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: neomycin sulfate attending: chief complaint: hypertension and dyspnea on exertion major surgical or invasive procedure: coronary artery bypass graft x 4 (lima to lad, svg to diag, svg to om, svg to drca) cardiac cath history of present illness: 79 y/o female admitted to with hypertension (200/100) along w/ c/o dyspnea on exertion. pt. ruled out for mi, but had +stress test. transferred to for cardiac cath. past medical history: hypertension, hypercholesterolemia, arthritis, skin cancer s/p excision psh: appendectomy, d&c social history: denies tobacco use. admits to rare etoh use. family history: brother with cad/stents in 60's. physical exam: vs: 63 18 146/69 gen: nad skin: unremarkable heent: eomi, perrl, ncat neck: supple, from, -jvd, -carotid bruit chest: ctab -w/r/r heart: rrr -c/r/m/g abd: soft, nt/nd +bs ext: warm, well-perfused, -edema, -varicosities neuro: a&o x 3, mae, non-focal pertinent results: cath: 1. coronary angiography in this right-dominant system revealed three-vessel disease: --the lmca had no angiographically apparent disease. --the lad had a 90% mid-lad lesion extending into the origin of d1. --the lcx had an 80% stenosis in om1. --the rca had a 90% distal stenosis. 2. limited resting hemodynamics revealed moderate systemic arterial systolic hypertension, with sbp 171 mmhg. left-sided filling pressures were elevated, with lvedp 21 mmhg. there was no gradient across the aortic valve upon pullback of the catheter from lv to ascending aorta. cnis: there is less than 30% stenosis within bilateral internal carotid arteries. vein mapping: the right greater saphenous vein has diameters of 1.09, 0.58, 0.60 and 0.56 cm at the level of the groin, mid thigh, knee and calf respectively. the left greater saphenous vein had diameters of 0.45, 0.35, 0.33 and 0.27 at the level of the groin, mid thigh, knee and mid calf respectively. echo: pre cpb mild spontaneous echo contrast is seen in the body of the left atrium. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. an eccentric, posteriorly directed jet of mild (1+) mitral regurgitation is seen. this is likely due to a slight retraction of the posterior leaflet. therev is mild to moderate tricuspid regurgitation. 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 cpb normal biventricular systolic function. mitral regurgitation may be slightly worse than in pre-cpb study. no other changes from pre bypass study. 11:30am blood wbc-5.7 rbc-4.12* hgb-12.4 hct-36.1 mcv-88 mch-30.1 mchc-34.4 rdw-13.3 plt ct-162 05:30am blood wbc-10.5 rbc-3.49* hgb-10.7* hct-30.7* mcv-88 mch-30.6 mchc-34.8 rdw-14.4 plt ct-165# 11:30am blood pt-13.4 ptt-27.9 inr(pt)-1.1 12:41pm blood pt-15.0* ptt-55.5* inr(pt)-1.3* 11:30am blood glucose-158* urean-19 creat-0.6 na-134 k-3.4 cl-101 hco3-22 angap-14 05:30am blood glucose-115* urean-20 creat-0.6 na-134 k-3.9 cl-100 hco3-24 angap-14 07:45pm blood calcium-8.8 phos-2.1* mg-2.2 brief hospital course: as mentioned in the hpi, mrs. was transferred from osh for cardiac cath. on she underwent cath which revealed severe three vessel coronary artery disease. cardiac surgery was then consulted and she underwent pre-operative work-up which included carotid ultrasound and vein mapping. as she received plavix on , she remained medically managed over several days until plavix washed out. on she was brought to the operating room where she underwent a coronary artery bypass graft x 4. please see operative report for surgical details. following surgery she was transferred to the cvicu for invasive monitoring in stable condition. later on this day she was weaned from sedation, awoke neurologically intact and extubated. early on post-op day one he was slightly confused and anxious but responded well to haldol. she required nitroglycerin gtt until post-op day two due to hypertension. once this was weaned off she was started on beta blocker and diuretics. she was gently diuresed towards her pre-op weight. on post-op day two he chest tubes were removed and transferred to the telemetry floor for further care. epicardial pacing wires were removed on post-op day three. she continued to improve while working with physical therapy for strength and mobility. on post-op day four she appeared to be doing well and was discharged to rehab with the appropriate medications and follow-up appointments. medications on admission: : lopressor 50mg qd, hctz 50mg qd mat: lopressor 50mg , hctz 50mg qd, lisinopril 10mg , aspirin 325mg qd, mvi qd, calcium carbonate 1250 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. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. captopril 12.5 mg tablet sig: one (1) tablet po tid (3 times a day). 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 6. metoprolol tartrate 100 mg tablet sig: one (1) tablet po tid (3 times a day): for a total of 125 mg three times per day. disp:*90 tablet(s)* refills:*0* 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po three times a day: for a total of 125 mg three times per day. disp:*90 tablet(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: extended care facility: life care center - discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x pmh: hypertension, hypercholesterolemia, arthritis, skin cancer s/p excision psh: appendectomy, d&c discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: provider: , . follow-up appointment should be in 1 month provider: , . follow-up appointment should be in 2 weeks provider: , . follow-up appointment should be in 2 weeks procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension personal history of other malignant neoplasm of skin 

Answer: The patient is high likely exposed to