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: sulfa(sulfonamide antibiotics) attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization history of present illness: 58yo f with htn presenting with 2 weeks of exertional chest pain and shortness of breath that recently began occuring at rest. she reported that the pain radiated to the jam and both shoulders. the episodes lasted approximatedly 5 mins. she was referred to the ed by her pcp for further evaluation. . she was observed overnight and underwent an ett the following day during which she reported experiencing chest pains and was noted to have a 15 point drop in sbp, inferolateral std and ste in avr/avl. she was given aspirin 325 mg and admitted for cardiac catheterization during which 2 nonoverlapping des were placed in the proximal and mid lad. she reportedly had mild chest pains following pci, but was noted to have good flow without ecg changes. she was given plavix and integrilin was started for a plan of 12 hours. . on arrival to the floor, patient reported to her nurse that she felt the need to move her bowels and urinate. she then was noted to become bradycardic (30s) and hypotensive (sbp 60s). she was given atropine 0.5 mg. she then was noted to have no pulse and chest compression were initiated. she regained a pulse in ~1 minute and was noted to be hd stable (sbp > 100s, hrs 100s). . early in the code, her groin was examined and felt to be wnl, however later she was noted to have fullness appreciated in the rlq. stat labs were sent and manual pressure was initiated on her right groin. she was transferred to the ccu and taken to ct, which was significant for evidence of an rp bleed. . while in the ccu, the patient has remained in nsr and hemodynamically stable. she remains chest pain free and is currently receiving prbcs. manual pressure continues to be held on her right groin. past medical history: 1. cardiac risk factors: (-)diabetes, (-)dyslipidemia, (+)hypertension 2. cardiac history: -cabg: non -percutaneous coronary interventions: 2 des to lad on -pacing/icd: none 3. other past medical history: -hypertension) -osteoarthritis, knee, bilat. -spondylosis, cervical -gerd social history: no t/a/d, originally from family history: +cad, sister had pci around age 55y. physical exam: vs: t 98.2 bp 104/62 hr 99 rr 13 o2 sat 99% on nrb, later 98% on ra. general: tired appearing woman in mild distress from pain. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple. cardiac: rrr, normal s1, s2. no m/r/g. no thrills, lifts. no s3/s4. lungs: no chest wall deformities, respirations unlabored. ctab anteriorly, no crackles, wheezes or rhonchi. abdomen: soft/nd, firmness in rlq, very tender to palpation. no rebound or guarding. extremities: no edema, right leg appears more red given active manual pressure on right femoral artery. pulses: right: femoral 2+ dp/pt non dopplerable (manual pressure actively being held). left: dp 2+ pt 2+ pertinent results: 07:10am blood wbc-5.7 rbc-4.39 hgb-12.8 hct-39.6 mcv-90 mch-29.1 mchc-32.3 rdw-12.7 plt ct-166 07:10am blood glucose-103* urean-9 creat-0.4 na-140 k-3.9 cl-108 hco3-27 angap-9 echo the left atrium is moderately dilated. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: normal global and regional biventricular systolic function. ct abdomen ct of the abdomen and pelvis with and without iv contrast technique: multidetector scanning is performed from the diaphragm through the symphysis prior to and during dynamic injection of 130 cc of omnipaque. no prior studies are available for comparison. ct of the abdomen with and without iv contrast: the lung bases are clear. only part of the liver is depicted; however, no focal liver lesions are noted. the gallbladder is unremarkable. the spleen is normal in size. the pancreas is unremarkable. the adrenal glands are normal. the kidneys are normal. there is no hydronephrosis. there is no retroperitoneal lymphadenopathy. starting at the inferior pole of the right kidney, there is a retroperitoneal hematoma anterior to the iliopsoas muscle and extending down into the pelvis. on the arterial phase, there is no evidence for arterial extravasation of contrast. the small and large bowel are normal. ct of the pelvis with and without iv contrast: a foley catheter is identified within the bladder. the bladder is compressed and displaced to the left side of the pelvis. there is a large retroperitoneal hematoma on the right side of the pelvis which pushes the uterus to the right. there is no free fluid in the pelvis. there is no evidence for active extravasation. on bone windows, there is a small sclerotic focus in the right femoral head. degenerative changes of the lumbar spine are noted. ct angiography: the aorta is normal in caliber. there is mild narrowing of the sma at its origin. the mesenteric vessels are patent. no active extravasation is identified. impression: large retroperitoneal hematoma extending from the inferior pole of the right kidney into the right hemipelvis. this displaces the uterus and bladder to the left. there is no evidence for active extravasation at this point. cardiac cath 1. selective coronary angiography of this right dominant system demonstrated single vessel coronary disease. there was intiially vasospasm in the lmca relieved by ic nitroglycerin. there was no significant lmca disease. the lad had a 30% ostial stenosis and tandem 60% stenoses in the mid lad immediately distal to the origin of d1. there is a 60% long stenosis in d1. the lcx and rca were patent. 2. limited resting hemodynamics revealed normotension. 3. positive pressure wire interrogation of the lad with ffr 0.78 (see ptca comments). 4. successful pci of the lad with non-overlapping 3.0x12mm (distal) and 3.0x16mm (proximal) -dilated to 3.25mm (see ptca comments). 