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: crestor / lisinopril / topamax / metformin / lovastatin attending: chief complaint: chest pain major surgical or invasive procedure: - cardiac catheterization - coronary artery bypass grafting x3 (left internal mammary to the left anterior descending artery, saphenous vein graft (svg)->obtuse marginal artery, svg->posterior desceding artery.) history of present illness: ms. is a 60yo woman with h/o hypertension, hyperlipidemia, type 2 diabetes, fibromyalgia and cad s/p bms to the left cx in . in , she got repeat catheterization after c/o daily episodes of chest discomfort; angiography revealed a 30% proximal rca, 40% proximal lad, 90% mid lad, 60% d2 and an 80% proximal cx. the lad and cx were treated with bare metal stents. . she has felt well for several months following her procedure in but then developed a recurrence of chest discomfort. the discomfort is a dull substernal pain, she describes having from one to three episodes per day, occurring both at rest and with exertion. sl nitroglycerin is effective in treating her discomfort. she has not had stress testing since her last pci and is now referred for relook catheterization with possible surgical revascularization. denies le edema, orthopnea, pnd, lightheadedness, dizziness, claudication. + increase in dyspnea with exertion or when bending over. slight improvement in sob after being prescribed lasix 20mg qd about 3months ago. denies brbpr, hematuria. past medical history: coronary artery disease s/p coronary artery bypass garfts noninsulin dependent diabetes mellitus dyslipidemia hypertension obstructive sleep apnea fibromyalgia social history: patient is married without children. tobacco: patient has smoked 1ppd up to 20+ year. she is currently smoking 6 cigarettes a day. etoh: denies family history: fh: father with cad/mi's, dying in his 60's. brother died from an mi in his 50's. mother died at age 45 from "a heart issue". physical exam: admission physical examination: vs: t=97.2...bp=126/53...hr=46...rr=16...o2 sat=94%ra general: wdwn woman in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: jvp not elevated above clavicle. cardiac: rr but brady hr in 40s, normal s1, s2. occasional pauses. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. skin: bruising from recent cupping on back. pulses: right: carotid 2+ dp 2+ pt 2+ left: carotid 2+ dp 2+ pt 2+ pertinent results: admission labs: 10:40am blood wbc-6.0 rbc-3.51* hgb-10.9* hct-31.9* mcv-91 mch-31.1 mchc-34.3 rdw-13.7 plt ct-255 10:40am blood pt-12.3 inr(pt)-1.0 10:40am blood neuts-62.7 lymphs-31.3 monos-4.0 eos-1.6 baso-0.5 10:40am blood glucose-215* urean-11 creat-0.7 na-138 k-4.1 cl-104 hco3-25 angap-13 10:40am blood alt-26 ast-31 alkphos-57 totbili-0.4 06:50am blood ck(cpk)-114 10:40am blood ck-mb-5 ctropnt-<0.01 06:50am blood ck-mb-5 06:50am blood calcium-9.7 phos-4.0 mg-2.0 10:40am blood %hba1c-9.2* eag-217* . discharge labs: 06:20am blood wbc-8.2# rbc-3.39* hgb-10.1* hct-31.6* mcv-93 mch-29.9 mchc-32.1 rdw-14.1 plt ct-523* 05:35am blood wbc-4.6 rbc-3.38* hgb-10.1* hct-31.2* mcv-92 mch-29.9 mchc-32.4 rdw-13.9 plt ct-387 06:01am blood wbc-5.4 rbc-3.03* hgb-9.2* hct-27.7* mcv-91 mch-30.3 mchc-33.2 rdw-13.9 plt ct-306# 06:20am blood pt-13.3 inr(pt)-1.1 06:20am blood glucose-77 urean-7 creat-0.9 na-140 k-5.1 cl-101 hco3-30 angap-14 05:50am blood urean-8 creat-0.8 na-136 k-4.6 cl-100 05:35am blood glucose-90 urean-7 creat-0.8 na-139 k-4.3 cl-101 hco3-29 angap-13 . microbiology: - 12:29 pm urine site: clean catch cath lab. **final report ** urine culture (final ): <10,000 organisms/ml. . imaging: - cardiac cath: final diagnosis: 1. three vessel coronary artery disease. 2. ct surgical evaluation for possible cabg. 3. admit patient for revascularization during this admission given the rest anginal symptoms. . - echo: the left atrium is elongated. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: normal global and regional biventricular systolic function. no pulmonary hypertension or clinically-significant valvular disease seen. . - cxr: impression: 1. focal opacity overlying thoracic vertebra on lateral view likely represents degenerative changes. however, recommend left and right lateral oblique views to rule out lung nodule. 2. small left mid lung linear atelectasis. otherwise, no acute cardiopulmonary process. . - carotid series complete: impression: no evidence of carotid artery stenosis bilaterally. . - cxr obliques: impression: routine frontal and a shallow lateral oblique were performed to evaluate questionable lung nodule projecting over the lower thoracic spine on conventional radiographs taken . the opacity is due to degenerative spinal osteophyte not lung nodule. . echo pre-bypass: the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). right ventricular chamber size and free wall motion are normal. there are focal calcifications in the aortic arch. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. dr. was notified in person of the results before surgical incision post-bypass: preserved biventricular systolic function. lvef 55%. intact thoracic aorta. no new valvular lesions. brief hospital course: mrs. was admitted to the on where she underwent a cardiac catheterization. this revealed severe three vessel disease and the cardiac surgical service was consulted. she was worked-up in the usual preoperative manner. a carotid ultrasound showed no evidence of carotid artery stenosis bilaterally. spirometry testing was performed which was normal. the neurology service was consulted given her history of stroke and cerebral bleed. she was cleared from a neuological perspective. plavix was allowed to washout over a few days. on , mrs. was taken to the operating room where she underwent coronary artery bypass grafting to three vessels. please see operative note for details. postoperatively she was trnasferred to the intensive care unit for monitoring. over the next 24 hours, she awoke neurologically intact and was extubated. she was transferred to the floor on pod #2 to begin increasing her activity level. she was gently diuresed toward her pre-op weight. