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 / angiotensin recp antg&calcium chanl blkr attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypass grafting x4 with the left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to the right coronary artery and the obtuse marginal artery. history of present illness: this 69 year old female has a history cad, htn, mod. mr, and asthma. on while walking she had reflux symptoms and stopped 4 times while walking around block. these waxwd/waned over evenign and she went to ed. enzymes neg. she presented to and was started on a heparin drip. she underwent cardiac cath which revealed 3 vessel cad. past medical history: gerd, vasovagal after cath->cpr 17 yrs ago while having pci social history: race:cauc last dental exam:2months lives with:husband occupation:clerical worker until 3yrs ago. tobacco:neg etoh:social family history: father died of mi age 47, 3 sisters s/p cabg physical exam: pulse: 78 resp:14 o2 sat: b/p right:138/80 left: 140/80 height:59" weight:61kg general:wdwn, nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur n abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none x 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: n left: n pertinent results: admission: 09:10pm pt-12.6 ptt-21.2* inr(pt)-1.1 09:10pm plt count-219 09:10pm wbc-8.6 rbc-4.20 hgb-13.3 hct-37.1 mcv-88 mch-31.8# mchc-36.0* rdw-13.4 09:10pm %hba1c-5.5 eag-111 09:10pm albumin-4.1 calcium-9.1 09:10pm lipase-32 09:10pm alt(sgpt)-28 ast(sgot)-31 ld(ldh)-180 alk phos-70 amylase-57 tot bili-0.3 09:10pm glucose-103* urea n-16 creat-0.7 sodium-142 potassium-3.3 chloride-105 total co2-27 anion gap-13 discharge: 06:45am blood wbc-9.0 hgb-11.6* hct-34.4* plt ct-212# 06:45am blood plt ct-212# 06:45am blood urean-15 creat-0.5 na-141 k-4.0 cl-104 06:45am blood totbili-0.6 06:45am blood mg-2.5 radiology report chest (pa & lat) study date of 1:06 pm medical condition: 69 year old woman with s/p cabg final report patient is status post cabg with sternal wires and surgical clips again seen. small bilateral pleural effusions with associated compressive atelectasis are unchanged. right internal jugular central venous catheter has been removed. there is no pneumothorax. mild cardiomegaly is unchanged. impression: unchanged small bilateral pleural effusions with associated atelectasis. echocardiography report echocardiographic measurements results measurements normal range left atrium - long axis dimension: 3.9 cm <= 4.0 cm left ventricle - septal wall thickness: 0.7 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 0.8 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.8 cm <= 5.6 cm left ventricle - systolic dimension: 3.9 cm left ventricle - fractional shortening: *0.19 >= 0.29 left ventricle - fraction: 40% to 45% >= 55% left ventricle - stroke volume: 56 ml/beat aorta - annulus: 2.1 cm <= 3.0 cm aorta - sinus level: 2.6 cm <= 3.6 cm aorta - sinotubular ridge: 2.0 cm <= 3.0 cm aorta - ascending: 3.0 cm <= 3.4 cm aorta - arch: 2.3 cm <= 3.0 cm aorta - descending thoracic: 2.0 cm <= 2.5 cm aortic valve - lvot vti: 22 aortic valve - lvot diam: 1.8 cm mitral valve - mva (p t): 4.2 cm2 mitral valve - e wave: 0.6 m/sec mitral valve - a wave: 0.7 m/sec mitral valve - e/a ratio: 0.86 findings left atrium: no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. good (>20 cm/s) laa velocity. right atrium/interatrial septum: no asd by 2d or color doppler. left ventricle: normal lv wall thickness. normal lv cavity size. moderately depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. simple atheroma in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. no as. no ar. mitral valve: no mvp. no ms. mild to moderate (+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. pericardium: no pericardial effusion. 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. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. the patient appears to be in sinus rhythm. patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre cpb: 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. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is moderately depressed (lvef= 40-45 %), with a basal inferoseptal aneurysm. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. there is no aortic valve stenosis. no aortic regurgitation is seen. there are focal calcifications seen at the sinotubular junction near the right coronary sinus. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. dr. was notified in person of the results. post cpb: the patient is being av paced on a phenylephrine infusion. there is mild mr. fraction is improved at 45-50%. the visible contours of the thoracic aorta are intact. brief hospital course: ms was transfered from after a cardiac catheterization revealed 3 vessel disease. after the usual pre-operative cardiac surgery workup incluing echo and carotid ul;trasound the patient was brought to the operating room on . please see the operative report for details, in summary she had: coronary artery bypass grafting x4 with the left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to the right coronary artery and the obtuse marginal artery. her bypass time was 74 minutes with a crossclamp of 62 minutes. she tolerated the operation well and post-operatively was transferred from the operating room to the cardiac surgery icu in stable condition. in the immediate post-op period she remained hemodynamically stable, woke neurologically intact, was weaned from the ventilator and extubated. on pod1 she continued to be hemodynamically stable and was transferred from the icu to the cardiac surgery stepdown floor. all tubes, lines and drains were removed per cardiac surgery protocol. the remainder of her hospital course was uneventful. once on the floor she worked with physical therapy and the nursing staff to advance her activity level and recover from her surgery. she made steady progress and on pod4 she was discharged home with visiting nurses. she is to follow up with dr in 3 weeks medications on admission: amlodipine 10mg daily asa 81 mg daily zantac 150mg atenolol 75mg imdur 60mg daily hctz 25mg daily simvastatin 40mg daily discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 2. 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* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 6. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 7. valsartan 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*0* 9. furosemide 40 mg tablet sig: one (1) tablet po once a day for 10 days: should resume hctz when lasix complete please check with office prior to changing . disp:*10 tablet(s)* refills:*0* 10. norvasc 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 11. potassium chloride 10 meq capsule, sustained release sig: one (1) capsule, sustained release po once a day for 5 days. disp:*5 capsule, sustained release(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p cabg x3 hypertension gastric esophageal reflux disease discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema trace bilateral discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive 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 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr for dr at heart center on thrusday at 9:00am . cardiologist: dr on at 11:40am please call to schedule appointments with your primary care dr in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery esophageal reflux mitral valve disorders unspecified essential hypertension asthma, unspecified type, unspecified percutaneous transluminal coronary angioplasty status other and unspecified angina pectoris osteoporosis, unspecified chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to