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 64-year old female was transferred in on (day of admission) from for a catheterization with a known history of coronary artery disease and prior percutaneous transluminal coronary angioplasty in and a left circumflex stent in . she had been doing pretty well but started to experience some exertional angina with associated diaphoresis. on approximately , she was awakened from sleep with chest pain and took two sublingual nitroglycerin which gave her relief, several hours later when she got up the pain returned. she began to feel nauseated. her daughter took her to the emergency department at . she was pain free after receiving aspirin, nitroglycerin paste, and reglan. an electrocardiogram had some minor nonspecific changes, but she had an additional episode of chest pain in the morning while washing up in the bathroom which was also relieved with sublingual nitroglycerin. she ruled out for a myocardial infarction by serial enzymes and was transferred to for catheterization. past medical history: 1. coronary artery disease; status post percutaneous transluminal coronary angioplasty in and left circumflex stent in . 2. hypercholesterolemia. 3. hypertension. 4. hypothyroidism. 5. peritonitis. 6. status post hysterectomy at the age of 30. 7. lumbar disc surgery in . allergies: 1. myelogram dye (produced hives). 2. cardizem (produced hives). 3. lipitor (produced hives). medications on admission: 1. aspirin 325 mg by mouth daily. 2. calcium 1250 mg by mouth twice daily. 3. vitamin e 400 international units daily. 4. atenolol 75 mg by mouth daily. 5. neurontin 300 mg by mouth daily. 6. aldactone 25 mg by mouth daily. 7. hydrochlorothiazide 25 mg by mouth daily. 8. synthroid 200 mcg by mouth daily. 9. potassium chloride 20 meq by mouth daily. 10. folate 400 mcg by mouth daily. 11. zocor (unknown dose). social history: the patient quit smoking approximately 10 years ago with a 40-pack-year history. admits to drinking one to two drinks per night. physical examination on presentation: she was 5 feet 3 inches, 135 pounds, with a temperature of 97.6, blood pressure was 118 to 130/100 to 70s diastolic, heart rate was 71, respiratory rate was 18, and saturating 98 percent on 2 liters. she was examined in bed. she was in no apparent distress. she was alert, oriented, and appropriate times three. her lungs were clear bilaterally. heart was regular in rate and rhythm with first and second heart sounds. there were no murmurs. her abdomen was round, soft, nontender, and nondistended. there were positive bowel sounds. her extremities were warm and well perfused and without any edema or varicosities. her right femoral catheterization site had a dry sterile dressing without any evidence of hematoma. she had 2 plus bilateral radial dorsalis pedis and posterior tibial pulses. laboratory values on presentation: white count was 8.3, hematocrit was 36, and a platelet count of 184,000. sodium was 138, potassium was 3.9, chloride was 103, bicarbonate was 26, blood urea nitrogen was 18, creatinine was 0.6, and blood glucose was 195. prothrombin time was 13, partial thromboplastin time was 27.6, and inr was 1.1. alanine- aminotransferase was 22, aspartate aminotransferase was 14, alkaline phosphatase was 50, total bilirubin was 0.3. albumin was 3.9. radiology: a preoperative chest x-ray showed a mildly enlarged heart, but the lungs were clear and no active lung disease. an electrocardiogram on showed just sinus bradycardia at a rate of 60 with an st segment elevation in the inferior leads and a small q waves in the inferior leads suggestive of a prior inferior myocardial infarction of unknown age. please refer to the final electrocardiogram report. summary of hospital course: the patient was referred to dr. . after her cardiac catheterization which revealed the following. left anterior descending 95 percent proximal lesion, circumflex proximally occluded, right coronary artery 60 percent distal lesion, right posterior descending artery occluded, and posterolateral branch had mild disease. ejection fraction was 60 percent with no mitral regurgitation in this right-dominant system. the patient was seen by dr. . and examined by dr. and his chief resident dr. in prepare for surgery. the patient continued to be seen every day by cardiology prior to surgery and was also seen by the case manager to help plan for discharge post surgery. on , the patient underwent coronary artery bypass grafting times three with a left internal mammary artery to the diagonal, a vein graft to the left anterior descending, and a vein graft to posterolateral ventricular branch of the right. the patient was transferred to the cardiothoracic