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: a 41-year-old female with a history of coronary artery bypass graft x3 in who has experienced substernal chest pain over the past two days. patient initially attributed her discomfort to a cold. this afternoon pain worsened then spread to her arms and neck. she planned to see her doctor tomorrow, but due to this worsening of the pain, the patient decided to come to the emergency department. at , the patient was brought to the catheterization laboratory. at cardiac catheterization, patient was found to have three vessel coronary artery disease. the lmca had a distal 50% stenosis. the left anterior descending artery was totally occluded after giving off s1 and d1. the distal left anterior descending artery stent refilled via the left collaterals. the left lca was totally occluded proximally. the right coronary artery was severely diffusely diseased proximally and totally occluded in its mid segment. selective graft vessel angiography revealed a totally occluded saphenous vein graft to om after giving off the free lima to distal left anterior descending artery. the distal left anterior descending artery supplied by the lima graft had mild-to-moderate diffuse disease, but had no flow limiting lesions. the saphenous vein graft to distal rva was widely patent, but with timi-i flow and injection, and supplied diminutive distal right coronary artery. resting hemodynamics revealed elevated right and left sided filling pressures. there was mild pulmonary hypertension. cardiac index is mildly reduced at 2.2. the distal right coronary artery occlusion just beyond the saphenous vein graft, right coronary artery anastomosis was successfully treated by thrombectomy, angioplasty, and stenting with no residual stenosis, no intergraphic evidence of dissection, and timi-iii flow. during procedure, the patient required administration of dopamine due to systolic blood pressures in the 70's. she was transferred to the ccu for further management. past medical history: 1. coronary artery disease status post coronary artery bypass graft x3 in : lima to lad, saphenous vein graft to om, saphenous vein graft to pda. 2. sternal wound infection. 3. hypothyroidism. 4. nephrolithiasis. 5. obesity. 6. anemia. 7. depression. 8. gestational diabetes. 9. repair of triple hernia. allergies: penicillin, succinylcholine, and sulfa. medications: 1. hydrochlorothiazide 25 mg po q day. 2. triamterene 37.5 mg po q day. 3. lasix 40. 4. levoxyl 50. 5. omeprazole 20. 6. folic acid 1. social history: the patient lives in with her husband. she smokes half a pack a day. she is currently not employed. family history: mother died at age 50 of a myocardial infarction. multiple family members on her mother's side died in their 50's of coronary artery disease. father has diabetes mellitus. physical examination: general: obese female lying in bed in no apparent distress. vital signs: temperature 96.9, blood pressure 120/79, heart rate 74, respiratory rate 24, and o2 saturation 98% on 2 liters. weight 104.3 kg. heent: normocephalic, atraumatic. pupils are equal, round, and reactive to light. extraocular movements are intact. mucous membranes moist. oropharynx clear. neck is supple, difficult to assess jugular venous distention. heart: regular, rate, and rhythm, s1, s2, no murmurs, rubs, or gallops. chest: sternotomy scar present. lungs are clear to auscultation anteriorly. abdomen is soft, nontender, nondistended, positive bowel sounds. midline abdominal scar. extremities: lower leg scar from sv harvest site. neurologic is alert and oriented times three. cranial nerves ii through xii are grossly intact. examination is otherwise negative. laboratory data: white count was 8.1, hematocrit 46.2. chemistries were significant for a potassium of 3.3 and a magnesium of 1.4. alt was elevated at 58, ast was elevated at 86, alkaline phosphatase, and total bilirubin were within normal limits. initial ck was 94 with a troponin of 18.2, second ck was 399 with a troponin of 16.5, third ck was 910. electrocardiogram: normal sinus rhythm at 80 beats per minute, normal intervals, right axis deviation, 2 mm st segment elevation in ii, 1 mm st segment elevation in lead iii, 2 mm st segment elevation in avf, q's in i and ii, right sided leads, no st elevation in v4 r. chest x-ray: probable mild fluid overload, no evidence for pneumonia. impression: a 41-year-old female with history of cabg x3 in and a strong family history of coronary artery disease admitted with chest pain and electrocardiogram changes consistent with inferior myocardial infarction. patient is status post angio-jet thrombectomy to distal right coronary artery with placement of stent to right coronary artery beyond pda. the patient is admitted to the ccu for further management. hospital course: the patient was maintained on beta blocker, aspirin, plavix in the ccu. she was also administered integrilin for 18 hours. her homocysteine level was sent off to workup patient's workup etiology of coronary artery disease in this young woman. creatinine kinase was followed and was noted to be peak at 910. the patient remained in normal sinus rhythm and was monitored on telemetry. ace inhibitor was titrated up as patient tolerated. patient remained chest pain free during her hospital stay. on she underwent echocardiogram which disclosed the following: 1) mild dilatation of the left atrium, 2) left ventricular cavity size is normal, overall left ventricular systolic function is mildly depressed, inferior akinesis is present, 3) trace aortic regurgitation is seen, 4) the mitral valve leaflets were mildly thickened, 5) trivial mitral regurgitation is seen. during hospital stay, it was emphasized to this patient that she must quit smoking. the patient was administered nicotine patch and gum during her hospital stay. the patient expressed a desire to quit smoking. discharge condition: good. discharge diagnoses: 1. three vessel coronary artery disease. 2. occluded saphenous vein graft to obtuse marginal. 3. mild systolic and diastolic left ventricular dysfunction. 4. acute inferior myocardial infarction managed by acute ptca. 5. successful angio-jet and stenting of the distal right coronary artery beyond the saphenous vein graft-right coronary artery anastomosis. discharge medications: 1. aspirin 325 mg po q day. 2. atenolol 25 mg po q day. 3. plavix 75 mg po q day. 4. folic acid 1 mg po q day. 5. protonix 40 mg po q day. 6. levothyroxine 50 mcg po q day. 7. pravastatin 20 mg po q day. 8. lisinopril 5 mg po q day. 9. nicotine gum 2 mg one gum q1h as needed. 10. nicotine patch 7 mg. discharge instructions: patient instructed to followup with her primary care physician. dr., 12-abz dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of temporary transvenous pacemaker system diagnoses: coronary atherosclerosis of native coronary artery unspecified acquired hypothyroidism cardiac complications, not elsewhere classified aortocoronary bypass status other specified cardiac dysrhythmias acute myocardial infarction of other inferior wall, initial episode of care family history of ischemic heart disease 

Answer: The patient is high likely exposed to