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: sulfa (sulfonamide antibiotics) attending: chief complaint: atrial fibrillation major surgical or invasive procedure: - bilateral mini thoracotomy with pulmonary vein isolation using the gemini-x system with resection of left atrial appendage. history of present illness: 57-year-old female who is status post atrial flutter ablation who now has recurrent atrial fibrillation despite taken sotalol 80 mg b.i.d. of note, earlier this year, she had a cardiac catheterization and was found to have one vessel coronary artery disease in her rca and drug eluting stent was diploid. she was doing well up until several weeks ago when she again began to experience palpitations and was found to be in atrial fibrillation. specifically, of note, the cardiac catheterization on at hospital revealed rca lesion of 90%, drug eluting stent was deployed that reduced to 0% after stent deployment. a cardiac echocardiogram at this time also revealed an ef of 60%, mild mr, and trace tr. past medical history: cad status post rca stent, sleep apnea, intermittent atrial arrhythmias which include atrial flutter and atrial fibrillation. she is status atrial flutter ablation, diabetes, hypertension, hypercholesterolemia, and depression. her past surgical history is noted for appendectomy, tonsillectomy, removal of lesion, breast reduction, and right shoulder surgery. social history: occupation, she is currently on disability. her last dental examination was within the last year. she states she has a remote tobacco history and quit approximately 25 years ago. she denies any alcohol use in the past few years (used to have cocktails regularly)and currently lives with her husband. family history: family history: (parents/children/siblings cad < 55 y/o):her family history is noted for her father who died from mi at the age of 57.her mother died at the age of 60, history of stroke. physical exam: pulse:70 resp:20 o2 sat: 98% b/p right: 110/60 left: height: 5'3" weight:230lb general:a&o x3 skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: left: dp right:2+ left:2+ pt : left: radial right: left: carotid bruit-none right: 2+ left:2+ pertinent results: echo the left atrium is markedly dilated. the left atrium is elongated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. 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 simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. after left atrial appendage resection, there does no significant remnant is visible. dr. was notified in person of the results in the operating room at the time of the study. cta 1) stent at the rca is patent with a possibility of mixed plaque distally to the stent. extensive atherosclerotic disease at the lad and left circumflex with indeterminate significance. 2) left common orifice of pulmonary veins. two right pulmonary veins. 3) calcified lymph nodes at the upper abdomen and a number of granulomas in liver and spleen - consistent with previous granulomatous disease or sarcoidosis. 05:22am blood wbc-10.6 rbc-3.21* hgb-9.0* hct-28.6* mcv-89 mch-27.9 mchc-31.3 rdw-13.9 plt ct-203 05:22am blood glucose-113* urean-27* creat-0.8 na-137 k-4.5 cl-105 hco3-26 angap-11 brief hospital course: mrs. was admitted to the on for surgical maze procedure. she was placed on heparin as she had been off her coumadin for several days. a cta was obtained preoperatively. on , she was taken to the operating room where she underwent a mini maze procedure. please see separate dictated operative note for details. postoperatively she was taken to the intensive care unit for monitoring. she later awoke neurologically intact and was extubated. she was transferred to the floor for further recovery. chest tubes were discontinued without complication. plavix was resumed for coronary stent. coumadin was resumed for chronic atrial fibrillation. colchicine and nsaids were initiated per dr. . sotalol was resumed and the patient remained in sinus rhythm until discharge. she was gently diuresed. physical therapy was consulted for post-op strength and mobility. she was cleared for discharge to home on pod 3. medications on admission: aspirin 81(1), lipitor(40), sotalol 80(2), plavix 75(1)-ld , coumadin-dose varies-ld , lasix 40 mg prn based on leg edema, actos 45(1), zoloft 50(1), wellbutrin sr 150(1), prilosec 20(2), norvasc 5(1) discharge medications: 1. bupropion hcl 150 mg tablet sustained release sig: one (1) tablet sustained release po qam (once a day (in the morning)). 2. acetaminophen 500 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. sertraline 50 mg tablet sig: one (1) tablet po daily (daily). 5. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 6. aspirin 81 mg tablet sig: one (1) tablet po once a day. 7. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 8. pioglitazone 45 mg tablet sig: one (1) tablet po once a day. 9. sotalol 80 mg tablet sig: one (1) tablet po bid (2 times a day). 10. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours). disp:*60 tablet(s)* refills:*2* 11. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 13. warfarin 5 mg tablet sig: one (1) tablet po once a day: dose will change for goal inr , dr. to continue to manage coumadin/inr- have inr drawn on mon. with results to dr. . disp:*30 tablet(s)* refills:*2* 14. outpatient lab work serial pt/inr dx: atrial fibrillation goal inr results to dr. (phone: fax: ) 15. furosemide 20 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* discharge disposition: home with service facility: regional vna discharge diagnosis: atrial fibrillation, s/p mini-maze cad status post rca stent, sleep apnea, intermittent atrial arrhythmias which include atrial flutter and atrial fibrillation. she is status atrial flutter ablation, diabetes, hypertension, hypercholesterolemia, and depression. discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these included redness, drainage or increased pain. 2) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 3) report any fever greater then 100.5 4) no lotions, creams or powders to incisions. you may wash/shower incisions with soap and pat dry. 5) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. followup instructions: please follow-up with dr. in 2 weeks. ( please follow-up with dr. in 1 month. please follow-up with dr. in 2 weeks. inr on monday with results to the office of dr. ( procedure: diagnostic ultrasound of heart catheter based invasive electrophysiologic testing excision, destruction, or exclusion of left atrial appendage (laa) diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation depressive disorder, not elsewhere classified atrial flutter percutaneous transluminal coronary angioplasty status old myocardial infarction morbid obesity unspecified congenital anomaly of heart 

Answer: The patient is high likely exposed to