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 52-year-old woman with diabetes for many years who uses an insulin pump. she reported dyspnea with activity over the past couple of years without chest pain or pressure. she is from originally and had nuclear scan there which suggested normal left ventricular function with mild anterior ischemia but no infarction and was subsequently referred for catheterization and possible intervention in . hemodynamically she was found to have left ventricular pressure of 150 with an end diastolic pressure of 14 mmhg per ventriculogram. left ventricular pressure was 158 with an end diastolic pressure of 17 mmhg post ventriculogram. aortic pressure was 156/67 with a mean of 98 mmhg. there was no significant aortic valve gradient. left ventriculography showed that the patient had normal contractility throughout. ejection fraction was estimated to be 65-70% with no mitral regurgitation seen. coronary angiography showed that the patient had right dominant mildly diffuse calcification throughout her coronary arteries. her arteries were all relatively small in caliber. left anterior descending was a small vessel with severe diffuse proximal to midvessel disease up to 90% stenosis. the first diagonal branch was small with an 80% proximal lesion. she requested to be sent to for her coronary artery bypass grafting to be near where her diabetologist was. she was thus admitted to on , and referred for coronary artery bypass grafting times two with dr. . past medical history: diabetes mellitus; the patient uses an insulin pump. there is some question of asthma. anemia. hypothyroidism. chronic renal insufficiency. allergies: sulfa, causing tongue swelling. family history: no significant family history. social history: teacher. the patient lives with husband. the patient quit tobacco 27 years ago. no alcohol. no recreational drugs. medications on admission: lisinopril 10 mg q.d., naproxen 500 mg q.d., synthroid 175 mcg q.d., fluoxetine 20 mg q.d., insulin pump, calcium 1 g q.d., vitamin b complex, aspirin 81 mg, imdur 30 mg q.d., toprol xl 25 mg q.d., d. review of systems: the patient denied any recent illness. she had no orthopnea. she has palpitations. physical examination: vital signs: blood pressure 114/60 on admission, heart rate 59. lungs: clear. cardiovascular: regular, rate and rhythm. normal s1 and s2. there was a 1-2/6 systolic ejection murmur over the left sternal border. extremities: mild edema. there were 2+ pulses bilaterally throughout. hospital course: the patient was then taken to the operating room on , with the diagnosis f coronary artery disease and had a coronary artery bypass grafting times two with lima to left anterior descending and saphenous vein graft to ramus intermedius under general endotracheal anesthesia by dr. and assistant . two chest tubes were placed, one mediastinal and one left pleural. the patient was transferred to the unit on a propofol, insulin, neo-synephrine and nitroglycerin drip. on postoperative day #1, the patient did extremely well, and chest tubes were discontinued, and all drips were discontinued except for nitroglycerin drip for cardiac protection. diabetes continued to follow the patient for insulin pump management. the patient was started back on imdur on postoperative day #2, and all drips were discontinued. physical therapy began to see the patient throughout the hospital course until clearance for discharge. on postoperative day #2, the patient was transferred to the floor and did very well on the floor. the patient was discharged on postoperative day #5 without event. discharge medications: colace 100 mg b.i.d., aspirin 325 mg q.d., percocet tab p.o. q.4-6 hours pain, imdur 60 mg p.o. q.d., protonix 40 mg p.o. q.d., lopressor 12.5 mg p.o. b.i.d., levoxyl 175 mcg p.o. q.d., iron complex, vitamin c, multivitamin, paxil 20 mg p.o. q.d., lasix 20 mg q.d. x 1 week. condition on discharge: good. discharge status: to home. discharge diagnosis: 1. coronary artery disease, status post coronary artery bypass grafting with incomplete revascularization. 2. diabetes. 3. chronic renal insufficiency. follow-up: the patient was instructed to follow-up with dr. , primary care physician, weeks, and with the cardiologist in weeks, with dr. in three weeks. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery diagnoses: coronary atherosclerosis of native coronary artery unspecified acquired hypothyroidism polyneuropathy in diabetes other and unspecified angina pectoris unspecified disorder of kidney and ureter lumbago stricture of artery diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to