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: past medical history: history is notable for the following: 1. glaucoma. 2. hypertension. 3. paroxysmal atrial fibrillation. 4. congestive heart failure with ejection fraction of 20%. last echocardiogram was . 5. coronary artery disease, status post multiple lad interventions. 6. aortic stenosis and aortic regurgitation. medications: 1. plavix, recently discontinued. 2. amiodarone 200 mg p.o.b.i.d. 3. kerlone 20 mg p.o.b.i.d. 4. coumadin 2 mg p.o. for five days a week and 4 mg p.o. for the other two days. 5. zestril 40 mg p.o.q.d. 6. aspirin 325 mg p.o.q.d. 7. digoxin 0.25 mg p.o.q.d. 8. protonix 40 mg p.o.q.d' 9. lipitor 20 mg p.o.q.d. 10. xalatan 1 drop to both eyes q.h.s. or 1 drop ou q.h.s. allergies: the patient states that she is allergic to novocaine and to nitroglycerin, which makes her hypotensive with bradycardia. social history: the patient denies any history of smoking. she is a widow who lives alone. she denies any alcohol use. physical examination: on physical examination the temperature is 96.0, pulse 52, blood pressure 130/50, respiratory rate 16, saturations 100% on two liters. general: the patient is awake, alert, and in no acute distress. extraocular muscles are intact. oropharynx clear. mucous membranes moist. lungs: demonstrated crackles bilaterally at the bases. she does have 9 cm of jvd. cardiovascular: regular rate and rhythm with 3/6 systolic ejection murmur that radiates to her carotids and a holosystolic murmur at the apex. abdomen: soft, nontender, and nondistended with normoactive bowel sounds. extremities: extremities are without edema, but have faint pulses. they are, otherwise, warm and pink. laboratory data: labs on admission revealed the following: white count 8.1, hematocrit 35.8, platelet count 287,000. pt 21.6, ptt 150, inr 3.3, sodium 141, potassium 4.2, chloride 101, bicarbonate 26, bun 14, creatinine 1.1, and glucose 162. she reportedly has a baseline creatinine of 0.7 to 0.8. hospital course: the patient was admitted to the cardiology service with a diagnosis of chest pain. she was originally sent for cardiac catheterization, but this was delayed due to her elevated inr. she had a stress test that demonstrated a time of 7 minutes, maximum heart rate 51%. the test was stopped for fatigue. during this time, she had an ekg, which was not interpreted. ejection fraction was less than 30% and she global hypokinesis and septal dyskinesis with reversible apical and inferior defects. she also had an echocardiogram that demonstrated an ejection fraction of less than 20% with an aortic gradient of 50 in addition to 2+ aortic regurgitation, 2+ mitral valve regurgitation and 1+ to 2+ tricuspid regurgitation. the patient ultimately had a cardiac catheterization that showed disease in multiple vessels. she was referred to the cardiac surgery team for intervention. on , the patient was taken for a three-vessel coronary artery bypass graft and tissue aortic valve replacement. she had a lima to lad, saphenous vein graft to diagonal, and saphenous vein graft to the right coronary. she also had a 21-mm tissue pericardial valve replaced. all of this was done for her diagnosis of aortic stenosis and coronary artery disease. the patient's procedure itself was remarkable for a cardiac bypass time of 148 minutes and cross-clamp time of 127 minutes. the patient was taken postoperatively to the cardiac surgery icu on milrinone, levophed, and propofol drips. while in the intensive care unit, she had episodes of bradycardia to the 30s. during this time she appeared to be in a junctional rhythm. attempts were made to pace the patient through her atrial wires, but there was no capture. the patient was, therefore, paced ventricularly to a rate of 80 and electrophysiology consultation was obtained. during her first day in the intensive care unit, she was weaned from the ventilator and extubated without incident. she was also transfused with one unit of packed red blood cells. the electrophysiology team felt that given the need for continued therapy with beta blockers and amiodarone, in light of her absence of sinus activity, she would benefit from an insertion of implantable pacemaker. on , the patient was taken to the electrophysiology laboratory, where she had a dual-chamber rate-responsive pacemaker inserted. it was left in ddd mode with a lower rate of 60. following her procedure, she did have four doses of vancomycin for prophylaxis against infection. in addition, she had a urinary tract infection, which was discovered prior to her pacemaker insertion and this was subsequently found to be e.coli. she was initiated on a ten-day course of levaquin before her pacemaker was inserted. within a few days after all of these events, the patient was stable on the cardiac surgery floor. she did complain of some nausea and some pain around her pacemaker site. the pain was adequately controlled with toradol and tylenol and occasional percocet. in addition, she was started on reglan and p.o. zofran to control her nausea. by her 7th postoperative day, , the patient was feeling much improved. she was medically ready to be transferred to rehabilitation. the patient was asked to followup in pacer clinic in one week for interrogation. in addition, she is to followup with her primary care physician and cardiologist, dr. in two weeks. in addition, she is to followup with dr. in four weeks. the patient was transferred to rehabilitation on the following medications: discharge medications: 1. reglan 10 mg p.o.q.i.d. times remaining two days. 2. aspirin 325 mg p.o.q.d. 3. colace 100 mg p.o.b.i.d. 4. protonix 40 mg p.o.q.d. 5. amiodarone 400 mg p.o.b.i.d. times four days; 400 mg p.o. q.d. times seven days; 200 mg p.o.q.d., thereafter. 6. lopressor 25 mg p.o.b.i.d. 7. xalatan one drop ou q.h.s. 8. levaquin 500 mg p.o.q.d. times six days. 9. lasix 20 mg p.o. b.i.d. times seven days. 10. potassium chloride 20 meq p.o. b.i.d. times seven days. 11. percocet 1 to 2 p.o.,q.4h. to 6h.p.r.n. 12. serax 10 mg q.h.s.p.r.n. 13. tylenol 650 mg p.o.q.4h. to 6h.p.r.n. 14. lipitor 20 mg p.o.q.d. 15. coumadin 2 mg p.o.q.d. times five days of the week and 2 mg p.o.q.d.times two days of the week. we request that that rehabilitation staff draw a pt/inr in approximately two days and call the result to. dr. office. he can be reached at area code: . discharge diagnoses: 1. coronary artery disease. 2. aortic stenosis now status post coronary artery bypass grafting times three and tissue aortic valve replacement. 3. bradycardia now status post pacemaker. 4. paroxysmal atrial fibrillation. 5. congestive heart failure. 6. hypercholesterolemia. 7. glaucoma. , m.d. dictated by: medquist36 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 angiocardiography of left heart structures initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation aortic valve disorders other specified cardiac dysrhythmias 

Answer: The patient is high likely exposed to