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 72-year-old female with a past medical history of coronary artery disease (status post coronary artery bypass graft in with a left internal mammary artery to left anterior descending artery graft, and saphenous vein graft to obtuse marginal graft, and saphenous vein graft to diagonal graft). she also has a past medical history of non-insulin-dependent diabetes mellitus, hypertension, and peripheral vascular disease. she presented to an outside hospital six hours after developing substernal chest pain that radiated to her back, both arms, and neck. the patient has had occasions of similar intermittent chest pain over the last six week prior to admission; however, the episodes had remitted in the past, and on the day of admission these symptoms were recalcitrant to maalox, pepto, mylanta, and rest. the patient's chest pain grew worse, and she reported to the emergency department at where she was found to have st elevations in iii and avf with reciprocal depressions in avl, v2, and v3. she had flipped t waves in v1 and v2. she was given retavase times two with decreased chest pain from to to to . the patient was also given heparin, nitroglycerin drip, morphine, and aspirin. she was transferred to for percutaneous coronary intervention due to persistent pain after lytic therapy. she was taken to the catheterization laboratory where she was found to have elevated right and left filling pressures. she had a 50% left main lesion, an left anterior descending artery with mild luminal irregularities, left circumflex to second obtuse marginal to, right coronary artery with 40% proximal, saphenous vein graft to second obtuse marginal with a to distally with thrombus, saphenous vein graft to second diagonal diffusely diseased with 90% stenosis distally, left internal mammary artery to left anterior descending artery with to in the mid portion of the graft. the right iliac had a 90% calcified stenosis. the occluded second obtuse marginal was crossed with a wire and was treated with rheolytic thrombectomy followed by hepakote stent placement with zero residual stenosis with normal flow. chest pain was completely resolved after her procedure. past medical history: (the patient's past medical history included) 1. coronary artery disease. 2. hypertension. 3. non-insulin-dependent diabetes mellitus. 4. gout. 5. peripheral vascular disease. 6. osteoarthritis. 7. reflux disease. medications on admission: the patient's medications prior to admission included aspirin, lopressor 50 mg p.o. b.i.d., prilosec, ibuprofen, lasix, k-dur, trental, roccal, allopurinol. physical examination on presentation: the patient's physical examination upon admission revealed a temperature of 95.7, blood pressure was 126/56, respiratory rate was 12, pulse was 64, and the patient was saturating 96% on 2 liters. generally, the patient was alert and oriented times three, in no acute distress. an elderly and obese female. her head, eyes, ears, nose, and throat examination revealed she had pupils were equal, round, and reactive to light and accommodation. the mucous membranes were moist. the patient's dentures were intact. her oropharynx was clear. neck examination revealed jugular venous pressure was 8 cm lying flat. the patient had no lymphadenopathy and no thyromegaly. on cardiovascular examination the patient had a regular rate, normal first heart sound and second heart sound. a diamond shaped systolic murmur. pulmonary examination was clear to auscultation bilaterally. no wheezes. abdominal examination was soft, nontender, obese, with hyperactive bowel sounds. no hepatosplenomegaly. extremities revealed 1+ dorsalis pedis pulses bilaterally, 1+ edema. the patient had arterial sheath in place during her admission physical. pertinent laboratory data on presentation: the patient's laboratories on admission revealed a white blood cell count of 7.2, hemoglobin was 11.8, hematocrit was 34.6, platelets were 204. sodium of 140, potassium of 3.6, chloride of 105, bicarbonate of 23, blood urea nitrogen of 11, creatinine of 0.5, blood glucose of 97. the patient's creatine kinases were peaked at , with a ck/mb of 249, and a ck/mb index of 12.7. the patient's lipid panel showed a triglyceride level of 332, high-density lipoprotein of 46, low-density lipoprotein of 171. hospital course: 1. cardiovascular: (a) coronary artery disease: the patient was started on plavix, aspirin, lipitor, and an ace inhibitor during her hospitalization. the patient was not given integrilin because she was already receiving lytic therapy prior to her admission to . the patient was taken back to the catheterization laboratory on where her saphenous vein graft to first diagonal lesion was crossed, ballooned, and stented. this procedure was complicated by an episode of ventricular fibrillation which was halted by one defibrillation. the patient was discharged on 75 mg of plavix per day for 26 days; to complete a course of 30 days, aspirin every day, lipitor 10 mg every day (which should be titrated upward to decrease her low-density lipoprotein cholesterol to below 100). if the patient's triglycerides do not significantly decrease with lipitor treatment, a second lipid-lowering should be considered. the second catheterization was necessary because of the significant lesion that had not been stented in the first procedure. unfortunately, both vessels could not be stented in one procedure to the large amount of dye necessary to do a longer procedure. (b) pump: the patient was given 25 mg b.i.d. of lopressor and 20 mg q.d. of lisinopril upon discharge. she had two echocardiograms done during her admission; the second of which was done after her second procedure, and it showed a left atrium that was mildly dilated and somewhat elongated. the left ventricular wall thickness was normal. the left ventricular cavity size was normal. overall, left ventricular systolic function was hard to assess but was probably low-normal in the 50% to 55% range. the patient's right ventricular chamber size and free wall motion were normal. the ascending aorta was mildly dilated. the aortic valve leaflets were mildly thickened, and there was mild 1+ aortic regurgitation seen. the mitral valve leaflets were mildly thickened, trivial mitral regurgitation was also seen. there was borderline pulmonary artery