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: ms. is a 66- year-old woman with a history of coronary artery disease (status post myocardial infarction and right coronary angioplasty in ) who presented with gallstones needing surgery and was found to have 3-vessel disease and moderate- to-severe mitral regurgitation on preoperative cardiac workup. cardiac catheterization data revealed an ejection fraction of 45 percent, moderate-to-severe mitral regurgitation, left atrial enlargement, left anterior descending 80 percent lesion, left circumflex 80 percent lesion, right coronary artery small caliber with an 80 percent ostial stenosis. past medical history: significant for a myocardial infarction and an angioplasty in , congestive heart failure, mitral valve prolapse, hypercholesterolemia, paroxysmal atrial fibrillation, osteoarthritis of the left thumb, cholelithiasis, hysterectomy, with prolapse cystocele and rectocele, and bladder repair in . medications prior to admission: 1. ecotrin 325 mg by mouth once per day. 2. evista 60 mg by mouth once per day. 3. lanoxin 0.375 mg once per day. 4. atenolol 25 mg by mouth once per day. 5. vasotec 2.5 mg by mouth twice per day. 6. lipitor 40 mg by mouth once per day. 7. nitrostat as needed. 8. multivitamin by mouth every day. 9. lasix 20 mg by mouth every other day. 10. calcium 1200 mg by mouth once per day. allergies: percocet (which causes gastrointestinal upset), sulfa (which causes a rash), ampicillin (which causes flushing), neomycin (which causes itching), and electrolyte glue (which causes hives). family history: father at the age of 39 of a myocardial infarction. mother died at the age of 57 of a myocardial infarction. social history: the patient is a retired nurse. she lives with her husband. she denies alcohol or tobacco use as well as other recreational drug use. physical examination on presentation: heart rate was 56 (sinus rhythm), her blood pressure was 112/64, her respiratory rate was 20, and her oxygen saturation was 95 percent on room air. her height was 5 feet 3 inches. her weight was 140 pounds. in general, alert and oriented times three. a nonfocal examination. head, eyes, ears, nose, and throat examination the pupils were equal, round, and reactive to light. the extraocular movements were intact. the neck was supple. there was no lymphadenopathy. there were no carotid bruits. cardiovascular examination revealed a regular rate and rhythm. first heart sounds and second heart sounds. there was a 36systolic ejection murmur. respiratory examination revealed the lungs were clear to auscultation bilaterally. the abdomen was flat, soft, nontender, and nondistended. the extremities were warm and well perfused. no varicosities. there were positive spider veins. femoral pulses were 1 plus bilaterally, dorsalis pedis pulses were 2 plus bilaterally, posterior tibial pulses were 1 plus on the right and 2 plus on the left, and radial pulses were 2 plus bilaterally. radiology: a chest x-ray showed cardiomegaly without acute cardiopulmonary abnormalities. an electrocardiogram showed sinus bradycardia with q waves in leads ii, iii, and f. there were flipped t waves in leads ii, iii, and f as well. the rate was 52 beats per minute. p- r interval was 18, qrs was 98, qt interval was 400. pertinent laboratory values on presentation: white blood cell count was 8.5, her hematocrit was 40, and her platelets were 287. prothrombin time was 13.1, her partial thromboplastin time was 27.4, and her inr was 1.1. urinalysis with small leukocytes. negative nitrites. white blood cells of 0. no bacteria. sodium was 142, potassium was 3.9, chloride was 100, bicarbonate was 30, blood urea nitrogen was 15, creatinine was 1, and blood glucose was 104. alanine-aminotransferase was 21, her aspartate aminotransferase was 22, her alkaline phosphatase was 72, her total bilirubin was 0.5, her total protein was 7.3, and her albumin was 4.4. her hemoglobin a1c was 5.5. summary of hospital course: as stated previously, the patient was a direct admission to the operating room where she underwent a mitral valve repair with number 26 annuloplasty ring and a coronary artery bypass grafting times two with a left internal mammary artery to the left anterior descending and saphenous vein graft to the obtuse marginal. her bypass time was 82 minutes with a cross-clamp time of 68 minutes. please see the operative report for full details. the patient tolerated the procedure well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, the patient was in a sinus rhythm at 80 beats per minute with a central venous pressure of 5 and a pulmonary artery pressure of 23/11. she had epinephrine at 0.4 