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: patient recorded as having no known allergies to drugs attending: chief complaint: status post elective cardiac catheterization for recent dyspnea on exertion, chest pain major surgical or invasive procedure: coronary artery bypass grafting (off pump) times three (lima to lad, svg to om and svg to diag) history of present illness: ms. is a 61-year-old female with htn, +tobacco history, recent persistent sob on exertion with some associated cp who is being admitted status post cardiac catheterization after note of severe left main, lcx, lad and rca coronary artery disease. no interventions or stenting performed today. she is being admitted for management and possible cabg. of note, she had a recent persatine stress test with apical ischemia as well. more specifically, in terms of coronary artery disease, today's cardiac catheterization showed 70% mid-lmca, subtotally occluded mid-lad lesion, 70% ostial lcx and mild to moderate rca diffuse disease. renal angiography showed mild disease in right renal artery and distal aortogram with 70-80% lesion. . on further history she describes having 6 months of progressive doe with associated "pressure like" chest discomfort with exertional activities such as climbing stairs. also reports associated claudication symptoms which have been long standing. no prior mis. . on review of systems, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. cardiac review of systems is notable for absence of pnd, orthopnea, ankle edema, palpitations, syncope or presyncope. . on arrival to the medical floor initial vitals were: afebrile, bp 158/56, hr 70, o2 sat 96% ra, rr 20. patient in no distress, comfortable. . past medical history: past medical history: -cardiac hx /risk factors: +dyslipidemia, +hypertension, + smoker . -other past medical history: -asthma -copd -depression -anxiety -ocd -gerd -osteoarthritis -claudication -s/p left breast cyst -s/p tonsillectomy -s/p c-section x2 -s/p tubal ligation social history: -divorced, lives with roommate. 2 children. retired social worker. -tobacco history: smoker 1.5ppd x 50 years -etoh: glasses wine yearly -illicit drugs: denies family history: prominent family history of cad. father and mother with cabgs in late 50s and brother with elective cabg at 44 years old for 3vd. no arrhythmias or sudden cardiac death. patient believes mother may have had chf as well. physical exam: vs: afebrile, bp 158/56, hr 70, o2 sat 96% ra, rr 20. general: wd/wn in nad. oriented x3. mood, affect appropriate. heent: nc/at. sclera anicteric. perrla, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple. no lad. jvp of 9-cm. carotid bruit over right side, less prominent mild bruit on right side carotid cardiac: rrr, normal s1/s2. no m/r/g. no thrills, lifts. no s3/s4. lungs: no chest wall deformities. respirations were unlabored at rest. prominent wheezes with expiration scattered over mid/lower fields bilaterally, no crackles or rhonchi. abdomen: soft, nt/nd. abdominal aorta not enlarged by palpation. extremities: no edema. right groin with bruise 1" , no hematoma, no bruit noted. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ /+ bruit, femoral 2+ popliteal 2+ dp 1+ pt 1+ left: carotid 2+/ + bruit, femoral 2+ popliteal 2+ dp 1+ pt 1+ . pertinent results: 06:50pm hct-34.2* 04:59pm urine color-yellow appear-clear sp -1.036* 04:59pm urine blood-mod nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-8.0 leuk-neg 04:59pm urine rbc-* wbc- bacteria-few yeast-none epi-0 12:00pm glucose-125* urea n-26* creat-0.9 sodium-139 potassium-3.7 chloride-102 total co2-28 anion gap-13 12:00pm estgfr-using this 12:00pm alt(sgpt)-17 ast(sgot)-17 alk phos-93 amylase-27 tot bili-0.3 12:00pm albumin-3.4 cholest-155 12:00pm vit b12-266 12:00pm %hba1c-6.7* 12:00pm triglycer-148 hdl chol-47 chol/hdl-3.3 ldl(calc)-78 12:00pm wbc-7.1 rbc-3.59* hgb-11.2* hct-32.1* mcv-90 mch-31.1 mchc-34.8 rdw-13.5 12:00pm plt count-241 12:00pm pt-13.1 ptt-28.0 inr(pt)-1.1 . . osh labs - hct 46% , hgb 15.6, wbc 10.2, plts 294 glucose 115, bun 23, cr 1.1, co2 29, ca .2, na 140, k 4.9 . ekg: small q-wave iii, avf ( noted on prior ekg as well), nsr, normal axis, no st elevations or depressions of note . telemetry: nsr . 