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 61 year old female was admitted to an outside hospital one day prior with the complaints of intermittent exertional chest pain times three to four days. she complained also of diaphoresis and shortness of breath associated with chest pain. she denies worsening paroxysmal nocturnal dyspnea, orthopnea, edema, nausea, vomiting or syncope. her cardiac enzymes were negative at the outside hospital. a spiral ct was negative for pulmonary embolus. stress test in showed normal ejection fraction and no inducible ischemia. she was transferred to the for catheterization which showed two vessel coronary disease with an ejection fraction of 60 percent, left main 50 percent lesion, left anterior descending coronary artery 80 percent lesion, circumflex 40 percent, 95 percent lesion of the second obtuse marginal and the right coronary artery was normal. the patient was referred to dr. for coronary artery bypass grafting. past medical history: 1. hypertension. 2. hyperlipidemia. 3. carotid artery stenosis. 4. asthma. 5. noninsulin dependent diabetes mellitus. 6. fatty liver. 7. anxiety. 8. history of nonsustained ventricular tachycardia. 9. gallstones. past surgical history: is remarkable only for hysterectomy. allergies: she was allergic to aspirin which caused gastrointestinal upset and percocet which has caused her to hallucinate. medications at home: diovan 80 mg p.o. daily, klonopin 0.5 mg p.o. twice a day prn, celexa 40 mg p.o. daily while at the outside hospital. at home she was taking lexapro. plavix 75 mg p.o. daily. lasix dose was in the morning. fosamax 1 tablet p.o. every sunday. singulair 10 mg p.o. daily. multivitamin 1 tablet p.o. daily. metformin 500 mg p.o. b.i.d, lescol 80 mg p.o. once daily and calcium 1 tablet p.o. daily. patient also took vitamin d. social history: patient lives with her husband. she works at home. is active. had no history of tobacco use and used alcohol only rarely. she has a positive family history for coronary artery disease with the mother having a myocardial infarction in her 40s and her bother dying of myocardial infarction at 53. physical examination: she admitted to a 20 pound weight gain over the past month and was sleeping very poorly at the time. her height was 5, 1. her weight was 160 pounds. blood pressure 133/80, heart rate 82, respiratory rate 22, saturation 95 percent on room air. she was lying flat in bed on examination in no apparent distress. she was alert and oriented times three and appropriate. she had carotid bruits bilaterally. her lungs were clear bilaterally. her heart was regular rate and rhythm with s1, s2 tones and no murmur, rub or gallop. abdomen was soft, obese, nontender, nondistended with positive bowel sounds. her extremities were warm and well perfused with no edema or varicosities. on the right she had 2 plus radial, 1 plus dorsalis pedis and 1 plus posterior tibial pulses. on the left 1 plus radial, 1 plus dorsalis pedis, and 1 plus posterior tibial pulses. preoperative laboratory data: white count 7.1, hematocrit 37.1, platelet count 185,000. pt 13.9, ptt 23.8, inr 1.2. sodium 135, potassium 4.4, chloride 99, bicarb 23, bun 14, creatinine 0.7 with a blood sugar of 260, anion gap 17, total bilirubin 0.5, amylase 57, alkaline phosphatase 100, alt of 96, ast 89, albumin 4.0. hba1c 9.7 percent, significantly elevated. preoperative carotid ultrasound study showed less than 40 percent right internal carotid artery stenosis and no left internal carotid artery stenosis. preoperative electrocardiogram showed sinus tachycardia at 103 with occasional ventricular ectopy, diffuse nonspecific st-t wave abnormalities. please refer to the official report on . hospital course: patient's plavix was discontinued. patient was referred to dr. and over the course of the next couple of days as the carotid ultrasound was done the patient was followed by cardiology daily in preparation for her surgery on monday morning. patient was seen by cardiology daily and was seen also by the case manager and on the patient underwent coronary artery bypass grafting times three with a left internal mammary artery to the left anterior descending coronary artery, a vein graft to the second obtuse marginal and a vein graft to the diagonal which is a y graft off the saphenous vein graft to the obtuse marginal. patient was transferred to cardiothoracic intensive care unit in stable condition on a neo-synephrine drip at 0.24 mcg per kilograms per minute and a propofol drip at 10 mcg per kilogram per minute. on postoperative day one the patient had been extubated in the early morning hours, was in sinus rhythm at 97 with a blood pressure of 97/61, saturating 97 percent on 3 liters of nasal cannula with a cardiac index of 2.29. she was alert and oriented times three. heart was regular rate and rhythm. she had decreased breath sounds bilaterally. otherwise lungs were clear. abdomen was soft, nontender. chest tubes were in place. she had 1 plus peripheral edema bilaterally. lasix intravenous diuresis was begun. swan-ganz was discontinued. neo-synephrine wean was begun. postoperative laboratories as follows: white count 17.4, hematocrit 32.4, platelet count 207,000. potassium 4.7, bun 8, creatinine 0.6 with an inr o 1.2. patient needed for neo- synephrine for tone on the following morning, postoperative day two remained at 1.0. beta blockade was held. neo- synephrine was continued. the following day the blood pressure was 110/64 with a heart rate of 111. patient was saturating 94 percent on 5 liters nasal cannula. patient remained tachycardic. examination was otherwise unremarkable. the neo-synephrine wean continued. chest tubes were discontinued. foley was discontinued. hematocrit rose to 28.3. creatinine was stable at 0.6. patient was eligible to go to the floor as soon as the neo-synephrine was weaned off but was allowed to be out of bed in the room. on postoperative day three chest tubes were discontinued. neo- synephrine was off. patient was in sinus rhythm in the 90s. blood pressure 95/68. examination was unremarkable. incisions were clean, dry and intact with 1 plus