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: history of present illness: this is a 63 year old female with coronary artery disease status post catheterization with stent of the mid left anterior descending on , who presented on , for elective carotid catheterization. in the past, the patient has had a series of flashing lights in her left and right eyes which were possibly attributed to carotid disease. a duplex of the carotids was obtained on , which showed significant plaque of 80 to 99% in the left. a stenosis of 40 to 59% was identified in the right. the lesion in the left internal carotid artery was stented this morning. the final residual was 20% with normal flow. the patient did have some mid segment spasm of the internal carotid artery that improved with tng through the sheath. the patient was neurologically intact throughout the case. she was admitted to the coronary care unit for postoperative care. past medical history: 1. coronary artery disease status post stent on , of the mid left anterior descending. 2. status post coronary artery bypass graft times four in . 3. status post myocardial infarction times three in , and . 4. hypertension. 5. hypercholesterolemia. 6. diverticulosis status post gastrointestinal bleed. 7. carpal tunnel syndrome. 8. trochanteric bursitis. 9. status post cholecystectomy. allergies: no known drug allergies. home medications: 1. aspirin 325 mg p.o. q. day. 2. metoprolol 15 mg p.o. q. day. 3. atorvastatin 10 mg p.o. q. day. 4. plavix 75 mg p.o. q. day. 5. multivitamin. 6. folic acid. family history: early coronary artery disease. physical examination: blood pressure 110 to 120 over 50 to 53; heart rate 45 to 50; saturation 99% on room air. in general, alert and oriented in no acute distress. cardiac: regular rate and rhythm, normal s1, s2. no murmurs, rubs or gallops. pulmonary: clear to auscultation bilaterally. abdomen soft, nontender, nondistended, positive bowel sounds. groin: right groin site without hematoma or bruit. extremities with no cyanosis, clubbing or edema. one plus dorsalis pedis pulses bilaterally. neurological: pupils are equal, round and reactive to light, 3 millimeters to 2 millimeters. extraocular movements intact without nystagmus. symmetric but normal sensation in all three branches of the trigeminal nerve. tongue: midline, clear phonation, elevation of palate is symmetrical. laboratory: on admission, white blood cell count 7.9, hemoglobin 11.2, hematocrit 31.6, mcv 87, mch 30.9, mchc 35.5, platelets 177. sodium 139, potassium 3.3, chloride 103, bicarbonate 29, bun 16, creatinine 0.7. summary of hospital course: 1. status post left internal carotid catheterization. the patient was neurologically intact and doing well following the procedure. all blood pressure medications were held with a target blood pressure goal of 120 to 170. the patient required a neo-synephrine drip to maintain her blood pressure near 120. on the evening of , and during the day on , multiple attempts were made to wean the patient off the neo-synephrine drip. when this was done, her systolic blood pressures would drop to around 100. she was also given multiple boluses of normal saline in an attempt to bring up her blood pressure. throughout this time, the patient was asymptomatic without dizziness or lightheadedness. she was up in a chair and walking around her hospital room. the neo-synephrine was successfully weaned off at 01:00 a.m. on . the patient's blood pressure once weaned off the drip remained between 110 and 115. the patient was continued on aspirin and plavix throughout the admission. 2. possible sleep apnea: when asleep, the patient has episodes when she pauses in her breathing and her saturations drop. saturations return immediately when she takes a deep breath and resumes her normal breathing pattern. will have her follow-up for this with her primary care physician. condition on discharge: stable. discharge status: the patient was discharged to home. discharge diagnoses: 1. status post left internal carotid artery catheterization. 2. coronary artery disease status post stent on , and mid left anterior descending. 3. status post coronary artery bypass graft times four vessels in . 4. status post myocardial infarction times three. 5. hypertension. 6. hypercholesterolemia. 7. diverticulitis status post gastrointestinal bleed. discharge medications: 1. aspirin 325 mg p.o. q. day. 2. plavix 75 mg p.o. q. day. discharge instructions: 1. the patient will follow-up with dr. on , for a blood pressure check. 2. dr. , on , at 04:00 o'clock. 3. vascular study at the cc clinical center for radiology on , at 03:00 o'clock. 4. dr. , on , at 04:00 o'clock. , m.d. dictated by: medquist36 procedure: angioplasty of other non-coronary vessel(s) insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension percutaneous transluminal coronary angioplasty status occlusion and stenosis of carotid artery without mention of cerebral infarction unspecified sleep apnea old myocardial infarction family history of ischemic heart disease 

Answer: The patient is high likely exposed to