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: patient recorded as having no known allergies to drugs attending: chief complaint: angina major surgical or invasive procedure: endoscopic coronary artery bypass graft x1: left internal mammary artery to left anterior descending artery. history of present illness: 65 year old female with known coronary artery disease, status post lad bare metal stent in , hypertension, hypercholesterolemia, and diabetes mellitus requiring insulin, reports intermittent chest pain, lasting approximately 20 minutes, radiating to back, that improves with rest.pain located in precordial area with no exacerbating factors. cardiac work up at osh revealed in stent stenosis. past medical history: cad s/p stent - lad bare metal diabetes type 2 hypertension hypercholesterolemia cervical cancer stage 3 (squamous cell) cardiomyopathy ef 45-50% anemia social history: occupation: receptionist in laundry lives with: alone tobacco: 2 pack year history, quit 50 years ago etoh: denies family history: noncontributory physical exam: pulse:80 sr resp:18 o2 sat: 100% on 2lpm b/p right: 114/68 left: height: weight:156lbs general:a&ox3 skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: none varicosities: lle varicosities noted neuro: grossly intact pulses: femoral (r) groin -cath site=c/d/i, no hematoma noted, soft right: left: dp right:2+ left:2+ pt : left: radial right: left: carotid bruit :none right: 2+ left:2+ pertinent results: 09:20pm blood wbc-12.9* rbc-4.65 hgb-12.6 hct-36.8 mcv-79* mch-27.0 mchc-34.2 rdw-14.6 plt ct-298 03:01am blood wbc-16.2* rbc-3.55* hgb-9.2* hct-29.0* mcv-82 mch-25.9* mchc-31.7 rdw-14.0 plt ct-201 09:20pm blood pt-12.2 ptt-25.2 inr(pt)-1.0 02:51am blood pt-13.2 ptt-26.0 inr(pt)-1.1 09:20pm blood glucose-157* urean-10 creat-0.7 na-141 k-3.5 cl-104 hco3-28 angap-13 03:01am blood glucose-130* urean-14 creat-0.8 na-135 k-4.1 cl-105 hco3-22 angap-12 echocardiography report , (complete) done at 11:13:35 am final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 65 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: abnormal ecg. chest pain. coronary artery disease. hypertension. mitral valve disease. icd-9 codes: 402.90, 786.51, 440.0, 424.0 test information date/time: at 11:13 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2009aw1-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 50% to 55% >= 55% aorta - ascending: 3.0 cm <= 3.4 cm findings left atrium: mild la enlargement. good (>20 cm/s) laa ejection velocity. no thrombus in the laa. right atrium/interatrial septum: normal ra size. a catheter or pacing wire is seen in the ra and extending into the rv. no spontaneous echo contrast in the raa. no thrombus in the raa. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. normal lv cavity size. mild regional lv systolic dysfunction. lv wall motion: regional left ventricular wall motion findings as shown below; remaining lv segments contract normally. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. simple atheroma in ascending aorta. normal aortic arch diameter. simple atheroma in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets (?#). no as. trace ar. mitral valve: no ms. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions off-pump cabg planned: 1. the left atrium is mildly dilated. no thrombus is seen in the left atrial appendage. no thrombus is seen in the right atrial appendage no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with anterior hypokinesis.. the remaining left ventricular segments contract normally. lvef is 50%. 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened (?#). there is no aortic valve stenosis. trace aortic regurgitation is seen between the lcc and ncc. 6. . trivial mitral regurgitation is seen. 7. there is no pericardial effusion. dr. was notified in person of the results. after off-pump lima-lad, there is improvement of the anterior wall motion and global improvement of the lvef to 60%. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 13:01 ?????? caregroup is. all rights reserved. brief hospital course: transferred from outside hospital for surgical evaluation. underwent preoperative workup and management of chest pain requiring heparin and nitroglycerin drips preoperatively. on she was taken to the operating room and underwent endoscopic coronary artery bypass graft surgery. see operative report for further details. she received vancomycin for perioperative antibiotics because she was in the hospital prior to surgery. post operatively she was taken to the intensive care unit for hemodynamic management requiring vasoactive medications for hypertension. she was weaned from sedation, awoke neurologically intact, and was extubated without complications. was consulted for diabetes management since on insulin regimen preoperatively and hgba1c 10. she continued to do well and was transferred to the floor. physical therapy worked with her on strength and mobility. she was provided diabetes education. she continued to do well and was ready for discharge home with services on post operative day four. medications on admission: coreg 6.25 mg twice daily norvasc 5 mg daily aspirin 325 mg daily metoprolol 25 mg daily lisinopril 40 mg daily lipitor 80 mg daily iron 325 mg daily lantus 45 units daily novolog 8 units premeals plavix - last dose: stopped 1 month ago discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) for 3 months. disp:*30 tablet(s)* refills:*3* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 5. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. lisinopril 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 7. norvasc 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 8. hydromorphone 2 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 9. motrin 400 mg tablet sig: one (1) tablet po every eight (8) hours for 2 weeks. disp:*42 tablet(s)* refills:*0* 10. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 5 days. disp:*5 tablet(s)* refills:*0* 11. lopressor 100 mg tablet sig: one (1) tablet po every eight (8) hours. disp:*90 tablet(s)* refills:*0* 12. humalog 100 unit/ml solution sig: six (6) units subcutaneous before each meal . disp:*qs qs* refills:*2* 13. lantus 100 unit/ml solution sig: thirty five (35) units subcutaneous once a day: please take everyday at the same time . disp:*qs qs* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p endoscopic cabg hypertension hyperlipidemia diabetes mellitus cervical cancer anemia discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 4 weeks please call with any questions or concerns blood glucose monitoring before meals and bedtime - please call pcp if blood glucose greater than 200 followup instructions: please call to schedule appointments dr - clinic in weeks dr. in weeks dr in 4 weeks md procedure: single internal mammary-coronary artery bypass (aorto)coronary bypass of one coronary artery diagnoses: other primary cardiomyopathies anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia urinary tract infection, site not specified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled percutaneous transluminal coronary angioplasty status long-term (current) use of insulin cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other complications due to other cardiac device, implant, and graft chronic total occlusion of coronary artery malignant neoplasm of cervix uteri, unspecified site 

Answer: The patient is high likely exposed to