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: patient is a 60-year-old female who three week prior had laryngitis. she experienced upper chest and throat burning and exertional dyspnea. she went to see her primary care physician and during the work-up an electrocardiogram was done. this showed t wave flattening in i, avl, v5, v6, as well as an old myocardial infarction. the burning with exertion occurred after half a block which resolved with rest. she denied every having this sensation at rest. she also had associated lightheadedness, but denies any nausea, vomiting, orthopnea, paroxysmal nocturnal dyspnea, or peripheral edema. she is admitted to for cardiac catheterization and evaluation by the cardiothoracic team for coronary artery bypass grafting. past medical history: significant for hypertension, silent myocardial infarction, hypercholesterolemia, hypothyroidism and anemia. past surgical history: significant for left knee replacement in and right knee replacement in . allergies: no known drug allergies. medications on admission: isordil 10 mg po t.i.d., lopressor 50 mg po t.i.d., zestril 2.5 mg po q.d., lipitor 20 mg po q.d., allopurinol 150 mg po q.d., aspirin 81 mg po q.d., tagamet 300 mg po q.d., levoxyl 0.125 mg po q.d., b12 2 mg po q.d., vitamin c q.d., vitamin e q.d., multivitamin q.d., ferrous sulfate q.d. and propoxyphene with tylenol once a day. social history: the patient is married. denies etoh and tobacco use. family history: noncontributory. physical examination: the patient is a female in no acute distress. pulse is 63. blood pressure 108/64. respiratory rate 20 with 02 saturation of 100%. her heart is regular rate and rhythm with no murmurs. chest is clear to auscultation bilaterally. abdomen is soft, obese, nontender with no masses. there is no peripheral edema, clubbing or cyanosis. neck is supple with no jugular venous distention and no bruits. laboratories on admission: white blood cell count of 6.3, hematocrit of 37, platelets of 342,000. sodium of 140, potassium 4.7, chloride 98, bicarbonate of 28, bun of 16, creatinine 0.8, inr of 1.0. chest x-ray is significant for a large hiatal hernia, no congestive heart failure, pneumonia, or pleural effusion. cardiac catheterization shows left anterior descending with 80% stenosis, left circumflex 70-80% stenosis, right coronary artery with 2 sequential 95% stenoses, which was then totally occluded into mid vessel. the calculated left ventricular ejection fraction was 56%. there was trace mitral regurgitation seen. hospital course: the patient was admitted and underwent a cardiac catheterization. she tolerated the procedure well and was on the cardiac medical service and remained stable. on hospital day number four, the patient was taken to the operating room by the cardiothoracic team where she underwent a coronary artery bypass graft times three. the grafts were left internal mammary artery to left anterior descending, saphenous vein graft to right coronary artery pd and saphenous vein graft to om. patient tolerated the procedure well and was transferred to the cardiac intensive care unit on a neo-synephrine and propofol drip. early postoperative course, patient required low dose neo-synephrine and atrial pacing for blood pressure support. patient was extubated without incident. through postoperative day number one, the patient continued to require neo-synephrine for blood pressure support, though, she remained hemodynamically stable. on postoperative day number one, her hematocrit was found to be 24. she was transfused with one unit of packed red blood cells. there was no evidence of active bleeding. chest tube drainage remained 300. on postoperative day number two, she continued on low dose neo-synephrine. mean arterial pressure remained greater than 60. she is awake, alert and oriented. respiratory status continued to improve. chest tubes were discontinued without incident and she was transferred to the floor for the remainder of her recovery. on the floor, the patient remained hemodynamically stable and afebrile. her wires were discontinued on postoperative day number three without incident. foley was discontinued and patient was able to void without incident. she has been evaluated by physical therapy. she is currently at a level 3 activity. after discussing at length, patient desires to go home as opposed to returning to rehabilitation. she has her husband and her son for support. she is tolerating a low fat diet and is stable for discharge. discharge diagnoses: 1. coronary artery disease, now status post coronary artery bypass graft times three. 2. hypertension. 3. hypercholesterolemia. 4. hypothyroidism. 5. anemia. medications on discharge: 1. lopressor 25 mg po b.i.d. 2. lasix 20 mg po b.i.d. times seven days. 3. kcl 20 meq po b.i.d. times seven days. 4. colace 100 mg po b.i.d. 5. tagamet 300 mg po q.d. 6. enteric coated aspirin 325 mg po q.d. 7. allopurinol 150 mg po q.d. 8. levoxyl 0.125 mg po q.d. 9. dietrol 2 mg po q.d. 10. percocet 5/325 po q. 4 hours prn. 11. lipitor 20 mg po q.d. 12. vitamin c po q.d. 13. vitamin e po q.d. 14. multivitamin po q.d. condition on discharge: stable. follow-up: patient to follow-up with dr. in six weeks. patient will follow-up with dr. in two weeks, who is the patient's primary care physician. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery mitral valve disorders unspecified acquired hypothyroidism other and unspecified angina pectoris knee joint replacement 

Answer: The patient is high likely exposed to