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: sulfa (sulfonamides) attending: chief complaint: exertional angina major surgical or invasive procedure: four vessel coronary artery bypass grafting utilizing left internal mammary artery to left anterior descending, vein grafts to diagonal, obtuse marginal and posterior descending arteries. re-exploration for bleeding history of present illness: ms. is a very pleasant woman with a history of htn and dm who reported a "pulling" sensation in her neck with an occasional "blocked-up" feeling in her ears to her pcp one year ago, which she states occurs while walking or doing house work. she was sent for carotid ultrasound which was reportedly negative and then to an ent specialist who started her on protonix for reflux but the symptoms did not go away. in , she was found to have non-diagnostic ekg changes during a routine physical and was scheduled for a stress test, results are as follows: stress test - exercised 4 minutes of protocol to 96% apmr stopping due to fatigue. no chest pain. no ischemic ekg changes. nuclear images showed moderate inferior and septal ischemia and a possible apex infarction with an ef of 49% and apical akinesis. cardiac catheterization in revealed three vessel coronary artery disease and mild diastolic ventricular dysfunction. selective coronary angiography revealed a right dominant system. the lad and lcx had separate ostia from the left coronary cusp. the lad had mild diffuse disease proximally and distally, however the mid lad had a 90% diffuse stenosis. the lcx gave off a large om branch that had a 90% mid-vessel stenosis. the rca was occluded proximally and was fed by collaterals from the lad. left ventriculography revealed a normal ejection fraction without evidence of wall motion abnormality or mitral regurgitation. based upon the above results, she was referred for coronary revascularization. past medical history: coronary artery disease, diabetes mellitus, hypertension, hyperlipidemia, obesity, s/p tubal ligation, s/p craniotomy social history: married for 37 years with two children. active smoker - 40 pack year history. family history: (+) fhx cad older brother had mi x2 and angioplasty in his 50's. physical exam: vitals: bp 140/70, hr 77, rr 25, sat 94% on room air general: obese female in no acute distress heent: oropharynx benign, neck: supple, no jvd, left carotid bruit noted heart: regular rate, normal s1s2, no murmur or rub lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: warm, no edema, no varicosities pulses: 1+ distally neuro: nonfocal pertinent results: 06:30am blood hct-26.8* 05:55am blood wbc-8.5 rbc-3.06* hgb-10.0* hct-28.0* mcv-91 mch-32.6* mchc-35.7* rdw-13.7 plt ct-144* 06:30am blood urean-9 creat-0.5 k-4.5 05:55am blood glucose-140* urean-9 creat-0.6 na-141 k-4.2 cl-102 hco3-33* angap-10 brief hospital course: ms. was admitted and underwent four vessel coronary artery bypass grafting by dr. . the operation was complicated by bleeding. she required multiple blood products and surgical re-exploration on the same operative day. for further details, please see seperate dictated operative notes. following surgical intervention, she was brought to the csru for invasive monitoring. within 24 hours, she awoke neurologically intact and was extubated. early postop, she was noted to have diffuse st elevations, more prominent in the inferior leads. serial ekgs were obtained. ekg findings were more likely related to pericarditis. there was very low suscipion for graft failure. post op cardiac enzymes remained within normal limits. she otherwise maintained stable hemodynamics. beta blockade was resumed for tachycardia. her csru course was otherwise uneventful. on postoperative day three, she transferred to the sdu. she remained fluid overloaded and required aggressive diuresis. beta blockade was advanced as tolerated. she remained in a normal sinus rhythm. over several days, she continued to make clinical improvements and made steady progress with physical therapy. at time of discharge, her bp was 130/57 with a heart rate of 84. she was tolerating room air(92-94%)and her chest x-ray was notable for mild congestive failure with cardiomegaly, small bilateral pleural effusions and bibasilar patchy atelectasis. all surgical wounds were clean, without evidence of infection. at time of discharge, she also remained fluid overloaded and will continue to require lasix as an outpatient. she will followup with her cardiologist in one week for appropriate diuretic titration. she will return to see dr. in approximately one month for routine follow up. medications on admission: glipizide 5mg protonix 40mg daily lipitor 10mg daily toprol xl 50mg daily diltiazem xr 180mg daily calcium asa 81mg daily benadryl 25mg qpm for sinus congestion ntg but has not used it discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. glipizide 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 5. 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* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 7. lasix 40 mg tablet sig: one (1) tablet po twice a day for 1 weeks. disp:*14 tablet(s)* refills:*0* 8. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 1 weeks. disp:*28 capsule, sustained release(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 diabetes mellitus hypertension hyperlipidemia obesity discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. followup instructions: cardiac surgeon, dr. in weeks. local pcp, . in weeks. local cardiologist, dr. in one week. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery incision of mediastinum diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hemorrhage complicating a procedure other and unspecified angina pectoris 

Answer: The patient is high likely exposed to