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: dyspnea on exertion times five years recent increase in symptoms followed by a positive ett in of this year. echo revealed moderate to severe mi with an ef of 20 to 25%. she then had a cardiac catheterization. please see catheterization report for full details. the catheterization in summary showed left main 60%, lad 100%, rca 100%. she was scheduled following cardiac catheterization to return to as an outpatient for coronary artery bypass graft and a possible mitral valve replacement past medical history: significant for 1. diabetes mellitus type ii. 2. hypercholesterolemia. 3. hypertension. 4. status post left nephrectomy. 5. status post cholecystectomy. 6. hypothyroidism medications prior to admission: 1. levothyroxine 0.25 milligrams. 2. atenolol 50 milligrams once a day. 3. glyburide 5 milligrams once a day. 4. zinc multi vitamin. 5. aspirin 81 milligrams once a day. 6. nph insulin 10 units qhs. 7. zocor 40 milligrams q day. allergies: 1. sulfa. social history: she lives alone and is a retired hairdresser. no alcohol or tobacco use. preadmission testing: her physical examination vital signs heart rate 62, blood pressure 171/90, respiratory rate 20, height 5'7", weight 162 lbs. in general older woman in no acute distress. skin - warm and dry. lower leg - dry and flaky. heent within normal limits, no jvd, no bruits, upper and lower dentures. neck - supple, no lymphadenopathy. chest - clear to auscultation bilaterally. heart - faint heart tones i/vi systolic ejection murmur heard best at the left sternal border. abdomen is soft, nontender, nondistended with positive bowel sounds. extremities - no clubbing, poor capillary refill, 1+ edema, good saphenous veins, no varicosities. neuro is nonfocal. pulses - femoral on the right 1+, on the left 1+. dorsalis pedis 2+ bilaterally. posterior tibial 1+ bilaterally. radial 2+ bilaterally. no carotid bruits are appreciated. hospital course: the patient was admitted directly to the operating room on at which time she underwent coronary artery bypass graft times four. please see the operating report for full details and summary. on summary she had a coronary artery bypass graft times four with lima to the lad and svg to om, svg to pda, svg to diagonal. she tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer she had an arterial line, swan-ganz catheter to atrial, pacing wires to mediastinal and left pleural chest tube. she did well in the immediate postoperative period. anesthesia was reversed. she was weaned from the ventilator and extubated. on the day of the surgery she remained hemodynamically stable in the intensive care unit overnight without any cardio active iv medications. on postoperative day one her chest tubes were removed and she was transferred from the icu to 56 for continued postoperative care and cardiac rehabilitation. over the next several days, the patient did well. she remained hemodynamically stable. her activity level was slowly increased with the assistance of nursing and physical therapy. the only complication the patient incurred was a slight bump in her creatinine from 1.5 on postoperative day one to 1.8 on postoperative day two. further review of the patient's past medical history showed that she had a creatinine of 1.8 prior to her cardiac catheterization. at that time all nephrotoxic medications were discontinued and we continued to monitor the patient's creatinine. on postoperative day four it returned to 1.7. at that time it was felt that the patient was in stable condition and ready to be transferred from to rehabilitation center for continuing physical therapy and continuing postoperative care. at the time of transfer the patient's condition is stable. physical examination: vital signs temperature 98, heart rate 78 sinus rhythm, blood pressure 142/70, respiratory rate 18, o2 saturation 96% on two liters nasal prongs, weight preoperatively is 71.2 kilograms at discharge 78 kilograms. alert and oriented times 3, conversant, moves all extremities. respiratory - clear to auscultation bilaterally. heart sounds regular rate and rhythm, s1, s2 sternum is stable. incision with steri strips open to air, clean and dry. abdomen - soft, nontender, nondistended, normoactive bowel sounds. extremities - warm and well perfused. right thigh incision with steri strips open to air, clean and dry. left leg puncture incision open to air, clean and dry, positive ecchymosis bilaterally. laboratory data on discharge: sodium 138, potassium 4.3, chloride 105, co2 28, bun 33, creatinine 1.7, glucose 108. white blood cell count 7.9, hematocrit 27.4, platelet count 106,000. discharge medications: 1. colace 100 milligrams . 2. ranitidine 150 milligrams q day. 3. aspirin 325 milligrams q day. 4. levothyroxine 0.25 milligrams q day. 5. glyburide 5 milligrams q day. 6. zocor 40 milligrams q day. 7. insulin nph 10 units qhs and regular insulin sliding scale after meals and qhs. 8. percocet 5/325 one to two tablets q four hours prn. discharge disposition: 1. cad status post coronary artery bypass graft times four with a lima to the lad and vein grafts to the om, pda and diagonal. 2. diabetes mellitus type ii. 3. hypertension. 4. hypercholesterolemia 5. hypothyroidism. 6. status post cholecystectomy. 7. status post left nephrectomy. discharge instructions: the patient is to have follow up in the wound clinic in two weeks and to have follow up with dr. in one month. she is also to have follow up with her primary care physician in three weeks. , m.d. dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism 

Answer: The patient is high likely exposed to