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: lipitor / codeine / procardia / iodine / pepcid / catapres attending: chief complaint: nstemi - being transferred for cath major surgical or invasive procedure: cardiac cath history of present illness: 87 yo female with history of hypertension who presented to with chest pain for 2 days and found to have a nstemi as per cardiac enzymes. peak trop i was 0.96 although cks have remained flat as per outside hospital. patient continued to have episodes of chest pain that were being treated with sl ntg with improvement. denies any other associated symptoms including nausea, vomiting, diaphoresis. however, did note that the pain radiated to both of her arms. patient went into mild heart failure yesterday after getting ivf but seems to be improving with iv lasix. was seen by cardiology this morning, and was started on lipitor, heparin gtt and integrillin gtt and requested to be transferred here for cath. she refused lipitor because she is allergic to it. being transferred here for cath and further management. past medical history: 1. hypertension 2. hypothyroidism 3. atrial fibrillation 4. sick sinus syndrome s/p pacemaker 5. hyperlipidemia 6. congestive heart failure 7. myocardial infarction x 2 prior episodes (as per patient) 8. chronic mesenteric ischemia - followed by a gastroenterologist social history: patient lives with her elder son who was recently diagnosed with lng cancer; patient denies any tobacco, etoh of recreational drug use family history: non contributory physical exam: vs: temp 98.9, pulse 64, bp 145/55, rr 18, o2 sat 97% on 2 liters gen: comfortable, nad heent: op clear, eomi, perrla neck: no jvd noted, supple lungs: cta bilateral heart: s1, s2, rrr, no murmurs, rubs, gallops abd: soft, nd, nt, no hsm, + bowel sounds extrem: no edema, cyanosis, clubbing neuro: aao x3, cn ii-xii tested and grossly intact pertinent results: 03:58pm glucose-128* urea n-26* creat-1.3* sodium-140 potassium-4.4 chloride-105 total co2-22 anion gap-17 03:58pm ck(cpk)-31 03:58pm ck-mb-notdone ctropnt-0.29* 03:58pm calcium-8.7 phosphate-3.8 magnesium-1.4* 03:58pm wbc-5.3 rbc-3.00* hgb-10.5* hct-32.4* mcv-108* mch-34.9* mchc-32.3 rdw-16.8* 03:58pm plt count-471* 03:58pm pt-14.4* ptt-28.7 inr(pt)-1.3 ekg: a-v paced with a rate around 65, lbbb chest (portable ap) reason: please assess interval change medical condition: 87 year old woman with nstemi, new onset shortness of breath now s/p diuresis reason for this examination: please assess interval change indication: 87-year-old with congestive heart failure. portable upright frontal radiograph. comparison is made to one day earlier and study performed 6 hours earlier. findings: compared to the study of 6 hours earlier, there has been an improvement in the congestive heart failure pattern with decreased upper zone redistribution. there is stable cardiomegaly. clips are seen in the right upper quadrant, likely from prior cholecystectomy. the aorta is calcified, and calcifications are also seen in the splenic artery. impression: improving congestive heart failure. 1. coronary angiography of this right dominant system revealed three vessel coronary artery disease. the left main coronary artery had a 20% stenosis. the lad had a 90% stenosis at the origin. the lcx had a 60% stenosis of the om1. the rca was totally occluded. 2. resting hemodynamics revealed mildly elevated right sided filling pressures (mean ra pressure was 9 mm hg and rvedp was 10 mm hg). pulmonary artery pressures were mildly elevated (pa pressure was 47/18 mm hg). left sided filling pressures were moderately elevated (mean pcw pressure was 21 mm hg). central arterial pressure was mildy elevated (aortic pressure was 150/63 mm hg). cardiac index was low (at 2.2 l/min/m2). 3. successful ptca/stenting of the proximal lad with a 3.0x13mm cypher des. final angiography revealed no residual stenosis, no dissection and timi-3 flow (see ptca comments). final diagnosis: 1. three vessel coronary artery disease. 2. moderately elevated left sided filling pressures. 3. pci of the lad. echo measurements: left atrium - long axis dimension: *5.0 cm (nl <= 4.0 cm) left atrium - four chamber length: *5.5 cm (nl <= 5.2 cm) right atrium - four chamber length: *5.7 cm (nl <= 5.0 cm) left ventricle - septal wall thickness: *1.4 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: *1.3 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 4.1 cm (nl <= 5.6 cm) left ventricle - ejection fraction: *<= 30% (nl >=55%) aorta - valve level: 2.8 cm (nl <= 3.6 cm) aorta - ascending: 3.2 cm (nl <= 3.4 cm) aortic valve - peak velocity: 1.7 m/sec (nl <= 2.0 m/sec) mitral valve - e wave: 0.7 m/sec mitral valve - a wave: 1.1 m/sec mitral valve - e/a ratio: 0.64 mitral valve - e wave deceleration time: 455 msec tr gradient (+ ra = pasp): *30 to 36 mm hg (nl <= 25 mm hg) interpretation: findings: left atrium: moderate la enlargement. right atrium/interatrial septum: normal ra size. a catheter or pacing wire is seen in the ra. left ventricle: mild symmetric lvh. normal lv cavity size. severely depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic root diameter. aortic valve: mildly thickened aortic valve leaflets (3). no ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. moderate (2+) mr. lv inflow pattern c/w impaired relaxation. tricuspid valve: mild pa systolic hypertension. pericardium: small pericardial effusion. conclusions: 1. the left atrium is moderately dilated. 2. