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: penicillins / percocet attending: chief complaint: exertional chest pain major surgical or invasive procedure: four vessel coronary artery bypass grafting utilizing the left internal mammary artery to left anterior descending artery with vein grafts to diagonal, obtuse marginal and posterior descending artery. history of present illness: this is a 66 year old female with known coronary artery disease. over the last several months, she has been experiencing exertional angina and shortness of breath. she describes the pain as substernal which occasionally radiates to her shoulders and left arm. stress testing on was positive for ischemia. subsequent cardiac catheterization on revealed severe three vessel disease and normal left ventricular function. based upon the above results, she was referred for surgical revascularization. past medical history: coronary artery disease, prior ptca in , hypertensios, hyperlipidemia, type ii diabetes mellitus, peripheral vascular disease - prior left fem- bypass, anemia, gerd, arthritis, prior appendectomy social history: 30 pack year history of tobacco, quit approximately 2 years ago. admits to 2 glasses of wine per week. she is a semi-retired registered nurse. she is married and lives with her husband. family history: father mi at age 52. mother and two brothers died of sudden cardiac arrest. two brothers had cabg in their 60's. physical exam: vitals: bp 130/58, hr 63, rr 14, sat 98% on room air general: well developed female in no acute distress heent: oropharynx benign, neck: supple, no jvd, right carotid bruit noted heart: regular rate, normal s1s2, no murmur or rub lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: warm, no edema, no varicosities pulses: 1+ distally neuro: nonfocal pertinent results: 07:40am blood wbc-9.7 rbc-2.67* hgb-8.4* hct-24.7* mcv-93 mch-31.7 mchc-34.2 rdw-15.1 plt ct-301# 07:40am blood glucose-153* urean-19 creat-0.8 na-143 k-4.0 cl-104 hco3-28 angap-15 brief hospital course: mrs. was admitted and brought to the operating room where dr. performed coronary artery bypass grafting surgery. for surgical details, please see seperate dictated operative note. following the operation, she was brought to the csru for invasive monitoring. within 24 hours, she awoke neurologically intact and was extubated without incident. she maintained stable hemodynamics and weaned from pressor support without difficulty. she did well and transferred to the sdu for further care and recovery. over several days, medical therapy was optimized and she continue to make clinical improvements with diuresis. she remained in a normal sinus rhythm without atrial or ventricular arrhythmias. the rest of her postoperative course was uneventful and she was cleared for discharge on postoperative day four. medications on admission: plavix 75 qd, atenolol 50 am and 25 pm, lisinopril 10 qd, imdur 90 qd, lopid 600 , lipitor 80 qd, metformin 500 , glipizide 10 qd, fosamax discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 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:*0* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*0* 8. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). 9. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 10. glipizide 10 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 11. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 5 days. disp:*10 tablet(s)* refills:*0* 12. lisinopril 10 mg tablet sig: one (1) tablet po once a day. 13. hydrocodone-acetaminophen 5-500 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 14. plavix 75 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: tba discharge diagnosis: coronary artery disease - s/p cabg, prior ptca in , hypertension, hyperlipidemia, type ii diabetes mellitus, peripheral vascular disease - prior left fem- bypass, anemia discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. followup instructions: cardiac surgeon, dr. in weeks. local pcp, . in weeks. local cardiologist, dr. in weeks. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled peripheral vascular disease, unspecified other and unspecified hyperlipidemia other and unspecified angina pectoris 

Answer: The patient is high likely exposed to