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: codeine / phenergan attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization picc line placement history of present illness: 61 year old spanish-speaking female with cad s/p recent rca bare metal stent , dm, htn presented to osh with chest pain. by report, the chest pain has been intermittent for at least a month, but she did not tell her family about it until this week. she presented to on for increased severity of this pain. she describes the pain as a "sharp" pain starting in left shoulder blade and radiating around to left anterior chest associated with some shortness of breath. pain is worse with exertion and improves w/ rest. by report, she also has been having left shoulder pain and started on percocet at . at , she had nausea with emesis x 3 (non-bloody). she initially received sl ntg. first set two sets of cardiac enzymes were negative; on eve of , however, by report new tw in precordial leads and + tnt --> started on heparin gtt and transfered to . . currently denying active chest pain or shortness of breath, though endorses mild nausea. . ros: on review of symptoms, denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, hemoptysis, black stools or red stools. denies recent fevers, chills or rigors. all of the other review of systems were negative. . *** cardiac review of systems is notable for absence of paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. reports worsened ability to do stairs (stops frequently), but unable to quantify it exactly. . past medical history: past medical history: cad cath in at osh with 70% lad stenosis, 60% lcx stenosis cath in with stent to rca ett in at osh with no ischemia and 60% lvef dm2 with retinopathy adn nephropathy htn hypercholesterolemia obesity oa depression severe noncompliance gerd with hiatal hernia anxiety tension ha cri 1.0-1.3 baseline cr pad h/o cholecystectomy social history: has lived in u.s. since from . she lives with granddaughter. she quit smoking 15 years ago and denies alcohol or drug use. family history: mother with diabetes and cad and an aunt with the same. physical exam: vitals: 97.4f hr 87 bp 137/65 20 100% 3l gen: obese, fatigued, nad. heent: anicteric, eomi, mmm. jvd unable to assess. cv: regular, 80s, normal s1 and s2. no murmurs or rubs. ?mild exacerbation of pain on palpation of shoulder resp: ctab abd: obese, soft, nt/nd. ext: no le edema, 2+ dp pulses skin: no jaundice, no rash pertinent results: 11:02pm blood wbc-14.4* rbc-4.05* hgb-12.2 hct-36.5 mcv-90 mch-30.1 mchc-33.4 rdw-13.8 plt ct-364 11:02pm blood glucose-345* urean-46* creat-1.3* na-136 k-6.3* cl-104 hco3-20* angap-18 11:02pm blood ck(cpk)-289* ck-mb-33* mb indx-11.4* ctropnt-0.80* 05:30am blood ck(cpk)-466* ck-mb-50* mb indx-10.7* ctropnt-1.01* 12:45pm blood ck(cpk)-502* ck-mb-49* mb indx-9.8* ctropnt-1.47* 07:40pm blood ck(cpk)-468* ck-mb-40* mb indx-8.5* ctropnt-1.82* 07:15am blood ck(cpk)-318* ck-mb-25* mb indx-7.9* ctropnt-1.67* 07:05am blood ck(cpk)-141* ck-mb-12* mb indx-8.5* ctropnt-1.73* 06:55am blood ck(cpk)-84 ck-mb-notdone ctropnt-1.81* . 05:30am blood alt-22 ast-53* ck(cpk)-466* alkphos-113 totbili-0.3 06:55am blood alt-121* ast-62* ld(ldh)-409* ck(cpk)-84 alkphos-158* . %hba1c: 7.6 . echocardiogram mild left ventrical apical aneurysm with severe global systolic dysfunction c/w multivessel cad or other diffuse process. right ventricular free wall hypokinesis. mild mitral regurgitation. mild pulmonary artery systolic hypertension. . liver or gallbladder us (single organ) 12:35 pm very mildly echogenic liver consistent with questionable fatty infiltration. portal vein is patent and gallbladder has been removed. . cardiac catheterization: 1. coronary angiography showed severe three vessel coronary artery disease. the left main coronary artery had moderate calcification but no angiographically apparent flow limiting stenoses. the lad was diffusely calcified with a proximal stenosis of 90% followed by another 90% stenosis in mid segment. the lcx was nondominant vessel with modest calcification. the rca was a large dominant vessel with severe instent restenosis proximally. 