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: the patient is a 60 year old female who was transferred from hospital for evaluation of potential revascularization. she is a lady with medical history significant for diabetes mellitus, hypertension, hyperlipidemia and prior tobacco use, who presented to hospital complaining of a several week history of epigastric burning. this eventually proved to be a non q wave myocardial infarction with initial cks and troponin levels being unremarkable and then with a subsequent increase to cks in the 400 range with a positive mb band and a troponin increased to 30. cardiac catheterization there revealed that she had three vessel disease and moderate left ventricular dysfunction. her catheterization revealed a 90% lesion in the left anterior descending and a 60% ostial stenosis in the first diagonal, a 90% lesion in the left circumflex and a 90% lesion in the om1, a proximal occlusion of the right coronary artery with midvessel reconstitution and a left ventricular ejection fraction of approximately 30 to 35%. given her three vessel disease with left ventricular dysfunction in the face of her diabetes mellitus, hypertension and hyperlipidemia, she was felt to be an excellent candidate for potential revascularization and was sent to us for further evaluation. past medical history: 1. diabetes mellitus with retinopathy and nephropathy. 2. hyperlipidemia with hla-iia. 3. hypertension. 4. status post total abdominal hysterectomy with bilateral salpingo-oophorectomy. medications on home: 1. norvasc 10 mg p.o. q.d. 2. accupril 40 mg p.o. ? b.i.d. 3. avapro 150 mg p.o. b.i.d. 4. atenolol 100 mg p.o. q.d. 5. protonix 40 mg p.o. q.d. 6. lasix 40 mg p.o. q.a.m. and 20 mg p.o. q.p.m. 7. nph insulin 22 units in the morning and 6 units in the evening. 8. sliding scale insulin. in addition, on transfer, she had been started on lipitor, aspirin and imdur. allergies: the patient is allergic to sulfa. social history: she is married with two children. tobacco use - she quit smoking thirty-five years ago. she denies any alcohol use. physical examination: on physical examination, she is noted to be a pleasant 60 year old female in no acute distress. her head, eyes, ears, nose and throat is normocephalic. there is no jugular venous distention. the lungs are clear to auscultation bilaterally. the heart has a regular rate and rhythm. the abdomen is soft, nontender, nondistended. her right groin is status post catheterization and has a slightly sanguinous discharge. hospital course: the patient was admitted to the cardiac surgery service and the following day on , was taken to the operating room where she had a coronary artery bypass graft times four. her bypass grafts are as follows: left internal mammary artery to left anterior descending, saphenous vein graft to om1 and diagonal, saphenous vein graft to posterior descending artery. postoperatively, the patient was taken intubated to the cardiac surgery intensive care unit. that night she was extubated and the following day she was transferred out to the floor. her foley catheter was discontinued and her chest tubes were removed without incident. her lopressor which initially was at 12.5 mg p.o. b.i.d. was increased over successive days to 25, 50 and ultimately 75 mg p.o. q.d. she was several kilograms positive postoperatively and had a good response to lasix in attempt to have her diurese. by the fourth postoperative day, her wires were discontinued and her ambulation was encouraged. it was initially felt that the patient may need to go to rehabilitation to adequately recover all her function, but the patient made a dramatic improvement during the final days of her hospitalization and it was felt that she would be safe to be discharged home. she was able to ascend stairs without any difficulty. after discussions with the family, it was felt that we could send her home with vna assistance and home physical therapy. also, by the time of her discharge, many of her home medications had been restarted. we have intentionally delayed restarting her accupril and her avapro. we do understand that she has diabetic nephropathy and will likely need to be restarted on these by her cardiologist in approximately one week. on , the patient was discharged home in stable condition with vna assistance. she will need to have a potassium drawn after approximately two days at home. these results will be telephoned to dr. , her primary cardiologist, who has agreed to manage her potassium as an outpatient. all her paperwork has been advanced to dr. office. he can be reached at . in addition, she will be following up with him in approximately one week. we have also asked her to see her primary care physician in approximately three weeks and follow-up with dr. in approximately four weeks. medications on discharge: 1. lasix 40 mg p.o. q.a.m. and 20 mg p.o. q.p.m. 2. colace 100 mg p.o. b.i.d. 3. aspirin 325 mg p.o. q.d. 4. lopressor 75 mg p.o. b.i.d., hold with a heart rate less than 60, systolic blood pressure less than 100. 5. lipitor 20 mg p.o. q.d. 6. protonix 40 mg p.o. q.d. 7. norvasc 10 mg p.o. q.d. 8. potassium chloride 20 meq p.o. q.d. 9. tylenol 650 mg p.o. q4-6hours p.r.n. 10. nph 22 units in the morning and 6 units in the evening. 11. sliding scale regular insulin. discharge diagnoses: 1. coronary artery disease with three vessel disease and diminished left ventricular function. 2. hypertension. 3. insulin dependent diabetes mellitus. 4. hyperlipidemia with hla-iia. , 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 diagnostic ultrasound of heart diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension polyneuropathy in diabetes personal history of tobacco use background diabetic retinopathy diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled diabetes with ophthalmic manifestations, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to