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: no known allergies / adverse drug reactions attending: chief complaint: intermittant chest pain major surgical or invasive procedure: : s/p coronary artery bypass grafting x3 (left internal mammary artery to left anterior descending artery; and saphenous vein grafts to the obtuse marginal artery and the posterior descending artery). history of present illness: 71 year old female with history of cad and previous pci in , was in good health until 2 weeks ago when she developed chest pain across her chest when ingesting food. pain was relieved with tums and belching. no history of gerd. with chest pain on and was scheduled to see her pcp for clearance for left retina surgery. ekg revealed changes. she was then sent to her cardiologist dr. for evaluation of unstable angina. she was admiited to hospital and underwent cardaic cath on which showed 3 vessel disease. she was transffered to for evaulaton of surgical revascularization. past medical history: pmh: coronary artery disease- percutaneous intervention(rca) , hyperlipidemia, diabetes, peripheral artery disease, osteoarthritis chronic renal insufficiency(1.3) left retinal hemorrhage ( -/opthamologist) psh: bladder suspension bilat knee replacement bilat carpal tunnel bilat cataract thrombebectomy left popliteal social history: race: caucasian last dental exam: edentulous lives with:divorced occupation: retired tobacco: non-smoker etoh: occaisional family history: mother , brother , sister w/ diabetes, father peripheral vascular disease physical exam: t 97.3 pulse: 66 resp: 20 o2 sat: 96%-ra b/p right: 140/57 left: height: 5'2" weight: 230lbs general: nad skin: dry intact heent: perrla eomi neck: supple full rom non jvd chest: lungs clear bilaterally heart: rrr murmur-none abdomen:obese: soft non-distended non-tender +bs extremities: warm , well-perfused edema-none varicosities: none neuro: grossly intact, nonfocal exam pulses: femoral right: 2+ left:2+ dp right: 1+ left:1+ pt : 1+ left:1+ radial right: 2+ left:2+ carotid bruit right: no left: no pertinent results: admission labs: 08:20pm pt-12.5 ptt-22.9 inr(pt)-1.0 08:20pm plt count-194 08:20pm wbc-6.9 rbc-4.10* hgb-11.5* hct-35.1* mcv-86 mch-28.1 mchc-32.8 rdw-14.2 08:20pm %hba1c-8.2* eag-189* 08:20pm albumin-3.8 magnesium-2.0 08:20pm ck-mb-4 ctropnt-0.08* 08:20pm lipase-22 08:20pm alt(sgpt)-19 ast(sgot)-24 ck(cpk)-120 alk phos-72 amylase-46 tot bili-0.2 08:20pm glucose-264* urea n-41* creat-1.4* sodium-134 potassium-4.7 chloride-102 total co2-24 anion gap-13 discharge labs: 05:20am blood wbc-11.8* rbc-3.12* hgb-8.9* hct-26.8* mcv-86 mch-28.6 mchc-33.3 rdw-14.7 plt ct-180 05:20am blood plt ct-180 01:27pm blood pt-14.0* ptt-27.9 inr(pt)-1.2* 05:20am blood urean-32* creat-1.2* na-139 k-5.3* cl-99 06:35am blood glucose-118* urean-38* creat-1.4* na-138 k-4.9 cl-101 hco3-30 angap-12 05:20am blood mg-2.3 radiology report chest (pa & lat) study date of 5:16 pm final report: post-operative enlargement of the upper mediastinum improved between and and has not changed subsequently. mild-to-moderate cardiomegaly is comparable to the pre-operative appearance. pleural effusion on the left is minimal, absent on the right. no pneumothorax. mild atelectasis left upper lobe unchanged. no pulmonary edema. dr. dr. echocardiography report date/time: at 09:10 interpret md: , md results measurements normal range left ventricle - septal wall thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - ejection fraction: 55% >= 55% aorta - annulus: 2.0 cm <= 3.0 cm findings right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: mild symmetric lvh. normal regional lv systolic function. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: mild 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. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions prebypass no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. dr. was notified in person of the results on /2011at 900am post bypass patient is a paced and receiving an infusion of phenylephrine. biventricular systolic function is unchanged. aorta is intact post decannulation. trace mitral regurgitation present . i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 14:36 brief hospital course: ms with chest pain on and saw her pcp an ekg revealed changes. she was then sent to her cardiologist dr. for evaluation of unstable angina. she was admiited to hospital and had a cardaic catheterization on which showed 3 vessel disease. she was transffered to for evaulaton of surgical revascularization. she had the usual cardiac surgery preop evaluation and was found to have a urinary tract infection that was appropriately treated. she was brought to the operating room for coronary bypass grafting on . please see operative report for details, in summary she had: coronary artery bypass grafting x3 with left internal mammary artery to left anterior descending artery; and saphenous vein grafts to the obtuse marginal artery and the posterior descending artery. endoscopic harvesting of the long saphenous vein. her bypass time was 87 minutes with a crossclamp time of 76 minutes. she tolerated the operation well and post operatively was transferred to the cardiac surgery icu. she was hemodynamically stable in the immediate post-op period, she woke neurologicvally intact and was extubated on the day of surgery. she continued to do well post-operatively and was transferred to teh cardiac surgery stepdown floor on pod2. all tubes lines and drains were removed per cardiac surgery protocol. the remainder of her hospital course was uneventful. on pod4 she was transferred to rehabilitation at nursing care in . she is to followup with dr in 3 weeks. medications on admission: medications at home: lantus 62 units at bedtime, novolog 15 units tid, atenolol 50mg , diovan 320 qhs, lasix 20mg daily, simvastatin 80mg daily, asa 81mg daily, prednisone 1% left eye 1 drop qid, nitro sl prn. plavix - last dose: one dose 75mg on transfer heparin 600u/hr omeprazole 40 daily 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. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever/pain. 5. tramadol 50 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 6. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 7. prednisolone acetate 1 % drops, suspension sig: one (1) drop ophthalmic qid (4 times a day). 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 9. insulin glargine 100 unit/ml cartridge sig: 62 units subcutaneous at bedtime. 10. insulin lispro 100 unit/ml cartridge sig: see sliding scale subcutaneous achs: per ss protocol. 11. lasix 40 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: hellenic - discharge diagnosis: coronary artery disease s/p coronary artery bypass grafting x3 (left internal mammary artery to left anterior descending artery; and saphenous vein grafts to the obtuse marginal artery and the posterior descending artery). secondary: cad w/ pci(rca) , hyperlipidemia, diabetes, peripheral artery disease, osteoarthritis chronic renal insufficiency(1.3) left retinal hemorrhage ( -/opthamologist) past surgical history: bladder suspension bilat knee replacement bilat carpal tunnel bilat cataract thrombebectomy left popliteal discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with tramadol incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema: trace (b) le 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 one month or while taking narcotics. driving will be discussed at follow up appointment with surgeon. 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. # on at 1:15pm cardiologist:dr. on at 10:30am please call to schedule appointments with your primary care dr. , in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: hyperpotassemia coronary atherosclerosis of native coronary artery intermediate coronary syndrome urinary tract infection, site not specified peripheral vascular disease, unspecified chronic kidney disease, unspecified other and unspecified hyperlipidemia diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled proliferative diabetic retinopathy 

Answer: The patient is high likely exposed to