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: integrilin attending: chief complaint: severe sub-sternal chest pain major surgical or invasive procedure: cardiac cath: 1. selective coronary angiography revealed a right-dominant system with severe single vessel coronary artery disease. the lmca had a 20% lesion. the lad had a 100% proximal occlusion. the lcx and rca systems had no angiographically apparent flow-limiting lesions. 2. resting hemodynamics demonstrated mildly elevated right-sided (rv 38/8 mmhg) and mildly elevated left-sided pressures (mean pcwp 19 mmhg). the cardiac index was mildly reduced at 2.6 l/min/m2. 3. left ventriculography was deferred. 4. successful primary pci for acute anterior stemi with stenting of the proximal lad with a 3.5x23mm cypher with a 3.75x15mm highsail baloon at 20 atms (see ptca comments). history of present illness: 60 yo f with h/o hth, hyperlipidemia, factor v leiden defeciency, who presents with severe sscp since 12am on . she had had milder episodes of the chest pain on and lasting for 2 - 3 hours and associated with sob. . she had stopped her coumadin on in preparation for a carpel tunnel release surgery. she had her surgery without complications, but then developed chest pain. she presented to . there she was found to habe 5mm st elevations in v2 and vc3 and t wave inversions in ii - avf. she was given , , and plavix 300. she was then transferred to for cardiac cath. past medical history: hyperlipidemia htn factor v leiden defeciency associated with bilateral dvts social history: lives with roommate and her roommate's 87 year old mother. children. drinks wine occasoinally. no smoking. family history: unknown, adopted. physical exam: vitals: t= afebrile, hr = 70's , bp = 107/90, rr =20 , sao2 = 100% on ra. general: pleasant female, appears comfortable, nad. heent: normocephalic and atraumatic head, no nuchal rigidity, anicteric sclera, moist mucous membranes. neck: no thyromegaly, no lymphadenopathy, no carotid bruits. chest: her chest rose and fell with equal size, shape and symmetry, her lungs were clear to auscultation bilaterally. cv: pmi appreciated in the fifth ics in the midclavicular line without heaves or thrills, rrr, normal s1 and s1 no murmurs rubs or gallops. abd: normoactive bs, nt and nd. no masses or organomegaly back: no spinal or cva tenderness. ext: no cyanosis, no clubbing or edema with 2+ dorsalis pedis pulses bilaterally integument: no rash neuro: cn ii-xii symmetrically intact, perrla. pertinent results: 05:00pm ck-mb-125* mb indx-15.9* ctropnt-2.46* 05:00pm %hba1c-5.8 05:00pm plt count-62* 05:00pm pt-13.8* ptt-27.7 inr(pt)-1.2 04:08am glucose-134* urea n-10 creat-0.5 sodium-138 potassium-3.9 chloride-103 total co2-26 anion gap-13 brief hospital course: 1. the patient was found to have anterior wall stemi and proximal to of lad in cath lab. ra-10, rv 41/8, pa 38/14, pcwp 23. lm had 20% stenosis and the other major vessels were angiographically unremarkable. no lvgram was preformed. the patient was placed on integrellin, plavix, , lopressor, lipitor, and an ace i. she was consuled about diet, weight loss and exercise. she was urged to follow up with cardiac rehab and will see dr as an outpatient. 2.factor v leiden defeciency: the patient normally is on coumadin for her hypercoaubale state but stopped for wrist surgery. she will resume coumadin and is discharged on lovenox until therapeutic. 3. thrombocytopenia: the patient developed thrombocytopenia in the setting of integrillin. this will now be listed as an allergy. hematology was consulted regarding the question of hit and felt that the patient could recieve heparin safely. the patient was restarted on heparin for a short while without decrease in her platlet count. hit antibodies were sent and are pending. these should be followed up as an outpatient, but will likely be negative. 