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 68-year-old female patient, who presents to the emergency room on the evening of with a three hour history of left-sided chest pain nonradiating with minimal exertion. had associated shortness of breath and flushing. it was relieved with sublingual nitroglycerin. she denied any nausea, lightheadedness, or diaphoresis. she also reported a history of severe fatigue over a period of several months. stress test in showed no defects with an ef of 66 percent. in the emergency room, she was found to have ekg changes with st depression in v4 through v6, i and avl. cardiac enzymes are elevated with ck's 245 to 658, mb 9 to 64 and troponin up to 1.87. she was stable throughout the evening of admission. was taken to the cath lab on with findings of a left ventricular ejection fraction of 45 percent, anterior hypokinesis, left main disease 95 percent distally, lad diffuse disease, left circ mild disease, and rca 60 percent proximal. an intra-aortic balloon pump was placed. cardiac surgery consult was obtained at that time, and the patient was taken emergently to the operating room on friday evening, for a coronary artery bypass grafting with dr. . physical examination on presentation: vital signs: temperature 98.3, heart rate 74 in sinus rhythm, blood pressure 150/49, respiratory rate 24, spo2 97 percent on 2 liters. general: not in no acute distress. alert and oriented times three. heent: pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. neck: no jvd, no carotid bruits. heart: normal s1, s2, regular rate and rhythm, no murmurs, rubs, or gallops. lungs are clear to auscultation bilaterally. no rales. abdomen: obese, soft, nontender, nondistended, and positive bowel sounds. extremities: no edema, no areas of erythema, warm and dry, some mild varicosities. past medical history: 1. parkinson's with positive history of falls. 2. osteoporosis. 3. osteoarthritis. 4. status post left hip fracture with pin in . 5. diabetes type 2 insulin dependent. 6. hypertension. 7. elevated cholesterol. 8. depression. 9. gerd. 10. urinary incontinence. 11. spinal stenosis. allergies: no known drug allergies. medications on admission: 1. lipitor 30 mg daily. 2. zestril 5 mg daily. 3. mirapex 0.75 mg twice daily. 4. sinemet 25/100 every three hours. 5. insulin n 18 units every morning and after dinner. 6. hydrochlorothiazide as needed 2-3x a week. 7. detrol. 8. amantadine as needed. summary of hospital course: the patient was taken to the operating room on the evening of for cabg x2 with a lima to the lad and a saphenous vein graft to the om- 1. total cardiopulmonary bypass time of 47 minutes. cross- clamp time of 37 minutes. overall course was uneventful and the patient was transferred to the cardiac surgery recovery unit in a normal sinus rhythm rate of 91, mean arterial pressure of 82, cvp of 10. neo-synephrine drip of 0.3 and a propofol drip of 10. propofol and vent were weaned, and she was extubated early afternoon on . her balloon pump was also weaned to 1 to 3 and subsequently removed with no complications. on postoperative day two was also significant for the removal of her chest tubes, weaning of her neo-synephrine, and discontinuation of her swan-ganz catheter. on postoperative day three, the patient was transferred to the cardiac surgery floor 2, where she continued to recover prior to her discharge. postoperative day four was also uneventful with only discontinuation of her pacing wires and increasing her physical activity. postoperative day five also brought no changes and increase in physical activity. the patient was found to be unable to return home needing further physical therapy and she was screened for rehab. she was accepted at the in , and will be discharged today or tomorrow morning. on postoperative day four, due to a hematocrit of 23, patient was transfused with 1 unit of packed red blood cells with improvement in her hematocrit. condition on discharge: physical examination: alert, awake, oriented. lungs clear. cardiovascular: regular rate and rhythm, s1, s2, no murmurs, rubs, or gallops. extremities are warm and well perfused. sternum is stable. incision is open to air with no drainage and no redness. laboratories on : white count is 4.9, hematocrit 23.1, platelets of 116. glucose of 144, bun of 39, creatinine of 0.7, sodium of 144, potassium 3.5, chloride 106, bicarb 32. discharge status: the patient will be discharged to hospital and rehabilitation center on the afternoon of . discharge diagnoses: coronary artery disease status post coronary artery bypass graft times two. insulin-dependent diabetes type 2. parkinson's disease. elevated cholesterol. hypertension. medications on discharge: 1. lasix 20 mg by mouth twice a day for seven days. 2. potassium chloride 20 meq by mouth twice a day for seven days. 3. colace 100 mg by mouth twice a day. 4. zantac 150 mg by mouth twice a day. 5. aspirin 325 mg every day. 6. plavix 75 mg by mouth every day. 7. mirapex 0.75 mg twice a day. 8. sinemet 25/100 one tablet by mouth five times daily. 9. lipitor 30 mg by mouth every day. 10. lopressor 12.5 mg by mouth twice a day. 11. nph insulin 10 units every morning and nph insulin 2 units at dinner, and regular insulin-sliding scale. 12. ibuprofen 400 mg by mouth every six hours as needed for pain. 13. acetaminophen 650 mg by mouth every four hours as needed for pain. follow-up plans: the patient is to be discharged to a rehabilitation facility for rehab and physical therapy needs. follow up with dr. in weeks. follow up with primary care doctor, dr. also within four weeks. follow up with a cardiologist within four weeks. she is to call dr with any questions or problems. , procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization thoracentesis (aorto)coronary bypass of one coronary artery implant of pulsation balloon pulmonary artery wedge monitoring transfusion of packed cells diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified pleural effusion unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of tobacco use paralysis agitans osteoporosis, unspecified 

Answer: The patient is high likely exposed to