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 66-year-old female with a history of nicotine abuse, admitted from an outside hospital on with a complaint of chest pain radiating to both arms. this pain had been present for several months, initially brought on with exercise, and now presenting at rest. the patient was admitted with a borderline troponin positive at 0.565, ck peaked at 215, with mb fraction of 4.6. a stress test was done, which was stopped because of st segment changes at the outside hospital. past medical and surgical history: none. allergies: no known drug allergies. medications on admission: none. medications at outside hospital: aspirin 325, lopressor 25 three times a day, zestril 2.5 by mouth once daily, lipitor 10 by mouth once daily, nitro paste one inch every six hours, lovenox 70 mg subcutaneously twice a day. social history: she lives with her daughter and son-in-law. she assembles compasses. laboratory data: 6.3/38/172 for the cbc, bun and creatinine of 17 and 0.8. physical examination: revealed carotid bruits vs. heart murmur. her carotid pulses were strong. her abdomen was obese, soft, with several ecchymoses consistent with lovenox. heart showed bibasilar crackles with an s1, s2 and a systolic murmur, grade ii/iv. she had palpable dorsalis pedis and posterior tibial pulses bilaterally. she had 3+ leg edema. hospital course: cardiothoracic surgery was consulted on . catheterization report for her during her admission was an ejection fraction of 55%, 80% occlusion of the proximal right coronary artery, 80% of the left circumflex, and 40% of the left main, with ulceration. the patient was heparinized at this point in this hospital. she was taken to the operating room on by dr. of cardiothoracic surgery. she tolerated the procedure well. please see the operative note for full details. she was transferred to the cardiothoracic intensive care unit on pressor support. the patient was then weaned off neo-synephrine and transferred to the floor on after her chest tubes had been discontinued. her foley was discontinued on , and her wires were taken out on as well. her lopressor was increased to 75 mg by mouth twice a day during the rest of her stay. physical therapy was consulted with regards to her disposition home, and physical therapy feels that the patient should be ready for discharge by monday, . discharge medications: lopressor 75 mg by mouth twice a day, calcium carbonate 500 mg by mouth three times a day, lipitor 10 mg by mouth once daily, percocet one to two tablets every four hours as needed for pain. she will get 60 of these. she will get aspirin 325 by mouth once daily. she will get lasix 20 mg by mouth twice a day for a week, as well as potassium chloride 20 meq by mouth for a week taken twice a day. colace 100 mg by mouth twice a day. her other discharge medications will include zantac 150 mg by mouth twice a day. the patient, upon discharge, shows no sternal wound infection, shows the wounds are well approximated. her leg wound has no discharge, no cellulitis. her incisions from the chest tube sites are clean and no discharge is noted. the patient still has some trace edema. the patient is tolerating a diet and saturating well on room air, and her disposition is home. final date of discharge and any additional medication changes to follow. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia mitral valve disorders unspecified essential hypertension personal history of tobacco use 

Answer: The patient is high likely exposed to