4. groin hematoma: the patient developed a small, stable hematoma in the right groin. hematocrit has been stable. medications on admission: coumadin 5/7.5, dilt cr 360 , kcl, lopressor 50 once per day, lipitor 5 discharge medications: 1. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. atorvastatin calcium 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. warfarin sodium 5 mg tablet sig: one (1) tablet po hs (at bedtime): take this thursdays, saturdays, mondays, and tuesdays . disp:*30 tablet(s)* refills:*0* 7. enoxaparin sodium 60 mg/0.6ml syringe sig: 0.5 ml subcutaneous q12h (every 12 hours): you should only use 0.5 ml from the syringe. you should be wasting 0.1 ml from each syringe. disp:*6 60mg/0.6ml syringe* refills:*2* 8. aspirin ec 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 10. atenolol 25 mg tablet sig: three (3) tablet po once a day. disp:*30 tablet(s)* refills:*0* 13. lisinopril 10 mg tablet sig: one (1) tablet po once a day. disp:*90 tablet(s)* refills:*2* 14. outpatient lab work check pt, ptt and inr on and as dr. requests thereafter. please send results to dr. . 15. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) sublingual see below as needed for chest pain: dissolve under tongue when you have chest pain. may use one tab every 5 minutes for maximum of 3 doses in 15 minutes. also call 911 or your cardiologist. disp:*10 tablet* refills:*5* 1. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. plavix 75 mg tablet sig: one (1) tablet po once a day. disp:*90 tablet(s)* refills:*2* 3. atorvastatin calcium 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. lipitor 40 mg tablet sig: one (1) tablet po once a day. disp:*90 tablet(s)* refills:*3* 5. warfarin sodium 5 mg tablet sig: one (1) tablet po hs (at bedtime): take this thursdays, saturdays, mondays, and tuesdays . disp:*30 tablet(s)* refills:*0* 6. coumadin 7.5 mg tablet sig: one (1) tablet po once a day: take this wednesdays, fridays, sundays. disp:*30 tablet(s)* refills:*0* 7. enoxaparin sodium 60 mg/0.6ml syringe sig: 0.5 ml subcutaneous q12h (every 12 hours): you should only use 0.5 ml from the syringe. you should be wasting 0.1 ml from each syringe. disp:*6 60mg/0.6ml syringe* refills:*2* 8. aspirin ec 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 9. aspirin ec 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*90 tablet, delayed release (e.c.)(s)* refills:*0* 10. atenolol 25 mg tablet sig: three (3) tablet po once a day. disp:*30 tablet(s)* refills:*0* 11. atenolol 25 mg tablet sig: three (3) tablet po once a day. disp:*90 tablet(s)* refills:*2* 12. lisinopril 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 13. lisinopril 10 mg tablet sig: one (1) tablet po once a day. disp:*90 tablet(s)* refills:*2* 14. outpatient lab work check pt, ptt and inr on and as dr. requests thereafter. please send results to dr. . 15. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) sublingual see below as needed for chest pain: dissolve under tongue when you have chest pain. may use one tab every 5 minutes for maximum of 3 doses in 15 minutes. also call 911 or your cardiologist. disp:*10 tablet* refills:*5* discharge disposition: home discharge diagnosis: acute myocardial infarction groin hematoma discharge condition: good discharge instructions: call 911 if you experience chest pain similar to that you had before. call your cardiologist if you experience arm, neck, or back pain. if you do not reach anyone, go to the er. take the lovenox as directed for the next 2 - 3 days as directed by your pcp. your inr drawn on friday to send to your pcp. take all your new medications as directed and stop the diltiazem. never stop the plavix in the next 9 months unless a cardiologist tells you so. followup instructions: make an appointmet with your pcp 2 weeks. provider: , .d. where: cardiac services phone: date/time: 11:00 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care hematoma complicating a procedure other and unspecified hyperlipidemia primary hypercoagulable state 

Answer: The patient is high likely exposed to