2. arterial conduit angiography revealed a robust patent lima with no lesions. 3. limited resting hemodynamics revealed severely elevated left sided filling pressures (lvedp was 32 mm hg). systemic arterial pressures were severely elevated (aortic pressure was 179/83 mm hg). there was no significant gradient across the aortic valve upon pullback of the catheter from the left ventricle to the ascending aorta. final diagnosis: 1. two vessel coronary artery disease. 2. severely elevated left sided filling pressures. 3. severely elevated systemic arterial pressure. . myocardial viability study: 1. severe resting perfusion defects of the apex, distal inferior wall and the mid and basal inferoseptal walls. this is consistent with poor probability of recovery of function after revascularization. 2. mild resting perfusion defects of the inferior wall and distal ventricle and normal perfusion of the mid and basal anterior and anterolateral walls, consistent with high probability of recovery of function after revascularization. 3. inreased right ventricular uptake, consistent with global reduction in left ventricular perfusion. 4. increased left ventricular cavity size. brief hospital course: ms. was taken to the or on for cabg x 4 (lima>lad, svg>om, svg>diag, svg>pda) and asd closure. post-op, she was taken to the csru on epinephrine, milrinone, norepinephrine drips. she remained on mechanical ventilation for the first few post-operative days, while improving hemodynamically and weaning off vasopressors and inotropes. she was extubated on pod # 3. she went in to rapid atrial fibrillation, which was treated with metoprolol and amiodarone. the electrophysiology service was consulted, and followed her for this. for the next few days, her rhythm varied from bradycardia (junctional and sinus) in the 30's to rapid afib. she remained in the icu due to continued need for pacing (via her epicardial wires). for this reason, she underwent permanent pacmaker palcement on . her epicardial wires were removed. anticoagulation for afib was initiated with warfarin, with a target inr 2.0-2.5. this will be dosed by the pt's pcp, . once discharged from rehab. she has remained stable hemodynamically, and is ready to be discharged to rehab on . she has progressed slowly from a mobility standpoint, and should continue with physical therapy. medications on admission: cad cath in at osh with 70% lad stenosis, 60% lcx stenosis cath in with stent to rca ett in at osh with no ischemia and 60% lvef dm2 with retinopathy adn nephropathy htn hypercholesterolemia obesity oa depression severe noncompliance gerd with hiatal hernia anxiety tension ha cri 1.0-1.3 baseline cr pad h/o cholecystectomy discharge disposition: extended care facility: tba discharge diagnosis: cad dm htn oa depression gerd af tachy/brady syndrome discharge condition: good followup instructions: with clinic on friday, at 1pm ( with dr. in weeks ( with pcp, . in weeks with dr. in 1 month, please call for appt. ( for your diabetes, please follow-up in the clinic - please call to make an appointment. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization enteral infusion of concentrated nutritional substances initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle other and unspecified repair of atrial septal defect artificial pacemaker rate check diagnoses: hyperpotassemia nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia urinary tract infection, site not specified congestive heart failure, unspecified hyposmolality and/or hyponatremia cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified diaphragmatic hernia without mention of obstruction or gangrene anxiety state, unspecified ostium secundum type atrial septal defect osteoarthrosis, unspecified whether generalized or localized, site unspecified personal history of noncompliance with medical treatment, presenting hazards to health sinoatrial node dysfunction background diabetic retinopathy nonspecific elevation of levels of transaminase or lactic acid dehydrogenase [ldh] diabetes with ketoacidosis, type ii or unspecified type, uncontrolled diabetes with renal manifestations, type ii or unspecified type, uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to