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: past medical history: 1. hypertension. 2. hypercholesterolemia. 3. gout. 4. arthritis. 5. multinodular goiter. 6. history of appendectomy. 7. possible history of myocardial infarction in distant past. allergies: the patient is allergic to amiodarone, which causes facial edema. medications on admission: 1. aspirin 325 mg po q.d. 2. diltiazem cd 180 po q.d. 3. hydrochlorothiazide 25 q.d. 4. lipitor 10 mg po q.d. 5. lopressor 25 mg po b.i.d. 6. nitroglycerin patch 10 mg po q.d. 7. vasotec 75 mg po b.i.d. 8. allopurinol 100 mg q.d. family history: noncontributory. physical examination: examination revealed the following: vital signs afebrile. heart rate: "geminy." blood pressure: 110/60. respiratory rate: 16. 100% on room air. the patient appeared to be mild distress. heent: jvp distention of about 10 cm. no carotid bruits. cardiovascular: regular rate and rhythm, s3 sound, no murmurs. pulmonary: examination showed diffuse crackles anteriorly and laterally without wheezes. abdomen: soft, nontender, nondistended. extremities: extremities showed trace edema. right dorsalis pedis pulse palpable. left dorsalis pedis and posterior tibial pulses were dopplerable. neurological: the patient was alert and oriented times three. cranial nerves: grossly intact with full range of motion of lower and upper extremities. laboratory data: laboratory data revealed the following: hematocrit 32.4, white blood cell count 10.7, platelet count 260, sodium 143, potassium 5.0, bun 33, creatinine 1.1. creatinine kinase 350, mb 55, troponin 24.1. chest x-ray performed on showed enlarged cardiac silhouette, diffuse interstitial opacifications and small bilateral pleural effusions. ekg showed sinus rhythm. there was also left atrial abnormality, slow r wave progression consistent with underlying anterior myocardial infarction, nondiagnostic q waves seen in lead #3. anterolateral st and t wave changes consistent with ischemia. there was also loss of r wave progression in leads v1 through v3 with st segment elevations. hospital course: the patient was admitted to the coronary care unit. the patient ruled in for a myocardial infarction by enzymes and ekg changes. cardiac catheterization procedure was performed on , showed three-vessel coronary artery disease. it also showed severe systolic left ventricular dysfunction, severe biventricular diastolic dysfunction. there was also severe pulmonary hypertension. iabp device was inserted. on the patient was taken back to the cardiac catheterization laboratory. successful stenting of the proximal lad was performed. at the same time limited angiography of the right dominant system showed a severely diseased ald with a 90% ulcerated lesion and a long segment of 80% to 90% disease in the mid-distal lad. cardiac catheterization also revealed 50% diffuse disease in the mid segment and 90% disease in the distal segment of the lad. left circumflex artery had up to 90% disease. ri had 50% lesion. rca was diffusely diseased up to 80% in the proximal segment and subtotally occluded approximately 99% in the mid vessel. the patient was started on iv heparin, nitroglycerin drip, lasix p.r.n., protonix, lipitor, and lopressor, as well as aspirin. on the patient underwent coronary artery bypass grafting times three with left internal mammary artery to left anterior descending coronary artery, reverse saphenous vein graft from the aorta to the right posterior descending coronary artery and reverse saphenous vein graft from the aorta to the obtuse marginal coronary artery. the procedure was without complications. please see the full operative report for further details. the patient was transferred to the intensive care unit in satisfactory condition. postoperative course was complicated by upper gi bleed. hematocrit at the time was 27 with platelet count of 125,000. the patient was treated with ffp and packed red blood cells. at that time urgent egd was performed. upper gi studies showed a deep ulcer in the ge junction, which was thought to be the cause of the bleeding. epinephrine injection was performed to stop the bleeding of the ulcer. the patient continued to well in the intensive care unit. diet was advanced. she was in sinus rhythm with blood pressures maintained without pressors on postoperative day #3. the patient was successfully extubated. on the patient was transferred to the regular cardiac floor for further care. she was showing adequate oxygenation at 96% on two liter nasal cannula. she was noted to be unwilling to get out of bed. regarding physical therapy: the patient's foley catheter was discontinued on . maximum temperature was 100.0. she had intensive treatment program with physical therapy. on examination, the patient continued to have significant upper extremity swelling bilaterally. the swelling slowly subsided, although on the day of discharge she was still edematous. the patient was maintained on lopressor and lasix throughout the hospitalization. on , the patient was discharged to the rehabilitation center in stable condition. condition on discharge: good. discharge disposition: rehabilitation center. discharge diagnoses: 1. coronary artery bypass graft times three. 2. myocardial infarction. 3. congestive heart failure. 4. upper gi bleed. 5. hypertension. 6. hypercholesterolemia. 7. gout. 8. arthritis. discharge medications: 1. lopressor 50 mg po b.i.d. 2. allopurinol 100 mg po q.d. 3. protonix 40 mg po q.d. 4. lipitor 10 mg po q.d. 5. milk of magnesia 30 mg po h.s. 6. tylenol 650 mg po q.4h.p.r.n. 7. percocet one tablet to two tablets po q.4h. to 6h.p.r.n. pain. 8. lasix 20 mg po b.i.d. times 10 days. 9. potassium chloride 20 mg po q.12h. times ten days. 10. aspirin 325 mg po q.d. 11. colace 100 mg po b.i.d. discharge instructions: the patient is to see her surgeon, dr. in six weeks. the patient is to see her cardiologist in approximately three to four weeks. the patient is to see her primary care physician within the next week. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures other endoscopy of small intestine injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter implant of pulsation balloon angiocardiography of right heart structures diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care gout, unspecified other chronic pulmonary heart diseases chronic or unspecified gastric ulcer with hemorrhage, without mention of obstruction combined systolic and diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to