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: sulfa (sulfonamides) / niacin preparations attending: chief complaint: + stress test, referred for cardiac cath major surgical or invasive procedure: cardiac catheterization history of present illness: 81-yo-woman w/ dm2, htn, hyperlipidemia, and pvd was admitted to the cmi service yesterday after 2 months of worsening dyspnea on exertion. she describes shortness of breath after climbing 1 flight of stairs, assoc w/ a "band" of chest "heaviness" across the upper sternum. this sensation occured reliably w/ climbing stairs, and always resolved within a few minutes after resting. there were no assoc palpitations, cough, diaphoresis, nausea, or vomiting. . she had presented to her pcp with the above symptoms and was evaluated w/ an adenosine ett on , demonstrating reproducible symptoms w/ st depressions in the inferolateral leads. she was admitted to the yesterday for cardiac cath, which revealed extensive cad including left main and 3 vessel disease. she is now transferred to the service to begin prepartion for cabg. . currently, she feels well. denies any dyspnea or chest heaviness since admission to the hospital. ros reveals no fever, abd pain, dysuria, melena, or hematochezia. past medical history: - diabetes mellitus type 2: complicated by neuropathy of her feet - htn - hyperlipidemia svt - peripheral vascular disease - hypothyroidism - urinary incontinence - cervical cancer: dx , s/p hysterectomy - s/p cholecystectomy - s/p appendectomy social history: retired high school teacher; lives alone in a town house apartment; functionally independent at baseline; never smoked; no alcohol use. family history: cad: maternal grandmother died at age 78 from an mi; paternal grandmother died "very young" from mi physical exam: admission vs - 98.4, 142-173/41-52, 63-72, 16-18, 91-95% ra heent - op clear, jvp 3 cm above sternal angle lungs - cta heart - rrr, s1, s2, no rmg abd - soft, nt, nd, bs+ ext - wwp, no cce; multiple varicosities. 2+ dp pulse r leg, no bruit, hematoma at r groin. discharge vs 98.6, 140/80, 70, 18, 99%/2lnp neuro- a&o, nonfocal pulm- cta bilat cv- irreg-irreg, sternum stable, incision intact abdm- soft, nt/nd/nabs ext- no edema pertinent results: cath: left main and three vessel coronary artery disease in this right dominant circulation. the lmca was calcified with an 80% distal stenosis. the lad was calcified proximally with a 60% mid vessel stenosis. the d1 had a 60% ostial stenosis. the ramus intermedius had a 80% ostial stenosis. the lcx and its om branches were without flow limiting disease. the rca had an 80% ostial stenosis and a 40% mid stenosis. the ostial pda had an 80% stenosis. 2. limited resting hemodynamics demonstrated elevated left sided filling pressures with lvedp=26 mmhg. no pressure gradient seen on catheter pullback from the left ventricle to the ascending aorta. moderate systemic arterial hypertension. 3. left ventriculography demonstrated preserved systolic function with lvef=60%. mild 1+ mitral regurgitation seen. . admit labs: 11:56am blood wbc-5.1 rbc-3.18* hgb-9.8* hct-28.7* mcv-90 mch-30.7 mchc-34.1 rdw-15.3 plt ct-217 11:56am blood neuts-70.7* lymphs-19.6 monos-5.2 eos-3.7 baso-0.7 11:56am blood plt ct-217 11:56am blood pt-13.3* inr(pt)-1.2* 11:56am blood glucose-119* urean-26* creat-0.8 na-139 k-4.1 cl-106 hco3-25 angap-12 11:56am blood alt-11 ast-17 alkphos-74 amylase-42 totbili-0.4 dirbili-0.1 indbili-0.3 11:56am blood albumin-3.3* 11:56am blood %hba1c-5.8 -done -done . carotid u/s: bilateral 40-59% carotid stenosis. . vein mapping: patent bilateral greater saphenous veins with a dilated vein on the right with reflux bilaterally below the knee. . echo: the left atrium is mildly dilated. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). regional left ventricular wall motion is normal. tissue velocity imaging e/e' is elevated (>15) suggesting increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets and supporting structures are mildly thickened. trivial mitral regurgitation is seen. there is mild-moderate pulmonary artery systolic hypertension. there is no pericardial effusion. 03:04am blood wbc-10.2 rbc-3.87* hgb-11.0* hct-33.8* mcv-87 mch-28.5 mchc-32.7 rdw-15.1 plt ct-307 06:20am blood pt-21.7* ptt-35.8* inr(pt)-2.1* 03:04am blood glucose-65* urean-29* creat-1.4* na-138 k-4.9 cl-104 hco3-29 angap-10 brief hospital course: ms. was admitted to the on for further work-up of her chest heaviness. a cardiac catheterization was performed which revealed left main and severe three vessel disease. given the severity of her disease, the cardiac surgical service was consulted for surgical revascularization. ms. was worked-up in the usual preoperative manner. an echocardiogram was performed which revealed normal valve function. a carotid duplex ultrasoound was performed which revealed bilateral 40-59% stenosis of the internal carotid arteries. vein mapping was performed whcih showed ptent bilateral greater saphenous veins with a dilated vein on the right with reflux bilaterally below the knee. on , ms. was taken to the operating room where she underwent coronary artery bypass grafting to five vessels. postoperatively she was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, ms. neurologically intact and was extubated. her chest tubes and wires were removed per protocol. she developed atrial fibrillation which was treated with amiodarone. on postoperative day three, she was transferred to the cardiac surgical step down unit for further recovery. she was gently diuresed towards her preoperative weight. the physical therapy service was consulted for assistance with her postoperative strength and mobility. keflex was started for mild leukocytosis. she continued to make slow but steady progress with the plan to discharge to rehabilitation. on , prior to her discharge, ms. bradycardia and respiratory arrest. she was resuscitated and returned to the intensive care unit. an echo revealed no significant abnormal findings. the electrophysiology service was consulted and the plan for a pacemaker was addressed. her medications were adjusted to prevent further bradycardia. she was extubated on without complication. she underwent left thoracentesis for 600cc of pleural fluid. she again had bradycardia with getting out of bed and a temporary pacing wire was placed. on , ms. was taken to the electrophysiology lab where a sigma pacemaker was placed. interoggation of her pacemaker found it to be functioning normally. on , she was transferred back to the step down unit for further recovery. on , she had left arm swelling and an ultrasound revealed subclavian clot. heparin and coumadin were started for anticoagulation. the vascular surgery service was consulted who agreed with the plan to give coumadin with heparin as a bridge for 6 months. on it was determined that the pt was stable and ready for transfer to rehabilitation at healthcare center. medications on admission: aspirin 81mg daily atenolol 25mg daily lipitor 80mg daily welchol 625mg twice a day isosorbide 10mg daily hctz 25mg daily avandia 4mg daily prandin 1mg with each meal levothyroxine 50mcg daily lotrel 10/20mg capsule daily evista 60mg daily cilostazol 100mg daily folic acid 2mg vitamin c 250mg daily vitamin e 400 iu daily occutabs one daily discharge medications: 1. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 2. rosiglitazone 2 mg tablet sig: two (2) tablet po daily (daily). 3. colesevelam 625 mg tablet sig: one (1) tablet po daily (). 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. 6. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 7. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. 8. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 9. ascorbic acid 500 mg tablet sig: 0.5 tablet po daily (daily). 10. repaglinide 0.5 mg tablet sig: two (2) tablet po tidac (3 times a day (before meals)). 11. vitamin e 400 unit capsule sig: one (1) capsule po daily (daily). 12. raloxifene 60 mg tablet sig: one (1) tablet po daily (). 13. albuterol sulfate 0.083 % solution sig: one (1) inhalation q6h (every 6 hours) as needed. 14. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 15. propoxyphene n-acetaminophen 100-650 mg tablet sig: tablets po q6h (every 6 hours) as needed. 16. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 17. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 18. warfarin 1 mg tablet sig: as directed tablet po daily (daily): 3mg on then as directed to maintain target inr 2-2.5. discharge disposition: extended care facility: tba discharge diagnosis: s/p cabg x5(lima-lad, svg-pda, svg-om1-om2-y to diag), s/p perm pacemaker pmh: htn, dm2, ^chol, svt, pvd, hypothyroid, cervical ca, s/p hyst, s/p ccy, s/p appy discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. 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 driving for 1 month. 5) no lifting greater then 10 pounds for 10 weeks from date of surgery. followup instructions: dr in 4 weeks ( pacemaker device clinic- monday 7/24@11a () dr 2-4 weeks after d/c from rehab. ( follow-up with cardiologist dr. 1-2 weeks after d/c from rehab. ( call all providers for appointments. procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for less than 96 consecutive hours single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnostic ultrasound of heart diagnostic ultrasound of heart insertion of endotracheal tube (aorto)coronary bypass of four or more coronary arteries thoracentesis initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle insertion of temporary transvenous pacemaker system transfusion of packed cells cardiopulmonary resuscitation, not otherwise specified diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism atherosclerosis of native arteries of the extremities with intermittent claudication atrial fibrillation diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes other and unspecified hyperlipidemia cardiac arrest sinoatrial node dysfunction personal history of malignant neoplasm of cervix uteri venous (peripheral) insufficiency, unspecified stress incontinence, female 

Answer: The patient is high likely exposed to