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: chest discomfort, s/p cath with 3vd and distal lmca disease major surgical or invasive procedure: cardiac catheterization /iabp cabg x3 history of present illness: the patient is an 86 year old female with a history of htn who presented at 5pm on to bidn with complaints of chest discomfort. describes that she noted a mild substernal chest discomfort 2 evenings prior to presentation, but is not clear if it woke her from sleep. it persisted throughout the night. during the subsequent day, had persistent chest discomfort, that she felt would worsen with activity. describes as a mild pressure, radiating to her back, without any associated symptoms. on further questioning, reminded her of prior gerd symptoms, so didn't think much of it. also of note she had been feeling increased fatigue over this time period. that evening, she had persistent chest discomfort, but again, only mild in nature. she doesn't feel that it ever resolved completly over the 2 day time period. she called into her pcp, was reffered to the bidn ed. . on arrival to bidn, patients intial viatls were hr 73, bp 155/60, 100% on ra. she was given slng x 3 with resolution of pain. chest discomfort returned during ed stay, and 2 additional doses of slng were given to good effect. she was additionally given 243mg of asa, gi coctail, 1 inch of nitro , and started on a heparing gtt. ekg showed no ischmic changes. cardiac markers showed a normal ck at 113, an elevated mb at 9.5, and an elevated troponin at 0.07 in the setting of ckd (gfr = 45.) the patient was transfered as a direct admit to the service. . while on the service the patient's cardiac enzymes peaked at a ck of 233, mbi of 12.9, tnt of 0.53. she was noted to have a small amount of brbpr per patient, without a significant hct drop, this was considered to be a minor bleed and the patient was continued on a heparin gtt. cardiac cath done , iabp placed and referred for cabg. past medical history: htn social history: a prior social smoker, but not currently. drinks 1-2 drinks an evening. no drug use. spent most of adult life in nj, but recently moved to ma to be near her 2 daughters, and lives in a retirement community. family history: non contributory physical exam: vs - 97 129/54 76 96% on ra gen: elderly female in nad. 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 6cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. 4'8" 98# pertinent results: pre-bypass: the left atrium is moderately dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. a left-to-right shunt across the interatrial septum is seen at rest. a small secundum atrial septal defect is present. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is mildly dilated with normal free wall contractility. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. there is severe mitral annular calcification. there is moderate thickening of the mitral valve chordae. moderate (2+) mitral regurgitation is seen. there is no pericardial effusion. iabp in good position in the descending aorta post cpb 1. preserved -ventricular sustolci function with background inotropic support (epinephrine) 2. mr is mild now. 3. tr is mild now. 4. iabp in good position. 5. intact aorta electronically signed by , md, interpreting physician 14:44 05:31am blood wbc-14.0* rbc-3.79* hgb-11.2* hct-32.9* mcv-87 mch-29.6 mchc-34.0 rdw-15.3 plt ct-215# 05:31am blood pt-10.2* ptt-25.0 inr(pt)-0.8* 05:31am blood glucose-103* urean-31* creat-1.1 na-131* k-4.3 cl-95* hco3-28 angap-12 , fa6a 2:44 pm chest (pa & lat) clip # reason: eval for ptx medical condition: 86 year old woman s/p ct pull reason for this examination: eval for ptx final report indication: status post chest tube pull, please evaluate for pneumothorax. comparison is made to the prior study of . findings: the distal tip of right central line projects at the expected location of cavoatrial junction. mildly enlarged heart size is unchanged. the aorta is tortuous. small bilateral pleural effusions are unchanged. no pneumothorax is detected. right chest tube has been removed. the study and the report were reviewed by the staff radiologist. dr. dr. approved: 5:27 pm cardiac cath: comments: 1. coronary angiography in this right dominant system demonstrated two vessel disease. the lmca had a calcified distal 80% stenosis. the lad had an 80% calcified mid stenosis. the ramus intermedius had a proximal stenosis that extended from the left main stenosis. the lcx had a 99% proximal stenosis. the rca had mild luminal irregularities. 2. limited resting hemodynamics revealed elevated left-sided filling pressures with lvedp 26mmhg. there was severe systemic arterial hypertension with sbp 180mmhg and dbp 66mmhg. 3. final diagnosis: 1. two vessel coronary artery disease and left main disease. 2. normal ventricular function. 3. refractory pain requiring iabp for hemodynamics support. attending physician: , . referring physician: , . cardiology fellow: , , g. attending staff: , j. brief hospital course: patient is an 86 year old female with a history of hypertension who presents with complaints of chest pain. while on the service the patient's cardiac enzymes peaked at a ck of 233, mbi of 12.9, tnt of 0.53. she was noted to have a small amount of brbpr per patient, without a significant hct drop, this was considered to be a minor bleed and the patient was continued on a heparin gtt. cath done which revealed two vessel coronary artery disease and left main stenosis and iabp was placed prior to undergoing emergecy cabg x 3(lima->lad, svg->ramus and lcx). she tolerated the procedure well and was transferred to the cvicu in stable condition on titrated phenylephrine and propofol drips. she had her iabp dicaontinued immediately post op and was extubated that night. she went into atrial fibrillation on pod 2 and was treated with amiodarone and converted to sinus rhythm. she was transferred to the floor that evening and chest tubes and pacing wires removed per protocol. she was gently diuresed toward preop weight and worked with pt to help gain strength and mobility. she went back into atrial fibrillation and was started on coumadin. she contiued to progress and was discharged to rehab at newbridge of on pod#4 in stable condition. she will have her first inr drawn on and has a follow up appointment with dr. on @ 1pm. medications on admission: lisinopril believes 10mg, but not sure norvasc 5mg daily hctz 25mg daily evista omeprazole 20mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 5. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 6. trazodone 50 mg tablet sig: 0.5 tablet po hs (at bedtime) as needed for insomnia. 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). 8. amiodarone 400 mg tablet sig: one (1) tablet po daily (daily) for 7 days: decrease dose to 200 mg po daily after 7 days. 9. ondansetron hcl (pf) 4 mg/2 ml solution sig: one (1) injection q8h (every 8 hours) as needed for nausea. 10. lasix 20 mg tablet sig: two (2) tablet po twice a day for 7 days. 11. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po twice a day for 7 days. 12. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 13. warfarin 2 mg tablet sig: one (1) tablet po once a day for 2 doses: titrate does for inr goal of .5. tablet(s) discharge disposition: extended care facility: newbridge on the - discharge diagnosis: cad s/p cabg x3 htn nstemi postop a fib discharge condition: alert and oriented x3 nonfocal ambulating with assistance incisional pain managed with ultram and tylenol incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. wednesday @ 1:00 pm please call to schedule appointments with your: primary care dr. in weeks cardiologist dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication goal inr first draw results to phone fax procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization implant of pulsation balloon diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation chronic kidney disease, unspecified blood in stool chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to