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: penicillins / sulfa (sulfonamides) / albuterol / demerol attending: chief complaint: exertional angina with nausea/vomiting major surgical or invasive procedure: cabgx5 (lima->lad, svg->diag, svg->om1, svg->om2, svg->plv) history of present illness: 71 yo female with exertional symptoms and abnormal ett. referred for cath which revealed severe three vessel cad. past medical history: htn elev. lipids niddm gout arthritis prior bronchitis/pna obesity psh: hysterectomy for uterine polyps,tonsillectomy,appendectomy,resection of benign left breast tumor social history: semi-retired, lives alone, widowed no tobacco use, occasional etoh family history: non-contrib. physical exam: 5'4" 179# nad lting flat after cath skin/heent unremarkable neck with full rom and no carotid bruits appreciated ctab anterolaterally rrr with distant heart sounds, no murmur soft, nt, nd, +bs, obese with well-healed abd. scar extrems warm, well-perfused, no edema or varocosities noted neuro grossly intact 2+ bil. fem/dp/pt/radials pertinent results: 05:33am blood wbc-8.3 rbc-3.47* hgb-10.8* hct-32.0* mcv-92 mch-31.1 mchc-33.8 rdw-15.1 plt ct-181 05:33am blood plt ct-181 03:11am blood pt-12.1 ptt-24.8 inr(pt)-1.0 05:33am blood glucose-106* urean-13 creat-0.8 na-144 k-3.7 cl-107 hco3-32 angap-9 05:33am blood mg-2.3 echocardiography report findings left atrium: normal la size. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. normal interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). trace ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: mildly thickened tricuspid valve leaflets. physiologic tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. 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. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions pre-bypass: 1. the left atrium is normal in size. 2. no atrial septal defect is seen by 2d or color doppler. 3. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). 4. right ventricular chamber size and free wall motion are normal. 5. there are simple atheroma in the descending thoracic aorta. 6. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. 7. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 8. the pulmonic valve is not well seen. post-bypass: 1. biventricular function is preserved. 2. there is noted increase in tricuspid regurgitation from trace, pre-bypass, to mild to moderate (+) post bypass without noted increases in pa systolic pressure or change in biventricular functions. 3. aortic contours are intact post-decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. 05:33am blood wbc-8.3 rbc-3.47* hgb-10.8* hct-32.0* mcv-92 mch-31.1 mchc-33.8 rdw-15.1 plt ct-181 03:11am blood wbc-10.3 rbc-3.38* hgb-10.5* hct-29.6* mcv-88 mch-31.1 mchc-35.5* rdw-15.6* plt ct-144* 05:33am blood plt ct-181 03:11am blood plt ct-144* 05:33am blood glucose-106* urean-13 creat-0.8 na-144 k-3.7 cl-107 hco3-32 angap-9 10:18am blood k-4.8 brief hospital course: admitted and underwent cabg x5 with dr. . transferred to the cvicu in stable condition on titrated propofol and phenylephrine drips. extubated the following morning and gentle diuresis started. beta blockade also titrated. chest tubes removed on pod #2 and transfused 2 u prbcs and then a third unit on pod #3. neo then successfully weaned off and she was transferred to the floor on pod #4 to begin increasing her activity level. she was ready for discharge to rehab on pod #6. she will need to be restarted on her metformin once her po intake has returned to . medications on admission: diovan 160 mg daily atenolol 50 mg daily hctz 12.5 mg daily metformin 500 mg lovastatin 10 mg daily indomethacin 50 mg prn gout asa 81 mg daily nitroglygerin sl prn tylenol prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 6. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. 7. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. 8. lovastatin 10 mg tablet sig: one (1) tablet po once a day. 9. metformin 500 mg tablet sig: one (1) tablet po twice a day: once po intake adequate. discharge disposition: extended care facility: rehab discharge diagnosis: cad s/p cabg x5 htn, hyperlipidemia, dm, gerd, gout, arthritis, prior pna, s/p tah for uterine polyps, tonsillectomy, appendectomy, l breast mass excision discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower daily, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds for 10 weeks. no driving for one month. followup instructions: dr. 1-2 weeks dr. in weeks dr. 4 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart (aorto)coronary bypass of four or more coronary arteries cardioplegia transfusion of packed cells diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified other and unspecified hyperlipidemia hypotension, unspecified 

Answer: The patient is high likely exposed to