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: tetracycline attending: chief complaint: syncope major surgical or invasive procedure: dental extractions mv repair/cabg x3 (26 mm ce ring/lima to lad, svg to om, svg to pda) history of present illness: 78 yo female with known cad with medical management. she had a syncope 1 week priot to admission. she ruled out for an mi at that time. st elevations with ischemia was noted, and the pt. refused initial rx and left ama. she represented for further workup. past medical history: niddm htn elev. chol. mi cad social history: retired no tobacco use no etoh use lives alone family history: not known physical exam: 98.8 rr 16 130/80 97% ra sat. 5'6" 170# nad perrl,anicteric,noninjected,normal oropharynx neck supple, no bruit appreciated ctab rrr, no m/r/g soft, nt, nd, +bs warm, well-perfused, no peripheral edema,mild varicosities below the knee nonfocal exam, alert and oriented x3 2+ bil. fems.radials 1+ bil. dp/pts 1+ carotids pertinent results: 02:58pm blood wbc-7.7 rbc-3.43* hgb-10.1* hct-30.4* mcv-89 mch-29.4 mchc-33.2 rdw-14.6 plt ct-202# 02:58pm blood plt ct-202# 02:58pm blood glucose-277* urean-17 creat-1.0 na-137 k-3.9 cl-103 hco3-24 angap-14 11:55pm blood %hba1c-7.3* conclusions pre-bypass: 1. the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses and cavity size are normal. there is moderate to severe regional left ventricular systolic dysfunction with hypokinesis of the inferoseptal, anteroseptal, anterior and anterolateral walls. overall left ventricular systolic function is severely depressed (lvef= 20-25 %). 3. right ventricular chamber size and free wall motion are normal. 4. there are complex (>4mm) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. 6. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including milrinone and norepinephrine, epinephrine and is being av paced. 1. a mitral valve annuloplasty ring is well seated. no is seen. trace mr is seen. mean gradient across the valve is 8mm of hg with a co of 5.5. 2. lv function is slightly improved. rv function is preserved. 3. aorta is intact post decannulation. 4. other findings are unchanged i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, md, interpreting physician 15:56 radiology final report chest (pa & lat) 3:01 pm chest (pa & lat) reason: evaluation of effusion medical condition: 78 year old woman with s/p mvr, cabg reason for this examination: evaluation of effusion clinical indication: evaluate for effusion. findings: two views of the chest were obtained and compared to the prior examination dated . there are persistent bilateral pleural effusions that have slightly decreased since the prior examination. there is a persistent left retrocardiac opacity likely secondary to underlying atelectasis, although a superimposed pneumonia cannot be entirely excluded. the patient is status post mitral valve replacement, cabg and median sternotomy. the cardiac silhouette is slightly less prominent as noted on the prior examination. impression: minimal interval decrease in size of bilateral moderate-sized pleural effusions. otherwise, no significant interval change. dr. approved: sun 5:25 pm ?????? caregroup is. all rights reserved. brief hospital course: admitted and cardiac workup completed over the next few days. three day course of bactrim started for a uti.dental consult also done and chest ct done. continued on iv heparin, then stopped for teeth extractions. iv ntg also started. dental extractions done . mvrepair /cabg x3 done with dr. . transferred to the cvicu in fair condition on epinephrine, milrinone, levophed, and insulin drips. extubated early in the am pod #1. chest tubes removed on pod #2 and trasnferred to the floor to begin increasing her activity level. pacing wires removed on pod #3. beta blockade titrated and she was gently diuresed toward her preop weight. cleared for discharge to rehab, but pt. refused discharge over the weekend. bed available and discharged to rehab on pod #6. pt. is being covered with ssi and is to make all rehab appts. as per discharge instructions. medications on admission: glyburide 6 mg daily lovastatin 80 mg daily enalapril 10 mg daily toprol xl 50 mg daily ecasa 81 mg daily protonix 40 mg daily regular insulin ss ( added at osh: xanax 0.5 mg hs/prn) discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. 2. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours). 3. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours). 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 7. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 9. metoprolol succinate 100 mg tablet sustained release 24 hr sig: 1.5 tablet sustained release 24 hrs po daily (daily). 10. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 11. humalog insulin per sliding scale flowsheet discharge disposition: extended care facility: bayberry commons discharge diagnosis: cad/mr s/p mvrepair/cabg x3 niddm htn mi elev. chol. discharge condition: stable discharge instructions: no lotions, creams, or powders on any incision no driving for one month no lifting greater than 10 pounds for 10 weeks call for fever greater than 100.5, redness, or drainage shower daily and pat incisions dry followup instructions: see dr. in weeks see dr. in weeks see dr. in 4 weeks md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries annuloplasty transfusion of packed cells extraction of deciduous tooth diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction acute on chronic systolic heart failure dental caries, unspecified 

Answer: The patient is high likely exposed to