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 79 year old female with a history of coronary artery disease, status post myocardial infarction in who presented to an outside hospital with complaints of warmth and malaise. she had been in her usual state of health when these symptoms occurred which were reminiscent of her prior myocardial infarction. she also had palpitations and intermittent shortness of breath. electrocardiogram then showed st depressions in leads 1, v3 through v6 and she was thought to be in heart failure. cks were cycled and found to be negative and she was diuresed but continued to have oxygen requirements of 4 liters by nasal cannula. she was transferred to for cardiac catheterization with a diagnosis of unstable angina on a heparin drip. her transthoracic echocardiogram done at the outside hospital showed an ejection fraction of about 55% with questionable wall motion abnormalities. past medical history: 1. coronary artery disease, status post myocardial infarction in , no catheterization was done. 2. hypertension. 3. hypercholesterolemia. 4. diabetes mellitus. 5. peripheral vascular disease. 6. peptic ulcer disease, status post gastrointestinal bleed requiring transfusion. 7. status post bladder suspension. the patient has no known drug allergies. medications on admission: 1. heparin drip 2. nitroglycerin drip 3. lopressor 25 b.i.d. 4. norvasc 10 mg q.d. 5. pravachol 10 mg q.d. 6. zantac 7. univasc 7.5 mg q.d. 8. nph 15 units q am, 10 units q pm, 5 units of regular q. pm family history: mother died at 60 of myocardial infarction, father with diabetes mellitus. social history: she stopped tobacco use in , 25 pack year history, occasional alcohol. physical examination: physical examination on admission revealed vital signs of temperature 97, heartrate 62, blood pressure 142/64, respiratory rate 22, saturation 94% on 4 liters nasal cannula. general: an elderly female lying . head, eyes, ears, nose and throat examination: anicteric, no ocular lesion. neck with jugulovenous distension about 6 cm, carotids 2+ bilaterally. cardiovascular, regular rate and rhythm, ii/vi systolic murmur, no s3 or s4. lungs, crackles bilaterally. abdomen is soft, nontender, nondistended with positive bowel sounds. extremities, 2+ dorsalis pedis pulse bilaterally, 1+ edema of the lower extremities to mid calf. neurological: cranial nerves ii through xii intact, alert and oriented times three, nonfocal. laboratory data: white blood count 9.8, hematocrit 31.6, chemistries reveal sodium 139, potassium 3.9, chloride 103, carbon dioxide 22, bun 20, creatinine 1.1, glucose 126. cks were 48, troponin 2.1, mb negative. studies revealed electrocardiogram results as listed above. cardiac catheterization revealed three vessel coronary artery disease, presumptive left main coronary artery disease, normal ventricular function, elevated bilateral filling pressures, severe pulmonary hypertension, severe systemic systolic hypertension. hospital course: the patient was admitted with a diagnosis of unstable angina and congestive heart failure to the medicine cardiology service where she was treated with aspirin, beta blockers, ace inhibitors and heparin drip. she was also diuresed with lasix pending cardiac catheterization. cardiac catheterization was performed with results as listed above. the patient tolerated the procedure well. based on these results, it was felt that coronary artery bypass grafting would be necessary. she was further stabilized and diuresed with lasix and continued on nitroglycerin drip and heparin. she was taken to the operating room on where she underwent three vessel coronary artery bypass graft with saphenous vein grafts to obtuse marginal 1, posterior left ventricular and left anterior descending respectively under general endotracheal anesthesia. there were no intraoperative complications and the patient was transferred to the cardiac recovery room, intubated, being atrioventricularly based at 90 per minute. she was extubated on postoperative day #1 and she was weaned. she was started on lopressor, aspirin and lasix and transferred to the regular floor that evening. that evening the patient was complaining of some increased belching and symptoms that were similar to her previous myocardial infarction. electrocardiogram was obtained which showed no changes. she was given 1 mg of morphine. on postoperative day #2 the patient exhibited some confusion which cleared over the course of the day. her narcotics were held. on postoperative day #3 she went into atrial fibrillation with rates to 100s. she was given 2 mg of magnesium sulfate and 5 mg of lopressor intravenously. rate was controlled to the 70s, she was intravenously loaded with amiodarone after which she converted to normal sinus rhythm and then was continued on oral amiodarone. at this time the patient was in normal sinus rhythm on p.o. amiodarone and lopressor. she is ambulating with assistance, tolerating a regular diet and is deemed stable for discharge to a rehabilitation facility for further physical therapy and cardiopulmonary care. discharge diagnosis: 1. status post coronary artery bypass graft times three 2. coronary artery disease, status post myocardial infarction in 3. hypertension 4. hypercholesterolemia 5. insulin dependent diabetes mellitus 6. peripheral vascular disease 7. peptic ulcer disease status post gastrointestinal bleed 8. status post bladder suspension discharge medications: 1. potassium chloride 20 meq p.o. q.d. times one week 2. lopressor 25 mg p.o. q. 12 hours 3. colace 100 mg p.o. b.i.d. 4. aspirin 81 mg q.d. 5. lasix 20 mg q. 12 hours times one week 6. protonix 40 mg q.d. 7. reglan 10 mg q. 8 hours 8. amiodarone 400 mg t.i.d. times 7 days beginning and then amiodarone 400 mg p.o. b.i.d. times 7 days and then amiodarone 400 mg p.o. q.d. times 7 days 9. milk of magnesia 30 cc p.o. q.h.s. prn 10. dulcolax suppository one p.r. q.d. prn 11. insulin nph 5 units q am, 10 units q. pm 12. insulin regular 5 units q. pm 13. insulin sliding scale 14. tylenol #3 one to two p.o. q. 4 to 6 hours prn 15. zantac 150 mg p.o. b.i.d. fop: the patient is to follow up with her primary care physician in one to two weeks and to follow up with dr. in clinic in three to four weeks. , m.d. dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization angiocardiography of left heart structures other and unspecified coronary arteriography diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation 

Answer: The patient is high likely exposed to