systolic hypertension. there was trivial physiologic pericardial effusion. (c) rhythm: the patient went into atrial fibrillation on with a rapid response. the patient was asymptomatic; however, she was loaded with p.o. amiodarone at 400 mg p.o. t.i.d. the patient re-entered atrial fibrillation on the last night of her admission. the patient was sent home on additional anticoagulation therapy with coumadin and lovenox for a target inr of 2. the patient was not thought to need lifetime anticoagulation and amiodarone if cardioversion is successfully pursued roughly six months after anticoagulation has been administered. the amiodarone should be weaned down to a target dose of 200 mg q.d. the regimen should include 400 mg p.o. b.i.d. for two weeks; then 400 mg p.o. q.d. for two weeks; then 200 mg p.o. q.d. from that time onward to complete a 6-month course; at which cardioversion could be considered. the coumadin should be dosed in a manner to target inr to 2; keeping in mind that coumadin and amiodarone interact and a lower dose of coumadin may be needed than would otherwise be needed. 2. pulmonary: the patient was with slight crackles at her bases throughout her hospitalization. they improved by the time she was discharged but had not resolved. it was thought that she had baseline crackles that persisted since her coronary artery bypass graft in the early . her chest x-ray was clear and showed no evidence congestive heart failure or pneumonia. her saturations were in the middle 90s with room air on the night prior to discharge. 3. hematology: the patient's hematocrit was stable at 30 on the morning of discharge. her hematocrit had been stable since she was transfused on for blood loss related to her catheterization. she was started on anticoagulation as noted above, and the patient will have an aggressive regimen of anticoagulation including lovenox, coumadin, plavix, and aspirin. the patient has been informed that she is at a high risk for bleeding and that she should report to the emergency room if falls in any manner or hits her head. it was thought that the patient's risk of fall and bleeding was less than her risk of adverse effects associated with arrhythmia and no anticoagulation. 4. renal: the patient's blood urea nitrogen and creatinine were stable throughout her hospitalization. she had several doses of intravenous lasix to treat what was thought to be pulmonary edema associated with congestive heart failure. the patient responded well to lasix with good diuresis and improvement of her oxygenation. 5. endocrine: the patient had q.i.d. fingersticks with sliding-scale insulin coverage for her non-insulin-dependent diabetes. her sugars ranged in the low 100s, and she did not require sliding-scale insulin. 6. fluids/electrolytes/nutrition/gastrointestinal: the patient had a cardiac diabetic diet, and she had good urine output and appropriate electrolyte management throughout her hospitalization. 7. prophylaxis: the patient was given protonix for peptic ulcer disease and docusate for constipation. she was continued on her allopurinol regimen of 300 mg p.o. q.d. for gout prophylaxis. 8. peripheral vascular disease: the patient had evidence of severe peripheral vascular disease during her catheterization. there was a 90% common iliac lesion on the right. additionally, there was diffuse disease noted in the left, and the patient had worsening symptoms after her second percutaneous coronary intervention on the left. the patient's sheaths were pulled early because the patient had worsening left leg pain while the sheaths were in. the pain improved with sheath removal and elevated blood pressures. the patient had difficulty with bleeding at her left catheterization site due to the premature pulling of the sheath while the patient was still anticoagulated from her procedure. this was treated with a fem-stop device that applied 100 mmhg of pressure. this was applied for three to four hours, during which the patient had intermittent worsening left leg pain with intermittent loss of dopplerable pulses in the lower extremity. both the patient's symptoms and her pulses improved when her blood pressure came up above 100. the patient had intermittent symptoms of left leg pain and right leg pain throughout the remainder of her hospitalization which improved with reversed trendelenburg positioning of her bed, good blood pressure control, and pain medications. the patient was to follow up with dr. for possible percutaneous treatment of her peripheral vascular disease with balloon angioplasty and possibly stenting of the occluded vessels. the patient was discharged with doppler-positive pulses bilaterally, good capillary refill, and minimal resting claudication pain. discharge disposition: the patient was discharged with home nursing to get for at least two weeks to help the patient with her new drug regimen and her lovenox injections. medications on discharge: 1. lovenox 100 mg subcutaneous b.i.d. 2. plavix 75 mg p.o. q.d. (times 26 days; to complete a course of 30 days). 3. aspirin 81 mg p.o. q.d. 4. coumadin 3 mg p.o. q.d. (with target inr of 2; at which time lovenox can be discontinued). 5. lopressor 25 mg p.o. b.i.d. 6. lisinopril 20 mg p.o. q.d. 7. allopurinol 300 mg p.o. q.d. 8. lipitor 10 mg p.o. q.d. 9. lasix 80 mg p.o. q.d. 10. amiodarone 400 mg p.o. b.i.d. times two weeks; then 400 mg p.o. q.d. times two weeks; then 200 mg p.o. q.d. ongoing. 11. sublingual nitroglycerin 0.4 mg sublingually as needed for chest pain. 12. vicodin 5/500 one tablet q.6h. as needed for pain. condition at discharge: condition on discharge was good. discharge diagnoses: 1. coronary artery disease. 2. acute myocardial infarction. 3. peripheral vascular disease. 4. non-insulin-dependent diabetes mellitus. 5. gastroesophageal reflux disease. 6. gout. 7. hypertension. 8. arthritis. 9. atrial fibrillation. 10. ventricular fibrillation. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor coronary arteriography using a single catheter other electric countershock of heart diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled coronary atherosclerosis of autologous vein bypass graft atrial fibrillation hematoma complicating a procedure ventricular fibrillation acute myocardial infarction of inferoposterior wall, initial episode of care 

Answer: The patient is high likely exposed to