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: history of present illness: this is a 61 year old female with longstanding diabetes mellitus and known cerebrovascular accident who presented to an outside hospital for a two week history of shortness of breath. tests performed in the outside hospital revealed electrocardiogram changes in lead 2, 3 an avf consistent with an inferior myocardial infarction. laboratory data done at that time revealed an elevated troponin at 16.7. the patient did not complain any of any chest pain, nausea, or arm tingling. the patient was transferred from the outside hospital to for a cardiac catheterization. past medical history: 1. diabetes mellitus. 2. pancreatitis. 3. hiatal hernia. 4. cardiovascular accident in , two times in . 5. hypercholesterolemia. 6. status post cholecystectomy. 7. status post right breast lumpectomy. 8. status post right carotid artery endarterectomy. 9. depression. 10. morbid obesity. 11. congestive heart failure. medications on admission: 1. insulin morning dose 50 units nph, 15 units regular, evening dose 15 units nph, 6 units regular. 2. lipitor. 3. nexium. 4. lasix 40 mg p.o. q.d. 5. zoloft. 6. albuterol prn. 7. aspirin 81 mg p.o. q.d. 8. zetia 10 mg p.o. q.d. allergies: no known drug allergies. social history: negative for alcohol, drugs and very distant, 20 years, tobacco use. review of systems: the patient denied any fevers, chills, nausea, vomiting, chest pain, jaw pain, arm pain or diaphoresis. the patient did endorse that she had had longstanding bilateral lower extremity edema and that she had to sleep on three pillows at night in order to breath comfortably. physical examination: on physical examination the patient was afebrile, 98.3, blood pressure 108/60, pulse 78, breathing 18 times per minute, 98% on 2 liters of nasal cannula. in general, she was an obese white female, uncomfortable in bed, alert and oriented times three but in no apparent distress. head, eyes, ears, nose and throat examination, moist mucous membranes, pupils were equal, round and reactive to light and anicteric. neck examination: obese, no jugulovenous distension was visualized. lungs: even, unlabored breathing, clear to auscultation bilaterally. cardiac examination: very distant, s1 and s2, no murmurs, rubs or gallops noted. abdominal examination: obese, soft, nontender, nondistended. no hepatosplenomegaly. extremity examination, 1 to 2+ pitting edema in the bilateral lower extremities. positive venostatic changes. extremities were warm, dry and well perfused. laboratory data: pertinent laboratory data on admission revealed white count 9.8, hematocrit 37.2, platelets 343. chem-7 sodium 137, potassium 5.0, chloride 101, bicarbonate 26, bun 29, creatinine 1.2, glucose 282. pt 14.4, ptt 67.6, inr 1.4. urinalysis was performed which showed 21 to 50 white blood cells, few bacteria, 1000 glucose. creatinine kinase 217, ckmb 10, mvi 4.6, troponin 0.33. hospital course: the patient was admitted to the cardiology service with the attending being dr. . the patient underwent the cardiac catheterization on . the results of the catheterization are as follows: 1. severe vessel coronary artery disease. 2. severe diastolic ventricular dysfunction. 3. dominant right coronary artery had diffuse 80 to 90% stenosis with an 80% posterior descending artery lesion. the lmda had a 70 to 80% disease of the distal portion of the vessel. the left circumflex had a diffuse 80% disease with minimal disease in the obtuse medial branches. resting hemodynamics revealed severely elevated left-sided pressures of 38 mm of mercury. the left ventriculography was deferred during this examination. the left ventricular systolic function was determined to be approximately 55%. following the cardiac catheterization the admitting team asked for cardiothoracic surgery consult, for possible coronary artery bypass grafting. following the cardiac catheterization the patient was admitted to the cardiac care unit due to the fact that she had an intra-arterial balloon pump inserted during the catheterization. inside the unit the patient was maintained on lasix, nitroglycerin drip, lipitor, heparin drip. the patient was placed on levaquin 500 mg p.o. q.d. for treatment of the suspected urinary tract infection. on , the patient underwent a coronary artery bypass grafting times four. she had her left internal mammary artery to left anterior descending, saphenous vein graft to obtuse marginal, saphenous vein graft to diagonal, saphenous vein graft to the posterior descending artery. the cross-clamp time was 94 minutes. the coronary bypass time was 160 minutes. the procedure was performed by dr. and assisted by dr. . the patient tolerated the procedure well and there were no complications during the surgery. following the procedure the patient was transferred to the cardiac surgery recovery unit on milrinone and neo-synephrine drips. the patient was atrially paced at 90 beats/minute. on postoperative day #1 the patient was maintained intubated. she continues to be sedated with propofol. the patient was also in insulin, neo-synephrine and milrinone drips. the patient was continued to be atrially paced at 90 with good blood pressure and cardiac index. the milrinone was slowly weaned as well as the neo-synephrine. they were unable to wean her off the vent secondary to low carbon dioxide titrated with increased fio2 being required. on postoperative day #2, the patient remained sedated with a slow wean due to the fluid overload. the patient responded to voice when the propofol had weaned down. the propofol was eventually