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: no known allergies / adverse drug reactions attending: chief complaint: weakness major surgical or invasive procedure: cardiac catheterization 1. coronary artery bypass graft x3: left internal mammary artery to left anterior descending artery and saphenous vein grafts to obtuse marginal and posterior descending arteries. 2. endoscopic harvesting of the long saphenous vein. 3. aortic valve replacement with size 21 st. tissue valve. 4. aortic endarterectomy. history of present illness: ms. is an 83 year old female with a history of coronary artery disease s/p pci , diabetes mellitus, and atrial fibrillation presented to osh with pneumonia and mild chf exacerbation found to have positive biomarkers. a subsequent cardiac catheterization revealed two vessel coronary artery disease. cardiac surgery consulted for coronary revascularization. past medical history: coronary artery disease s/p pci to lad in chronic diastolic congestive heart failure hypertension dyslipidemia diabetes mellitus type 2 chronic atrial fibrillation osteoarthritis pneumonia (3 episodes this past year) social history: race:caucasian last dental exam:6 months ago, dr. on high st, lives with:daughter or son, widowed occupation:retired secretary tobacco:denies etoh:rare family history: non-contributory physical exam: admission pe: pulse:72 resp:18 o2 sat: 96% b/p 143/56 height: 5'5" weight:124lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally , scattered rales heart: rrr irregular murmur ii/vi sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:2+ left:2+ dp right:2+ left:2+ pt :2+ left:2+ radial right:2+ left:2+ carotid bruit right:- left:- pertinent results: cath: severe 90% lmca stenosis, 70% rca stenosis. carotid u/s: 1. 40-59% stenosis of the right internal carotid artery. 2. less than 40% stenosis of the left internal carotid artery. echo: pre bypass: the left atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is borderline moderate aortic valve stenosis (valve area 1.3-cm2 on average, range 0.9- 1.6 cm2, varies with atrial fibrillation, severe cad precludes dobutamine stress echo) with poor mobility of left and non coronary cusps. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post bypass: bioprosthetic aortic valve in place peak gradient 5, mean 2 mm hg. no perivalvular leaks. preserved ef- 55%. mr now trace to mild. aortic contours intact. remaining exam is unchanged. all findings discussed with surgeons at the time of the exam. 07:53am blood wbc-8.1 rbc-3.36* hgb-9.8* hct-29.7* mcv-89 mch-29.1 mchc-32.9 rdw-16.5* plt ct-124* 11:05am blood wbc-11.0 rbc-4.32 hgb-11.8* hct-35.9* mcv-83 mch-27.2 mchc-32.8 rdw-15.9* plt ct-355 07:22am blood pt-30.4* inr(pt)-3.0* 09:20pm blood pt-16.1* ptt-26.3 inr(pt)-1.4* 07:53am blood glucose-148* urean-39* creat-0.8 na-134 k-4.4 cl-98 hco3-26 angap-14 09:20pm blood glucose-131* urean-26* creat-0.7 na-135 k-4.3 cl-100 hco3-30 angap-9 03:30am blood hgb-9.7* plt ct-156 03:30am blood pt-33.4* inr(pt)-3.4* 07:22am blood pt-30.4* inr(pt)-3.0* 07:53am blood pt-35.4* inr(pt)-3.6* 03:30am blood urean-33* creat-0.7 brief hospital course: ms. was admitted to the on for further management of her myocardial infarction and known aortic stenosis. she underwent a cardiac catheterization which revealed severe left main and right coronary artery disease. an echo demonstrated severe aortic valve stenosis. given the severity of her disease, the cardiac surgical service was consulted for surgical management. she was worked-up in the usual preoperative manner including a carotid ultrasound which showed 40-59% stenosis of the right internal carotid artery and less than 40% stenosis of the left internal carotid artery. plavix was stopped in anticipation of surgery. dental clearance was obtained. heparin was continued given her chronic atrial fibrillation. on , ms. was taken to the operating room where she underwent coronary artery bypass grafting to three vessels and an aortic valve replacement(left internal mammary artery to left anterior descending artery and saphenous vein grafts to obtuse marginal and posterior descending arteries/ aortic valve replacement with size 21 st. tissue valve/aortic endarterectomy). please see operative note for details.cardiopulmonary bypass time=120 minutes. cross clamp time= 103 minutes. on postoperative day one, she awoke neurologically intact and was extubated without difficulty. beta blockade, aspirin and a statin were resumed. all lines and drains were