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: penicillins attending: chief complaint: non st elevation mycardila infarction major surgical or invasive procedure: left heart catheterization, coronary angiogram coronary artery bypass grafts x 2(lima-lad, svg-om) history of present illness: this 64 year old white female presented to an outside hospital with chest pain unrelieved with sublingual nitroglycerin. she ruled in for infarction with troponin to 0.4. she was transferred here for intervention. in the cath lab she was found to have left main disease, but remained pain free on a heparin infusion. she was referred for surgical revascularization. past medical history: depression hypercholesterolemia hypertension noninsulin dependent diabetes mellitus gastic reflux s/p right total knee replacement s/p appendectomy s/p total abdominal hysterectomy esophageal stricture social history: babysits for grandchildren 90 pack year smoker- stopped 20 years ago denies etoh use family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: on admission - vs: t=98.9 bp=131/55 hr=62 rr=18 o2 sat98%ra general: wdwn in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of *** cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 06:15am blood wbc-10.6 rbc-3.06* hgb-8.4* hct-25.6* mcv-84 mch-27.4 mchc-32.6 rdw-14.4 plt ct-226 06:15am blood glucose-107* urean-16 creat-0.7 na-135 k-5.0 cl-100 hco3-25 angap-15 brief hospital course: following admission she was begun on heparin and remained painfree. catheterization demonstrated left main disease and surgery was recommended. she underwent a coronary artery bypass graft times two on . see the operative note for details. she tolerated this procedure well and was transferred in critical but stable condition to the surgical intensive care unit. she was drowsy post-operatively, but became more alert once narcotics were discontinued. her chest tubes and epicardial wires were removed. by post-operative day two she was transferred to the step down floor. she was agressively diuresed. she experienced several hours of atrial fibrillation which was converted with intravenous amiodarone and beta blockade. by post operative day 5 she was medically stable and was transferred to rehab. medications on admission: acetaminophen 325-650 mg po q6h:prn pain or fever lorazepam 0.5 mg po q8h:prn insomnia albuterol inhaler 2 puff ih q6h:prn sob metoprolol tartrate 12.5 mg po bid aspirin ec 325 mg po daily multivitamins 1 tab po daily nitroglycerin 0.05-0.2 mcg/kg/min iv drip titrate to chest pain free order date: @ 0044 diltiazem 30 mg po qid pantoprazole 40 mg po q24h order date: @ 0044 docusate sodium 100 mg po bid constipation senna 1 tab po bid:prn constipation fluoxetine 40 mg po daily simvastatin 40 mg po daily furosemide 40 mg po daily plavix - last dose: 600mg loading dose discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. fluoxetine 10 mg capsule sig: four (4) capsule po daily (daily). 5. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 7. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temp. 8. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 9. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 11. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for wheezes. 12. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours) as needed for wheezes. 13. carvedilol 12.5 mg tablet sig: two (2) tablet po bid (2 times a day). 14. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 15. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): x 5 days then decrease to daily for 7 days then decrease to 200mg daily ongoing. 16. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days: or until pre-op weight 113kg. 17. potassium chloride 20 meq packet sig: one (1) po daily (daily) for 7 days: continue while on lasix then d/c when lasix d/c'd hold if k >4.5. 18. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 19. estradiol 1 mg tablet sig: one (1) tablet po daily (daily). 20. lorazepam 0.5 mg tablet sig: one (1) tablet po bid prn () as needed for anxiety. 21. regular insuling per sliding scale finger stick discharge disposition: extended care facility: hospital - discharge diagnosis: acute myocardial infarction- non st elevation left main coronary artery disease depression hypercholesterolemia hypertension noninsulin dependent diabetes mellitus gastic reflux s/p right total knee replacement s/p appendectomy s/p total abdominal hysterectomy s/p coronary artery bypass grafts discharge condition: good discharge instructions: shower daily, no baths or swimming no lotions, creams or powders to incisions wear your surgical bra at all times for 6 weeks. may take off bra to bath then replace. no driving for 4 weeks and off all narcotics no lifting more than 10 pounds for 10 weeks report any redness of, or drainage from incisions report any fever greater than 100.5 report any weight gain greater than 2 pounds a day or 5 pounds a week take all medications as directed followup instructions: dr. in 4 weeks () 6 wound clinic in 2 weeks () dr. () in weeks dr. in 2 weeks please call for appointments md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization (aorto)coronary bypass of one coronary artery diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation depressive disorder, not elsewhere classified surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation obesity, unspecified acute systolic heart failure knee joint replacement 

Answer: The patient is high likely exposed to