completely weaned off by the early morning. the patient remained on the neo-synephrine drip for second day blood pressure within acceptable limits. fio2 was titrated down to 50% at this time. the iabp was turned off and removed on this day. by postoperative day #3 the patient only remained on the milrinone, neo-synephrine and insulin drip. her fio2 was down to 40% and the patient was spontaneously breathing above the ventilation rate. from the cardiac standpoint the neo-synephrine continued to be weaned down. her cardiac index remained approximately 2.0. the patient did receive 1 unit of packed red blood cells for a low hematocrit at that time. on postoperative day #4, the patient remained atrially paced at 90 with rare ectopy. the patient was extubated early this morning which was complicated by approximately one hour of apnea. the patient had difficulty, was unable to cough and was unable to adequate clear her secretions. cardiovascularly, the patient's milrinone was weaned completely off with her cardiac index at 3.0. her swan was removed and the port was capped. the neo-synephrine was additionally weaned to off. the patient had been out of bed to chair several times during the day and was able to tolerate that without any difficulty. the patient was seen by physical therapy for an evaluation and it was determined at this time that the patient would most likely be needing to go to an acute rehabilitation facility following her discharge from the hospital. on postoperative day #5, the patient was transferred out of the cardiac surgery recovery unit down to the surgical floor. the patient continued to be paced at 90 with an underlying rhythm of 80s and sinus rhythm with occasional premature atrial contractions. the patient's systolic blood pressure while paced remained greater than 100 but would dip down into the mid 80s when she was not paced. the patient was able to produce an adequate cough and clear her lungs producing a thick white sputum. the patient continued to use albuterol inhalers and was able to maintain her oxygen saturations at greater than 95% on 2 liters of nasal cannula. the patient was able to ambulate but needed assistance while doing so. the patient had very limited activities, with shortness of breath easily after minimal exertion. while on the surgical floor the patient continued to do well. the patient's diet was advanced as tolerated. the patient continued to be seen and evaluated by physical therapy. the patient continued to do well with physical therapy and was able to ambulate independently for short distances but needed assistance for distances over about 10 yards. the patient continued to have adequate diuresis. by postoperative day #8, it was determined by the medical team that the patient was well enough to go to a rehabilitation facility at this time. the patient's pacing wires were removed. physical examination on discharge: the patient generally was alert and oriented in no apparent distress. cardiovascular: regular rate and rhythm, no murmurs, rubs or gallops detected. lungs, even unlabored breathing, clear to auscultation bilaterally, while on 2 liters of nasal cannula. abdominal examination: obese, soft, nontender, nondistended, no hepatosplenomegaly was noted. extremities: bilateral lower extremity edema, 2+ with chronic venous stasis changes noted bilaterally. her incision was clean, dry and intact. staples were present. she was afebrile, temperature maximum was 99.5, pulse 74 and sinus. blood pressure was 120/59, breathing 94% on 2 liters. laboratory data: on discharge complete blood count was 10.9, hematocrit 28.1, platelets 403. chem-7 sodium 141, potassium 4.3, chloride 103, bicarbonate 31, bun 35, creatinine 0.9, glucose 197. discharge disposition: the patient will be discharged to an acute rehabilitation facility. the patient was instructed to follow up with her primary care physician, . in one to two weeks. the patient was also advised to follow up with dr. in approximately two to three weeks. the patient was asked to return to see dr. , her cardiothoracic surgeon in four weeks. the patient was advised to please call to make these appointments. discharge condition: the patient was discharged in good condition: afebrile, ambulating short distances independently, pain well-controlled on oral medications, tolerating her diet without any difficulty. discharge medications: 1. metoprolol 25 mg p.o. b.i.d. 2. colace 100 mg p.o. b.i.d. 3. enteric coated aspirin 325 mg p.o. q.d. 4. bisacodyl 10 mg p.r. prn constipation 5. dilaudid 2 to 4 mg p.o. q. 3-4 hours prn 6. sertraline 50 mg p.o. q.d. 7. lasix 40 mg q.d. times seven days 8. potassium chloride 40 meq q.d. times seven days 9. the patient will be discharged on 2 liters of nasal cannula oxygen. discharge diagnosis: 1. status post coronary artery bypass grafting. 2. status post cardiac catheterization. 3. diabetes mellitus. 4. pancreatitis. 5. hiatal hernia. 6. cerebrovascular accident times three. 7. hypercholesterolemia. 8. status post cholecystectomy. 9. status post right lumpectomy. 10. status post right carotid endarterectomy. 11. depression. 12. obesity. 13. congestive heart failure. , m.d. dictated by: medquist36 d: 12:28 t: 12:44 job#: procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters implant of pulsation balloon nonoperative removal of heart assist system other transfusion of whole blood diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia 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 unspecified disorder of kidney and ureter obesity, unspecified 

Answer: The patient is high likely exposed to