discontinued in a timely fashion. she continued to progress and on postoperative day two, she was transferred to the step down unit for further recovery. physical therapy service was consulted for evaluation of her strength and mobility. she was gently diuresed towards her preoperative weight. coumadin was resumed for atrial fibrillation. she will resume outpatient coumadin management as per preoperatively with dr. . she continued to make steady progress and was discharged to home with vna on postoperative day 7. all follow up appointments were advised. medications on admission: atorvastatin - (prescribed by other provider) - 80 mg - 1 (one) (s) by mouth once a day hydrochlorothiazide - (prescribed by other provider) - 12.5 mg - 1 (one) (s) by mouth once a day isosorbide mononitrate - (prescribed by other provider) - 30 mg sustained release 24 hr - 1 (one) (s) by mouth once a day lisinopril - (prescribed by other provider) - 10 mg - 1 (one) (s) by mouth once a day avapro 300 mg po daily metformin - (prescribed by other provider) - 500 mg - 1 (one) (s) by mouth twice a day metoprolol tartrate - (prescribed by other provider) - 50 mg - 1 (one) (s) by mouth every twelve (12) hours pantoprazole - (prescribed by other provider) - 40 mg , delayed release (e.c.) - 1 (one) (s) by mouth once a day warfarin - (prescribed by other provider) - dosage uncertain . medications - otc aspirin - (prescribed by other provider) - 325 mg - 1 (one) (s) by mouth once a day magnesium oxide - (prescribed by other provider) - 400 mg - 1 (one) (s) by mouth once a day niacin - (prescribed by other provider) - 500 mg sustained release - 1 (one) (s) by mouth once a day discharge medications: 1. atorvastatin 80 mg sig: one (1) po daily (daily). disp:*30 (s)* refills:*2* 2. lisinopril 10 mg sig: one (1) po daily (daily): hold for sbp<90. disp:*60 (s)* refills:*1* 3. metformin 500 mg sig: one (1) po twice a day. disp:*60 (s)* refills:*2* 4. metoprolol tartrate 50 mg sig: 0.5 po bid (2 times a day): hold for hr<60, sbp<90. disp:*60 (s)* refills:*2* 5. pantoprazole 40 mg , delayed release (e.c.) sig: one (1) , delayed release (e.c.) po q24h (every 24 hours). disp:*60 , delayed release (e.c.)(s)* refills:*1* 6. magnesium oxide 400 mg sig: one (1) po once a day. disp:*30 (s)* refills:*2* 7. niacin 500 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 8. aspirin 81 mg , delayed release (e.c.) sig: one (1) , delayed release (e.c.) po daily (daily). disp:*90 , delayed release (e.c.)(s)* refills:*2* 9. miconazole nitrate 2 % cream sig: one (1) appl topical (2 times a day). disp:*1 * refills:*1* 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 11. lasix 40 mg sig: one (1) po once a day for 10 days. disp:*10 (s)* refills:*0* 12. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 10 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* 13. oxycodone-acetaminophen 5-325 mg sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 (s)* refills:*0* 14. warfarin 1 mg sig: md once a day: inr goal 2-2.5 for chronic afib. disp:*150 (s)* refills:*2* 15. outpatient lab work labs: pt/inr for coumadin ?????? indication - atrial fibrillation goal inr 2.0-2.5 first draw results to phone fax dr. discharge disposition: home with service facility: vna vna discharge diagnosis: coronary artery disease and aortic stenosis s/p coronary artery bypass graft x 3 and aortic valve replacement myocardial infarction hypertension chronic diastolic congestive heart failure permanent atrial fibrillation dyslipidemia diabetes mellitus type 2 discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema-trace 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive 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. ( at 1:00pm cardiologist/pcp: at 11:30am . **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 - atrial fibrillation goal inr 2.0-2.5 first draw results to phone fax dr. md procedure: 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 (aorto)coronary bypass of two coronary arteries open and other replacement of aortic valve with tissue graft central venous catheter placement with guidance diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation hematoma complicating a procedure aortic valve disorders percutaneous transluminal coronary angioplasty status pulmonary collapse occlusion and stenosis of carotid artery without mention of cerebral infarction occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction chronic diastolic heart failure 

Answer: The patient is high likely exposed to