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(sulfonamide antibiotics) attending: chief complaint: unstable angina major surgical or invasive procedure: urgent off-pump coronary artery bypass graft x1, left internal mammary artery to left anterior descending artery. history of present illness: 65 year old female with left breast lumpectomy and left axillary lymphnode dissection followed by radiation and chemo for cancer. family history of heart disease who presented to emergency department with chest pain on exertion for 1 month,retrosternal with radiation to her jaw, neck, and left shoulder, associated with shortness of breath. positive troponin. she was cathed and plavix loaded. cardiac cath revealed 99% proximal lad dz. she was transferred to for cardiac surgery evaluation for coronary revascularization. past medical history: coronary artery disease left breast cancer s/p chemo and radiation past surgical history left breast lumpectomy and left axillary lymphnode dissection right rotator cuff surgery social history: lives with: 3 women from her church- 2 are in their 30's and are supportive. daughter lives in . patient cares for her 6 year old grand daughter contact: phone # occupation: cigarettes: smoked no yes last cigarette _____ hx: other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use family history: grandfather died 54yo "heart problems" physical exam: pulse: 79 resp: 18 o2 sat: 99%ra b/p right:120/73 left: height: 5' 4" weight:147 pounds five meter walk test #1_______ #2 _________ #3_________ general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema none____ varicosities: none neuro: grossly intact pulses: femoral right: +2 left:+2 dp right: +2 left:+2 pt : +2 left:+2 radial right:cath site left:+2 carotid bruit none right: left: pertinent results: tee conclusions overall left ventricular systolic function is low normal (lvef 50-55%). there is hypokinesis of the mid to distal anteroseptal segments with borderline dyskinesis distally. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. the mitral valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. there is an anterior space which most likely represents a prominent fat pad. impression: suboptimal study. low normal left ventricular global systolic function with regional wall motion abnormalities as described above. normal pulmonary artery systolic pressure. compared with the prior study (tee - images unavailable for review) of , the left ventricular regional systolic dysfunction appears similar. given the limited nature of the current study a comparison of all previously measured parameters could not be made. . 04:33am blood wbc-7.8 rbc-2.94* hgb-8.7* hct-26.5* mcv-90 mch-29.6 mchc-32.9 rdw-14.2 plt ct-178 04:40am blood wbc-7.6 rbc-2.97* hgb-9.0* hct-26.5* mcv-89 mch-30.2 mchc-33.8 rdw-14.4 plt ct-109* 02:07am blood wbc-11.2* rbc-3.01* hgb-9.1* hct-26.9* mcv-89 mch-30.3 mchc-33.9 rdw-14.2 plt ct-129* 01:45pm blood pt-14.7* ptt-23.2* inr(pt)-1.4* 12:00pm blood pt-15.0* ptt-24.5* inr(pt)-1.4* 03:32am blood pt-11.3 ptt-56.6* inr(pt)-1.0 04:33am blood glucose-86 urean-12 creat-0.5 na-139 k-3.7 cl-101 hco3-34* angap-8 04:40am blood glucose-93 urean-10 creat-0.5 na-139 k-3.8 cl-103 hco3-31 angap-9 02:07am blood glucose-101* urean-6 creat-0.6 na-141 k-4.2 cl-109* hco3-28 angap-8 brief hospital course: the patient was brought to the operating room on where the patient underwent opcabg x 1 (lima-lad) with dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact. she was kept on neo for hypotension and weaned from this by pod 2. she received 5 units of cells in the post-op period and she still remains anemic but is not significantly symptomatic. post-op echo was unremarkable. while at rehab she will need her hct monitored. she was started on isordil and later transitined to imdur for prevention of lima spasm this will need to be continued for 3 months.beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating wiht assistance, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to rehab in good condition with appropriate follow up instructions. of note pt was started on plavix due to being done off pump and this will need to be continue for 3 months also. medications on admission: preadmission medications listed are correct and complete. information was obtained from patient. 1. aspirin ec 81 mg po daily discharge medications: 1. aspirin ec 81 mg po daily 2. acetazolamide 250 mg po q12h duration: 2 days 3. atorvastatin 20 mg po daily 4. bisacodyl 10 mg pr daily:prn constipation 5. clopidogrel 75 mg po daily off-pump x 3 months 6. furosemide 20 mg po daily duration: 3 days 7. isosorbide mononitrate (extended release) 15 mg po daily hold if bp <95 for 3 months 8. metoprolol tartrate 12.5 mg po bid hold for hr < 55 or sbp < 90 and call medical provider. 9. multivitamins 1 tab po daily 10. ranitidine 150 mg po bid 11. tramadol (ultram) 50 mg po q6h:prn pain rx *tramadol 50 mg 1 tablet(s) by mouth every four (4) hours disp #*40 tablet refills:*0 12. colace 100mg po bid 13. senokot 1-2 tabs po bid discharge disposition: extended care facility: discharge diagnosis: coronary artery disease left breast cancer s/p chemo and radiation past surgical history left breast lumpectomy and left axillary lymphnode dissection right rotator cuff surgery discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage no edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: you are scheduled for the following appointments: wound check at cardiac surgery office , 10:00 surgeon dr. , 1:30 please call to schedule the following: cardiologist dr. will call rehab with appt date primary care dr. , in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: single internal mammary-coronary artery bypass diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome personal history of malignant neoplasm of breast other and unspecified hyperlipidemia family history of ischemic heart disease iron deficiency anemia, unspecified personal history of antineoplastic chemotherapy personal history of irradiation, presenting hazards to health 

Answer: The patient is high likely exposed to