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 55 year old female who reports regional exertional chest pain relieved by nitroglycerin with one episode of chest pain at rest. she was seen prior to her surgical admission by the cardiac surgery team on . stress test showed a reversible apical anterior and septal wall defects. cardiac catheterization was performed preoperatively on , which showed a left main 70 percent lesion, 80 percent left anterior descending lesion, right coronary artery 40 percent lesion and ejection fraction of 70 percent. the patient reports angina which radiates to her arm. past medical history: noninsulin dependent diabetes mellitus, type 2. hypertension. hypercholesterolemia. breast cancer, , status post four rounds of chemotherapy and radiation, due to start on , two weeks after we saw her. past surgical history: lumpectomy with lymph node dissection. allergies: no known drug allergies. the patient states she was allergic to latex which produced hives. social history: the patient works full time as a physician's assistant at our institution. she had no tobacco history and no significant alcohol history. she lives with her elderly mother. mother also had myocardial infarction at 58 and her father died of myocardial infarction at 63. physical examination: on examination she was 5 foot 6 inches, 181 pounds. sinus rhythm 59. blood pressure 166/64, sating 98 percent on room air. respiratory rate 12. she was lying flat on the bed on the first examination post catheterization in no apparent distress. she was alert and oriented and appropriate. her lungs were clear anteriorly. her heart was regular rate and rhythm, s1 and s2, tone was normal. no rub or gallop. her abdomen was soft, obese, nontender, nondistended with positive bowel sounds. extremities were warm and well perfused with trace peripheral edema and a varicosity noted in her right calf. she had 2 plus bilateral radial pulses, 2 plus bilateral dorsalis pedis pulses and 1 plus posterior tibial on the right and 2 plus posterior tibial pulse on the left. medications prior to admission: medications prior to admission when she was seen and updated on , were as follows: glyburide 5 mg p.o. daily, lopressor 50 mg p.o. twice a day, lisinopril 10 mg p.o. daily, lipitor 40 mg p.o. daily, aspirin 325 mg p.o. daily and sublingual nitroglycerin daily. laboratory data: white count 5.7, hematocrit 32.5, platelet count 130,000, alt 60, ast 17, alkaline phosphatase 67, total bilirubin 0.5, repeat white count 3.3 on , repeat hematocrit 34.9. pt 12.5, ptt 27.1, platelet count 183,000, inr 1.0, all on repeat laboratory data at preadmission testing. urinalysis was negative. sodium was 143, potassium 3.7, chloride 106, bicarbonate 26, bun 12, creatinine 0.5 with a blood sugar of 108 and anion gap of 15. repeat liver function tests showed alt 53, ast 30, alkaline phosphatase 93, total bilirubin 0.5, total protein 6.5, albumin 4.1, globulin 2.4. hpa1c 7.0 percent. preoperative chest x-ray showed no acute cardiopulmonary process. preoperative electrocardiogram showed sinus rhythm at 77 with t wave inversion in leads v2 to v5. please refer to the office electrocardiogram report dated . hospital course: the patient was a same day admit, and underwent coronary artery bypass grafting times three by dr. with left internal mammary artery to the left anterior descending coronary artery, vein graft to diagonal, vein graft to the obtuse marginal. surgery was undertaken after the patient was cleared by her oncologist, due to her recent chemotherapy. the patient was a little bit anemic postoperatively and did receive some packed red blood cells. transesophageal echocardiography in the operating room showed normal left ventricle with trace mitral regurgitation. on postoperative day number 1, the patient had been extubated over night and had been weaned from her neo-synephrine drip which she left the operating room on at 0.5 mcg/kg/minute. on postoperative day number 1, her white count was 8.6, hematocrit 28, platelet count 186,000, potassium 3.7, bun 5, creatinine 0.4. she was on an insulin drip at 1 unit per hour and a nitroglycerin drip at 0.3 mcg/kg/minute. she started lasix diuresis as well as beta blockade with lopressor and was doing very well and was transferred out to the floor. foley catheter was discontinued as were her chest tubes later that day. on postoperative day number 2, the patient had been unable to be transferred for lack of bed on the evening before, so the patient was transferred out to the floor on postoperative day number 2. her laboratory data were stable. she was at 14.4 kg, was sating 93 percent on 3 liters of nasal cannula with 100 sinus tachycardia with blood pressure of 157/76. she continued with intravenous lasix twice a day as well as lopressor and aspirin. she remained in sinus rhythm. chest tubes were removed. the patient began ambulating almost right away with the physical therapist on the floor. aggressive diuresis continued and she was ambulating. her beta blocker was increased to 37.5 b.i.d., lopressor, pacing wires were removed and she also started motrin. she was sating 93 percent on 2 liters with a good blood pressure of 111/61. she remained slightly tachycardiac but was not symptomatic. she had motrin added to her percocet with good effect for incisional pain. her incisions were clean, dry and intact. her sternum was stable. she did remarkably well with physical therapy. she continued to receive regular insulin, sliding scale. on the day of discharge her lung sounds were diminished at the base but she was producing a strong, dry cough and was using her incentive spirometer. she had trace nonpitting edema in both of her lower extremities. her incision was clean, dry and intact. she did one flight of stairs independently, thus achieving a level 5 and she was very anxious to be discharged to home, and she was discharged to home on with laboratory data as follows. white count 6.3, hematocrit 27.4, platelet count 112,000, potassium 3.9, bun 11, creatinine 0.6 with blood sugar of 125, inr 1.1. her lasix was decreased to once daily dose of 20 for one week. the patient was instructed to restart herself on her half dose of glyburide. he examination was unremarkable, and the patient was discharged to home with the following diagnoses. discharge diagnosis: coronary artery disease. status post coronary artery bypass grafting times three. noninsulin dependent diabetes mellitus. hypertension. hypercholesterolemia. status post breast cancer with lumpectomy and chemotherapy. discharge instructions: the patient was instructed to follow up with dr. . in one to two weeks postoperatively, primary care physician , and to follow up with dr. , her surgeon postoperatively at one month for postoperative surgical visit. discharge medications: 1. lasix 20 mg p.o. once a day for seven days. 2. potassium chloride 20 meq p.o. once a day for seven days. 3. colace 100 mg p.o. twice a day. 4. percocet 5/325 one to two tablets p.o. prn q. 4 hours for pain. 5. aspirin, enteric coated 81 mg p.o. once a day. 6. ibuprofen 800 mg p.o. q. 8 hours prn pain. 7. metoprolol 50 mg p.o. twice a day. 8. glyburide 5 mg p.o. once a day. 9. lipitor 40 mg p.o. once a day. discharge disposition: the patient was discharged to home with services in stable condition on . , procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries transfusion of packed cells transfusion of platelets diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled malignant neoplasm of other specified sites of female breast 

Answer: The patient is high likely exposed to