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: the patient is a 43 year old female with known coronary artery disease, type 1 diabetes mellitus, hypertension, and hypercholesterolemia as well as family history significant for coronary artery disease. the patient underwent a recent cardiac catheterization in , and was found to have 80% stenosis of the left anterior descending. she was also found to have 50 to 60% stenosis in the small distal left anterior descending and a 60% stenosis in the posterior descending artery. a stent was placed to the left anterior descending at the time, however, the patient returned to the hospital on , with recurrent chest pain. she was found to have severe stent stenosis and underwent restenosis of the stent in the mid left anterior descending. the patient is also status post percutaneous transluminal coronary angioplasty/brachytherapy of the in-stent restenosis and stent placements to the persistent restenosis. the patient was doing well afterward. however, the patient's symptoms gradually progressed. she was having more shortness of and occasional chest pain. most recently, she presented with substernal chest pain which was elicited with minimal exertion. she was transferred from an outside hospital for another cardiac catheterization. the cardiac catheterization performed on , showed two vessel coronary artery disease, as well as mild left ventricular diastolic dysfunction. the patient had been chest pain free since her admission and denied any shortness of , diaphoresis, nausea, vomiting or any light-headedness. the patient was originally admitted to the medicine service for further management of her admission symptoms. past medical history: 1. coronary artery disease, status post multiple cardiac catheterizations, as well as stenosis and restenosis of the cardiac stents. 2. hypertension. 3. hypercholesterolemia. 4. diabetes mellitus type 1. 5. gastroesophageal reflux disease. 6. tooth abscess. allergies: contrast . the patient gets anaphylactic reaction. medications on admission: 1. nitroglycerin patch. 2. aspirin 325 mg p.o. once daily. 3. plavix 75 mg p.o. once daily. 4. atenolol 25 mg p.o. once daily. 5. diovan/hydrochlorothiazide mg. 6. lipitor. 7. protonix 40 mg p.o. once daily. 8. effexor 37.5 mg p.o. twice a day. 9. insulin pump. 10. nitroglycerin sublingual p.r.n. physical examination: temperature is 97.4, blood pressure 146/70, heart rate 90, respiratory rate 20, oxygen saturation 96% on two liters. in general, the patient is a pleasant female in no apparent distress. head, eyes, ears, nose and throat examination is within normal limits, no jugular venous distention, no bruits. the neck is with full range of motion. chest examination is clear to auscultation bilaterally. cardiac examination - regular rate and rhythm, normal s1 and s2 sounds, no murmurs, rubs or gallops present. the abdomen is soft, nontender, nondistended, obese. extremities - no edema, warm and well perfused. pulses present bilaterally. laboratory data: white blood cell count 10.8, hematocrit 25.7, platelet count 328,000. partial thromboplastin time 85.4. urinalysis negative sodium 137. potassium 4.5, blood urea nitrogen 13, creatinine 0.5. ck 31. total bilirubin 0.4. troponin 1.2. magnesium 1.9. chest x-ray done preoperatively was within normal limits without any evidence of acute cardiopulmonary process. the electrocardiogram preoperatively showed no change from baseline. hospital course: cardiac surgery was consulted given significant risk factors and long-standing history of coronary artery disease with previous complications. the patient was maintained on intravenous heparin. the decision was made to perform coronary artery disease bypass grafting. the cardiac catheterization performed preoperatively on , showed 70% stenosis of the left anterior descending proximally, 80% midstenosis prior to the stents and 80% stenosis mostly just prior to d3. the left circumflex was free of disease, however, the right coronary artery showed minimal luminal irregularities. the right posterior descending artery had 50 to 60% proximal narrowing and 60 to 70% distal stenosis. on , for her symptoms of unstable angina and recent finding on cardiac catheterization, the patient underwent coronary artery bypass graft times three (left internal mammary artery to left anterior descending, saphenous vein graft to posterior descending artery, saphenous vein graft to diagonal). the patient tolerated the procedure well. there were no complications. please see the full operative report for details. the patient was transferred to the intensive care unit in fair condition. the patient remained intubated. the patient remained in sinus rhythm with stable heart rate and blood pressure. she was given perioperative antibiotics. the diabetes service was consulted to help manage her insulin pump given the long-standing history of diabetes mellitus. the patient continued to do well. she was transferred to the regular floor on postoperative day one in stable condition. her foley catheter was removed. her chest tubes were removed on postoperative day two. her pacing wires were removed as well. the patient was making adequate urine. her incision was clean, dry and intact. the patient remained afebrile in sinus rhythm. physical therapy was consulted and followed the patient during her hospitalization. she was eventually cleared by physical therapy to go home when clinically indicated. the patient continued to have good control of her blood sugar with the pump rate adjusted accordingly. the patient was discharged to home on postoperative day number four in good condition. condition on discharge: good. discharge disposition: home. discharge diagnoses: 1. coronary artery disease, status post coronary artery bypass grafting times three. 2. type 1 diabetes mellitus. 3. hypertension. 4. hypercholesterolemia. 5. tooth abscess. 6 . gastroesophageal reflux disease. discharge medications: 1. aspirin 325 mg p.o. once daily. 2. plavix 75 mg p.o. once daily. 3. lopressor 25 mg p.o. twice a day. 4. diovan/hydrochlorothiazide 80/12.5 mg p.o. once daily. 5. lipitor. 6. effexor 37.5 mg p.o. twice a day. 7. protonix 40 mg p.o. once daily. 8. insulin pump (humalog) adjust as directed. 9. colace 100 mg p.o. twice a day. 10. ibuprofen 400 mg p.o. q4-6hours p.r.n. pain. 11. dilaudid 2 mg p.o. q6hours p.r.n. pain. 12. penicillin v 250 mg p.o. q6hours for tooth abscess. discharge instructions: 1. the patient is to follow-up with her surgeon, dr. , in approximately four weeks. 2. the patient is to follow-up with her cardiologist, dr. , in approximately three weeks. 3. the patient is to follow-up with her primary care physician, . , in approximately one to two weeks. 4. the patient is to follow-up with her dentist and review her antibiotic regimen. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization coronary arteriography using a single catheter diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to