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is severely depressed. anterior, septal, apical, distal inferior, and distal lateral severe hypokinesis to akinesis is present. 3. the aortic valve leaflets (3) are mildly thickened. 4. the mitral valve leaflets are mildly thickened. moderate mitral regurgitation is present. 5. there is mild pulmonary artery systolic hypertension. 6. there is a small pericardial effusion. brief hospital course: # chf - the arrived slightly fluid overloaded then had flash pulmonary edema in the setting of hypertension and fluid administration on the floor. she was transferred to the icu for monitoring but did not require intubation. her echo showed an ef of less than 30%, 2+ mr, overall left ventricular systolic function was severely depressed. anterior, septal, apical, distal inferior, and distal lateral severe hypokinesis to akinesis was present. she diuresed well and became euvolemic with a base weight of 49.8kg. she will be discharged on only lasix 20mg. . # cad- the patient was transferred here from for an nstemi. her cath showed 20% lmca, 90% lad which was stented, and a 60% om1 lesion. her rca was totally occluded. her peak troponin 1.07 and peak ck of 354. she was continued on a asa b-blocker, and acei. she was given crestor because she said she was allergic to lipitor and tolerated this well. if her diarrhea persists, consider stopping crestor. she should remain on plavix for at least 6-9 months. . # lbbb. av paced. the paitent had a 16 beat run of vt on the tele monitor here. she was asymotpaitc. she should be evaulated by her cardiologist for a biv/icd pacer if nnecessary. . # acute renal failure- the patient had an increase in her cr here thought to be due to contrast. peak was 1.5 and began to decrease before discharge. recheck in weeks. . # anemia and thrombocytosis: she takes hydrea for essential thrombocytosis. also takes procrit as outpt to counteract hydrea. initially her plavix was doubles to 150 since she has thrombocytosis, but then she had an episode of blood-streaked stool therefore her plavix was reduced to 75. her hct decreased to 26 ans she was transfused 1 unit to a hct of 32. . # abdominal pain: the paitent had abdominal pain, nausea, and vomiting daily at home and this continued here. she is under tha care of a gastroenterologist as an outpaitent and should make an appointment as soon as possible. in addition, she had one stool that was streaked with blood here in the setting of 150 of plavix. she then sunsequently had guiac neg stools. she should have a colonoscopy as an outpaitent and a hct checked in 1 week. medications on admission: 1. aspirin 81mg po daily 2. synthroid 25mcg po daily 3. enalapril 20mg po daily 4. lopressor 100mg po bid 5. protonix 40mg po daily 6. methyldopa 750mg po tid 7. lasix 20mg po daily 8. hydrea 500mg po bid discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 2. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 4. levothyroxine sodium 25 mcg tablet sig: one (1) tablet po daily (daily). 5. rosuvastatin calcium 5 mg tablet sig: one (1) tablet po daily (daily). 6. hydroxyurea 500 mg capsule sig: one (1) capsule po bid (2 times a day). 7. enalapril maleate 10 mg tablet sig: two (2) tablet po bid (2 times a day). 8. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 9. methyldopa 250 mg tablet sig: three (3) tablet po q8h (every 8 hours). 10. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day): continue until the patient is walking at least tid. 11. aluminum-magnesium hydroxide 225-200 mg/5 ml suspension sig: 15-30 mls po qid (4 times a day) as needed for heartburn. 12. metoprolol succinate 100 mg tablet sustained release 24hr sig: two (2) tablet sustained release 24hr po daily (daily): hold for sbp < 100 and hr < 50 . 13. loperamide hcl 2 mg capsule sig: one (1) capsule po every other day as needed for diarrhea. 14. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily): do not stop the medication unless you speak with your cardiologist. 15. levofloxacin 250 mg tablet sig: one (1) tablet po q24h (every 24 hours) for 6 days. disp:*6 tablet(s)* refills:*0* 16. epogen 20,000 unit/2 ml solution sig: one (1) ml injection qmowefr: 10,000u qmowefr. 17. pramoxine-mineral oil-zinc 1-12.5 % ointment sig: one (1) appl rectal (2 times a day) as needed. 18. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care discharge diagnosis: congestive heart failure nstemi acute renal failure diarrhea sick sinus syndrome discharge condition: good discharge instructions: you should weigh yourself daily. call your pcp if you have a increase in your weight by more than 3 lbs. maintain a 2 l fluid restriction do not stop your plavix under any circumstances before speaking with your cardiologist in the next 9 months. followup instructions: you have an appointment with dr. , your cardiologist, on 3pm . the phone number is (. you should follow up with your gastroenterologist as soon as possible. procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters transfusion of packed cells insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension acute kidney failure, unspecified unspecified acquired hypothyroidism atrial fibrillation systolic heart failure, unspecified nausea with vomiting blood in stool old myocardial infarction other left bundle branch block cardiac pacemaker in situ diarrhea sinoatrial node dysfunction other drugs and medicinal substances causing adverse effects in therapeutic use unspecified diseases of blood and blood-forming organs 

Answer: The patient is high likely exposed to