrics team, who recommended treatment with olanzepine, which we initiated. the pt. appeared to tolerate this well. at the time of discharge, the pt's mental status was significantly improved. . the pt. was seen and evaluated by physical therapy and social work during this admission. the pt. was discharged to rehabilitation with plan to return to home after recuperation and when able to safely perform adls. medications on admission: aricept atenolol 25 mg qd lopid 600 mg glyburide 5 mg lipitor 40 mg qd lisinopril 10 mg qd trazadone 100 mg qhs asa 81mg qd plavix 75mg qd discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. donepezil 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 5. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). disp:*90 tablet, chewable(s)* refills:*2* 7. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 8. olanzapine 2.5 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for agitation, anxiety, confusion. disp:*60 tablet(s)* refills:*2* 9. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for insomnia. disp:*15 tablet(s)* refills:*2* 10. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. nicotine 7 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily) for 7 days. discharge disposition: extended care facility: st healthcare center - discharge diagnosis: 1. acute myocardial infarction 2. hypertension 3. altered mental status discharge condition: fair, stable. discharge instructions: please continue to take your medications exactly as prescribed. if you experience chest pain, palpitations, shortness of breath, lightheadedness, weakness, numbness, or nausea/vomiting, call your pcp or return to the hospital. followup instructions: pcp: , . referring: , procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization insertion of endotracheal tube insertion of drug-eluting coronary artery stent(s) excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel insertion of three vascular stents diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other persistent mental disorders due to conditions classified elsewhere pulmonary collapse atherosclerosis of renal artery pressure ulcer, lower back other and unspecified special symptoms or syndromes, not elsewhere classified other general symptoms 

Answer: The patient is high likely exposed to