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: aspirin attending: chief complaint: chest discomfort major surgical or invasive procedure: two vessel coronary artery bypass grafting utilizing saphenous vein grafts to left anterior descending artery and pda. history of present illness: mrs. is a 45 year old female with significant family history of premature coronary disease. over the last several months, she has complained of worsening chest discomfort. stress testing showed anteroseptal ischemia with abnormal st segment changes and anginal chest pain. subsequent cardiac catheterization found severe two vessel coronary artery disease - total occlusion of proximal rca and 85% lesion in the lad. left ventriculography revealed lvef of 50-55% and no mitral regurgitation. of note, injection of the rca was complicated by transient vf requiring defibrillation. based upon the above, she was referred for cardiac surgical intervention. past medical history: coronary artery disease hypertension family history of premature cad cystic breast disease aspirin allergy social history: native of . she came to the us about eight years ago. she smokes cigarettes per day. she denies etoh. family history: multiple family members have premature cad. physical exam: admission vitals- 98.6, 124/70, 64, 20, 98% ra general- wdwn female in no acute distress skin-two burns from defib heent-oropharynx benign neck-supple, no jvd chest-clear bilaterally heart-regular rate and rhythm, normals1s2, no murmur or rub abdomen-benign ext-warm, trace edema neuro-non focal exam pulses-2+ distally, no carotid or femoral bruits noted discharge vs t 99.2 bp 98/59 hr 70sr rr 20 o2sat 99%-ra gen-nad neuro-a&ox3, nonfocal exam pulm-cta-bilat cv-rrr. sternum stable. incision cdi abdm-soft, nt/nd/+bs ext-warm, trace pedal edema bilat. evh site l leg cdi pertinent results: 11:33pm blood wbc-7.2 rbc-4.37 hgb-11.5* hct-33.0* mcv-76* mch-26.3* mchc-34.8 rdw-15.6* plt ct-175 11:33pm blood pt-12.6 ptt-26.7 inr(pt)-1.1 11:33pm blood glucose-94 urean-13 creat-0.7 na-136 k-3.8 cl-101 hco3-26 angap-13 11:33pm blood alt-14 ast-18 ld(ldh)-121 ck(cpk)-45 alkphos-62 amylase-120* totbili-0.3 11:33pm blood ck-mb-notdone ctropnt-<0.01 11:33pm blood albumin-4.1 calcium-10.1 phos-3.5 mg-1.8 11:41pm blood %hba1c-5.4 05:38am blood wbc-9.5 rbc-3.22* hgb-8.7* hct-24.9* mcv-77* mch-26.9* mchc-34.8 rdw-16.1* plt ct-114* 09:05am blood wbc-8.4 rbc-3.62* hgb-9.9* hct-28.4* mcv-79* mch-27.3 mchc-34.8 rdw-15.9* plt ct-170 09:05am blood plt ct-170 09:05am blood alt-19 ast-19 alkphos-72 amylase-66 totbili-0.3 intraop tee pre bypass: the left atrium and right atrium are normal in cavity size. no atrial septal defect is seen by 2d or color doppler. 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. there are three aortic valve leaflets. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. post bypass left and right ventricular function is normal. the aorta is intact. the remainder of the study is unchanged. , f 45 radiology report chest (portable ap) study date of 11:21 am , r. csurg csru sched chest (portable ap) clip # medical condition: 45 year old woman with s/p ct removal reason for this examination: r/o pneumo final report chest portable ap. reason for exam: 45-year-old woman status post chest tube removal, rule out pneumothorax. since earlier today, all tubes and catheters were removed except right internal jugular introducer. minimal left axillary pneumothorax decreased and minimal left retrocardiac atelectasis improved. lungs are otherwise clear. the cardiomediastinal silhouette and hilar contours are normal. the study and the report were reviewed by the staff radiologist. dr. dr. approved: tue 4:52 pm brief hospital course: mrs. was transferred from . given severe coronary artery disease and persistent chest pain, she was started on intravenous nitro and heparin while being observed in the cvicu. she underwent routine preoperative evaluation and remained pain free on intravenous therapy. preoperative course was otherwise uneventful. she awaited plavix washout and was eventually cleared for surgery. on , dr. performed coronary artery bypass grafting surgery. for surgical details, please see seperate dictated operative note. following the operation, she was brought to the cvicu for invasive monitoring. within 24 hours, she awoke neurologically intact and was extubated without incident. initially hypertensive, she was restarted on po beta blockade and intermittently required boluses of intravenous metoprolol and hydralazine. her cvicu course was otherwise unremarkable and she transferred to the sdu on postoperative day one. the patient underwent aspirin desensitization on pod 2 without incident. she was diuresed toward her pre-operative weight. she made excellent progress with physical therapy, showing good strength and balance before discharge. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. she was discharged home with vna services. medications on admission: atenolol 100 qd, hctz 25 qd, omeprazole 20 qd, lipitor 80 qd, plavix on discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. disp:*60 tablet(s)* refills:*0* 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 5. atorvastatin 40 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. disp:*60 tablet(s)* refills:*0* 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. furosemide 20 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* 10. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 2 weeks. disp:*28 capsule, sustained release(s)* refills:*0* discharge disposition: home with service discharge diagnosis: coronary artery disease - s/p cabgx2 history of vf arrest(during catheterization) hypertension dyslipidemia aspirin allergy discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for at least one month. 7) call with any questions or concerns. 8) take all medication as prescribed. followup instructions: dr. in weeks, call for appt dr. in weeks, call for appt dr. in weeks, call for appt procedure: extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension need for desensitization to allergens other and unspecified hyperlipidemia personal history of allergy to other specified medicinal agents 

Answer: The patient is high likely exposed to