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: codeine attending: chief complaint: nstemi major surgical or invasive procedure: coronary artery bypass grafting x5(left internal mammary artery grafted to the left anterior descending artery/saphenous vein grafted to ramus/diag/om/plv)- history of present illness: 72 year old female complaining of chest pain on after a hug. went to osh, found to have non stemi, with trop i>30. had a cath which showed 3vessel coronary disease, ef55%.she was placed on a heparin drip, received aspirin and lovenox as well; transferred to , cp free. no significant medical history. past medical history: tonsillecty l 5th metatarsal fx with subsequent neuropathy social history: lives alone race white tobacco: never etoh: rare family history: non-contributory physical exam: physical exam: comfortable pulse:64 resp:18 o2 sat:98 b/p right: 114/72 left: height: weight: general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur (-) abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact/ moves 4 ext. pulses: femoral right:palp left:palp dp right:palp left:palp pt : left:palp radial right:palp left:palp carotid bruit right: - left: pertinent results: 05:11am blood wbc-10.5 rbc-2.53* hgb-7.9* hct-23.4* mcv-92 mch-31.2 mchc-33.7 rdw-14.0 plt ct-168 05:50am blood hct-22.7* 01:14pm blood pt-13.4 ptt-34.9 inr(pt)-1.1 05:11am blood glucose-108* urean-8 creat-0.6 na-142 k-4.3 cl-107 hco3-30 angap-9 05:11am blood mg-2.2 02:47am blood wbc-14.4* rbc-3.05* hgb-9.5* hct-28.1*# mcv-92 mch-31.1 mchc-33.8 rdw-13.5 plt ct-159 09:15pm blood wbc-10.4 rbc-3.87* hgb-11.9* hct-35.5* mcv-92 mch-30.9 mchc-33.6 rdw-13.4 plt ct-275 01:14pm blood pt-13.4 ptt-34.9 inr(pt)-1.1 09:15pm blood pt-11.9 ptt-26.4 inr(pt)-1.0 02:47am blood glucose-76 urean-7 creat-0.5 na-140 k-4.2 cl-111* hco3-23 angap-10 09:15pm blood glucose-167* urean-11 creat-0.8 na-139 k-3.7 cl-107 hco3-25 angap-11 echocardiography report , (complete) done at 9:21:29 am preliminary referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 72 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: i(ntraoperative tee for cabg icd-9 codes: 410.92, 440.0, 424.1, 424.0 test information date/time: at 09:21 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2009aw4-: machine: aw2 echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.7 cm <= 4.0 cm left atrium - four chamber length: 5.0 cm <= 5.2 cm left ventricle - ejection fraction: 60% >= 55% aorta - sinus level: 2.8 cm <= 3.6 cm aorta - sinotubular ridge: 2.5 cm <= 3.0 cm aorta - ascending: 3.2 cm <= 3.4 cm aorta - descending thoracic: 1.7 cm <= 2.5 cm findings left atrium: mild la enlargement. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. lipomatous hypertrophy of the interatrial septum. no asd by 2d or color doppler. left ventricle: overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. focal calcifications in ascending aorta. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. trace ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. moderate (2+) mr. tricuspid valve: tricuspid valve not well visualized. mild tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. no pr. pericardium: small pericardial effusion. no echocardiographic signs of tamponade. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions pre bypass the left atrium is mildly 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. no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. initially, mild to moderate central mitral regurgitation was seen, but during the early pre-bypass period, the patient developed myocardial ischemia and moderate (2+) mitral regurgitation was seen. this improved back to baseline just prior to initiation of cardiopulmonary bypass. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. dr. was notified in person of the results in the operating room at the time of the study. post cpb normal biventricular systolic function. initially after separation from cardiopulmonary bypass, moderate miteral regurgitation was seen. however, after sternal closure, reassessment revealed mild to m oderate mitral regurgitation. thoracic aorta appears intact. no other significant changes from the pre-bypass findings. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician brief hospital course: ms. was taken to the operating room and underwent coronary artery bypass grafting x 5 (left internal mammary artery grafted to the left anterior descending/saphenous vein grafted to ramus/diag/om/plv). cross clamp time = 107 minutes. cardiopulmonary bypass time= 121 minutes. please refer to dr operative report for further details. she was transferred to the cvicu in critical but stable condition. she awoke neurologically intact and was extubated without difficulty. all lines and drains were discontinued in a timely fashion. beta-blocker and diuresis was initiated. she continued to progress and was transferred to the step down floor on pod# 1 for further monitoring. physical therapy consulted and evaluated. the remainder of her hospital course was essentially uneventful. she continued to progress and on pod#5 she was cleared by dr. for discharge to home with vna. all follow up appointments were advised. medications on admission: none discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. ferrous gluconate 325 mg (37.5 mg iron) tablet sig: one (1) tablet po daily (daily). 5. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temp. 7. propoxyphene n-acetaminophen 100-650 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 8. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 10. furosemide 20 mg tablet sig: two (2) tablet po twice a day for 2 weeks: 40mg 2x/day for 1 week, then 40mg daily for 1 week. disp:*42 tablet(s)* refills:*0* 11. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po twice a day for 2 weeks. disp:*28 tab sust.rel. particle/crystal(s)* refills:*0* 12. lorazepam 0.5 mg tablet sig: one (1) tablet po twice a day as needed for insomnia/anxiety. disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: tba discharge diagnosis: coronary artery disease, s/p coronary artery bypass grafting x5 discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr. in 3 weeks at for wound check and post-op follow-up : dr. in 3 weeks procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery 

Answer: The patient is high likely exposed to