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: patient recorded as having no known allergies to drugs attending: chief complaint: chest and arm pain major surgical or invasive procedure: coronary artery bypass grafting x3, (left internal mammary artery, left anterior descending coronary artery; reverse saphenous vein single graft from the aorta to the ramus intermedius coronary artery; as well as reverse saphenous vein graft from the aorta to the distal right coronary artery) on history of present illness: 73 year old female who began to develop exertional arm and chest pain this past . she was referred to a cardiologist who performed an exercise tolerance test which was positive for ischemia. she underwent a cardiac catheterization which revealed severe coronary artery disease with a 50% left main stenosis, 80% lad and 90% rca. given these findings, she has been referred for surgical evaluation. past medical history: hypertension hyperlipidemia chronic renal insufficiency - stage iii anemia obesity copd hypothyroid osteoporosis past surgical history abd. surgery for perforated ulcer right knee surgery hysterectomy with bladder resuspension social history: race: caucasian last dental exam: full dentures lives with: husband occupation: n/a tobacco: quit etoh: denies family history: non-contributory physical exam: admission physical exam pulse: 64 resp: 16 o2 sat: 98% b/p right: 147/62 left: 150/75 height: 59" weight: 200 general: well-developed obese female with in no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: expiratory wheeze bilateral heart: rrr irregular murmur - abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused large le edema: 2+ varicosities: none neuro: grossly intact pulses: femoral right: 1+ left: 1+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right: - left: - pertinent results: 09:46am blood wbc-10.8 rbc-3.43* hgb-9.9* hct-29.3* mcv-85 mch-28.8 mchc-33.7 rdw-16.4* plt ct-133* 03:10pm blood wbc-8.0 rbc-3.14* hgb-9.2* hct-26.4* mcv-84 mch-29.4 mchc-35.0 rdw-15.9* plt ct-106*# 04:23pm blood pt-14.3* ptt-33.3 inr(pt)-1.2* 03:10pm blood pt-14.6* ptt-33.0 inr(pt)-1.3* 09:46am blood urean-20 creat-0.8 na-137 k-4.1 cl-102 04:23pm blood urean-20 creat-0.8 na-143 k-4.0 cl-114* hco3-23 angap-10 echocardiography report , (complete) done at 1:07:41 pm final referring physician information , c. , status: inpatient dob: age (years): 73 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: chest pain. coronary artery disease. shortness of breath. for cabg. icd-9 codes: 402.90, 786.05, 786.51 test information date/time: at 13:07 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2010aw1-: machine: siemens echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 0.7 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 0.6 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *5.7 cm <= 5.6 cm left ventricle - systolic dimension: 4.0 cm left ventricle - fractional shortening: 0.30 >= 0.29 left ventricle - ejection fraction: 45% to 50% >= 55% aorta - sinus level: 2.8 cm <= 3.6 cm aorta - ascending: 2.4 cm <= 3.4 cm aorta - descending thoracic: 2.1 cm <= 2.5 cm aortic valve - mean gradient: 7 mm hg aortic valve - lvot diam: 1.8 cm mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 0.3 m/sec mitral valve - e/a ratio: 2.67 findings left atrium: mild spontaneous echo contrast in the body of the la. depressed laa emptying velocity (<0.2m/s) right atrium/interatrial septum: no asd or pfo by 2d, color doppler or saline contrast with maneuvers. left ventricle: normal lv wall thickness. normal lv cavity size. mildly depressed lvef. right ventricle: normal rv chamber size and free wall motion. aortic valve: three aortic valve leaflets. no ar. mitral valve: mild (1+) mr. tricuspid valve: physiologic tr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. results were conclusions pre cpb: mild spontaneous echo contrast is seen in the body of the left atrium. the left atrial appendage emptying velocity is depressed (<0.2m/s). no atrial septal defect or patent foramen ovale is seen by 2d, color doppler or saline contrast with maneuvers. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly depressed (lvef= 45 %). right ventricular chamber size and free wall motion are normal. there are three aortic valve leaflets. no aortic regurgitation is seen. mild (1+) mitral regurgitation is seen. dr. was notified in person of the results. epi-aortic ultrasound performed prior to cannulation. post cpb: aortic contours intact. no change in mild mr. preserved or slightly improved biventricular systolic function. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 17:04 ?????? caregroup is. all rights reserved. brief hospital course: ms. was taken to the operating room and underwent coronary artery bypass grafting x3,(left internal mammary artery, left anterior descending coronary artery; reverse saphenous vein single graft from the aorta to the ramus intermedius coronary artery; as well as reverse saphenous vein graft from the aorta to the distal right coronary artery) with dr.. please see operative report for further details. she tolerated the procedure well and was transferred to the cvicu intubated and sedated in critical but stable condition. she awoke neurologically intact and was weaned to extubate without difficulty. all lines and drains were discontinued timely fashion. beta-blocker/statin?aspirin and diuresis was initiated. pod#2 she was transferred to the step down unit for further monitoring. physical therapy was consulted for evaluation of strength and mobility. the remainder of her post operative course was essentially uneventful. she continued to progress and was cleared by dr. for discharge to home with vna on pod#4. all follow up appointments were advised. medications on admission: aspirin 325mg daily crestor 20mg daily imdur 30mg daily zetia 10mg daily atenolol 25mg twice daily lisinopril 40mg daily clonidine 0.3mg twice daily lasix 40mg twice daily potassium chloride 8meq three times daily nitroglycerin 0.3mg prn fosamax 70mg weekly synthroid 100mcg daily combivent 1 puff every 4 hours tums ferous fumarate 38mg daily procrit 10,000 units sc every 2 weeks ambien 5mg at bedtime glucosamine/chondroitin magnesium oxide 400mg daily loratidine 10mg daily discharge medications: 1. magnesium oxide 400 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 2. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. alendronate 70 mg tablet sig: one (1) tablet po qsun (every sunday). disp:*12 tablet(s)* refills:*2* 4. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 7. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 8. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 9. furosemide 40 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*60 tablet(s)* refills:*2* 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po q12h (every 12 hours). disp:*120 tab sust.rel. particle/crystal(s)* refills:*2* 11. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 12. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 13. clonidine 0.1 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 14. nystatin 100,000 unit/g cream sig: one (1) appl topical (2 times a day). disp:*qs * refills:*2* 15. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: vna & hospice discharge diagnosis: 1.severe 3-vessel coronary disease. 2. severe obesity. 3. chronic obstructive pulmonary disease. 4. diabetes. 5. chronic renal insufficiency-stage iii. hypertension hyperlipidemia anemia hypothyroid osteoporosis discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr office will contact you to arrange a follow up appointment, (#,)and with your cardiologist:dr. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) osteoporosis, unspecified obesity, unspecified long-term (current) use of aspirin 

Answer: The patient is high likely exposed to