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. she was followed by clinic for elvated blood sugars in the 200's, lantus with insulin sliding scale was started with better control. insulin teaching was initiated. the patient experienced difficulty with self administration due to her baseline cognitive deficits. occupational therapy was consulted for assistance. additionally, the sternal incision developed erythema at the inferior pole and the patient was started on iv ancef. erythema resolved and the patient will bedischarged on po keflex. by the time of discharge on pod 9 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to healthcare center in good condition with appropriate follow up instructions. medications on admission: as of : acarbose - (prescribed by other provider) - 25 mg tablet - 1 tablet(s) by mouth at lunch and dinner atenolol - (prescribed by other provider) - 50 mg tablet - 1 tablet(s) by mouth once daily atorvastatin - (prescribed by other provider) - 40 mg tablet - 1 tablet(s) by mouth alternating with half a tablet daily (pm) bupropion hcl - (prescribed by other provider) - 150 mg tablet extended release - 1 tablet(s) by mouth twice a day clopidogrel - 75 mg tablet - 1 tablet(s) by mouth once a day cyclobenzaprine - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth three times a day furosemide - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth every morning gabapentin - (prescribed by other provider) - 300 mg capsule - 6 capsule(s) by mouth 2 in the morning and 2 at midday and 2 at dinner time gabapentin - (prescribed by other provider) - 800 mg tablet - 1 tablet(s) by mouth at bedtime hydroxyzine hcl - (prescribed by other provider) - 25 mg tablet - 1 tablet(s) by mouth three times a day as needed nitroglycerin - (prescribed by other provider) - 0.4 mg tablet, sublingual - 1 tablet(s) sublingually as needed for chest discomfort pantoprazole - (prescribed by other provider) - 40 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth twice a day sitagliptin - (prescribed by other provider) - 100 mg tablet - 1 tablet(s) by mouth once a day tramadol - (prescribed by other provider) - 50 mg tablet - 2 tablet(s) by mouth every 6 hours as needed sinus spray - (prescribed by other provider) - dosage uncertain zolpidem - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth at bedtime medications - otc aspirin - (otc) - 325 mg tablet - 1 tablet(s) by mouth once a day (pm) multivitamin - (otc) - capsule - 1 capsule(s) by mouth qam omega-3 fatty acids-vitamin e - (prescribed by other provider) - 1,000 mg capsule - 1 capsule(s) by mouth once a day discharge medications: 1. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. bupropion hcl 150 mg tablet extended release sig: one (1) tablet extended release po bid (2 times a day). 3. cyclobenzaprine 10 mg tablet sig: one (1) tablet po tid (3 times a day). 4. furosemide 20 mg tablet sig: one (1) tablet po once a day. 5. gabapentin 300 mg capsule sig: two (2) capsule po tid (3 times a day): take 2 in the morning, 2 at midday, and 2 at dinner time. 6. gabapentin 400 mg capsule sig: two (2) capsule po hs (at bedtime). 7. hydroxyzine hcl 25 mg tablet sig: one (1) tablet po tid prn () as needed for itching. 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po twice a day. 9. zolpidem 5 mg tablet sig: two (2) tablet po hs (at bedtime) as needed for insomnia. 10. multivitamin tablet sig: one (1) tablet po daily (daily). 11. omega-3 fatty acids capsule sig: one (1) capsule po daily (daily). 12. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 13. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 14. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever/pain. 15. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 16. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 17. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for bronchospasm. 18. insulin glargine 100 unit/ml solution sig: twenty (20) subcutaneous once a day: 20 units daily with breakfast. 19. cephalexin 500 mg tablet sig: one (1) tablet po four times a day for 1 weeks. discharge disposition: extended care facility: continuing care center - discharge diagnosis: coronary artery disease s/p coronary artery bypass garfts noninsulin dependent diabetes mellitus dyslipidemia hypertension obstructive sleep apnea fibromyalgia discharge condition: alert and oriented, short-term memory loss deconditioned incisional pain managed with oral analgesics incisions: sternal - c/d/i without erythema or drainage (will be d/c'd on keflex for previous erythema at inferior pole) leg -left - healing well, no erythema or drainage. edema -trace discharge instructions: 1) please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage. 2) please no lotions, cream, powder, or ointments to incisions. 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart provided. 4) no driving for approximately one month and while taking narcotics. driving will be discussed at follow up appointment with surgeon when you will likely be cleared to drive. 5) no lifting more than 10 pounds for 10 weeks 6) please call with any questions or concerns *females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: on wed, 1:15 cardiologist: dr. () on at 1:30pm at office please call to schedule appointments with: primary care dr. (in weeks call for a follow-up appointment with dr. at clinic **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnoses: thrombocytopenia, unspecified obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery intermediate coronary syndrome tobacco use disorder congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled asthma, unspecified type, unspecified depressive disorder, not elsewhere classified other and unspecified hyperlipidemia other specified cardiac dysrhythmias other complications due to other cardiac device, implant, and graft personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation do not resuscitate status myalgia and myositis, unspecified mild cognitive impairment, so stated 

Answer: The patient is high likely exposed to