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 (sulfonamides) attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization with placement of 2 minivision bare metal stents history of present illness: 70 year old female with recent () mitral valve replacement and cabg with svg to om1. developed sudden onset of sscp and mild sob while ambulating to bathroom this morning. she went to osh where an ekg showed ste inferiorly, v5, v6, std v1/2. cath lab was activated and pt was transferred for urgent cath. in the cath lab the patient was found to have an acute occlusion of svg to om. due to risk of intervention/peripheral embolization decision was made to intervene on native vessel, and 2 bare metal stents were placed in om1 and dilated. patient was started on integrillin in the cath lab. patient had been taking asa and plavix on a regular basis. past medical history: 1. htn 2. cad s/p stenting (see below) 3. dm 4. s/p hip and fracture secondary to fall, recently d/c'ed from rehab 5. former smoker : lad 50%, lcx 40%, mid rca 99% - stented : totally occluded om1, but otherwise no flow limiting stenoses. no stent placed, sent for repair of mitral valve and cabg to om1. : successful placement of overlapping minivision bare metal stents in the om1 social history: patient is a housewife. she lives at home with her husband, and her son and daughter's family live in the same house. patient smoked ppd for 33 years, and she quit 18 years ago. family history: mother died of an mi at 86. father died of an accident sister has history of premature cad physical exam: vit: bp 105/56 hr 104 po2 100% on ra gen: pale, uncomfortable neck: no jvd cv: regular, nl s1, s2, no rub, no murmur pulm: clear bilaterally abd: benign ext: 2+ pulses b skin: groin site clean, sheath in place pertinent results: <b>admit labs:</b> 135 / 102 / 8 ------------< 121 4.5 / 20 / 0.3 . ck: 923 -->680 mb: 122 -->40 mbi: 13.2 --> 11.9 trop-*t*: 2.32 -->1.41 . ca: 8.6 mg: 1.7 p: 4.0 . 9.9 > 9.5/28.3 < 736 mcv-86 . pt: 13.8 ptt: 32.7 inr: 1.3 . ekg: sinus tachycardia. baseline artifact. st segment elevations in leads v4-v6 with small q waves - consider acute myocardial infarction. compared to the previous tracing of st segment elevations are present. . <b>cath report :</b> comments: 1. selective coronary angiography revealed a right dominant system and acute occlusion of the svg to om. the lmca had no angiographic evidence of cad. the lad had diffuse luminal irregularities - the previously placed stent was widely patent. the lcx was non-dominant, it gave off a moderate sized om1 branch. this had previously been bypassed and was 100% stenotic at its ostium. the rca had a 50% stenosis between the previously placed stents. the svg to om was a very large vein graft and was totally occluded with fresh thrombus. 2. hemodynamics revealed mildly elevated filling pressures, cardiac output/index was preserved. 3. left ventriculography was not performed. 4. successful placement of a 2.25 x 28 minivision bare metal stent overlapped with a more distal 2.0 x 18 mm minivision stent in the om1 both postdilated with a 2.25 mm balloon. final angiography demonstrated no residual stenosis, no angiographically apparent dissection, and normal flow (see ptca comments). . final diagnosis: 1. one vessel coronary artery disease. 2. mild diastolic ventricular dysfunction. 3. acute inferior myocardial infarction, managed by acute ptca. ptca of vessel. 4. successful placement of bare metal stents to the om1. . <b>echo :</b> conclusions: 1. the left atrium is normal in size. 2.the left ventricular cavity size is normal. overall left ventricular systolic function is preserved (lvef=55%). resting regional wall motion abnormalities include inferolateral akinesis with inferior and basal and mid inferoseptal hypokinesis. the rest of the walls are hyperdynamic. 3.the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. no aortic regurgitation seen. 4.a bioprosthetic mitral valve prosthesis is present. the mitral prosthesis appears well seated, with normal leaflet/disc motion. the transvalvular gradients are higher than expected for this type of prosthesis. physiologic mitral regurgitation is seen (within normal limits). 6.there is borderline pulmonary artery systolic hypertension. 7.there is no pericardial effusion. brief hospital course: # cad/mi - patient was admitted to the ccu after her cardiac catheterization where she had two bare metal stents placed in her om1. her enzymes were monitored and peaked during her first day of admission. she was continued on asa, plavix, and atorvastatin. she was started on low dose of metoprolol and changed to toprol xl 25 mg qd on day of discharge. would add back captopril as an outpatient if pressure tolerates. . # pump - echo showed ef of 55% and physiologic mr with no change in wall motion abnormalities from previous echo. patient auto-diuresed well. . # rhythm - no issues during this admission. patient continued to be in sinus tachycardia throughout admission without symptoms. . # post cabg - patient was 2 weeks post op mitral valve repair with 1 vessel cabg with svg. her incision was healing well and she did not require additional pain medications. . # dm2 - maintained on insulin sliding scale during hosptalization. . # fen - electrolytes maintained at mg >2 and k > 4. patient was advanced to regular diet without difficulty. . # dispo - pt consult: therapy 1-3x/week for 1 week, patient safe to return home with home pt and vna care. medications on admission: 1. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day. 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 6. captopril 12.5 mg tablet sig: 0.5 tablet po tid (3 times a day). 7. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). 8. glyburide 2.5 mg tablet sig: one (1) tablet po bid (2 times a day). 9. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 11. lasix 20 mg tablet sig: one (1) tablet po twice a day. 12. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. discharge medications: 1. 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:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. metoprolol succinate 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 5. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. metformin 500 mg tablet sig: one (1) tablet po twice a day. 8. glyburide 2.5 mg tablet sig: one (1) tablet po twice a day. discharge disposition: home with service facility: all care vna of greater discharge diagnosis: inferolateral myocardial infarction discharge condition: good discharge instructions: if you have any recurrent chest pain, chest pressure, shortness you had a stent placed in one of the blood vessels in your heart and you must continue taking apirin and plavix until your doctor tells you to stop. weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet and diabetic diet followup instructions: 1) please make a follow up appt with your pcp (, b ) in weeks. 2) please make a follow up appt with your diabetes doctor in weeks. 3) please make a follow up appt with your cardiologist in weeks. 4) you have a follow up appt with , md where: cardiac surgery lmob 2a date/time: 3:00 md procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortocoronary bypass status depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status acute myocardial infarction of other inferior wall, initial episode of care old myocardial infarction heart valve replaced by transplant 

Answer: The patient is high likely exposed to