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: past medical history: 1. coronary artery disease status post coronary artery bypass graft in . catheterization in , which showed deferred saphenous vein graft occlusion. catheterization in showed an increase filling pressure, inferior hypokinesis, 30% osteal lma and 80% obtuse marginal occlusion. good collaterals. 2. villous adenoma. 3. osteoporosis. past surgical history: 1. status post coronary artery bypass graft in1998. 2. status post ileocecectomy. 3. status post hysterectomy. allergies: mycin and lovastatin. medications on admission: 1. atenolol 100 mg b.i.d. 2. amlodipine 25 mg q.d. 3. isosorbide mononitrate 60 mg q.d. 4. gemfibrozil 600 mg b.i.d. 5. captopril 50 mg b.i.d. 6. cholysteramine 4 mg b.i.d. 7. hydrochlorothiazide 25 mg q.d. 8. diltiazem extended release 180 mg q.d. 9. alendronate 17 mg q monday. history of present illness: the patient is an 81 year-old female with coronary artery disease, hypertension, hypercholesterolemia, status post coronary artery bypass graft in who presented to the emergency department with substernal chest pain radiating to her jaw for one day. the patient took five nitroglycerin tablets with modest relief. in the emergency department the patient had an episode of chest pain when she was moving in to bed. electrocardiogram was obtained, which showed decreased at segments in anterior leads v1 through v4. electrocardiogram changes resolved in less then five minutes and so did the chest pain. the patient was admitted to the medicine service for further evaluation and workup. physical examination: the patient is pleasant, cooperative and in no acute distress. neck jv flat. no carotid bruits. cardiovascular normal s1 and s2. lungs clear to auscultation bilaterally. abdomen soft, nontender, nondistended. bowel sounds positive. extremities no edema. warm and well perfuse. laboratory: white blood cell count 7.5, hematocrit 32.5, platelets 360. inr 1.2, ptt 25.9, sodium 134, potassium 4.6, chloride 106, bicarb 17, bun 31, creatinine 1.1, blood sugar 124, calcium 9.6, phosphate 3.8, magnesium 2.3. ck 76, troponin .3. hospital course: the patient was admitted to the medicine service. cardiac catheterization was done on , which showed left ejection fraction of 50%, right main occluded, left anterior descending coronary artery occluded, left circumflex occluded, right circumflex occluded, saphenous vein graft to left anterior descending coronary artery 95% stenosis. at that point the patient was urgently referred to ct surgery for further evaluation. preoperatively the patient remained symptom free. vital signs were stable. the patient was taken to the operating room on , were re-do coronary artery bypass graft times one was performed with left anterior descending coronary artery to saphenous vein graft. operation went without complications. pacing wires as well as mediastinal pleural tubes were placed intraoperatively. the patient was transferred to csiu in stable condition. postoperative day number one the patient was acidotic in blood gas, which was treated with two ampules of bicarb. the patient responded appropriately with ph increasing from 7.28 to 7.35. _____________ was placed. the patient was intubated and awake following commands. the patient had a few episodes of frequent premature atrial contractions. the patient remained stable during these episodes returning to normal sinus rhythm spontaneously. postoperatively, the patient is extubated without complications. her lopressor dose was increased. the patient was started on amiodarone. postoperative day number three the patient's vital signs were stable, occasional bursts of premature atrial contractions. the patient was transferred to a floor. on the floor the patient had an episode of atrial fibrillation with a heart rate of 130 on the monitor. the patient was complaining of jaw pain radiating into the left arm. the electrocardiogram was obtained, which showed st depression in v2, v3. the episode lasted seven to ten minutes and the patient spontaneously converted to normal sinus rhythm in which her electrocardiogram changes reversed. the patient was transferred back to csiu. she had a couple of episodes of a tach, a flutter 2 to 1 and atrial fibrillation with rates up to 140. the patient was given intravenous lopressor and loaded with intravenous amiodarone. the physiology service was consulted, which recommended increasing the dose of oral lopresor. the question of a permanent pacemaker was raised, but it was decided to wait at that time. postoperative day number four the patient was transfused one unit of blood for low hematocrit to which she properly responded to an increased hematocrit to 32.3. the patient was continued on amiodarone. her dose of lopressor was increased. the patient continues going in and out of atrial fibrillation. postoperative day number five the patient continues to go in and out of atrial fibrillation. her lopressor dose was increased to 150 b.i.d. postoperative day number six the patient's heart rate is 60 and a-paced. occasional episodes of atrial fibrillation with heart rates to 140s. the last episode of atrial fibrillation was in the morning of . the patient was transferred to a regular floor. postoperative day number seven the patient is event free, afebrile, vital signs stable. the patient is ambulating with physical therapy. the issue of permanent pacemaker was discussed again. the electric physiology service decided since the patient seemed to be pretty well controlled on oral medication and had not required pacing for over 24 hours. she does not need a permanent pacemaker at this time. her lopressor dose will be slowly turned down to a goal of 50 mg b.i.d. she will continue on oral amiodarone at this time. it was also noted that the patient had a couple of bullae irregular shape approximately 2 by 3 cm along her right saphenous incision site. a few of them were hemorrhagic. the patient denied a history of any skin condition or bullae in the past. she denies any skin manifestations, allergies to medications in the past. bullae nontender. no surrounding erythema. the patient will be observed at this time. condition on discharge: good. discharge status: the patient will be discharged with of heart monitor once today's print out, which should be sent to dr. for read out. the patient should undergo physical therapy with a goal of transition to outpatient rehab. right saphenous dressing changes dry b.i.d. the patient should follow up with dr. in six weeks for postoperative check. the patient should follow up with dr. in three to four weeks for her heart rate issues. the patient should follow up with her primary care physician in two to three weeks for blood pressure check and adjustment. discharge diagnoses: 1. coronary artery disease status post coronary artery bypass graft, status post re-do coronary artery bypass graft. 2. villous adenoma. 3. status post ileocecectomy. 4. status post hysterectomy. 5. osteoporosis. 6. status post atrial fibrillation and atrial tachycardia. medications on discharge: docusate 100 mg po b.i.d., zantac 150 mg po b.i.d., enteric coated aspirin 325 mg po q.d., tylenol 650 mg q 4 to 6 hours prn, benadryl 25 mg po q.h.s. prn, cholestyramine 4 mg po b.i.d., lasix 40 mg po b.i.d. times ten days, potassium chloride 20 mg po b.i.d. times ten days, gemfibrozil 600 mg po b.i.d., amiodarone 400 mg po q.d. times three weeks and then 200 mg po q.d., lopressor 100 mg po b.i.d., alendronate 17 mg q monday. , m.d. 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 angiocardiography of left heart structures implant of pulsation balloon diagnoses: acidosis pure hypercholesterolemia unspecified essential hypertension coronary atherosclerosis of autologous vein bypass graft atrial fibrillation 

Answer: The patient is high likely exposed to