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 is a 58-year-old woman, transferred from after admission for exertional angina and dyspnea and a positive exercise treadmill test this morning. she was taken directly to the catheterization laboratory. the patient was in excellent health until approximately three weeks ago, when she noted new dyspnea on exertion. she does not exercise regularly, however, she regularly climbs flights of stairs at work. she noticed some dyspnea and substernal chest pain which was relieved by rest. she went to health stop and was begun on a prednisone taper and albuterol inhaler. she continued to have exertional symptoms relieved with rest. three days prior to admission, she was shopping and had severe dyspnea and chest pain that was relived with albuterol. in the morning, she woke up and was walking in the kitchen and had severe dyspnea and chest pain. it was relieved with albuterol and, within 30 to 40 minutes, she had recurrent symptoms with dressing, once again relieved with albuterol. she presented to the emergency room at . she ruled out for a myocardial infarction. today on treadmill revealed inferoapical electrocardiogram changes, transferred to for a diagnostic cardiac catheterization. for coronary artery risk factors, she has no hypertension, no diabetes. she does have hypercholesterolemia and was a past smoker. she quit three years ago, but has a 50 pack year smoking history. she has no family history. past medical history: chronic sinusitis, elevated lipids. past surgical history: none. allergies: no known drug allergies. medications: aspirin 325 mg by mouth once daily, prempro one tablet by mouth once daily, 60 mg by mouth twice a day, albuterol metered dose inhaler as needed two puffs. she has had no history of cerebrovascular accident, transient ischemic attack or melena. social history: she is married, works in an insurance office. physical examination: she was 5'6", 150 pounds, 76 in sinus, blood pressure 142/80. she had no jugular venous distention. carotids were 2+ with no bruit. the lungs were clear except decreased breath sounds throughout. the heart is s1, s2, regular rate and rhythm. extremities were palpable pulses distally all the way throughout. laboratory data: hematocrit 41, pt and inr 14 and .9, bun and creatinine of 12 and .7. hospital course: after undergoing cardiac catheterization on , she was found to have a left main proximal lesion of 70%, with left anterior descending having minimal luminal irregularities. the left circumflex had minimal luminal irregularities, and the right coronary artery also had minimal luminal irregularities. left ventriculography showed mild anterolateral hypokinesis, no mitral regurgitation, and a left ventricular ejection fraction of 50%. hemodynamics showed mildly elevated left heart filling pressures and normal cardiac output. she was therefore consulted to the cardiothoracic surgery service with dr. for left main coronary artery disease. she ultimately went to the operating suite on and underwent coronary artery bypass graft x 2 off pump secondary to a possible distant history of a cerebral arteriovenous malformation. she had left internal mammary artery to the left anterior descending and saphenous vein graft to obtuse marginal i. she came off bypass. her pericardium was open. she had an arterial line as well as a swan-ganz catheter. ventricular wires were present, no atrial wires. she had mediastinal, pleural, and left and right pleural tubes. her mean arterial pressure was 77, with a cvp of 11. pulmonary artery diastolic pressure was 8, with a mean of 11. normal sinus rhythm was noted. she was on propofol at 30 mcg/kg/minute. she was transferred to the cardiac surgical recovery unit, where she was rapidly extubated on the night of the operation. she remained hemodynamically stable. all drips were off by postoperative day number one. her hematocrit was 33, with a bun and creatinine of 12 and .3. she was neurologically intact. she was started on lasix, lopressor, and aspirin, given aggressive pulmonary toilet. her diet was advanced. subsequently she went to the floor, where she began working with physical therapy, and was ambulating with assistance by postoperative day number two. she had her chest tubes removed. she was given a physical therapy and rehabilitation screening. her foley catheter was also removed, and her lopressor dosing was increased to titrate for a heart rate in the 70s. by postoperative day number four, she had her wires out. she was scheduled to go home on the 22nd with vna. her electrolytes were repleted as needed, and she continued aggressive pulmonary toilet and physical rehabilitation with the physical therapists in-house. on discharge, she was noted to be 82 and sinus, with a blood pressure of 108/56. her sternum was stable, with no drainage, open and dry to air. her heart rate was regular. her lungs were clear except decreased at the bases. the abdomen was benign. the extremities were warm and well perfused. saphenous vein graft harvest site was clean, dry and intact, with no erythema or exudate. discharge medications: 1. lopressor 25 mg by mouth twice a day 2. lasix 20 mg by mouth every morning for seven days 3. k-dur 20 meq by mouth once daily for seven days 4. colace 100 mg by mouth twice a day 5. zantac 150 mg by mouth twice a day 6. aspirin 325 mg by mouth once daily 7. prempro .625/2.5 one tablet by mouth once daily 8. plavix 75 mg by mouth once daily for three months follow up: the patient is to be seen by dr. in 30 days. to see her primary care physician in three weeks. to have a wound check in seven days. she will go home with vna assistance for home monitoring as well as blood pressure and vital sign assessment and wound check analysis. condition on discharge: stable, afebrile, sinus rhythm. discharge status: to home. discharge diagnosis: 1. significant left main disease requiring coronary artery bypass graft, status post off-pump coronary artery bypass graft x 2 2. history of hyperlipidemia 3. past history of tobacco , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass combined right and left heart cardiac catheterization angiocardiography of left heart structures other and unspecified coronary arteriography (aorto)coronary bypass of one coronary artery diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia personal history of tobacco use 

Answer: The patient is high likely exposed to