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: the patient is an 82-year-old woman with left circumflex stent in after a non q-wave myocardial infarction with recent return of angina at rest x2 weeks, referred to for a diagnostic catheterization from . on catheterization prior to her stenting in , the patient had an lad with a total occlusion, a proximal circumflex of 90% at the om1 and an rca of 50%. her ejection fraction at that time was 45%. she has done well since then with no recurrence of symptoms. two weeks ago, she had an acute onset of nocturnal angina, took two sublingual nitroglycerin with relief. she saw her primary care provider and was started on nitroglycerin paste and is now referred back for catheterization. past medical history: 1. severe low back pain which is chronic. 2. hypothyroid. 3. status post appendectomy. 4. status post bladder suspension. 5. status post hemorrhoidectomy. 6. status post ovarian cyst removal. 7. abdominal aortic aneurysm, which has been stable for the past three to four years followed by ct scan q 3 to 4 months. 8. hypertension. cardiac risk factors include positive for hypertension, positive for high cholesterol, negative for diabetes mellitus, negative for smoking, positive for family history. social history: significant for tobacco use. she has stopped x1 year. prior to that she smoked one pack per day for 60 years. transfer medications: 1. captopril 37.5 mg tid. 2. synthroid 0.15 mg qd. 3. lopressor 25 mg . 4. hydrochlorothiazide 25 mg qd. 5. lipitor 10 mg qd. 6. potassium chloride 20 milliequivalents qd. 7. .............. 20 mg qd. 8. miacalcin nasal spray 2200 international units qd. 9. aspirin 325 mg qd. 10. nitroglycerin 0.4 sl prn. social history: the patient lives in with , . laboratory data: inr is 1.0. white blood cell count is 8.5, hematocrit 37.7, platelets 442. sodium is 140, potassium 4.6, chloride 101, co2 31, bun 18, creatinine 0.8, glucose 87. admission physical exam: general: the patient feels well with no complaints of shortness of breath or chest pain. lungs: clear to auscultation. heart: heart sounds are regular rate and rhythm, s1, s2 with no murmurs, rubs or gallops. extremities: she has bilateral femoral pulses with a soft bruit, trace dorsalis pedis and posterior tibial pulses. abdomen: soft, nontender with no bruits. she has been npo for cardiac catheterization. the patient underwent cardiac catheterization. please see catheterization report for full details. in summary, the catheterization showed apical dyskinesis, inferior hypokinesis with an ejection fraction of 35%, lad 100% lesion, circumflex 60% mid lesion, rca 75% mid lesion with diffuse disease throughout. the cardiothoracic surgical team was consulted. the patient was seen by cardiothoracic surgery and the option of surgical intervention was discussed with the patient. she was accepted by cardiothoracic surgery for coronary artery bypass grafting and on she was brought to the operating room where she underwent coronary artery bypass grafting x3. please see the operating room report for full details. in summary, the patient had a coronary artery bypass graft x3 with a left internal mammary artery to the lad, a saphenous vein graft to the pda and a saphenous vein graft to om1. the patient tolerated the procedure well and was transferred from the operating room to the cardiothoracic intensive care unit. she did well immediately postoperatively and was extubated on the day of her surgery. she remained hemodynamically stable overnight on a small dose of neo-synephrine which was weaned off on the morning of postoperative day #1. she remained hemodynamically stable off the neo-synephrine and was transferred to the floor for continuing postoperative care and cardiac rehabilitation. her chest tubes were discontinued on postoperative day #1. over the next several days, the patient did well. her activity level was increased. her only complaint throughout the next several days was nausea felt to be related to the percocet which she was receiving for pain. percocet was discontinued and nausea resolved. on postoperative day #3, the patient's foley catheter was removed and on postoperative day #5, the patient's temporary pacemaker wire was removed. at that time, it was felt that the patient was hemodynamically stable and her activity level was adequate that she could be discharged to home and arrangements were made for the patient to be discharged to home with a nurse physical therapy follow up at her home. at the time of discharge, the patient's condition is stable. discharge physical exam: vital signs: temperature 98.7??????, heart rate 67 sinus rhythm, blood pressure 119/65, respiratory rate 20, o2 saturation 94% on room air. her preoperative weight is 70.8 kg. her discharge weight is 72.6 kg. general: alert and oriented x3, moves all extremities, follows commands. respiratory: breath sounds decreased at the left base, otherwise clear to auscultation. heart sounds regular rate and rhythm, s1, s2, no murmurs, rubs or gallops. sternum is stable. incision with steri-strips open to air, clean and dry. abdomen: soft, nontender, nondistended with normoactive bowel sounds. extremities: warm and well perfused with 1+ edema of the left lower extremity. left lower extremity incisions are with steri-strips, open to air, clean and dry. discharge lab data: hematocrit 24.9, sodium 138, potassium 4.3, chloride 102, co2 28, bun 30, creatinine 0.9, glucose 108. discharge medications: 1. aspirin 81 mg qd. 2. colace 100 mg . 3. lasix 20 mg qd x7 days. 4. potassium chloride 20 milliequivalents qd x7 days. 5. metoprolol 25 mg . 6. captopril 37.5 mg q8h. 7. synthroid 0.15 mg qd. 8. lipitor 10 mg qd. 9. miacalcin nasal spray 2200 international units qd. 10. tylenol 650 mg q4h prn. the patient is to be discharged home with vna. she is to have follow up with dr. in one month, follow up wound check in two weeks, also to have follow up with dr. within a month and with her primary care provider also within month. discharge diagnoses: 1. coronary artery disease, status post coronary artery bypass graft x3 with left internal mammary artery to lad and saphenous vein graft to pda and saphenous vein graft to om. 2. hypothyroid. 3. status post appendectomy. 4. status post bladder suspension. 5. ovarian cyst removal. 6. abdominal aortic aneurysm. 7. hypertension. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension unspecified acquired hypothyroidism old myocardial infarction family history of ischemic heart disease abdominal aneurysm without mention of rupture heart disease, unspecified 

Answer: The patient is high likely exposed to