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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypass grafting x3; left internal mammary artery grafted to left anterior descending, reverse saphenous vein graft to the ramus intermedius and marginal branch. history of present illness: 2 year old russian speaking female with complaints of substernal chest pain with minimal exertion. she has refused cardiac catheterization for the past 3 years, but has recently agreed. catheterization showed severe 3vd and she was referred for surgical revascularization. today she presents for pre-operative testing prior to surgery . past medical history: hypertension chronic kidney disease diabetes mellitus gout s/p cholecystectomy social history: race: caucasian last dental exam: many years ago lives with: alone occupation: previously worked in food store tobacco: denies etoh: denies family history: non-contributory physical exam: height:5'6" weight:150 lbs general: no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur none abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema trace bilat varicosities: multiple superficial bilateral lower extremities neuro: grossly intact oriented per interpretter pulses: femoral right: +2 left: +2 dp right: +1 left: +1 pt : +1 left: +2 radial right: +2 left: +2 carotid bruit right: no bruit left: no bruit pertinent results: echo: pre bypass the left atrium is moderately dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. left ventricular wall thicknesses and cavity size are normal. at the start of the study, in the presence of downsloping inferolateral st segments on ekg, the left ventricle displayed severe global hypokinesis with an ejection fraction near 20%. at that time, the mitral regurgitation was moderate. the patient was treated with iv nitroglycerin and esmolol and this improved global function such that the patient was left with moderate to severe septal and apical hypokinesis. the inferior and lateral walls had just mild hypokinesis. the mitral regurgitation improved to mild to moderate. the right ventricle displayed focal hypokinesis of the apical free wall. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is moderate pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. post bypass: the patient is not receiving inotropic support post-cpb. biventricular systolic function is similar to pre-bypass function. all other finding are consistent with pre-bypass findings. the aorta is intact post-decannulation. all findings communicated to the surgeon. 02:09pm blood wbc-18.3*# rbc-3.44*# hgb-9.4*# hct-28.3*# mcv-82 mch-27.2 mchc-33.1 rdw-14.3 plt ct-168 05:22am blood wbc-10.7 rbc-3.29* hgb-9.1* hct-27.8* mcv-85 mch-27.8 mchc-32.8 rdw-14.5 plt ct-235 02:09pm blood pt-16.2* ptt-52.5* inr(pt)-1.4* 03:19pm blood urean-48* creat-1.4* cl-118* hco3-18* 05:22am blood glucose-99 urean-51* creat-1.6* na-143 k-4.1 cl-106 hco3-30 angap-11 02:30am blood calcium-8.7 phos-5.1* mg-2.2 brief hospital course: ms. was a same day admit after undergoing pre-operative work-up as an outpatient. on she was brought directly to the operating room where she underwent a coronary artery bypass grafting x 3. please see operative report for surgical details. following surgery she was transferred to the cvicu for invasive monitoring in stable condition. on post-op day one she was weaned from sedation, awoke neurologically intact and extubated. patient remained in cvicu for several more days because of altered mental status. this improved with discontinuation of narcotic pain medications. chest tubes and epicardial pacing wires were removed per protocol. on post-op day four she was transferred to the telemetry floor. she worked with physical therapy for strength and mobility during her recovery. she did receive an albumin for orthostatic hypotenstion and lightheadedness with walking. she continued to make steady progress and was discharged to rehabilitation on . she will follow-up with dr. , her cardiologist and her primary care physician as an outpatient. medications on admission: hyzaar 50 mg-12.5mg qd, metoprolol succinate 50 mg qd, crestor 10mg qd, aspirin 81mg qd discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. rosuvastatin 5 mg tablet sig: two (2) tablet po daily (daily). 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 5. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 7. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. discharge disposition: extended care facility: house discharge diagnosis: coronary artery disesae s/p coronary artery bypass graft x 3 past medical history: hypertension chronic kidney disease diabetes mellitus gout discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with acetaminophen prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: please call to schedule appointments surgeon dr. in 4 weeks date/time: 1:30pm primary care dr. in weeks cardiologist dr. in weeks wound check appointment - 6 () - your nurse will schedule procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery unspecified pleural effusion diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified chronic kidney disease, unspecified pulmonary collapse other and unspecified angina pectoris fall from other slipping, tripping, or stumbling orthostatic hypotension other specified analgesics and antipyretics causing adverse effects in therapeutic use transient alteration of awareness 

Answer: The patient is high likely exposed to