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 an 81 year-old woman, status post lad and rca stenting in who initially had been referred to cardia catheterization at on . the patient reported that over the past several weeks or months she has had recurrent chest discomfort and shortness of breath. she also notes that she gets tightness in her chest and throat with any sort of light exercise such as making her bed or walking a short distance. these symptoms occasionally would wake her from sleep. the chest discomfort is occurring about once a week and is not responsive to sublingual nitroglycerin. on the she had a persantine exercise tolerance test which was significant for severe chest pain resolved approximately ten minutes after two minutes of recovery. there were no electrocardiogram changes. nuclear scan revealed moderate area of peripheral ischemia and a small apical infarct with an ejection fraction of 48 percent. she denied claudication or orthopnea, light headedness but has occasional lower extremity edema. past medical history: status post inferior myocardial infarction, coronary artery disease, status post stenting of the left anterior descending and right coronary artery in . gastroesophageal reflux disease, irritable bowel, osteoarthritis, shingles several months ago, severe back pain radiating to the legs for which is planning an upcoming nerve block. past surgical history: status post large lipoma removed from the abdomen , status post laminectomy, status post bilateral total knee replacements, status post remote left leg vein stripping, status post hysterectomy. medications on admission: aspirin 325 mg p.o. q.d., avapro 150 mg p.o. q.d., nexium 40 mg p.o. q.d., lopressor 25 mg p.o. b.i.d., lasix 20 mg p.o. q.d., isordil 20 mg p.o. t.i.d., zovirax cream to affected area p.r.n. social history: she is a single woman, lives alone in . family history: brother died at age 60 of cardiac disease. maternal uncle died at age 60 also of cardiac disease. initial physical examination: height 5 foot, 6 inches, weight 210 pounds. vitals: pulse 68, blood pressure 124/74, saturations 100% on room air. general appearance: a well appearing, well nourished woman appearing consistent with her stated age. head, eyes, ears, nose and throat: normocephalic, atraumatic, oropharynx clear. mucous membranes moist. pupils equal, round, reactive to light and accomodation. extraocular movements intact. neck: supple, no lymphadenopathy. carotids 2+, no bruit, no jugular venous distention noted. respiratory: lungs clear to auscultation bilaterally. cardiac: distant heart sounds, normal s1, s2, no murmurs, rubs or gallops. abdomen soft, nontender, nondistended. there is a right upper quadrant thoracic incision healed. there is puckering. there is 6 cm, nontender, palpable mass in the right lower quadrant at the distal end of the incision. there are no abdominal bruits. positive normal active bowel sounds. peripheral vascular examination: bilateral femoral pulses 1+ bilateral, 2+ dorsalis pedis and posterior tibial pulses. trace lower extremity edema, left greater than right. musculoskeletal: normal strength, bilaterally. neurologic: alert and oriented, nonfocal. summary of acute findings: results from the cardiac catheterization performed on revealed 90 percent mid rca lesion, 100 percent mid lad and 90 percent om3 lesion. there were no other significant findings of disease. patient's ejection fraction was calculated to be 50 percent. brief summary of hospital course: patient was admitted the night prior to surgery. on the morning of patient went to the operating room with dr. and had coronary artery bypass graft of three vessels. she had a left internal mammary artery anastomosed to d1. she had saphenous vein graft to the left anterior descending and she had a saphenous vein graft to the right coronary artery. please see previously dictated operative note for more details. patient left the operating room with a mean arterial pressure of 67 and cvp of 5, pulmonary artery diastolic of 12 and pulmonary artery diastolic of 12 and pulmonary artery mean of 17. she had normal sinus rhythm with 81 beats per minute. patient was on a neosynephrine drip upon leaving the operating room. patient was discharged from the operating room to the cardiac surgery intensive care unit where she was on a neosynephrine drip and insulin drip to control her blood sugars which were found to be elevated. elevation of blood sugars were somewhat surprising as the patient did not give a previous history of diabetes. patient's postoperative course was otherwise uncomplicated. she was transferred to the patient care floor on postoperative day number one. the patient returned to the patient care floor. she no longer had chest tubes. her foley was removed on postoperative day number two. she was up and ambulating by postoperative day two and continued to work with physical therapy through postoperative day number three. patient's pacing wires were discontinued on postoperative day number three and on postoperative day number four she was ambulating, pain was tolerated with p.o. medications, tolerating p.o. and voiding without any problems and was discharged to rehabilitation. of note, because of the patient's blood sugar and the need for an insulin drip in the intensive care unit patient was followed by the clinic. their recommendations were to start her on glucophage 500 mg p.o. q.d. which was done. condition on discharge: stable. follow up: patient will follow up with dr. and will follow up also with dr. , her referring physician. medications on discharge: lipitor 25 mg p.o. b.i.d., lasix 20 mg p.o. b.i.d. times one week, kayciel 20 meq p.o. b.i.d. while on lasix, colace 100 mg p.o. b.i.d., asa 81 mg p.o. q.d., ibuprofen 400 to 600 mg p.o. q 6 hour p.r.n., glucophage 500 mg p.o. q..d., vicodin 5/500 1 to 2 tabs p.o. q.. 4 hours p.r.n. pain. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension old myocardial infarction osteoarthrosis, unspecified whether generalized or localized, site unspecified other complications due to other cardiac device, implant, and graft irritable bowel syndrome 

Answer: The patient is high likely exposed to