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: penicillins / sulfonamides / ace inhibitors / lipitor / tetracycline attending: chief complaint: chest pain major surgical or invasive procedure: three vessel coronary artery bypass grafting(lima to lad, vein graft to om, vein graft to rca. cardiac catheterization. history of present illness: patient is an 84-year old woman with multiple medical problems including , htn, afib, who was transferred to from osh for cardiac cath. patient had been taken to osh after experiencing post-prandial 10/10 chest pain at 5 pm 2 days pta. patient reported that the pain radiated up her ears and to her lower back, and was associated with diaphoresis. she denied any shortness of breath, nausea, vomiting, or lightheadedness at the time. pain was ameliorated with sl ntg and morphine at osh emergency department. aortic dissection was ruled out with ct scan. ekg showed 1st degree av block, inferior/lateral st depressions with t-wave inversions. cardiac enzymes were positive with peak ck 157 and positive fractionation at osh. she was started on ntg gtt, asa, and bb. her inr was 3.5 and 5mg sq vitamin k were given at 1:35 pm (). patient has not had any episodes of chest pain, shortness of breath, diaphoresis since. past medical history: atrial fibrillation, in sr htn dm type ii hypothyroidism gerd hypercholesterolemia dyslipidemia copd depression breast ca s/p mastectomy benign lung nodule s/p resection social history: patient lives with her son. denies etoh, tobacco, or drug use. family history: significant for premature coronary disease - son had cabg at 48 years old and brother died of an mi at age 56. mother had dm, htn. father died of cancer physical exam: vs: t 99.6; bp 112/60; hr 67; o2 sat 97 % 2l; rr: 16; fs 141 gen: patient in nad, lying comfortably in bed heent: mmm. anicteric sclerae. no jvd. no thyromegaly. cv: s1s2 rrr. no m/r/g lungs: cta b/l. no r/w/c abd: soft, nd. mild area of tenderness where lovenox had been inserted. ext: weak peripheral pulses. no c/c/e neuro: ao x 3. no focal deficits. pertinent results: 07:14pm glucose-174* urea n-16 creat-0.6 sodium-140 potassium-4.5 chloride-104 total co2-20* anion gap-21* 07:14pm ck(cpk)-166* 07:14pm ck-mb-12* mb indx-7.2* 07:14pm wbc-9.5 rbc-3.71* hgb-11.8* hct-33.1* mcv-89 mch-31.9 mchc-35.7* rdw-12.9 07:14pm plt count-214 07:14pm pt-22.4* ptt-38.9* inr(pt)-3.3 12:00pm blood triglyc-141 hdl-46 chol/hd-3.2 ldlcalc-72 10:10am blood wbc-12.0* rbc-3.56* hgb-11.1* hct-32.0* mcv-90 mch-31.1 mchc-34.6 rdw-13.1 plt ct-268 10:10am blood plt ct-268 10:10am blood glucose-192* urean-18 creat-0.6 na-137 k-3.8 cl-96 hco3-32 angap-13 10:10am blood mg-1.9 12:00pm blood triglyc-141 hdl-46 chol/hd-3.2 ldlcalc-72 brief hospital course: mrs. was pain free on admission. she remained stable on medical therapy. given her prothrombin time, additional vitamin k was given. once her coagulation studies improved, cardiac catheterization was performed on . angiography showed a right dominant system with 80% distal stenosis of the left main coronary artery; 95% mid lesion in the left anterior descending, 70% stenosis in the circumflex and a 60% stenosis in the right coronary artery. left ventriculography revealed no mitral regurgitation, focal apical severe hypokinesis and an ejection fraction of 55%. based on the above results, she was referred for surgical coronary revascularization. further evaluation included a carotid ultrasound which found minimal disease of both internal carotid arteries. the rest of her evaluation was unremarkable and she was cleared for surgery. on , dr. performed three vessel coronary artery bypass grafting utilizing the left internal mammary artery graft to the left anterior descending and reverse saphenous vein grafts to right coronary artery and obtuse marginal. following the operation, she was brought to the csru for invasive monitoring. within 24 hours, she was extubated and awoke neurologically intact. diuretics were initiated. she was started on amiodarone given bouts of postoperative paroxysmal atrial fibrillation. she otherwise maintained stable hemodynamics and transferred to the sdu on postoperative day three. she required transfer back to the csru on postoperative day four for acute respiratory distress. an echocardiogram was performed at that time, showing only a small pericardial effusion with no echocardiographic signs of tamponade. with aggressive diuresis and pulmonary toilet, her pulmonary status improved over the next 24 hours. she did not require re-intubation. on postoperative day five, she returned to the sdu. she continued to require diuresis. by discharge, her fluid status improved with oxygen saturations of 96% on room air. she remained in a normal sinus rhythm without further episodes of paroxsymal atrial fibrillation. she tolerated amiodarone and lopressor. amiodarone will be tapered after discharge. the rest of her hospital course was uneventful and she was discharged to on postoperative day six. medications on admission: albuterol 2 puffs qid atrovent 18mcg inhaler, 2 puffs cartia xt, 18mg po qd (held at osh) celebrex 200mg po qd (held at osh) claritin 10mg po qd (held at osh) coumadin 4mg m and , 2 mg aod) (held at osh) digoxin 0.125mg po qd lasix 40mg po qd (held at osh) glyburide 2.5 mg po qam (held at osh) klor-con 10meq (held at osh) lescot xl 80mg po qhs levoxyl 0.088 mg po qam lorazepam 0.5mg po qd (held at osh) nystatin powder paxil 30mg po qd kcl 10meq cimetidine 300mg po qd vanceril 2 puffs qid lopressor 50mg po q6h (started at osh) discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 5. glyburide 2.5 mg tablet sig: one (1) tablet po daily (daily). 6. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily) for 7 days days: then drop to 1 tab(200mg) for 21 days then discontinue. 7. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 8. paroxetine hcl 10 mg tablet sig: three (3) tablet po daily (daily). 9. levothyroxine sodium 88 mcg tablet sig: one (1) tablet po daily (daily). 10. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). 11. fluvastatin 20 mg capsule sig: four (4) capsule po qd (). 12. fexofenadine 60 mg tablet sig: one (1) tablet po bid (2 times a day). 13. furosemide 40 mg tablet sig: one (1) tablet po once a day. 14. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day. 15. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours) as needed. 16. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. discharge disposition: extended care facility: & rehab center - discharge diagnosis: coronary artery disease - status post three vessel coronary artery bypass grafting(lima to lad, vein graft to om, vein graft to rca), hypertension, hyperlipidemia, copd, atrial fibrillation, hypothyroidism, niddm, s/p left mastectomy, obesity, depression, gerd discharge condition: stable discharge instructions: patient may shower, pat dry incision only. no baths, creams or lotions. no lifting more than 10 pounds for at least 10 weeks. no driving for at least one month. followup instructions: dr. in 4 weeks dr. in 2 weeks 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 left heart cardiac catheterization transfusion of packed cells diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of breast depressive disorder, not elsewhere classified 

Answer: The patient is high likely exposed to