intensive care unit on a propofol drip titrated for sedation and a neo-synephrine at 0.2 mcg/kilogram per minute in stable condition. on postoperative day one, the patient had been extubated overnight. he had a blood pressure of 91/47, in sinus tachycardia at 101, and saturating 95 percent on 4 liters. the patient was alert and oriented. heart was regular in rate and rhythm. breath sounds were clear bilaterally. postoperative laboratories were as follows. white blood cell count was 12, hematocrit was 34.5, and platelet count was 168,000. sodium was 139, potassium was 4.1, chloride was 104, bicarbonate was 24, blood urea nitrogen was 15, creatinine was 0.5, with a blood sugar of 75. chest tubes were followed during the day with plans to discontinue them later in the day if chest tube output continued to minimize. the patient was on a neo-synephrine drip at 0.4 mcg/kilogram per minute. the plan was to wean the neo-synephrine over the day. the patient was doing well on the unit. the patient did receive 1 amp of bicarbonate for some acidosis during the day and then was off the neo- synephrine drip on the second. he continued to do very well on the unit and improved. on postoperative day three, the patient continued to do very well. her vital signs were stable, and she was transferred out to the two to the postoperative floor where she was seen by physical therapy for evaluation to continue ambulation. she was also seen by case management to discuss discharge planning. on postoperative day four, her blood pressure was 100/58 with a pulse of 87. she was hemodynamically stable. she was saturating 94 percent on 2 liters nasal cannula. her laboratories were as follows. white blood cell count was 6.7, hematocrit was 28.8, and her platelet count was 192,000. inr was 1.1. potassium was 4.2, blood urea nitrogen was 8, and creatinine was 0.6. she was alert and oriented. her lungs were clear bilaterally. heart sounds were good. her abdomen was soft, nontender, and nondistended. her extremities were warm with 2 plus peripheral edema. the sternal incision was intact with staples. the patient continued to improve. diuresis was continued. the patient completed her perioperative antibiotics. on postoperative day five, the patient had a little bit of dyspnea on exertion later in the day on postoperative day four but she said the symptoms were decreasing during the day. she was in a sinus rhythm in the 80s postoperative day five. her oxygen saturation on room air was 94 percent. she had a few bibasilar crackles bilaterally. she still had 2 plus pedal edema bilaterally. her sternal and right leg incisions were clean, dry, and intact. she was stable. she continued to receive intravenous lasix diuresis with plans to hopefully discharge her the following day. she received some percocet tablets for incisional pain, as she had some tenderness over the upper half of the incision. she was ambulating ad lib. discharge disposition: she was discharged on , postoperative day six, to home with vna services with the following discharge instructions. discharge instructions: 1. the patient was instructed to not drive for four weeks and to not lift more than 10 pounds for three months. please refer to the discharge instruction sheet in the chart. 2. the patient was also instructed to follow up with her primary care physician . - in approximately one to two weeks post discharge. 3. the patient was instructed to make an appointment with dr. . for her postoperative surgical visit in the office in approximately four weeks postoperative. medications on discharge: 1. potassium chloride 20 meq by mouth twice daily (times seven days). 2. colace 100 mg by mouth twice daily. 3. enteric coated aspirin 325 mg by mouth daily. 4. plavix 75 mg by mouth daily. 5. percocet 5/325 one to two tablets by mouth q.4-6h. as needed (for pain). 6. gabapentin 300 mg by mouth daily. 7. levothyroxine sodium 200 mcg by mouth daily. 8. metoprolol 50 mg by mouth twice daily. 9. lasix 40 mg by mouth twice daily (for seven days). 10. hydrochlorothiazide 25 mg by mouth daily. 11. zocor 10 mg by mouth daily. discharge diagnoses: 1. status post coronary artery bypass grafting times three. 2. status post percutaneous transluminal coronary angioplasty and left circumflex stenting. 3. hypercholesterolemia. 4. hypertension. 5. hypothyroidism. 6. peritonitis - remote history. 7. status post hysterectomy at the age of 30. 8. status post lumbar disc surgery in . discharge status: the patient was discharged to home on . condition on discharge: stable. , procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension unspecified acquired hypothyroidism other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to