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: patient recorded as having no known allergies to drugs attending: chief complaint: icu monitoring major surgical or invasive procedure: hernia repair history of present illness: ms. is a 53 y/o obese f w/ dm2, htn, and 2 vessel cad. she presented to the surgical service w/ abdominal pain from recurrent ventral hernia. she underwent open incisional herniorrhapy w/ surgi-mesh and had no intra-operative complications. she had general anesthesia and was extubated prior to arrival to icu. reason for icu admission was for cardiovascular monitoring given pt's extensive cardiac history including vf arrest during an admission for hernia repair in the past. pt states her ventral hernia dates back to when she had it repaired on with lap assisted reduction/loa and open repair with mesh. by , her hernia recurred and was evaluated for repair; however, this was postponed by nstemi/vf arrest on which required emergent catheterization and placement of des to lad and poba to lcx. further repair and eval for panniculectomy were put on hold given comborbidities and reduction in symptoms. in the icu, she is hemodynamically stable, complaining of abdominal discomfort and nausea. past medical history: cad s/p vf arrest on floor resulting in cardioversion and cath showing 2vd, des--> lad and poba--> lcx obesity depression dm2 htn social history: open chole , lap assisted open ventral hernia repair (per osh records, no mesh used though patient states mesh was used), tubal ligation. family history: non-contributory. physical exam: vitals: afebrile, hr 67 bp 146/87 sao2 99% general: alert, oriented, no acute distress heent: sclera anicteric, mmm, oropharynx clear, ngt in place neck: supple, jvp not elevated, no lad lungs: clear to auscultation bilaterally, no wheezes, rales, rhonchi cv: regular rate and rhythm, normal s1 + s2, no murmurs, rubs, gallops abdomen: soft obese, ttp, midline incision wound dressing c/d/i w/ b/l jp drains in place draining blood gu: foley in place ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema pertinent results: 07:45pm glucose-151* urea n-16 creat-0.8 sodium-137 potassium-4.2 chloride-105 total co2-22 anion gap-14 07:45pm estgfr-using this 07:45pm calcium-8.4 phosphate-3.9 magnesium-1.7 07:45pm wbc-15.9*# rbc-4.05* hgb-12.4 hct-34.9* mcv-86 mch-30.7 mchc-35.6* rdw-13.3 07:45pm plt count-271 07:45pm pt-11.9 ptt-23.0 inr(pt)-1.0 brief hospital course: 53 yo obese f w/ dm2, htn, known cad w/ 2vd s/p des->lad and poba-> lcx following vf arrest, here in icu for hemodynamic monitoring s/p ventral hernia repair. s/p hernia repair- pt w/ recurrent ventral hernia. she presented with multiple small and large bowel obstructions. taken to the or for incisional hernia repair with mesh. no initial complications. developed afib with rvr on pod 2. transferred to the cardiology service for further management. her course was also complicated by development of a hematoma in patient's abdomen. her hematocrit decreased from 32.6 -> 24.5. she was monitored closely and received two units of prbc's. upon discharge her hematocrit was 26.8. she will have a repeat hct 3 days post discharge and follow up closely with pcp and surgery. atrial fibrillation with rvr: appears to be first episode in setting of post-operative hernia repair. transferred to cardiology where diltiazem drip was initiated as well as aggressive uptitration of po metoprolol which helped to decrease patient's rate. she was also started on a heparin gtt as well as coumadin. patient did not convert to sinus rhythm on own, so was dc cardioverted within 48 hours of onset. after one shock, patient converted to sinus rhythm and maintained this rhythm throughout the remainder of hospitalization. she was started on disopyramide given her extreme presentation and difficult to control rate. it was felt this medication would only be necessary for one month s/p dc cardioversion, however she will follow up closely with her home cardiologist for further management and monitoring. metoprolol was increased to 200 mg daily. patient's heart rate and blood pressure tolerated this increase without incident. given her hematoma complication, it was felt the risk of continuing anti-coagulation (for afib) was greater than the benefit. heparin and coumadin were stopped. she will continue on aspirin and clopidogrel which will offer some protection from developing a stroke s/p cardioversion. cad- patient developed mild chest discomfort in setting of afib with rvr. mild troponin leak with peak of 0.09. this was not felt to be acs, but demand ischemia in setting of rapid ventricular response. patient is status post des 9/. given patient's financial constraints, she was not able to continue plavix for 12 months and stopped after 6 months. given patient's des, it was felt the patient should be re-started on this medication until 9/. to help with cost, crestor was changed to