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 year old female with a history of gastritis, hypertension and hypercholesterolemia who was admitted to the service on for the complaint of progressive chest pain. the patient described a two to three month history of progressive shortness of breath and substernal chest pain. the patient stated that the chest pain originally occurred at rest and reported that her episodes had become more severe over the ensuing time. the patient's episodes were characterized by pain radiating to both arms that would occasionally wake her up at night and lasted approximately 30 minutes in duration. the patient was reportedly evaluated by her primary care physician and was presumptively diagnosed with gastritis; an esophagogastroduodenoscopy conducted on demonstrated mild gastritis which resulted in outpatient treatment with maalox and protonix prn. the patient continued to demonstrate worsening symptoms, resulting eventually in a mibi stress test on which demonstrated severe lateral wall reversible defects. the patient was subsequently advised to come immediately to the emergency department at , where she was noted to have st depressions in leads 2, avf, v5 and 6 and an old t wave inversion in leads 1 and avl. the patient was subsequently started on heparin and nitroglycerin drip which brought immediate relief of her chest pain symptoms and she was subsequently admitted to the medicine service on for further evaluation and treatment. past medical history: hypertension; hypercholesterolemia; colon cancer; status post colectomy; breast cancer; peripheral vascular disease; gastritis; status post right total hip repair; status post thyronodular excision. home medications: sinemet; levo carbidopa; lipitor; atenolol; norvasc; hydrochlorothiazide; protonix; benicar; timolol; maalox; tylenol; multivitamin; calcium; fish oil. allergies: no known drug allergies. social history: widowed and lives in with daughter, formerly worked as a secretary and is now retired. no smoking and no alcohol history. hospital course: the patient was admitted to the service on . initial inpatient therapy included aspirin, statins, heparin, and nitroglycerin drip, on which regimen the patient was noted to have significant relief of her chest pain. cardiac catheterization performed on demonstrated three vessel coronary artery disease, moderate mitral regurgitation, moderate diastolic ventricular dysfunction, and mild systolic ventricular dysfunction. a 30 cc intra-aortic balloon pump was inserted without complication through the course of the procedure. the patient's ejection fraction was noted to be approximately 50%. following catheterization, the patient was admitted to the cardiac care unit for further evaluation and management. the patient was subsequently evaluated by the cardiothoracic surgery service and scheduled for urgent coronary artery bypass graft on . on , the patient underwent an off pump coronary artery bypass graft times one with anastomosis of the left internal mammary artery to the left anterior descending with a plan for postoperative stenting. the patient tolerated the procedure well without complications. the patient's pericardium was left open; lines placed including an arterial line, swan-ganz catheter, and intra-aortic balloon pump; wires placed included ventricular pacer wires; two slits including mediastinal, right and left pleural tubes. on transfer to the cardiothoracic surgery recovery unit, the patient demonstrated a mean arterial pressure of 92, central venous pressure of 0, pad of 8 and of 18. the patient demonstrated a heartrate of 84 in normal sinus rhythm. drips on transfer included neo 0.7 and propofol at 10. in the cardiothoracic surgery recovery unit, the patient progressed well clinically and was successfully extubated on postoperative day #1, . the patient was returned to the catheterization laboratory on postoperative day #1, where stents were placed both to the circumflex and ramus. on postoperative day #2, the patient was cleared for transfer to the floor, at which point her iabp was removed and her cordis was changed to a triple lumen catheter without complication. the patient was subsequently admitted to the cardiothoracic service on direction of dr. . postoperatively the patient progressed well clinically. physical therapy evaluation recommended the patient for rehabilitation following discharge, after which point the patient was successfully screened for placement. on postoperative day #4, the patient's chest tubes were removed without complication; subsequent chest x-ray demonstrated no evidence of pneuomothorax. the patient was successfully advanced to a regular p.o. diet and was noted to have adequate pain control via oral pain medications. on postoperative day #5, , the patient was cleared for discharge to a rehabilitation facility with instructions for follow up. condition on discharge: the patient is to be discharged to an extended care facility with instructions for follow up. status on discharge: stable. discharge medications: 1. lasix 40 mg p.o. q. 12 hours 2. pantoprazole 40 mg p.o. q. 12 hours 3. potassium chloride 20 meq p.o. q. 12 hours 4. docusate sodium 100 mg p.o. b.i.d. 5. aspirin 325 mg p.o. q.d. 6. plavix 75 mg p.o. q.d. 7. carbidopa levodopa 20/100 mg tablets one tablet p.o. t.i.d. 8. carbidopa levodopa 25/100 mg tablets one tablet p.o. b.i.d. 9. atorvastatin 20 mg p.o. q. day 10. timolol maleate 0.25% eye drops one drop ophthalmic q.h.s. 11. losartan 25 mg p.o. q.d. 12. lopressor 50 mg p.o. b.i.d. discharge instructions: the patient is to maintain her incisions clean and dry at all times. the patient may shower but she should pat dry incisions afterwards; no bathing or swimming. the patient may resume a regular diet. the patient has been advised to limit physical activities, no heavy exertion, no driving while taking prescription pain medications. follow up with primary care provider within one to two weeks following discharge. follow up with dr. within four weeks of discharge. the patient has been advised to call to schedule both appointments. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass combined right and left heart cardiac catheterization coronary arteriography using two catheters coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization implant of pulsation balloon removal of external heart assist system(s) or device(s) insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation iatrogenic pneumothorax primary pulmonary hypertension diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to