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: dyspnea and chest pain major surgical or invasive procedure: - coronary artery bypass grafting x 4 (lima to lad, svg to , and pda) history of present illness: ms. is a 73 y.o cantonese speaking female who was c/o sob, dow, cp worsening pta. cardiac enzymes were negative and ekg was without acute changes. stress mibi showed borderline ischemic ekg changes with concern for lateral wall reversible defect. she then had a cardiac catheterization which revealed significant 3 vessel disease with preserved lvef. she was thus referred for cardiac revascularization. past medical history: hypertension hypercholesterolemia chronic back pain social history: lives with cousin, kindergarten teacher x 40 years, emigrated from urban kanton city, 10 years ago. never smoked. no etoh, no ivdu. married with four children family history: patient does not know her complete family hx. all children in good health. physical exam: vs: 112/56 78 20 98.4 96%ra heent: perrl, eomi, nc/at neck: supple, from, -jvd, -carotid bruit chest: ctab -w/r/r heart: rrr, +s1s2, -c/r/m/g abd: soft, nt/nd + bs ext: warm, well-perfused -c/c/e 2+ pulsese throughout neuro: non-focal, mae, a&o x 3 pertinent results: echo : pre bypass: overall left ventricular systolic function is normal (lvef>55%). there are simple atheroma in the aortic arch and the descending thoracic aorta, largest 2 mm and nonmobile. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. the mitral valve leaflets are myxomatous. moderate (2+) to moderate to severe (3+) mitral regurgitation is seen. there is partial prolapse of the tip of the posterior leaflet, possibly p3. cxr since , endotracheal tube, nasogastric tube, right ij swan- ganz catheter, and left chest tubes have been removed. there is mild pulmonary vascular congestion with small bilateral effusions. patient is status post sternotomy and cabg. midline skin staples are noted. there may be a tiny left apical pneumothorax. lumbar compression fractures are stable from . ekg sinus rhythm, ant/septal and lateral st-t changes suggest myocardial injury/ischemia. since previous tracing, anteroseptal st-t wave changes - consider ischemia 05:35am blood wbc-8.1 rbc-3.27* hgb-9.9* hct-28.5* mcv-87 mch-30.4 mchc-34.8 rdw-13.5 plt ct-238 05:35am blood plt ct-238 05:35am blood glucose-115* urean-12 creat-0.7 na-133 k-4.0 cl-98 hco3-29 angap-10 02:33am blood freeca-1.15 brief hospital course: on patient was electively admitted to the and taken to the operating room where she underwent coronary artery bypass grafting to four vessels. please see op note for surgical details. patient tolerated the procedure well and was transferred to the csru in stable condition. on postoperative day one, ms. neurologically intact and was extubated. aspirin, lipitor and beta blockade were resumed. her drains and pacing wires were removed without complication. on postoperative day three, ms. was transferred to the cardiac surgical step down unit for further recovery. she was gently diuresed towards her preoperative weight. the physical therapy service was consulted for assistance with her postoperative strength and mobility. ms. continued to make steady progress and was discharged home with visiting nursing services on postoperative day 6. on discharge, her sternotomy incision was clean, dry, and intact without evidence of infection. she will follow up with dr. and her primary care physician as an outpatient. she will need a cardiologist and this referral can be made through her pcp . . medications on admission: atenolol 25mg qd lipitor 80mg qd asa 325mg qd nitro sl prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take while taking pain medication. stop when off pain medicine. . disp:*60 capsule(s)* refills:*0* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*4* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. lasix 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days: take with lasix and stop when lasix stopped. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 hypertension hypercholesterolemia chronic back pain discharge condition: good discharge instructions: 1) you may take shower. wash incisions with water and soap. 2) gently pat dry. do not apply lotions, creams, ointments or powders to incisions. do not take bath. 3) do not drive for 1 month. 4) do no lift more than 10 pounds for 10 weeks. 5) monitor wounds for signs of infection. these include redness, drainage and fever greater than 100.5. please contact office immediately if an infection is suspected. 6) report any weight gain of greater then 2 pounds in 24 hours or 5 pounds in 1 week. followup instructions: clinic ( 2) as instructed by your nurse. staples to be removed on postoperative day 14 () dr. in 4 weeks ( dr. in weeks. ( please ask dr. for a referral for a cardiologist. call all providers for appointments. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders unspecified essential hypertension other and unspecified angina pectoris 

Answer: The patient is high likely exposed to