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: no known allergies / adverse drug reactions attending: chief complaint: chest pain and palpitations major surgical or invasive procedure: coronary bypass grafting x3 with left internal mammary artery to left anterior descending coronary; reverse saphenous vein single graft from the aorta to the posterior descending coronary artery; reverse saphenous vein single graft from the aorta to the first obtuse marginal coronary artery. cardiac cath history of present illness: ms. is an 54-year-old latin american woman with a past history of type 2 diabetes, hypertension, and coronary artery disease diagnosed at age 47. she has had daily episodes of chest pain accompanied by palpitations over the past several months despite taking nitroglycerin, isosorbide mononitrate and beta-blockers. the patient was being evaluated by her outpatient cardiologist, dr. , who advised a cath to evaluate her coronaries. cath on showed severe three vessel coronary artery disease and she was admitted for surgery. past medical history: diabetes mellitus ii hypertension hyperlipidemia coronary artery disease s/p nstemi x2 pci-lad in (bx velocity hepacoat stent) asthma gerd anxiety arthritis tubal ligation 28 years ago social history: separated from her husband. husband lives in with her 5 children. the youngest child is 20 years old. she is living currently in the home of her niece in . . she came to the united states in in order to receive cardiac care. -tobacco history: none -etoh: none -illicit drugs: none family history: notable for father, brother with significant coronary artery disease and mother with diabetes. physical exam: temp 98 pulse: 72 resp: 24 o2 sat: 100%-ra b/p right: 133/77 left: 136/70 height: 5 feet 3 inches weight: 141 lbs/64kg general: nad skin: dry intact heent: perrla eomi mmm- normal oropharynx neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr irregular murmur-no abdomen: soft non-distended non-tender +bs extremities: warm , well-perfused edema: none varicosities: none neuro: grossly intact-nonfocal exam pulses: femoral right: 1+ cath site left:1+ dp right: 1+ left: 1+ pt : dop left: dop radial right: 2+ left: 2+ carotid bruit -none pertinent results: cath: 1. selective coronary angiography in this right dominant system demonstrated three vessel coronary artery disease. the lmca was a short vessel. the lad was totally occluded with a clear channel (technically subtotally occluded) from the ostium to the proximal edge of the previously placed bare metal stent. it fills beyond via (mostly) right to left collaterals and some lcx-septal collaterals. the lcx was a large vessel with mild proximal disease. it gives rise to a major bifurcating om with critical disease at the ostium of the first branch. the av groove circ has moderate proximal disease and gives rise to 4 small, diseased branches distally. the rca was a small caliber vessel with mild ostial disease, ~40%, and spasm upon initial catheter engagement. intracoronary nitroglycerine was given with improvement. the distal rca had a 70% focal lesion and gave rise to a long rpda with serial mild to moderate focal lesions. 2. limited resting hemodynamics revealed normotension. carotid u/s: right ica no stenosis. left ica no stenosis. echo pre-bypass: 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 and cavity size are normal. overall left ventricular systolic function is mildly depressed(lvef= 40 %). with regional wall m otion abnormalities in the anterior and inferior septal walls at the base, mid and apical regions. right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. there is no pericardial effusion. post-bypass: normal rv systolic function. overall lvef 40%. there is some improvement in the previously hypokinetic regions. intact thoracic aorta. mild mr . 03:20pm blood wbc-6.9 rbc-4.38 hgb-13.6 hct-36.7 mcv-84 mch-31.1 mchc-37.1* rdw-13.4 plt ct-262 01:19pm blood wbc-11.9* rbc-3.26* hgb-10.0* hct-27.6* mcv-84 mch-30.6 mchc-36.3* rdw-13.6 plt ct-177 04:07am blood wbc-7.7 rbc-2.94* hgb-9.2* hct-25.3* mcv-86 mch-31.2 mchc-36.2* rdw-13.7 plt ct-225 03:20pm blood pt-12.7 inr(pt)-1.1 01:19pm blood pt-14.1* ptt-26.8 inr(pt)-1.2* 02:13am blood pt-13.2 ptt-23.3 inr(pt)-1.1 03:20pm blood glucose-170* urean-14 creat-0.6 na-139 k-3.5 cl-104 hco3-27 angap-12 04:07am blood glucose-153* urean-9 creat-0.6 na-141 k-3.7 cl-102 hco3-30 angap-13 06:19am blood calcium-8.0* phos-2.3* mg-1.9 brief hospital course: as mentioned in the hpi, mrs. is a 55 year old pleasant spanish speaking female with known history of cad (s/p bms to lad ), dm, hl, htn with progressive chest pain and palpitations. she presented for evaluation with cardiac catheterization which revealed three vessel disease. she underwent usual surgical work-up and received medical management prior to surgery. on she was brought to the operating room where she underwent a coronary artery bypass graft x 3 by dr. . please see operative report for surgical details. following surgery she was transferred to the cvicu in stable condition, titrated on phenylephrine and propofol drips. later that day she was weaned from sedation, awoke neurologically intact and extubated. on post-op day one she was started on beta blockers and diuresed towards his pre-op weight. later this day she was transferred to the telemetry floor for further care. chest tubes and pacing wires were removed per protocol. physical therapy assisted patient with strength and mobility. she continued to make good progress while receiving minor adjustments in her medical care. on post-op day 7 she was discharged home with vna services and the appropriate medications and follow-up appointments. medications on admission: albuterol sulfate puff inhaled every 4 hours as needed alprazolam 0.25 mg at bedtime as needed for anxiety or insomnia amlodipine not taking as prescribed) - 10 mg daily atenolol 100 mg daily clopidogrel - 75 mg daily isosorbide mononitrate (not taking as prescribed) 60 mg daily lisinopril 40 mg daily metformin 850 mg three times per day nitroglycerin sublingual -prn phenyltoloxamine-acetaminophen - dosage uncertain ranitidine 150mg twice daily simvastatin 40 mg daily loratadine - 10 mg daily discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 4. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*1* 5. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 6. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 7. metformin 850 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*1* 8. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*7 tablet(s)* refills:*0* 9. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po daily (daily). disp:*7 tablet extended release(s)* refills:*0* 10. glipizide 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 11. metoprolol succinate 50 mg tablet extended release 24 hr sig: three (3) tablet extended release 24 hr po daily (daily). disp:*90 tablet extended release 24 hr(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease, s/p coronary artery bypass graft x 3 past medical history: diabetes mellitus ii hypertension hyperlipidemia pci-lad in (bx velocity hepacoat stent) asthma gerd anxiety arthritis past surgical history: tubal ligation 28 years ago discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage trace edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: you are scheduled for the following appointments: wound check at cardiac surgery 2a office tuesday @ 1:15 pm surgeon dr. @ 1:30 pm cardiologist dr. phone: @ 3:00 pm please call to schedule the following: 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** provider: phone: date/time: 8:45 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled asthma, unspecified type, unspecified percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia anxiety state, unspecified old myocardial infarction acute systolic heart failure examination of participant in clinical trial insomnia, unspecified chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to