mcg/kilogram per minute, and neo-synephrine at 1.25 mcg/kilogram per minute, and propofol at 20 mcg/kilogram per minute. the patient did well in the immediate postoperative period. she was rapidly weaned from the epinephrine drip. her anesthesia was reversed. she was weaned from the ventilator and successfully extubated. she remained hemodynamically stable throughout the course of her operative day. on postoperative day one, she remained hemodynamically stable. her neo-synephrine drip was weaned to off. she was noted to have a hematocrit of 23 and was therefore transfused with 2 units of packed red blood cells. the chest tubes remained in, and she stayed in the cardiothoracic intensive care unit for further hemodynamic monitoring. on postoperative day two, the patient remained hemodynamically stable. she was begun on beta blockade as well as diuretics. her foley catheter and chest tubes were removed, and she was transferred to the floor for continued postoperative care and cardiac rehabilitation. once on the floor, the patient's activity level was gradually increased with the assistance of the nursing staff as well as physical therapy. on postoperative day five, the patient remained somewhat tachycardic with a baseline heart rate of 90 to 100 rising to 130 to the 150s with any kind of activity; all as a sinus rhythm. the patient was hemodynamically stable with a blood pressure in the 100s. however, she was again noted to have a hematocrit of less than 30 and was therefore transfused with packed red blood cells. over the next two days the patient's beta blockade was gradually increased in an attempt to control her tachycardia without much affect. on postoperative day seven, the patient was begun digoxin with a further attempt to control the patient's tachycardia. at that point, she was given 0.5 mg orally in two divided doses and then begun on 0.25 mg once per day. the following day the patient's tachycardia had largely resolved. she was found to have a heart rate/sinus rhythm in the 80s even with activity. at that point, the decision was made that the patient was stable and ready to be discharged to home at this time. physical examination at the time of discharge: vital signs revealed her temperature was 98, her heart rate was 86 (sinus rhythm), her blood pressure was 108/62, her respiratory rate was 18, and her oxygen saturation was 96 percent on room air. weight preoperatively was 64 kilogram and on discharge was 62.8 kilogram. physical examination revealed the patient was alert and oriented times three. she was moving all extremities and followed commands. respiratory examination revealed the lungs were clear to auscultation bilaterally. cardiovascular examination revealed a regular rate and rhythm. normal first heart sounds and second heart sounds. no murmurs. the sternum was stable. the incision with steri- strips, open to air, clean and dry. the abdomen was soft and nontender. there were positive bowel sounds. the extremities were warm and well perfused with trace edema. pertinent laboratory values on discharge: white blood cell count was 10.2, her hematocrit was 35.1, and her platelets were 305. sodium was 141, potassium was 4.6, chloride was 102, bicarbonate was 28, blood urea nitrogen was 15, creatinine was 0.9, and her blood glucose was 92. medications on discharge: 1. aspirin 325 mg by mouth once per day. 2. plavix 75 mg by mouth once per day. 3. atorvastatin 40 mg by mouth once per day. 4. metoprolol 50 mg by mouth twice per day. 5. digoxin 0.25 mg by mouth once per day. 6. dilaudid 1 mg to 4 mg q.4-6h. as needed. condition on discharge: good. discharge diagnoses: coronary artery disease; status post coronary artery bypass grafting times two (with a left internal mammary artery to the left anterior descending and saphenous vein graft to the obtuse marginal). mitral regurgitation; status post mitral valve repair with a number 26 annuloplasty ring. hypercholesterolemia. paroxysmal atrial fibrillation. mitral valve prolapse. osteoarthritis of the left thumb. cholelithiasis. hysterectomy. bladder repair. discharge disposition: the patient was to be discharged to home with visiting nurses. discharge followup: the patient was to have followup with dr. in two to three weeks and followup with dr. in four weeks. , m.d. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery transfusion of packed cells open heart valvuloplasty of mitral valve without replacement diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified cardiac complications, not elsewhere classified atrial fibrillation other specified complications of procedures not elsewhere classified 

Answer: The patient is high likely exposed to