5. successful right groin closure with 6f angioseal device. exercise stress this 58 year old woman with a history of htn was referred to the lab from the er following negative serial cardiac markers for evaluation of exertional chest discomfort with a similar episode at rest. the patient exercised for 6.5 and was stopped for a progressive drop in systolic bp with exercise. the peak estimated met capacity was 7.5 which represents an average functional capacity for her age. at low level exercise, the patient noted right shoulder discomfort as well as epigastric discomfort that radiated up to her throat and a peak intensity of . this was associated with 1.5 mm of horizontal/downsloping st segment depression in the inferolateral leads with 1-1. elevation in avr and avl. the symptoms and st changes resolved with rest by minutes 9 and 5 of recovery, respectively. the rhythm was sinus with no ectopy. abnormal drop in systolic bp with increasing workloads. impression: lv dysfunction with anginal type symptoms and ischemic ekg changes at a low cardiac demand and average functional capacity. the duke score is -5 which has a moderate cv risk. the patient was given 1 325 mg asa po and is being transferred to the cardiac cath lab for further evaluation. brief hospital course: 58 yo f presenting with exertional chest pain, brought to cath lab for two nonoverlapping des to lad, postprocedure course complicated by bradycardia and asystole, found to have rp bleed on ct. . # stemi she had initially presented to the ed with chest pains and was observed overnight. in the morning, she underwent exercise stress test and was noted to have chest pain with inferolateral st depressions and st elevations in avr/avl. she was brought to the cath lab and found to have single vessel disease. stenting of the lad was performed with non-overlapping 3.0x12mm (distal) and 3.0x16mm (proximal) -dilated to 3.25mm. her groin was closed with angioseal. she was then transferred to 3 from the pacu. # cardiac arrest shortly after her arrival to the floor, she reported to her nurse that she felt the need to move her bowels and urinate. she then was noted to become bradycardic (30s) and hypotensive (sbp 60s). she was given atropine 0.5 mg. she then was noted to have no pulse and chest compression were initiated. a code blue was called. she regained a pulse in ~1 minute and was noted to be hd stable (sbp > 100s, hrs 100s). # retroperitoneal bleed after she was stabilized hemodynmically, she was noted to have increased fullness in her rlq. manual pressure was applied to her cath site and she was brought immediately to ct scan. she was found to have a large retroperitoneal hematoma, without evidence of active extravasation. she was transferred the ccu and manual pressure was held for at least 90 minutes. she was transfused 3 units of prbcs and her hematocrit remained stable. her bleed was managed conservatively. she remained stable and was called out of the icu then discharged home. # chest pain she was noted to have significant chest pain, likely in the setting of her chest compressions. no further evidence of ischemia was found on repeat ecgs. medications on admission: losartan 25 mg po daily omeprazole 20 mg po daily calcium carbonate-vitamin d3 600 mg(1,500mg) -400 unit po qday. mom (nasonex) 50 mcg 2 sprays each nostril daily discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. simethicone 80 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed for bloating. disp:*qs tablet, chewable(s)* refills:*0* 3. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain for 1 weeks. disp:*qs tablet(s)* refills:*0* 4. 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:*0* 5. losartan 25 mg tablet sig: one (1) tablet po daily (daily). 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 9. hydrocodone-acetaminophen 5-500 mg capsule sig: one (1) tablet po q6h (every 6 hours) as needed for pain for 1 weeks: do not drive or operate heavy machinery while taking this medication. disp:*qs tablet(s)* refills:*0* 10. calcium carbonate-vitamin d3 600 mg(1,500mg) -400 unit capsule sig: one (1) capsule po once a day. discharge disposition: home discharge diagnosis: coronary artery disease retroperitoneal bleed causing bradycardia, hypotension, and brief cardiac arrest discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted for blockages in your arteries putting you at high risk of a heart attack. you had a procedure to open up the blocked arteries, called a cardiac catheterization, and the placement of a stent which helps keep the arteries open. you will need to take multiple new medications and follow-up closely with your pcp and cardiologist to prevent complications. . you also had a low blood pressure and heart rate after the procedure, which was caused by bleeding into your belly. during this time we had to perform chest compressions to keep your heart pumping until we were able to give you medicines and fluids and help your heart start pumping sufficiently on its own. because of this, you will have some chest discomfort for at least a week or so, and you should take the prescribed medications. please return to the hospital immediately if you develop any bleeding, and light-headedness, pass out, or if you stop being able to urinate. . please note the following medication changes: -please start asprin daily to help keep your stent open -please start plavix 75mg daily to help keep your stent open -please start simvastatin to lower your cholesterol -please start metoprolol to help with your heart rate -please start pantoprazole to help with your reflux -please start simethicone as needed for bloating/gas pain -please start tramadol as needed for pain -please start vicodin as needed for pain . -please stop omeprazole (replaced by pantoprazole) . -please continue your other medications as previously prescribed followup instructions: ***we are working to schedule you a follow-up appointment with a cardiologist. if you do not hear about this appointment within 1-2 days of discharge, please call to confirm the time. . name: , np (works with dr location: -, primary care address: , , phone: appt: at 3:20pm md procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization cardiopulmonary resuscitation, not otherwise specified 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: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension cardiac complications, not elsewhere classified hematoma complicating a procedure hemorrhage complicating a procedure hypotension, unspecified cardiac arrest cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure family history of ischemic heart disease acute myocardial infarction of inferolateral wall, initial episode of care other chest pain disorder of bone and cartilage, unspecified insomnia, unspecified cervical spondylosis without myelopathy allergic rhinitis, cause unspecified osteoarthrosis, localized, not specified whether primary or secondary, lower leg 

Answer: The patient is high likely exposed to