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 / latex attending: chief complaint: chest pain and shortness of breath major surgical or invasive procedure: cardiac catheterization s/p cabgx2(lima->lad, svg->om) history of present illness: patient is 67 year old woman with type ii diabetes, hypertension, hyperlipidemia. she had a drug eluting stent placed in the lad in . she also had a stent placed in the proximal circumflex artery in . she states that she has had chest pain for the last several months that is always present. the chest pain responds to nitroglycerin, but she does not like to take it because she is gets a headache. she has also had a worsening of dyspnea on exertion. on the patient states her chest pain was worsening and she became more short of breath. she went to the emergency department and then followed up with her physician. was noted to have septal t wave changes. she had an elective cardiac catheterization that was performed today. the cath showed lmca: distal hazy 30% at take-off of circumflex artery, lad: mid-lad stent after d1 patent/30-40% post stent narrowing, lcx: 95-99% ostial -proximal pre stent to proximal intra stent stenosis. rca was normal. cardiac review of systems is notable for chest pain () which has been constant for several months, dyspnea on exertion. the chest pain will improve with nitroglycerin, but the patient does not take nitroglycerin because it causes a headache. she states that the pain is much improved since her catheterization this morning. there is no ankle edema, palpitations, syncope or presyncope. past medical history: cad: s/p drug eluting stent in lad , left circumflex stent in . diabetes: diet controlled- last a1c 7.5 () gerd history of nosebleeds d&c dyslipidemia: pending labs hypertension sciatica ?lower gi bleed 10 years ago with negative colonoscopy social history: -lives alone -tobacco history: 50 year smoking history of approximately 1 pack/week, quit one year ago -etoh: occasional 1-2 drinks on the weekend -illicit drugs: none family history: brother died of mi in his 50's. father also died of mi in his 70's. a brother and sister have diabetes. physical exam: vs: t: 97.2 bp: 107/47 hr: 56 18 100% ra general: oriented x3. mood, affect appropriate. nad. heent: sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: left sided patch approximately 4 x 1 inches of darkly colored skin with scratch marks. no carotid bruits. cardiac: rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. abd aorta not enlarged by palpation. no abdominal bruits. extremities: no femoral bruits. right cath site has dressing that is clean, dry, and intact. no hematoma. site is non-tender. skin: several small nodules of raised lighter pigmented skin present on arms. pulses: right: femoral 2+ dp 2+ pt 2+ left: femoral 2+ dp 2+ pt 2+ pertinent results: cardiac cath comments: 1. coronary angiography in this right dominant system revealed two vessel and left main disease. the lmca had a hazy 30% stenosis in the distal portion at the take-off of the cx. the lad had a 30-40% stenosis distal to the stent. the stent was patent. the cx had a 95-99% ostial stenosis proximal to the stent and an 80% stenosis at the proximal om1. mild in-stent stenosis was noted in the cx. the rca was without angiographically apparent disease. final diagnosis: 1. mild distal lmca disease with severe complex ostial to proximal cx stenosis and mild-moderate post-stent stenosis in the mid-lad. 2. refer for evaluation for cabg tte the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. carotid ultrasound impression: right ica stenosis 60-69% left ica stenosis 40-59% brief hospital course: the patient was admitted on for an elective cardiac cath which revealed: 30% lmca lesion, 99% mid lcx stenosis, and a normal rca. her lad stent was patent with 30-40% post stent narrowing. cardiac surgery was consulted and she remained in the hospital for a plavix washout. on she underwent cabgx2(lima->lad, svg->om) and had a 38 minute cross clamp time and total bypass time was 46 minutes. she tolerated the procedure well and was trasferred to the cvicu on neo and propofol in stable condition. she awoke neurologically intact and was extubated on pod#1 without difficulty. all lines and tubes were discontinued in a timely fashion. beta-blocker, aspirin, statin, and diuresis was initiated. she continued to do well and on pod#2 she was transferred to the step down unit for further monitoring. physical therapy was consulted for evaluation. the remainder of mrs. hospital course was essentially uneventful and she was cleared by the cardiac surgery covering attending for discharge to home on pod#5. all follow up appointments were advised. medications on admission: simvastatin 80 mg 1 tab daily prilosec 40 mg 1 tab daily metoprolol 50 mg daily aspirin 325 mg daily plavix 75 mg daily discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 5. prilosec 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 6. lasix 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*2* 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*2* 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: coronary artery disease hyperlipidemia niddm gerd colonic polyps s/p hysterectomy s/p bilateral surgery discharge condition: good discharge instructions: take medications as directed on discharge instructions. do not drive for 4 weeks. do not lift more than 10 lbs. for 2 months. shower daily, let water flow over wounds, pat dry with a towel. do not use lotions, powders, or creams on wounds. call our office for temp.>101.5, sternal drainage. followup instructions: make an appointment with dr. for 4 weeks. make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 2-3 weeks. 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: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled constipation, unspecified other and unspecified angina pectoris cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other complications due to other cardiac device, implant, and graft family history of ischemic heart disease 

Answer: The patient is high likely exposed to