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 an 86-year-old russian female with coronary artery disease, hypertension, diabetes mellitus type 2 and hypercholesterolemia, who presented with chest pain and dyspnea on exertion. the patient had known three vessel disease diagnosed on cardiac catheterization in and managed medically since that time. during a preoperative workup for a hemicolectomy last year, the patient had an exercise tolerance test that was significant for a limited exercise tolerance and ischemic st segment changes with focal left ventricular systolic dysfunction in the absence of anginal type symptoms, thought to be consistent with inducible ischemia. she was admitted and ruled out for a myocardial infarction in . her angina equivalent was dyspnea on exertion and her exercise tolerance was about one quarter of a mile walking before needing to stop and rest. prior to that admission, she had only occasional chest pain on exertion, usually brief and responsive to rest or one sublingual nitroglycerin. since then, she had no chest pain but worsening dyspnea on exertion. approximately three days prior to admission, the patient experienced her usual shortness of breath accompanied by nonradiating chest discomfort described as a tightness with pressure but not necessarily pain, which lasted approximately two hours. she took two sublingual nitroglycerin tablets, which helped alleviate the symptoms. the episode was not associated with diaphoresis, nausea, vomiting, syncope or lightheadedness. since then, she had two additional episodes of the shortness of breath, but not with the associated chest discomfort. the patient had three pillow orthopnea for many years, as well as chronically edematous ankles. the review of systems was otherwise unremarkable. the patient was referred to the emergency department by her primary care physician, . , for presumed unstable angina. in the emergency department, the patient was not experiencing shortness of breath or chest discomfort. an electrocardiogram done at that time was unremarkable for ischemic changes. the patient was subsequently admitted for suspicion of a myocardial infarction. past medical history: 1. coronary artery disease, as described. 2. diabetes mellitus times one year, treated with glyburide. 3. chronic hypertension. 4. chronic hypercholesterolemia. 5. hypothyroidism. 6. gout. 7. colon cancer, status post hemicolectomy. medications on admission: 1. nadolol 80 mg p.o. b.i.d. 2. allopurinol 300 mg p.o. q.d. 3. synthroid 0.150 mg p.o. q.d. 4. accupril 40 mg p.o. q.d. 5. glyburide 2.5 mg p.o. q.d. 6. lipitor 10 mg p.o. q.d. 7. nifedipine 30 mg p.o. q.d. 8. nitrodisc 0.6 mg/hr transdermal patch q.d. 9. lasix 20 mg p.o. q.o.d. physical examination on admission: the patient was afebrile with a heart rate of 60, a blood pressure of 150/80, a respiratory rate of 16 and an oxygen saturation of 96% on room air. the jugular venous pressure was normal. carotid pulses had a normal upstroke without bruit. the lungs were clear. the heart had a regular rate and rhythm with a ii/vi systolic murmur at the left sternal border. the abdomen was soft, nontender and nondistended. the extremities were warm and well perfused with mild edema bilaterally at the ankles. hospital course: the patient was admitted to the medical service and was subsequently ruled out for a myocardial infarction. a cardiology consultation was obtained and the consultant recommended a new cardiac catheterization to assess the patient's coronary artery disease. the results of that study demonstrated a calcified aorta and coronary arteries with an ejection fraction of approximately 60%. the results of that study demonstrated a 100% occlusion of the mid right coronary artery, a 60% stenosis of the left main coronary artery, a 100% stenosis of the distal left anterior descending artery, a 50% stenosis of the proximal left anterior descending artery, a 90% stenosis of the mid circumflex coronary artery and an 80% stenosis of the third obtuse marginal artery. based on these results, the cardiothoracic surgery service was consulted and it was recommended that the patient undergo coronary artery bypass surgery. there was a complication from the cardiac catheterization done on that consisted of a suspected right groin hematoma. the patient went down for an ultrasound of the right groin at the same time that she was having her carotid arteries studies. there was no evidence of a hematoma, arteriovenous fistula or pseudoaneurysm in her right groin. her carotid ultrasound results were significant for a 60-70% stenosis of both the right and left internal carotid arteries. she was noted to have normal antegrade flow in her right and left vertebral arteries. the hospital course prior to surgery was complicated by a declining hematocrit, requiring transfusions of packed red blood cells. her surgery was delayed, therefore, until the medical team could stabilize her hematocrit and determine the etiology of her blood requirement. on , she underwent an abdominal ct scan which demonstrated a 5 x 12 cm right pelvic hematoma. the patient was managed medically for her retroperitoneal bleed with serial transfusions of packed red blood cells in order to maintain a hematocrit above 30. by , the vascular surgery service had been consulted and deemed her retroperitoneal hematoma to be stable and deemed it to be safe to heparinize the patient for her coronary artery bypass grafting. on , the patient underwent an uncomplicated off pump coronary artery bypass grafting times three with a left internal mammary artery graft to the first diagonal artery, a saphenous vein graft to the second diagonal artery and a saphenous vein graft to the obtuse marginal artery. the patient tolerated the procedure well and was transported to the cardiac surgery recovery room, intubated and in good, stable condition. overnight, she required two units of packed red blood cells and remained intubated. on postoperative day #1, the patient was afebrile and hemodynamically stable, making good urine. she was extubated and subsequently transferred to the floor. once on the floor, the patient remained stable. on postoperative day #2, the patient was tolerating p.o. intake as well as oral pain medication. she was still making adequate amounts of urine. she was out of bed and ambulating around her room. her foley catheter and her antecubital intravenous lines were removed. on postoperative day #4, the patient was deemed to be in stable condition and ready for discharge to a rehabilitation center. physical examination on discharge: the patient was afebrile with stable vital signs. the neck was supple. there were no bruits. the lungs were clear with slightly diminished breath sounds bilaterally. the sternum was stable. the incision was clean, dry and intact. the heart had a regular rate and rhythm with a ii/vi systolic ejection murmur at the left sternal border. the abdomen was soft, nontender and nondistended. the extremities were warm and well perfused. the incision was clean, dry and intact. discharge medications: lopressor 25 mg p.o. b.i.d. lasix 20 mg p.o. b.i.d. times one week. potassium chloride 20 meq p.o. b.i.d. times one week. aspirin 81 mg p.o. q.d. plavix 75 mg p.o. q.d. synthroid 0.150 mg p.o. q.d. glyburide 2.5 mg p.o. q.d. lipitor 10 mg p.o. q.d. percocet one to two tablets p.o. every three to four hours p.r.n. for pain. colace 100 mg p.o. b.i.d. allopurinol 300 mg p.o. q.d. discharge diagnoses: coronary artery disease, status post coronary artery bypass grafting times three. condition/disposition: the patient was discharged to rehabilitation insertion table condition. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass 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: anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atherosclerosis of aorta hematoma complicating a procedure hemorrhage complicating a procedure syncope and collapse 

Answer: The patient is high likely exposed to