peripheral edema. creatinine stabilized at 0.5, hematocrit 27.4, potassium 3.8, beta blockade was begun with lopressor 25 mg p.o. b.i.d chest x-ray was repeated, lasix diuresis continued. on postoperative day four the patient had a 10 beat run of supraventricular tachycardia in the morning which was monomorphic. no chest pain. patient had been transferred out to the floor. patient continued with perioperative kefzol and continued to get combivent and singulair to help her for her asthma. her pacing wires were discontinued. she was encouraged to do aggressive pulmonary toilet, cough and deep breath. she was placed on kefzol for her sternum which had minimal erythema. she continued to work on the floor with physical therapy. patient had some complaints of palpitations overnight but maintained a good blood pressure of 104/58. on postoperative day five she was in the sinus rhythm in the 90s with blood pressure of 116/65. she had no erythema of her sternal wound. otherwise her examination was unremarkable with trace peripheral edema. she was stable and afebrile with a maximum temperature of 99.8. on postoperative day seven the patient had no overnight events but was still desaturating with ambulation. her saturations were 93 percent on 2 liters nasal cannula. her hematocrit was 27, her potassium 3.7, and magnesium 1.8. her oral metformin was started again. she had a few bibasilar crackles, still had 1 plus peripheral edema. also the patient had an episode of rapid atrial flutter today with a heart rate of 150 and a stable blood pressure. patient was give 5 mg intravenous of lopressor twice and magnesium 2 grams and patient converted to sinus rhythm. the plan was the patient would be able to be discharged home if the o2 saturations were greater than 90 percent with ambulation. the patient continued to work with physical therapy and the nursing staff to achieve this. early in the morning at approximately 4:15 a.m. on the patient was found on the floor in the bathroom. by report she woke up to go to the bathroom. she was found on the bathroom floor. when asked if she had any pain or complaints of pain she said she slipped on her slipper and onto the floor. she was assisted back to the bed without any complains of headache, hip pain, nausea, vomiting, back pain. patient was reminded to use the call bell for assistance,. on examination she was resting comfortably. her neurologic examination was grossly normal. she has no obvious deformities noted. patient was observed closely for any potential injury but appeared to be doing fine. on postoperative day eight the patient was on day five of a seven day course of keflex for the sternal erythema. the sternal incision had no erythema at that time. she continued to increase her activity. a repeat chest x-ray was done. lasix was increased to 20 intravenous b.i.d for 24 hours with plans to discharge her the following morning. she did have a temperature of 101 overnight which was brought to 99 in the morning. her white count rose slightly to 14.6. lopressor was increased to 75 b.i.d the patient was encouraged to use her incentive inspirometer. she was alert and oriented. on postoperative day nine she had rapid atrial fibrillation that began the day prior. she was started on coumadin and amiodarone for her atrial fibrillation. she converted back to sinus rhythm with a blood pressure of 90/56 and a heart rate of 77. her white count dropped slightly to 12.6. her creatinine was stable at 0.7. her examination was otherwise unremarkable and the plan was she would be to be discharged home if she had 24 hours of no arrhythmias. on postoperative day nine her lungs had decreased breaths on the left side of the way down. her sternum was stable with no drainage or erythema. she had bowel sounds. she had no peripheral edema. her leg incisions bilaterally were clean, dry and intact. patient did level five, was instructed to follow up with dr. in the office for postoperative surgical visit in four weeks and to see dr. , her cardiologist, in four to six weeks. patient was also instructed to get blood drawn for inr checks on and and have results called to dr. , phone number who is responsible for following her coumadin dosing and inr level management. discharge medications: colace 100 mg p.o. b.i.d, 81 mg enteric coated aspirin p.o. daily, dilaudid 2 mg tablet, 1 tablet p.o. q 4 to 6 hours prn for pain, metformin 500 mg p.o. b.i.d, escitalopram oxalate 20 mg p.o. daily, montelukast sodium 10 mg p.o. daily, albuterol/ipratropium 103-108 mcg actuation aerosol 1 to 2 tabs inhalation every six hours as needed, lasix 20 mg p.o. b.i.d for one week, then lasix 20 mg p.o. daily times one week, lipitor 40 mg p.o. daily, fluticasone/salmeterol 100-50 mcg dose disk with device, 1 disk with device inhalation 2 times a day, potassium chloride 20 meq p.o. b.i.d times one week, keflex 500 mg p.o. q.i.d. times five days, metoprolol tartrate 75 mg p.o. b.i.d, amiodarone 400 mg p.o. t.i.d. times one week, then amiodarone 400 mg p.o. b.i.d times one week, then amiodarone 200 mg p.o. daily. coumadin 3 mg for that single dose on the evening of discharge with a goal inr of 2 to 2.5 and inr checks scheduled with dr. on and . discharge diagnoses: 1. status post coronary artery bypass grafting times three. 2. hypertension. 3. hyperlipidemia. 4. carotid artery stenosis. 5. asthma. 6. noninsulin dependent diabetes mellitus. 7. fatty liver. 8. anxiety. 9. nonsustained ventricular tachycardia. 10. history of atrial fibrillation. 11. gallstones. again the patient was given the previously mentioned discharge instructions and was discharged to home with services on . , m.d. 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 angiocardiography of left heart structures left heart cardiac catheterization diagnostic ultrasound of heart transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome 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 asthma, unspecified type, unspecified other and unspecified hyperlipidemia anxiety state, unspecified osteoporosis, unspecified other chronic nonalcoholic liver disease 

Answer: The patient is high likely exposed to