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: this is a 66 year old female with a past medical history of lung cancer status post left upper lobe resection in , hypothyroidism status post thyroidectomy for follicular thyroid cancer, and hypocalcemia, who initially presented to an outside hospital with chest pain radiating to her back while she was shopping on the . she did not have any associated symptoms. she ruled in on the for non-st elevation myocardial infarction with a peak troponin of 3 and a peak ck of 175. her electrocardiogram at the outside hospital showed normal sinus rhythm with t-wave inversions in leads v2, v3, and had a q-wave in lead 3. she was transferred from the outside hospital on after a diagnostic catheterization showed a left main 50% lesion, a 90% left anterior descending lesion, severe tricuspid regurgitation, and apical hypokinesis with an ejection fraction of 55%. at the outside hospital, she was also noted to have hypotension after she was started on a nitroglycerin drip. however, her pressures quickly responded to neo-synephrine and intravenous fluids. in addition, she had a cta of the chest that was negative for pulmonary embolism or aortic dissection. she was transferred to on to the cardiothoracic surgical service. past medical history: 1. non-small cell lung cancer, status post left upper lobe resection in . 2. follicular thyroid cancer, status post thyroidectomy. 3. hypothyroidism. 4. hypocalcemia. allergies: no known drug allergies. medications on transfer: 1. aspirin. 2. plavix. 3. protonix. 4. levoxyl 125 micrograms. 5. tylenol. social history: she had a 10 pack year smoking history, but quit smoking 30 years ago. she drinks two alcoholic beverages a week. lives with her husband. family history: no history of coronary artery disease. physical examination: afebrile, heart rate 75; blood pressure 113/53; respiratory rate 20; oxygen saturation rate 97% on room air. general: awake, alert and oriented, no acute distress, pleasant. head, eyes, ears, nose and throat: extraocular movements intact, pupils are equal, round, and reactive to light, anicteric sclera, moist mucous membranes, no cervical lymphadenopathy. cardiovascular examination: regular rate and rhythm, normal s1 s2, systolic ejection murmur at the left lower sternal border. lungs: dry crackles at the left lateral lower lung field, otherwise clear to auscultation. abdomen: soft, nontender, nondistended, normal active bowel sounds. extremities: no cyanosis, clubbing or edema, no femoral bruits. neurological examination: alert and oriented, cranial nerves intact bilaterally. laboratory data on admission: white blood count 4.3; hematocrit 32.7; platelets 206; sodium 140; potassium 3.2; bun 7; creatinine 0.5; alt 44; ast 41; chest x-ray showed evidence of prior left upper thoracic surgery, no acute cardiopulmonary abnormality; echocardiogram showed ejection fraction 70%, normal left ventricular wall thickness, size, and systolic function, no left ventricular masses or thrombi, no ventricular septal defect, the right ventricular free wall is hypertrophied, the right ventricular cavity is dilated, there is depressed right ventricular systolic function, there is moderate pulmonary artery systolic hypertension. hospital course: the patient was initially admitted to the cardiothoracic surgical service and was transferred to the cardiology service on for a cardiac catheterization. she underwent a cardiac catheterization which showed one vessel coronary artery disease. the left main had a distal taper into the left anterior descending which had a 70% ostial stenosis. the left circumflex and right coronary arteries were normal. the ostial left anterior descending lesion was successfully stented with a drug alluding stent and the left circumflex was successfully rescued and only had a mild residual stenosis. following the procedure, the patient became hypotensive requiring the use of dopamine for blood pressure support. she was transferred to the cardiac intensive care unit where an echocardiogram showed a small pericardial effusion, no evidence of tamponade physiology, and no evidence of cardiogenic shock. she was given aggressive intravenous hydration and calcium repletion as she was hypocalcemic. the dopamine was subsequently changed to neo-synephrine which was weaned off on . the patient underwent a repeat cardiac catheterization on for recurrent chest pain and ischemic electrocardiogram changes. this cardiac catheterization revealed the left anterior descending stent to be widely patent and the mid left anterior descending had diffuse disease. the left circumflex ostial lesion had a discreet 50% narrowing. upon further examination during the catheterization, a small focal linear dissection was believed to be seen near the ostium of the left circumflex artery. therefore, the proximal left circumflex stenosis was treated with stenting using a drug alluding stent and post-dilated proximally using balloon angioplasty. the patient tolerated this catheterization well and returned to the cardiac intensive care unit. further work-up of the patient's hypotension included an abdominal and pelvic cat scan which did not reveal any evidence of retroperitoneal bleed. the patient was transferred back to the cardiology service on where she was observed overnight. the following morning she remained symptom free with low normal blood pressures in the high 80s to low 100s systolic. she will be discharged on a medical regimen for her coronary artery disease including aspirin 325 mg once daily, plavix 75 mg once daily, toprol xl 25 mg once daily, lipitor 10 mg once daily, and she was instructed to follow-up with her cardiologist, dr. , at hospital for initiation of ace inhibitor therapy. in addition, the patient was continued on her calcium carbonate and vitamin d supplementation, along with her levoxyl for her hypothyroidism. it is suspected that the patient has hypoparathyroidism, secondary to her thyroidectomy. she was instructed to follow-up with her primary care physician and may need further endocrine work-up as an outpatient. discharge condition: stable. discharge status: to home with follow-up. discharge instructions: please take all your medications as prescribed. please follow-up with dr. and dr. within 2 to 3 weeks. please have dr. check your calcium level and have dr. consider having you follow-up with an endocrinologist for your hypocalcemia. discharge diagnosis: 1. coronary artery disease status post left anterior descending and left circumflex stenting. 2. non-st elevation myocardial infarction. 3. hypothyroidism. 4. hypocalcemia. 5. hypotension requiring a cardiac care unit admission. discharge medications: 1. levoxyl 125 micrograms once daily. 2. aspirin 325 mg once daily. 3. plavix 75 mg once daily. 4. toprol xl 25 mg once daily. 5. lipitor 10 mg once daily. 6. calcium carbonate 500 mg by mouth three times a day. 7. vitamin d 400 unit capsule once daily. dr., 12-932 dictated by: medquist36 procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter insertion of temporary transvenous pacemaker system transfusion of packed cells insertion of drug-eluting coronary artery stent(s) diagnoses: other iatrogenic hypotension subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery other chronic pulmonary heart diseases chronic and other pulmonary manifestations due to radiation diseases of tricuspid valve radiological procedure and radiotherapy as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure hypoparathyroidism 

Answer: The patient is high likely exposed to