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: fatigue, chest pain major surgical or invasive procedure: avr/cabg on history of present illness: 81 y/o female with exertional chest pain and fatigue. she's had known as, followed by echo, recent increase in symptoms. past medical history: htn obesity hypercholesterolemia complete heart block s/p ppm chronic anemia gerd recurrent ventral hernia narcolepsy agorophobia fractured ribs s/p mva s/p right carotid stent s/p ppm placement s/p hernia repair social history: remote smoker denies etoh wodowed, lives with friend retired family history: non-contributory physical exam: cor: gr iv/vi systolic murmur abd: + large ventral hernia 1+ peripheral edema pre-operative exam otherwise unremarkable pertinent results: 05:31am blood hct-25.6* 03:36am blood wbc-12.2* hct-26.8* 05:43am blood plt ct-200 05:25am blood glucose-102 urean-29* creat-1.2* na-133 k-4.7 cl-99 hco3-25 angap-14 brief hospital course: admitted on due to anemia. gi workup revealed duodenitis (by egd) and diverticulosis and rectal polyp (by colonoscopy). carotid ultrasound: : 40-59% and 60-69% stenosis she was taken to the or on where she underwent an avr (# 21mm pericardial valve), and a cabg x 1 (svg>rca) post-operatively she was taken to the cardiac surgery recovery unit, and was weaned from mechanical ventilation and extubated the day of surgery. she was noted to be undersensing her p waves by her permanent pacemaker, and the ep service was following her for this. she also has an elevated threshold for her ventricular lead. she was transferred to the telemetry floor on pod # 2, her chest tubes were removed, and she has remained hemodynamically stable. her epicardial wires were removed on pod # 3 her creatinine peaked at 1.8 on pod # 3, but has dropped to 1.2 today, pod # 6. she has progressed slowly with ambulation and physical therapy, but has remained hemodynamically stable throughout her post-op course. she is ready to be discharged to rehab today to continue with increasing mobility/physical therapy. medications on admission: benicar/hctz 40/25 daily norvasc 5mg qd crestor 10mg qd asa 325 mg qd acidophilus cipro protonix 40mg qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. rosuvastatin 5 mg tablet sig: two (2) tablet po daily (daily). 5. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. 6. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily) for 1 months. 7. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. 8. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). 9. norvasc 5 mg tablet sig: one (1) tablet po once a day. 10. lasix 20 mg tablet sig: one (1) tablet po once a day. 11. potassium chloride 10 meq tablet sustained release sig: two (2) tablet sustained release po once a day. discharge disposition: extended care facility: ledge discharge diagnosis: s/p avr(#21 pericardial)cabgx1(svg->rca) pmh: htn, ^chol, chb s/p ppm, anemia, gerd, recurrent ventral hernia, obesity, narcolepsy discharge condition: good discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds followup instructions: provider: clinic phone: date/time: 11:00 provider: . phone: date/time: 11:30 procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft esophagogastroduodenoscopy [egd] with closed biopsy transfusion of packed cells closed [endoscopic] biopsy of rectum artificial pacemaker rate check diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension hyposmolality and/or hyponatremia aortic valve disorders other and unspecified hyperlipidemia other complications due to other cardiac device, implant, and graft iron deficiency anemia, unspecified duodenitis, without mention of hemorrhage occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction other abnormal blood chemistry fitting and adjustment of cardiac pacemaker diverticulosis of colon (without mention of hemorrhage) benign neoplasm of rectum and anal canal ventral, unspecified, hernia without mention of obstruction or gangrene 

Answer: The patient is high likely exposed to