2d-echocardiogram: the la is normal in size. lv wall thickness normal and lv cavity size normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef 70%). right ventricular chamber size and free wall motion are normal. there are focal calcifications in the aortic arch. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mv leaflets mildly thickened. borderline pa systolic htn. no pericardial effusion. . persantine stress test: positive for anginal chest discomfort but no ischemic st changes noted. normal lv size. appropriate rise in hr and decrease in bp with persantine. occasional pvcs. evidence of small apical perfusion abnormality at stress which shows mild reversibility at rest. gated spect imaging with normal lvef, no discrete wall motion abnormalities. . cardiac cath: 70% mid-lmca, subtotally occluded mid-lad lesion, 70% ostial lcx and mild to moderate rca diffuse disease. renal angiography showed mild disease in right renal artery and distal aortogram with 70-80% lesion. 06:10am blood wbc-7.9 rbc-2.88* hgb-9.0* hct-26.2* mcv-91 mch-31.4 mchc-34.4 rdw-14.0 plt ct-209 06:42pm blood pt-14.7* ptt-36.0* inr(pt)-1.3* 06:10am blood glucose-150* urean-17 creat-1.2* na-139 k-4.2 cl-107 hco3-23 angap-13 brief hospital course: ms. was admitted to the cardiac medicine service with severe three vessel coronary artery disease ( 70% left main occlusion), chronic obstructive pulmonary disease, depression/anxiety, and recent complaints of dyspnea. a cadiac catheterization during her admission revealed a 70% mid-lmca, subtotally occluded mid-lad lesion, 70% ostial lcx and mild to moderate rca diffuse disease. a recent persantine stress test noted apical reversible perfusion deficits. on she underwent a coronary artery bypass grafting times three (off pump). this procedure was performed by dr. . she tolerated this procedure well and was transferred in critical but stable condition to the surgical intensive care unit. she was extubated and weaned from her pressors. by the following day she was transferred to the step down floor. her chest tubes and epicardial wires were removed and she was diuresed toward her preoperative weight. wellbutrin was initiated to help ms. with smoking cessation. by post operative day four she was ready for discharge to home. medications on admission: home medications: -aspirin 81mg daily -albuterol prn -cymbalta 120mg daily -lipitor 80mg daily discharge medications: 1. toprol xl 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 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:*2* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. bupropion hcl 150 mg tablet sustained release sig: one (1) tablet sustained release po qam (once a day (in the morning)): for smoking cessation. disp:*30 tablet sustained release(s)* refills:*2* 5. lasix 40 mg tablet sig: one (1) tablet po once a day for 14 days. disp:*14 tablet(s)* refills:*2* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 14 days. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* 7. lipitor 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 8. duloxetine 30 mg capsule, delayed release(e.c.) sig: four (4) capsule, delayed release(e.c.) po daily (daily). 9. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). 10. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*30 capsule(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr (cardiac surgery) in 4 weeks () please call for appointment dr (cardiology) in weeks () please call for appointment dr (pcp) in weeks () please call for appointment wound check appointment 6 as instructed by nurse () md procedure: single internal mammary-coronary artery bypass coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries intraoperative cardiac pacemaker left heart cardiac catheterization aortography arteriography of renal arteries diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux tobacco use disorder unspecified essential hypertension atherosclerosis of native arteries of the extremities with intermittent claudication atherosclerosis of aorta dysthymic disorder other and unspecified hyperlipidemia atherosclerosis of renal artery other and unspecified angina pectoris osteoarthrosis, unspecified whether generalized or localized, site unspecified family history of ischemic heart disease chronic obstructive asthma, unspecified trigger finger (acquired) 

Answer: The patient is high likely exposed to