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 / vaccine/toxoid preps,combo. classifier attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization urgent coronary artery bypass grafting x 5 - left internal mammary artery to left anterior descending coronary artery; reversed saphenous vein single graft from the aorta to the first diagonal coronary artery; reversed saphenous vein single graft from the aorta to the second diagonal coronary artery; reversed saphenous vein single graft from the aorta to the first obtuse marginal coronary artery; as well as reversed saphenous vein single graft from the aorta to the posterior left ventricular coronary artery. - endoscopic left greater saphenous vein harvesting history of present illness: patient is a 79 year old female with past medical history of hypertension and depression who presents from with chest pain. she was in usual state of health until approximately two to three days ago when she developed shortness of breath with exertion. she felt some sharp chest pain and heavy chest "pressure" but thought perhaps this was related to indigestion. on , in the morning hours, the pain began to radiate up her neck into her jaw, into her back, and down her arms as well. she had her hair done in the afternoon, but reports feeling rather weak. she attempted to go to sleep, but by 7 pm could no longer tolerate the pain, and after her daughter urged her, she presented for evaluation to . past medical history: -hypertension - gerd - colectomy - status-post ceseartian section x4 - depression - fracture of left ankle about one year ago with metal plate placement - question of hyperlipidemia (patient reports she may have been on lipitor at one point) social history: patient's daughter has moved back to to live with her. she does not use any assistance to ambulate at baseline and is very active. she has never smoked and drinks wine only occasionally. her husband died when she was 40 years old. she had 4 children that she raised alone, and worked packaging frozen foods. her youngest son died 5 years ago. family history: no family history of early mi, otherwise non-contributory. physical exam: vs: t 98.1, bp 149/78, hr 58, rr 18, 100% on 2l nc, weight 61 kg, pain 0/10 general: very pleasant female appearing slightly younger than stated age, resting comfortably in bed, in nad, not diaphroetic. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 8 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. possible s3. no s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: femoral 2+ radial 2+ dp 2+ pt 2+ left: femoral 2+ radial 2+ dp 2+ pt 2+ pertinent results: 05:15am blood wbc-7.4 rbc-3.17* hgb-9.2* hct-27.0* mcv-85 mch-29.2 mchc-34.2 rdw-13.7 plt ct-360# 05:15am blood plt ct-360# 12:25am blood wbc-8.3 rbc-4.75 hgb-13.6 hct-40.1 mcv-84 mch-28.6 mchc-34.0 rdw-13.2 plt ct-312 06:08am blood pt-14.1* ptt-39.3* inr(pt)-1.2* 12:25am blood plt ct-312 05:15am blood glucose-103 urean-22* creat-1.0 na-140 k-4.5 cl-104 hco3-29 angap-12 12:25am blood glucose-112* urean-15 creat-1.0 na-137 k-5.9* cl-104 hco3-23 angap-16 07:00pm blood ck(cpk)-201* 06:08am blood alt-25 ast-81* ld(ldh)-273* ck(cpk)-624* alkphos-58 totbili-0.7 07:00pm blood ck-mb-9 ctropnt-1.64* 12:30am blood ck-mb-22* mb indx-7.2* ctropnt-1.75* 05:15am blood mg-2.4 04:31pm blood %hba1c-5.5 06:08am blood triglyc-116 hdl-57 chol/hd-3.6 ldlcalc-124 11:37am blood type-art po2-84* pco2-38 ph-7.43 caltco2-26 base xs-0 , f. f 79 radiology report chest (pa & lat) study date of 10:25 am , fa6a sched chest (pa & lat) clip # reason: eval pleural effusions medical condition: 79 year old woman s/p cabg reason for this examination: eval pleural effusions final report chest two views, at 10:29 hours comparison study: . findings: compared to the prior study, pleural effusions appear to have diminished somewhat. there is a small left and tiny right pleural effusion. there is mild left lower lobe atelectasis. upper lung zones are clear. cardiomediastinal silhouette is unremarkable. impression: interval improvement with a small residual left pleural effusion and left lower lobe atelectasis. dr. approved: mon 12:13 pm , f. f 79 cardiology report ecg study date of 3:54:12 pm sinus rhythm with an atrial paced beat. low limb lead qrs voltage. modest st-t wave changes. findings are non-specific. clinical correlation is suggested. since the previous tracing of atrial paced beat is present. the qrs voltage is lower, and moest st-t wave changes are seen. read by: , w. intervals axes rate pr qrs qt/qtc p qrs t 75 0 90 08 echocardiography report , (complete) done at 12:24:01 pm final referring physician information , c. , status: inpatient dob: age (years): 79 f hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: aortic valve disease. coronary artery disease. left ventricular function. mitral valve disease. valvular heart disease. icd-9 codes: 440.0, 424.1, 396.9 test information date/time: at 12:24 interpret md: , md test type: tee (complete) 3d imaging. son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw05-: machine: echocardiographic measurements results measurements normal range left atrium - long axis dimension: *5.0 cm <= 4.0 cm left atrium - four chamber length: 5.0 cm <= 5.2 cm left ventricle - septal wall thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.0 cm <= 5.6 cm left ventricle - ejection fraction: >= 55% >= 55% aorta - annulus: 2.0 cm <= 3.0 cm aorta - sinus level: 2.8 cm <= 3.6 cm aorta - sinotubular ridge: 2.2 cm <= 3.0 cm aorta - ascending: *4.0 cm <= 3.4 cm aortic valve - peak velocity: 1.2 m/sec <= 2.0 m/sec aortic valve - peak gradient: 6 mm hg < 20 mm hg aortic valve - valve area: *1.7 cm2 >= 3.0 cm2 findings mitral regurgitation severity increased to moderate to severe soon after induction of anesthesia. with heparin administration, nitroglycerin the mr severity decrease to baseline i.e. moderate mr. multiplanar reconstructions were generated and confirmed on an independent workstation. left atrium: mild la enlargement. no spontaneous echo contrast or thrombus in the body of the laa. right atrium/interatrial septum: normal ra size. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness and cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets. mild as (aova 1.2-1.9cm2). trace ar. mitral valve: moderately thickened mitral valve leaflets. mild mitral annular calcification. mild thickening of mitral valve chordae. moderate (2+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: trivial/physiologic pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-bypass: the left atrium is mildly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is mild aortic valve stenosis (area 1.2-1.9cm2). trace aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. moderate (2+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. post cpb: 1. preserved -ventricular systolci function. 2. mr is now trace. 3. trace ai. no other change brief hospital course: patient presented to with chest pain and was found to have a non- st elevation myocardial infarction and transferred for cardiac catherization. her troponin peaked to 1.75, ck mb 12.5 and cardiac catheterization that showed three vessel coronary artery disease. she was found to have urinary tract infection that was treated with ciprofloxacin and one dose of intravenous gentamycin in the operating room. she underwent preoperative work up and went to the operating room for coronary artery bypass graft surgery. see operative report for further details. she was treated with vancomycin for perioperative antibiotics since she was in the hospital preoperatively. she was transferred to the intensive care unit postoperatively for hemodynamic monitoring. within the first twenty foru hours she was weaned from sedation, awoke neurologically intact, and was extubated without complications. she was transferred to the floor on post operative day one for the remainder of stay. physical therapy worked with her on strength and mobility. she was started on amiodarone for non sustained ventricular tachycardia and beta blocker was titrated up, with no further dysrhythmia in the last twenty four hours. she was treated with intravenous lasix for pleural effusions that improved but not resolved. left thoracentesis performed with no complications. she was ready for discharge to rehab on post operative day 6. medications on admission: wellbutrin 75 mg \ asa 81 mg multivitamin 1 tablet daily diovan (does not know dose) daily (was formerly on trilafon and lipitor, but does not take these any longer) discharge medications: 1. wellbutrin 75 mg tablet sig: one (1) tablet po twice a day. 2. colace 100 mg capsule sig: one (1) capsule po twice a day. 3. percocet 5-325 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain for 2 weeks. 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po every eight (8) hours. 5. amiodarone 400 mg tablet sig: one (1) tablet po once a day: 400 mg daily for 7 days - then decrease to 200mg daily and follow up with cardiologist. 6. aspirin ec 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 7. zantac 150 mg capsule sig: one (1) capsule po once a day. 8. lipitor 80 mg tablet sig: one (1) tablet po once a day. 9. heparin (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). 10. perphenazine 4 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). 11. furosemide 40 mg tablet sig: one (1) tablet po once a day for 2 weeks. 12. lisinopril 2.5 mg tablet sig: one (1) tablet po daily (daily). 13. outpatient lab work potassium and renal function qfriday while on diuresis discharge disposition: extended care facility: highgate manor discharge diagnosis: coronary artery disease s/p coronary artery bypass surgery non-st elevation myocardial infarcation urinary tract infection hypertension hyperlipidemia non sustained ventricular tachycardia gastric esophageal reflux disease discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please call to schedule all appointments dr. in 4 weeks () dr after discharge from rehab ( you will need to follow up with a cardiologist, dr will refer you to a cardiologist for follow up procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization diagnostic ultrasound of heart (aorto)coronary bypass of four or more coronary arteries thoracentesis transfusion of packed cells excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux mitral valve disorders unspecified pleural effusion urinary tract infection, site not specified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation depressive disorder, not elsewhere classified paroxysmal ventricular tachycardia other and unspecified hyperlipidemia epistaxis dissection of coronary artery accidental cut, puncture, perforation or hemorrhage during heart catheterization other agents affecting blood constituents causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to