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: tetanus / demerol attending: chief complaint: increasing doe, palpitations, orthopnea, pnd major surgical or invasive procedure: cabg x 1 (lima->lad), mvr ( mosiac) history of present illness: 76 yo f hospitalized in with heart failure and known afib and cad. recent tee showed significant mr tr. increasing symptoms in recent months and another admission early this year with pleural effusion and dyspnea. past medical history: mr/tr, chf, cad, lad/cx stent , a-fib, htn, copd/asthma, a-fib, htn, hep a, obesity, osteoperosis, t&a, tah social history: retired quit smoking , 15 pack year history 2 glasses wine per day family history: nc physical exam: nad hr 84 rr 18 bp 134/76 lungs ctab irreg irreg heart rate, 2/6 sem at apex abdomen benign extrem warm, no edema ble mild varicosities neuro grossly intact pertinent results: 05:37am blood wbc-7.2 rbc-2.67* hgb-8.5* hct-26.7* mcv-100* mch-32.0 mchc-32.0 rdw-13.4 plt ct-396# 06:10am blood wbc-9.2 rbc-2.65* hgb-8.7* hct-26.9* mcv-101* mch-32.8* mchc-32.4 rdw-13.6 plt ct-237 06:55am blood pt-18.0* ptt-24.8 inr(pt)-1.7* 05:37am blood pt-14.7* ptt-24.1 inr(pt)-1.3* 07:15am blood pt-12.7 inr(pt)-1.1 06:10am blood glucose-105 urean-11 creat-0.6 na-138 k-4.9 cl-102 hco3-31 angap-10 10:44pm blood glucose-133* urean-13 creat-0.7 na-135 k-4.2 cl-102 hco3-27 angap-10 brief hospital course: ms. was admitted preoperatively for iv heparin. carotid u/s was negative. she was taken to the operating room on where she underwent a cabg x 1 (lima->lad) and mvr (#31 mosaic). she was transferred to the icu in critical but stable condition. she was extubated and transferred to the floor on pod #1. on pod #2, she had atrial fibrillation for which she was started on amiodarone and restarted on coumadin (was on preoperatively). she had a ct trachea secondary to concern for subglottic stenosis seen during intubation. the ct showed no evidence of tracheal or bronchial stenosis and diffuse tracheobronchomalacia. interventional pulmonology said there was no intervention necessary. she continued to have rate controlled atrial fibrillation. she was ready for discharge home on pod #6. medications on admission: sotalol, actonel, ecasa, lasix, kdur, lipitor, lisinopril, niacin, ativan, coumadin, toprol, combivent, advair, discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 3. 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* 4. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 6. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). disp:*qs 1 month* refills:*0* 7. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). disp:*qs 1 month* refills:*0* 8. coumadin 5 mg tablet sig: one (1) tablet po once a day for 1 doses: inr to be checked with results to dr. . disp:*30 tablet(s)* refills:*0* 9. amiodarone 200 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 10. toprol xl 100 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* 11. furosemide 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 12. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day. disp:*60 capsule, sustained release(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: mr/tr chf cad lad/cx stent afib htn copd/asthma hepatitis a obesity osteoporosis t&a tah discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. p instructions: dr. 2 weeks dr. 4 weeks dr. 2 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery open and other replacement of mitral valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation osteoporosis, unspecified long-term (current) use of anticoagulants chronic obstructive asthma, unspecified diseases of tricuspid valve other diseases of trachea and bronchus 

Answer: The patient is high likely exposed to