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 76-year-old female with a cardiac history notable for hypertension and hyperlipidemia with chronic intermittent atrial fibrillation who was admitted to earlier days four days status post non-st-elevation myocardial infarction with a peak creatine kinase of 600 and a mb of 39 at the hospital. she had no prior coronary artery disease history. the patient was admitted to hospital on with new onset of severe chest pain associated with shortness of breath and nausea that resolved with morphine and nitroglycerin. she had been treated for fatigue and cough in those two days associated with bronchitis. there was no prior history of dyspnea, or lower extremity edema, paroxysmal nocturnal dyspnea, orthopnea, palpitations, or dizziness. at hospital, she remained chest pain free and was started on nitrates, low-molecular heparin, and aggrastat. her intervention was delayed due to a inr of 3.6 that was eventually treated with vitamin k. an echocardiogram obtained at hospital on , showed an ejection fraction of 60% with no regional wall motion abnormalities, mild mitral regurgitation, a normal right ventricle, and normal left atrium and normal right atrium dimensions. the electrocardiogram at the time of admission to hospital showed normal sinus rhythm at a rate of 65, with an axis of 90 degrees, qrs with 120 msec, prominent persist r waves throughout the precordium, q-r in v1, and a qrs in v6, t wave inversions in ii, iii, and f were noted as in v1 through v4, 1-mm st depressions were present in i, v5, and v6. no prior electrocardiograms were available for comparison. on , the patient was transferred to for semi-elective cardiac catheterization in the post non-st-elevation myocardial infarction period. the results were as follows: the patient's right atrial pressure was 3, pulmonary artery of 26/10, wedge of 9, cardiac index of 2.2, pulmonary artery saturation of 61. a left ventriculography showed a ejection fraction of 70%. no mitral regurgitation and normal wall motion. the left main was normal. the left anterior descending artery had a 50% ostial. the ramus had a diffuse 80% proximal that was stented with 2-mm x 13-mm pixel. this was complicated by a distal wire perforation. no dissection, and brisk flow was noted through the stent. first obtuse marginal had a 90% lesion and was very small. the second obtuse marginal had a 70% focal stenosis; this received percutaneous transluminal coronary angioplasty which was complicated by mild dissection. then a 2.5-mm x 9-mm s60 stent was deployed. this was complicated by proximal spasm leading to a 2.25-mm x 8-mm pixel stent being deployed proximal to the original stent with 20% residual stenoses in the stent, a 10% residual stenosis in the 3-mm region between the stent. the right coronary artery had diffuse 40% proximal disease. a bedside echocardiogram in the catheterization laboratory, after the distal wire perforation of the ramus, showed no free-flowing effusion, right atrial or right ventricular compression. integrilin and heparin were discontinued in the laboratory, and the patient was admitted to the coronary care unit with pleuritic substernal chest pain status post catheterization with no electrocardiogram changes when compared to prior catheterization. her post catheterization electrocardiogram showed the following: she was in normal sinus rhythm at a rate of 66. axis of 91, qrs was 114, st depressions and t wave inversions in ii, iii, f, v1 through v6, and a 1-mm to 2-mm st elevations in i and l. past medical history: 1. hypertension. 2. hyperlipidemia. 3. low back pain/spinal stenosis. 4. chronic intermittent atrial fibrillation. 5. osteoarthritis. medications on admission: (home medications included) 1. coumadin. 2. atenolol 50 mg p.o. q.d. 3. digoxin 0.125 mg p.o. q.d. 4. lipitor 10 mg p.o. q.d. 5. xanax p.r.n. medications on transfer: (medications on transfer from hospital included) 1. nitroglycerin paste. 2. lipitor 10 mg p.o. q.d. 3. digoxin 0.25 mg p.o. q.d. 4. atenolol 50 mg p.o. q.d. 5. lovenox 60 mg subcutaneous b.i.d. (held on the a.m. of transfer). 6. lasix 20 mg p.o. q.d. 7. aspirin 325 mg p.o. q.d. social history: the patient is a 1-pack per day smoker times 50 years. she lives alone and does her own activities of daily living. she has the support of her brother and his wife in terms of activities of daily living. family history: the patient's father had coronary artery disease in his 70s; otherwise, unremarkable. physical examination on presentation: admission physical examination revealed vital signs with a temperature of 93.9 (axillary), pulse of 60 in normal sinus rhythm with occasional premature ventricular contractions, blood pressure of 115/74, respiratory rate of 18, oxygen saturation of 99% on 4 liters nasal cannula oxygen. head, eyes, ears, nose, and throat showed pupils were equal, round, and reactive to light. extraocular movements were intact. sclerae were anicteric. the oropharynx was clear. neck was supple. jugular venous distention was less than 8 cm. chest was clear to auscultation on anterior examination. cardiovascular examination was nondisplaced, normal size point of maximal impulse, a regular rhythm with normal rate. no third heart sound and no fourth heart sound. no murmurs. pulsus was between 5 mm and 10 mm. the abdomen was soft, nontender, and nondistended, normal active bowel sounds. no hepatosplenomegaly. groin revealed arteriovenous sheath was in place on the right, dressing was clean, dry, and intact. no palpable hematoma, 2+ pulses. neurologically, alert and oriented times three. appropriate attention. cranial nerves ii through xii were intact. strength was in all four extremities on limited testing. hospital course: the patient was admitted to the coronary care unit for observation status post perforation of the ramus. over the next several hours, the patient remained hemodynamically stable and maintained a rhythm that was mostly sinus, though she did have periods of accelerated idioventricular rhythm and junctional escape which necessitated at least placement of a transcutaneous pacing pads. at roughly 8 p.m. (four hours after being admitted to the coronary care unit), the patient rapidly became hypotensive with a mean arterial pressure in the 40s and a preserved sinus rhythm. the patient was ramped up to high doses of dopamine without good response and then transcutaneous pacing was initiated with a subsequent response in the mean arterial pressure to the 60s. a bedside echocardiogram was performed which was remarkable for a large effusion. right ventricular and right atrial collapse could not be observed. the patient was also noted to have a pulseless paradoxus on her atrial blood pressure tracing. the patient soon began decompensating on maximum doses on pressors, and so an emergent bedside pericardiocentesis was performed; roughly 500 cc of nonclotting dark blood was extracted from the pericardial space with subsequent restoration of blood pressure. however, over the next 10 minutes to 15 minutes, the patient again dropped her blood pressure and another emd code occurred. the patient was then found to be expressing clots along with fresh blood from her pericardial drain. cardiac surgery was involved at this point, and the patient was emergently taken to the operating room for repair of a presumed arterial laceration leading to cardiac tamponade. the patient was coded on her way down to the operating room and was coded throughout much of the case. at 11:32, the patient was declared dead after roughly one hour of coding of fibrillating myocardia. after roughly a half hour of coding of fibrillating myocardia an intramyocardial was observed on the posterior wall. the patient was pronounced dead at 11:32. the patient's family members were , and the decision for a postmortem examination was pending at the time of this dictation. dr., 12-661 dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization implant of pulsation balloon open chest cardiac massage diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation accidental puncture or laceration during a procedure, not elsewhere classified other and unspecified hyperlipidemia cardiac arrest acute myocardial infarction of unspecified site, initial episode of care accidental cut, puncture, perforation or hemorrhage during surgical operation 

Answer: The patient is high likely exposed to