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 82-year-old female with hypertension, hyperlipidemia, coronary artery disease, status post myocardial infarction who presented to an outside hospital with a single episode of syncope. the patient states that she felt lightheaded and dizzy that day and then passed out. the patient's daughter witnessed event and no seizure activity was reported. no bowel incontinence. no urinary incontinence. no head trauma. no confusion status post episode. the patient had a similar episode in with no workup done. the patient denies a history of chest pain, numbness, or palpitations. the patient reports shortness of breath and sleeps on two pillows. dyspnea on exertion, cannot walk across the room because of shortness of breath. no recent changes. the patient had a workup at an outside hospital, and creatine kinase was negative. she had a carotid duplex which showed 90% stenosis on the left and 60% stenosis on the right. echocardiogram and persantine tests were performed and showed anterior, apical, and septal ischemia. ejection fraction was approximately 38%. past medical history: 1. hypertension. 2. hyperlipidemia. 3. coronary artery disease, status post myocardial infarction. 4. hypothyroidism. 5. diabetes mellitus, diet controlled. 6. congestive heart failure. past surgical history: status post cholecystectomy. allergies: penicillin, sulfa, erythromycin. medications on admission: 1. hytrin 5 mg p.o. q.d. 2. lipitor 20 mg p.o. q.d. 3. synthroid 0.88 mg p.o. q.d. 4. atenolol 50 mg p.o. q.d. 5. accupril 10 mg p.o. q.d. 6. cozaar 50 mg p.o. q.d. 7. lasix 40 mg p.o. q.d. 8. prednisone 5 mg p.o. q.d. 9. isosorbide dinitrate 20 mg p.o. t.i.d. 10. evista 60 mg p.o. q.d. 11. aspirin 325 mg p.o. q.d. physical examination on presentation: physical examination revealed alert and oriented times three, in no acute distress. cardiovascular revealed a regular rate and rhythm. pulmonary examination was clear to auscultation bilaterally. the abdomen was soft, nontender, and nondistended. bowel sounds were positive. extremities revealed trace edema, positive pulses. no cyanosis. neck revealed no bruits heard. radiology/imaging: catheterization report on admission showed left main coronary artery 60% distal stenosis, left anterior descending artery 80% proximally, first diagonal 70% second diagonal origin with 90% stenosis, the left circumflex 50% at origin, right coronary artery ostial 60%. electrocardiogram showed sinus rhythm with left axis deviation, left bundle-branch block, st depressions in i, avl, v6, st elevations in iii and v1. pertinent laboratory data on presentation: white blood cell count was 8.7, hematocrit was 29.4, platelets were 152. sodium was 140, potassium was 3.8, chloride was 106, bicarbonate was 28, blood urea nitrogen was 15, creatinine was 1, blood glucose was 108. calcium was 9, magnesium was 2.4. cholesterol was 158, triglycerides were 294, low-density lipoprotein was 77, high-density lipoprotein was 36. creatine kinase and troponin were negative. hospital course: cardiothoracic surgery was consulted; however, due to the patient's known carotid disease with high-grade stenosis, it was recommended that a vascular consultation would be obtained before cardiovascular work could be done. a vascular consultation was obtained and recommended the patient for a left carotid endarterectomy. on hospital day two, the patient had a carotid ultrasound at which showed right carotid 60% to 69% stenosis and left internal carotid stenosis of 70% to 79%. the patient would be a good candidate for left carotid endarterectomy. on hospital day three, the patient remained afebrile, and vital signs were stable. the patient was diuresed preoperatively and taken to the operating room on where a left carotid endarterectomy was performed. the operation went without complications. the patient was transferred to the postanesthesia care unit in stable condition. on postoperative day one, the patient was hypertensive and was treated with lopressor and hydralazine to which she responded well. her neurologic examination was unchanged. the patient was stable. cardiothoracic surgery was reconsulted, and said the patient was now a good candidate for surgery. on postoperative day two, the patient was doing well, stable, ambulating, good orals, no active issues. the patient's troponin and creatine kinase which were followed throughout the operation due to high risk remained negative for myocardial infarction. the patient was transferred to cardiothoracic surgery service on postoperative day three. the patient remained stable. the neurologic examination was unchanged. the patient ambulated. no active issues. the patient was taken to the operating room on where a coronary artery bypass graft times three was performed with left internal mammary artery to left anterior descending artery, saphenous vein graft to right coronary artery, and saphenous vein graft to second diagonal. it was discovered in the operating room that the patient really did not have good grafts. it was later cleared that the patient had a vein stripping many years ago which she failed to mention prior to her surgery. pacing wires as well as mediastinal pleural tubes were placed in the operating room. the operation went without complications, and the patient was transferred to the postanesthesia care unit in stable condition. on postoperative day two, the patient had low cardiac index, and she was started on milrinone which improved her low cardiac index. she was transfused 2 units of packed red blood cells for a fall in hematocrit and to improve her output. she was not extubated, generally due to her extensive facial edema. on postoperative day three, the patient was extubated overnight without any complications. she still required milrinone and hydralazine for control of her blood pressure. due to the absence of good vein graft intraoperatively, the patient was taken back to cardiac catheterization laboratory on where a coronary graft angiography and left circumflex stenting was performed. also, on postoperative day three, the patient was weaned off milrinone, and her chest tubes were removed successfully. on postoperative day four, the patient was stable. her hydralazine was discontinued, and she was started on lisinopril. she was transferred to the regular floor in stable condition. on postoperative day five, the patient was afebrile. vital signs were stable. she ambulated with help. her sternal wires were removed without complications. on postoperative day six, the patient remained afebrile. vital signs were stable. the wounds were clean, dry, and intact. the patient ambulated with physical therapy. no active issues. medications on discharge: 1. zolpidem 5 mg p.o. q.h.s. as needed. 2. lasix 40 mg p.o. b.i.d. (times 14 days). 3. potassium chloride 20 meq p.o. b.i.d. (times 14 days). 4. lisinopril 5 mg p.o. q.d. 5. plavix 75 mg p.o. q.d. (times 30 days). 6. lopressor 25 mg p.o. b.i.d. 7. docusate 100 mg p.o. b.i.d. 8. prednisone 5 mg p.o. q.d. 9. aspirin 325 mg p.o. q.d. 10. tylenol 650 mg p.o. q.4h. as needed. 11. percocet one to two tablets p.o. q.4-6h. as needed. 12. ranitidine 150 mg p.o. b.i.d. condition at discharge: condition on discharge was good. die followup: the patient was to follow up with dr. in four weeks for a postoperative check. the patient was to follow up with dr. in three months. the patient was to work with home physical therapy with a goal of going from ambulating without walker to transitioning to outpatient cardiac rehabilitation. discharge diagnoses: 1. coronary artery disease, status post myocardial infarction. 2. status post coronary artery bypass graft. 3. carotid stenosis bilaterally. 4. status post left carotid endarterectomy. 5. hypertension. 6. hyperlipidemia. 7. hypothyroidism. 8. diabetes mellitus. 9. congestive heart failure. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization insertion of endotracheal tube endarterectomy, other vessels of head and neck diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction complications affecting other specified body systems, not elsewhere classified, hypertension 

Answer: The patient is high likely exposed to