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: iodine; iodine containing attending: chief complaint: doe major surgical or invasive procedure: s/p mitral valve repair (28mm cg future annuloplasty ring) and coronary artery bypass graft x1 (svg>pda) history of present illness: 73 yo female with recent admission for chf at osh. workup revealed severe mr . htn. cath showed 85% pda lesion,lad 20-30%, lvedp 76 and pap 87/30. echo revealed ef 55% , severe . htn, moderate to severe mr.referred for surgical evaluation. past medical history: mr/cad/tr . htn copd ( home o2 at night) a fib gerd chronic diastolic chf elev. lipids htn niddm obesity psh: back surgs. x3 kidney stone 20 yrs. ago tah 40 years ago social history: not employed quit smoking 20 years ago, but smoked 1 ppd for many years less than 1 drink per week lives alone family history: non-contrib. physical exam: hr 74 rr 24 right 150/70 left 160/70 5'6" 238# somewhat sob skin/heent unremarkable neck supple. full rom, no carotid bruits appreciated ctab irregular with holosystolic murmur soft, nt, nd, obese, + bs warm, well-perfused, no peripheral edema or varicosities noted eccchymosis right groin s/p recent cath, no hematoma 2+ bil. fems/radials 1+ bil. dp/pts pertinent results: 07:10am blood wbc-11.2* rbc-3.07* hgb-9.5* hct-29.5* mcv-96 mch-30.8 mchc-32.1 rdw-16.3* plt ct-140* 07:10am blood pt-14.3* inr(pt)-1.2* 07:10am blood plt ct-140* 07:10am blood glucose-108* urean-22* creat-0.9 na-136 k-4.4 cl-98 hco3-29 angap-13 12:01am blood alt-16 ast-47* alkphos-42 amylase-26 totbili-0.4 07:10am blood mg-2.1 07:00pm blood %hba1c-6.2* radiology final report chest (portable ap) 8:22 am chest (portable ap) reason: ? effusion medical condition: 73 year old woman with reason for this examination: ? effusion history: 73-year-old female, evaluate for effusion. comparison: . portable upright chest, one view: there is interval removal of endotracheal tube. multiple chest tubes are unchanged. right internal jugular central venous catheter with tip in upper svc. cardiac silhouette is enlarged, unchanged. mediastinal and hilar contours are unchanged. since prior study, there is resolved pulmonary edema with lung fields grossly clear. no large effusion is identified. impression: interval improvement with resolution of pulmonary edema. no obvious pleural effusion identified. jr the study and the report were reviewed by the staff radiologist. dr. dr. dr. approved: fri 4:33 pm conclusions pre-bypass: 1. the left atrium is moderately dilated. no thrombus is seen in the left atrial appendage. the right atrium is moderately dilated. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. 2. overall left ventricular systolic function is low normal (lvef 50-55%). 3. the right ventricular cavity is mildly dilated. there is mild global right ventricular free wall hypokinesis. 4. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. there is mild aortic valve stenosis (area 1.2-1.9cm2). no aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. moderate to severe (3+) mitral regurgitation is seen. 7. there is a trivial/physiologic pericardial effusion. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine, epinephrine, and was being a paced. 1. a mitral annuloplasty ring is seen well seated. trace mr is noted. a mean gradient of mm of hg is obtained. mva is estimated to be around 2.0 cm2. 2. rv systolic function was initially moderate-severely depressed. subsequent improvement was seen to mild hypokinesis. 3. lv function was preserved. 4. aorta is intact post decannulation. 5. other findings are unchanged i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, md, interpreting physician 08:38 ?????? brief hospital course: admitted and started on iv heparin while she was off coumadin (ld ).treated for a uti over the weekend with cipro. underwent mv repair/cabg x1 with dr. on . transferred to the cvicu in stable condition on propofol, epinephrine, and phenylephrine drips.extubated that night and drips weaned slowly with gentle diuresis. pul. home meds also restarted. chest tubes removed and transferred to the floor on pod #2. pacing wires removed on pod #3 and coumadin restarted for chronic a fib. cleared for discharge to home with services on pod #4.pt. is to make all followup appts. as per discharge instructions. np with at dr office and he will continue to follow her coumadin dosing, doses and inr results faxed to office #. medications on admission: digoxin 0.25 mg daily lasix 60 mg daily cozaar 100 mg daily asa 81 mg daily evista 60 mg daily prilosec 20 mg daily pravachol 80 mg daily toprol xl 100 mg qam, 50 mg qpm coumadin daily spiriva one puff daily asmanex one puff tramadol 50 mg glipizide 2.5 mg daily prednisone on occasion for copd flare( most recently 6 weeks ago) discharge medications: 1. asmanex twisthaler 220 mcg (120 doses) aerosol powdr breath activated sig: one (1) inhalation once a day. disp:*qs qs* refills:*2* 2. raloxifene 60 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*0* 3. senna 8.6 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 5. furosemide 80 mg tablet sig: one (1) tablet po twice a day: please take twice a day for 1 week then decrease to once a day until you follow up with dr . disp:*60 tablet(s)* refills:*0* 6. 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* 7. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 8. pravachol 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 9. toprol xl 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*0* 10. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). disp:*qs cap(s)* refills:*2* 11. coumadin 3 mg tablet sig: one (1) tablet po once a day: please take 3mg sunday and have inr check ed monday for further dosing by dr . disp:*30 tablet(s)* refills:*2* 12. glipizide 5 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po daily (daily). disp:*30 tab,sust rel osmotic push 24hr(s)* refills:*0* 13. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 14. cozaar 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: mitral regurgitation s/p mv repair coronary artery disease s/p cabg atrial fibrillation pulmonary hypertension elevated cholesterol hypertension diabetes mellitus copd chronic diastolic chf obesity discharge condition: good. discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns pt/inr for coumadin dosing mon-wed-fri with results to dr office #( for atrial fibrillation with goal 2-2.5 p instructions: please call to schedule all appointments dr in 4 weeks () dr in 1 week () dr in weeks () wound check appointment heart center ( - please schedule for thrusday with in 2 weeks pt/inr for coumadin dosing mon-wed-fri with results to dr office #( for atrial fibrillation with goal 2-2.5 procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery annuloplasty diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders 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 hyposmolality and/or hyponatremia chronic airway obstruction, not elsewhere classified atrial fibrillation other chronic pulmonary heart diseases obesity, unspecified chronic diastolic heart failure 

Answer: The patient is high likely exposed to