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: ace inhibitors attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypass graft x 3 (left internal mammary artery to left anterior descending, saphenous vein graft to obtuse marginal, saphenous vein graft to posterior descending artery) cardiac catheterization history of present illness: 76 year old female with history of hypertension and hyperlipidemia with complaints of chest tightness and throat burning with minimal exertion. she had a positive stress test and was referred for cardiac catheterization to further evaluate. now asked to evaluate for surgical revascularization. past medical history: hypertension hyperlipidemia gastroesophageal reflux disease social history: race: phillipino lives with: daughter, widowed occupation: retired tobacco: quit 10 yrs ago smoked 1ppd x 20 yrs etoh: denies family history: none physical exam: pulse:58 resp:14 o2 sat: 100%ra b/p right: 230/82 left: 241/89 post procedure on iv nitro height:4'9" weight:106 lbs (48.1kg) 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 pulses: femoral right:2+ left:2+ dp right:2+ left:2+ pt :2+ left:2+ radial right:2+ left:2+ carotid bruit right:- left:- pertinent results: cardiac cath: 1. selective coronary angiography of this right dominant system revealed 3 vessel coronary artery disease. the lmca was normal. the lad had a 60% stenosis proximally, and a 70% stenosis in the mid portion at the bifurcation of d3. the lcx had a 90% proximal stenosis. the rca had a 95% proximal stenosis at the conus, and was occluded in the mid portion. the distal rca was a large vessel with posterior ventricular branches filling via extensive left-to-right collaterals from the lad and lcx. 2. limited resting hemodynamics revealed moderate to severe systemic arterial hypertension with central aortic pressures of 175/70mm hg. carotid u/s: right ica with no stenosis. left ica with stenosis <40% . echo: pre bypass the left atrium is mildly dilated. the left atrium is elongated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. 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 a centrally directed jet of mitral regurgitation that is at least mild to moderate but does border on moderate. there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. 05:20am blood wbc-7.8 rbc-3.19* hgb-9.2* hct-26.5* mcv-83 mch-28.7 mchc-34.6 rdw-15.6* plt ct-333 11:00am blood wbc-5.8 rbc-3.77* hgb-11.3* hct-31.9* mcv-85 mch-30.0 mchc-35.4* rdw-12.6 plt ct-320 05:20am blood glucose-105 urean-14 creat-0.9 na-134 k-4.4 cl-98 hco3-29 angap-11 11:00am blood glucose-244* urean-25* creat-1.1 na-138 k-3.6 cl-103 hco3-28 angap-11 11:00am blood alt-23 ast-26 alkphos-45 amylase-61 totbili-0.3 05:20am blood mg-2.4 11:00am blood triglyc-103 hdl-33 chol/hd-4.6 ldlcalc-99 brief hospital course: she was admitted and underwent cardiac catheterization on following an abnormal ett. cardiac catheterization revealed severe three vessel coronary artery disease and she was referred for surgical intervention. she underwent appropriate pre-operative work-up and was brought to the operating room on where she underwent a coronary artery bypass graft surgery. please see operative report for surgical details. vancomycin was given for perioperative antibiotics. following surgery she was transferred to the cvicu for hemodynamic monitoring. within 24 hours she was weaned from sedation, awoke neurologically intact and extubated. on post-op day one her chest tubes were removed and she was transferred to the telemetry floor for further care. epicardial pacing wires were removed on post-op day three. she continued to make good progress while working with physical therapy for strength and mobility. on post-op day five she was discharged home with daughter who she lives with. medications on admission: atenolol 50mg po daily, fenofibrate 67mg po daily, cozaar 75mg po daily, omeprazole 20mg po daily, pravastatin 20mg po daily, asa 81mgpo daily discharge medications: 1. citalopram 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(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. pravastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 6. losartan 50 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 8. lasix 20 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: area vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 past medical history: hypertension hyperlipidemia gastroesophageal reflux disease discharge condition: good discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming monitor wounds for infection and report any redness, warmth, swelling, tenderness or drainage please take temperature each evening and report any fever 100.5 or greater 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: dr. in 4 weeks dr. in weeks dr. in weeks wound check 6 - please schedule with rn procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures diagnoses: other iatrogenic hypotension anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension hyposmolality and/or hyponatremia other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation heart disease, unspecified 

Answer: The patient is high likely exposed to