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: doe/angina major surgical or invasive procedure: s/p cabg x3 (lima to lad, svg to om, svg to pda) history of present illness: 78 yo female with known 3vd.cath in showed severe, diffuse lad dz, diag subtotal occluded, om 1 80%, om 2 80%, rca 80% ostial, 80% mid lesions.despite medical management, she continues to experience exertional dyspnea and recurrent angina. referred for surgical evaluation. past medical history: cad htn dementia htn carotid dz. s/p right cea iddm hypothyroidism childhood seizures pacer placment tah hernia repair social history: retired denies tobacco denies etoh use lives with husband family history: no premature cad physical exam: 64" 168# right 146/61 left 151/65 wdwn in nad neck supple, full rom, no jvd ctab rrr, no m/r/g soft, nt, nd, + bs extrems warm, well-perfused, no edema no obvious varicosities alert and oeriented x3, mae, grossly non-focal exam 2+ bil. fems, 1+ bil. dp/pts no carotid bruits appreciated pertinent results: 11:10am blood wbc-10.2 rbc-2.88* hgb-9.4* hct-26.1* mcv-91 mch-32.5* mchc-35.8* rdw-15.1 plt ct-105* 11:10am blood glucose-248* urean-24* creat-1.1 na-137 k-4.7 cl-105 hco3-27 angap-10 conclusions pre cpb the left atrium is markedly dilated. the left atrium is elongated. no mass/thrombus is seen in the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. no aortic regurgitation is seen. the posterior mitral valve leaflet is shortened and moderately to severely thickened. the anterior mitral leaflet is less thickened.. moderate, central (2+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. post cpb patient atrially paced. normal biventricular function. moderate mitral regurgitation remains. thoracic aorta appears intact. no other changes from pre bypass study. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 12:06 05:40am blood glucose-174* urean-35* creat-1.4* na-138 k-4.5 cl-102 hco3-28 angap-13 brief hospital course: admitted and underwent cabg x3 with dr. . transferred to the cvicu in stable condition on titrated neosynephrine, insulin and propofol drips. extubated that evening. ep service came the next morning to evaluate a junctional rhythm and interrogated her pacer. chest tubes were removed and she was transferred to the floor on pod #1. beta blockade was titrated and she was gently diuresed toward her preop weight. physical therapy worked with her for strength and mobility. her pacemaker was reinterrogated for inappropriate pacing and ma were adjusted, cxr verified leads in place, and plan for follow up in device clinic in 1 month. her renal function was increased to 1.4 with no change on repeat, plan for follow up check in two days at rehab. she was ready for discharge on pod 4 to rehab. medications on admission: lopressor 50 mg tid lexapro 10 mg daily isosorbide 60 mg daily lantus insulin 52 units qam regular insulin sliding scale lorazepam 0.25 mg plavix (ld ) crestor 10 mg daily aricept 10 mg daily asa daily levoxyl 100 mcg daily alprazolam 0.25 mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 4. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 5. lorazepam 0.5 mg tablet sig: 0.5 tablet po twice a day as needed for anxiety . 6. crestor 10 mg tablet sig: one (1) tablet po once a day. 7. aricept 10 mg tablet sig: one (1) tablet po once a day. 8. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 9. levoxyl 100 mcg tablet sig: one (1) tablet po once a day. 10. lantus 100 unit/ml solution sig: twenty four (24) units subcutaneous once a day: please titrate up to home dose as appetite improves - her original dose was 52 units qam . 11. insulin sliding scale with humalog insulin sc sliding scale breakfast lunch dinner bedtime glucose insulin dose insulin dose insulin dose insulin dose 0-60 mg/dl 4 oz. juice 61-120 mg/dl 0 units 0 units 0 units 0 units 121-160 mg/dl 2 units 2 units 2 units 0 units 161-200 mg/dl 4 units 4 units 4 units 2 units 201-240 mg/dl 6 units 6 units 6 units 4 units 241-280 mg/dl 8 units 8 units 8 units 6 units 12. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 13. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. 14. furosemide 20 mg tablet sig: one (1) tablet po once a day. 15. outpatient lab work please check potassium, bun and cr sunday and thrusday and call results to cardiac surgery discharge disposition: extended care facility: life care center of discharge diagnosis: cad s/p cabg x 3 htn elev. chol. carotid dz. s/p right cea iddm hypothyroidism dementia childhood seizures discharge condition: good discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower daily, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon. please call with any questions or concerns followup instructions: please call to schedule all appointments dr. after discharge from rehab dr. in weeks after discharge from rehab dr. in 4 weeks follow up with device clinic for changes with ppm provider: clinic phone: date/time: 10:30 please check potassium, bun and cr sunday and thrusday and call results to cardiac surgery procedure: single internal mammary-coronary artery bypass (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart cardioplegia diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism other persistent mental disorders due to conditions classified elsewhere other and unspecified angina pectoris long-term (current) use of insulin cardiac pacemaker in situ 

Answer: The patient is high likely exposed to