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: bactrim / heparin agents attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: cabg x4/repair lv aneurysm/cx endarterectomy (lima to lad, svg to om, svg to om, svg to pda) history of present illness: 70 yo female with doe and wheezing noted in early . pcp rx with , but no improvement. she worsened and ruled in for nstemi in the er. cath revealed severe 3vd. past medical history: cad s/p silent mi c/b lv mural thrombus (resolved, off warfarin) pad s/p left sfa angioplasty and stent dm2 htn oa spinal stenosis hyperthyroidism s/p cholecystectomy s/p appendectomy s/p tah social history: denies tobacco, etoh lives with husband family history: no family history of early mi, otherwise non-contributory. physical exam: at discharge: vs: 97.4, 121/54, 80sr, 20, 97%ra gen: nad, overweight wf lungs: crackles b/l bases, o/w clear heart: rrr, no murmur or rub abd: obese, nabs, soft, non-tender, non-distended ext: warm, trace edema b/l sternal wound: c/d/i, no erythema or drainage evh: c/d/i, no erythema or drainage pertinent results: pre-cpb: 1. the left atrium is moderately dilated. no spontaneous echo contrast is seen in the body of the left atrium. no thrombus is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses are normal. the left ventricular cavity is mildly dilated. there is an antero-apical left ventricular aneurysm. there is moderate regional left ventricular systolic dysfunction with anteroseptal and anteroapical hypokinesis. there is an inferoapical aneurysm with no thrombus seen.. no masses or thrombi are seen in the left ventricle. overall left ventricular systolic function is moderately depressed (lvef= 35 %). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the aortic root. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma, nonmobile, in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. 7. the tricuspid valve leaflets are mildly thickened. 8. there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results. post-cpb: on infusions of epinephrine, phenylephrine. there is improvement of global lv systolic function on inotropic support. lvef is now 40%. there is evidence of a suture-repair of the lv apical aneurysm. mr remains trace. the aortic contour is normal post-decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 08:38 ?????? caregroup is. all rights reserved. 05:45am blood wbc-8.8 rbc-3.53* hgb-10.1* hct-30.4* mcv-86 mch-28.6 mchc-33.2 rdw-15.0 plt ct-189 05:45am blood glucose-91 urean-18 creat-0.5 na-138 k-4.5 cl-105 hco3-24 angap-14 07:15am blood wbc-8.7 rbc-3.35* hgb-10.0* hct-29.0* mcv-86 mch-29.9 mchc-34.6 rdw-15.1 plt ct-293# 07:15am blood glucose-267* urean-16 creat-0.6 na-134 k-4.1 cl-97 hco3-30 angap-11 brief hospital course: admitted and underwent surgery with dr. . transferred to the cvicu in stable condition on epinephrine, insulin and propofol drips. extubated later that evening. transferred to the floor on pod #2, but went into rapid a fib and was transferred back to the cvicu for better iv access. amiodarone was started. transferred back to the floor on pod #3 to begin increasing her activity level. was consulted regarding glucose management. gently diuresed toward her preop weight. the patient made excellent progress with physical therapy, showing good strength and balance before discharge. chest tubes and pacing wires were discontinued without complication. by the time of discharge on pod 5, the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. medications on admission: lipitor 80 mg daily asa 325 mg daily isosorbide mn 30 mg daily methimazole 10 mg daily protonix 40 mg daily lisinopril 20 mg daily chlorazepate dipotassium 3.75 mg daily toprol xl 50 mg daily insulin levemir 32 units q pm novolog 8 units q am novolog 14 units q pm discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg 2x/day for 4 days, then 200mg 2x/day for 1 week, then 200mg/day. disp:*120 tablet(s)* refills:*0* 8. toprol xl 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po once a day. disp:*90 tablet sustained release 24 hr(s)* refills:*0* 9. nystatin 100,000 unit/g cream sig: one (1) appl topical (2 times a day) for 2 weeks. disp:*qs * refills:*0* 10. furosemide 20 mg tablet sig: two (2) tablet po once a day for 1 weeks. disp:*14 tablet(s)* refills:*0* 11. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 1 weeks. disp:*14 packet(s)* refills:*0* 12. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. disp:*60 tablet(s)* refills:*0* 13. insulin detemir 100 unit/ml insulin pen sig: 40 units subcutaneous q am. disp:*30 * refills:*0* 14. novolog flexpen 100 unit/ml insulin pen sig: per scale subcutaneous ac, hs: dose to be determined by sliding scale. disp:*30 * refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: cad/apical aneurysm s/p cabg x4/rep. lv aneurysm postop a fib mi iddm hyperthyroidism oa spinal stenosis retroperitoneal bleed s/p cath pvd with l sfa stent/ptca discharge condition: good discharge instructions: no lotions, creams or powders on any incision shower daily and pat incisions dry no driving for one month and until off all narcotics for pain no lifting greater than 10 pounds for 10 weeks call for fever greater than 100.5, redness or drainage call for weight gain greater than 2 pounds in one day, or 5 pounds in a week followup instructions: dr. 1 week see dr. in weeks see dr. in weeks see dr. in 4 weeks please call for all appts. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery excision of aneurysm of heart diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation thyrotoxicosis without mention of goiter or other cause, and without mention of thyrotoxic crisis or storm other and unspecified angina pectoris 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 atherosclerosis of native arteries of the extremities, unspecified subendocardial infarction, subsequent episode of care aneurysm of heart (wall) 

Answer: The patient is high likely exposed to