simvastatin 80 mg daily. pump: pt had normal echo w/ lvef >55%. ramipril initially held in setting of surgery, but restarted without incident. sprinolactone was not restarted as patient did not appear fluid overloaded and her blood pressure was stable prior to discharge. metoprolol was up-titrated without incident. dm2- per report, however pt not on oral hypoglycemics or insulin at home. a1c was 5%. unclear of patient truly has this diagnosis. she was placed on insulin sliding scale and required minimal amounts of insulin. htn- blood pressure was initially elevated in setting of pain to the 160s and holding of home blood pressure medications. ramipril was re-started. metoprolol was up-titrated, and pain was controlled. patient's blood pressure was within normal limits on this regimen, and amlodipine and spironolactone were not re-started. further management of her blood pressure regimen will be deferred to her pcp and cardiologist. dyslipidemia: crestor was changed to simvastatin due to financial constraints. patient tolerated this medication well. medications on admission: 1. amlodipine 10mg daily 2. asa 325mg daily 3. rosuvastatin 20mg daily 4. metoprolol tartrate 50mg 5. ramipril 10mg daily 6. plavix 75mg daily 7. aldactone 25mg daily 8. sl ntg discharge medications: 1. disopyramide 150 mg capsule, sustained release sig: one (1) capsule, sustained release po every twelve (12) hours. disp:*60 capsule, sustained release(s)* refills:*0* 2. simvastatin 80 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*4* 4. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 5. aspirin 325 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:*6* 6. metoprolol succinate 200 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 7. ramipril 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 8. outpatient lab work please draw cbc, potassium and magnesium. send results to patient's primary care doctor, dr. . phone: fax: . discharge disposition: home discharge diagnosis: primary: ventral hernia repair secondary to encarcerated hernia complicated by hematoma atrial fibrillation with rapid ventricular response secondary: hypertension diabetes type 2 discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you were admitted for a ventral hernia repair. this was complicated by some bleeding in your abdomen. you received two units of blood. your bleeding stopped and your blood counts stabilized. after your surgery, you developed a fast heart rhythm called atrial fibrillation. we gave you medications to slow this down and you did not convert out of this rhythm on your own. so, you were cardioverted electrically and after one shock back to a normal sinus rhythm. you were started on a medication to help keep you in this normal rhythm called disopyramide. you should take this medication for approximately one month and will need to follow up with your cardiologist for further management. your appointment is scheduled below. you should take all of your medications as prescribed with the following important changes: 1. start disopyramide cr 150 mg every 12 hours 2. start metoprolol succinate 200 mg daily 3. change rosuvastatin to simvastatin as this is a cheaper medication 4. continue plavix 75 mg, you should take this medication for one year past your stent placement. further management will be directed by your home cardiologist 5. stop spironolactone 25 mg daily 6. stop amlodipine 10 mg daily as your blood pressure was fine without this medication. ***, , you should have a cbc and results should be sent to your pcp. received 2 units of blood in the hospital and before you were discharged, your hematocrit was 26.8. ***you should see your primary doctor within one week to have your blood pressure checked as well as your potassium and magnesium. you should call your doctor if you do not hear from them sooner. when you see your cardiologist, he will need to manage your anti-arrythmic medication. it is important that you keep all of your doctor's appointments. followup instructions: provider: , md phone: date/time: 12:15 (plastic surgery) provider: , md phone: date/time: 1:45 (general surgery) provider: , md phone: ( date/time: tuesday, at 1:00 pm (cardiology) pcp: , l. . i left a message for his office to call you for an appointment in 1 week. if you do not hear from his office on , you are to call and set up an appointment to be seen in one week. you should ensure you have a blood pressure check as we have adjusted your medications in the hospital. md procedure: venous catheterization, not elsewhere classified other lysis of peritoneal adhesions other open incisional hernia repair with graft or prosthesis 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 atrial fibrillation hematoma complicating a procedure percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction obesity, unspecified incisional ventral hernia with obstruction 

Answer: The patient is high likely exposed to