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: percocet / prozac attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypass graft x 3 (lima to lad, svg to om, svg to rca) history of present illness: 59 y/o female with exertional chest pain that started in . underwent stress test and had no chest pain or sob. but nuclear images revealed perfusion defect involving distal inferior wall and apex. she continued to be medically managed and initially refused cardiac cath, but finally underwent one in . cath revealed three vessel coronary artery disease. past medical history: coronary artery disease, hypertension, hyperlipidemia, diabetes , , gastroesophageal reflux disease, depression, anxiety, chronic back pain s/p laminectomy, chronic headache, s/p tubal ligation social history: denies tobacco or etoh use. family history: non-contributory physical exam: vs: 67 20 218/102 5'4" 177# gen: wd/wn female in nad skin: unremarkable heent: eomi, perrl, nc/at neck: supple, from, -jvd, ?bruit chest: ctab heart: rrr -c/r/m/g abd: soft, nt/nd +bs ext: warm, well-perfused 1+rt leg edema neuro: a&o x 3, mae, non-focal pertinent results: cxr: increasing pleural effusions (left greater than right). superimposed atelectasis or consolidation cannot be excluded at the left base. head ct: there is no evidence of acute hemorrhagic changes, unchanged extensive chronic small microvascular ischemic disease as described above. bilateral dense arteriosclerotic calcifications noted in both carotid siphons as well as in the vertebral arteries. please make note of mri with diffusion- weighted sequences is more sensitive in order to demonstrate acute or subacute ischemic events. echo: pre bypass: the left atrium is moderately dilated. a left atrial appendage thrombus cannot be excluded. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is mild to moderate regional left ventricular systolic dysfunction with severe apical hypokinesis/akinesis, moderate septal and inferior hypokinesis throughout. lvef 40%. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch and the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. post bypass: the patient is initally av-paced on phenylepherine, later a paced on epinepherine (0.01 mcg/kg/min) and nitroglycerin (0.5 mcg/kg/min) infusions. overall lv function is unchanged to slightly improved lvef 45%. there is improvement in inferior hypokinesis, which is now mild to moderate. apical cap is still severely hypokinetic to akinetic, but other apical segments are now moderately to severely hypokinetic (previously severely hypokinetic). there is trace mitral regurgitaton. aortic contours are intact. remaining exam is unchanged. all findings discussed with surgeons at the time of the exam. 02:18pm blood wbc-10.6# rbc-2.94*# hgb-8.6*# hct-24.3*# mcv-83 mch-29.1 mchc-35.3* rdw-13.3 plt ct-109* 03:07am blood wbc-19.3*# rbc-3.36* hgb-9.8* hct-27.8* mcv-83 mch-29.1 mchc-35.2* rdw-14.2 plt ct-132* 05:00am blood wbc-9.6 rbc-3.09* hgb-8.9* hct-26.4* mcv-85 mch-28.7 mchc-33.6 rdw-15.0 plt ct-216 02:18pm blood pt-15.2* ptt-35.8* inr(pt)-1.3* 03:12am blood pt-13.1 ptt-24.4 inr(pt)-1.1 03:44pm blood urean-15 creat-1.0 cl-116* hco3-21* 05:00am blood glucose-156* urean-24* creat-1.2* na-141 k-3.8 cl-105 hco3-27 angap-13 05:00am blood calcium-8.2* phos-3.1 mg-1.9 brief hospital course: ms. was a same day admit and on she was brought to the operating room where she underwent a coronary artery bypass graft x 3. please see operative report for surgical details. following surgery she was transferred to the cvicu for invasive monitoring in stable condition. she remained intubated overnight. on post-op day one she was weaned from sedation, but was slow to wake up and had decreased response on left side. neurology was consulted and a head ct was performed. ct revealed no cva. the following day patient was more alert and had improved movement on left side. chest tubes and epicardial pacing wires were removed per protocol. patient required bedside swallow d/t difficulty swallowing. she required tube feeds and over a couple of days her swallowing improved and was able to tolerate regular diet. on post-op day three she was transferred to the telemetry floor for further care. medications were adjusted and electrolytes replete. she worked with physical therapy for strength and mobility. repaeat head ct was negative. on post-op day six she appeared to be doing well without deficits on left side, and was discharged home with vna services and the appropriate follow-up appointments. medications on admission: lisinopril 40mg qd, lopressor 100mg , nifedipine 60mg qd, ntg sl prn, kcl 40mg qd, spironolactone 25mg qd, aspirin 500mg qd, lipitor 80mg qd, imdur 60mg qd, glyburide 10mg , tricor 48mg qd, conidine 0.1mg qd, fioricet discharge medications: 1. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*1* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 3. 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* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 5. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*1* 6. glyburide 5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*1* 7. ferrous gluconate 300 mg (35 mg iron) tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 9. clonidine 0.2 mg/24 hr patch weekly sig: one (1) patch weekly transdermal qfri (every friday). disp:*4 patch weekly(s)* refills:*0* 10. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 11. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 12. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 7 days. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 pmh: hypertension, hyperlipidemia, diabetes , , gastroesophageal reflux disease, depression, anxiety, chronic back pain s/p laminectomy, chronic headache, s/p tubal ligation 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, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon or while taking narcotic pain medicine. followup instructions: wound check on 6 in 2 weeks dr. in 4 weeks dr. in weeks dr. in weeks procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries pulmonary artery wedge monitoring diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled constipation, unspecified dysthymic disorder other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to