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: history of present illness: this is a 58-year-old female who is known to our service. she was previously evaluated for complaints of palpitations and syncope. her symptoms were associated with sensation of feeling very weak and somewhat diaphoretic. after seeking medical attention, an ekg confirmed atrial fibrillation. subsequent testing included tee which revealed an icm asd with left-to-right shunting, rv and ra were very dilated. she was cardioverted and started on coumadin. today she is admitted prior to surgery planned for for minimally invasive asd repair. she was admitted today to start heparin. she has discontinued her coumadin on . cardiac catheterization prior to admission on showed an ejection fraction of 60%, an asd with qp/qs of 1.5, a mild mr, and clean coronaries. past medical history: 1. asd. 2. atrial fibrillation status post cardioversion . 3. anxiety. 4. status post removal of lipoma. 5. status post benign breast mass biopsy. 6. status post tonsillectomy. medications at the time of admission: 1. lopressor 25 mg p.o. b.i.d. 2. coumadin had been discontinued at . prior to that, she was on 2.5 mg alternating with 7.5 mg daily. 3. paxil 15 mg p.o. once a day. 4. klonopin 0.5 mg p.o. 3x a day. allergies: she had no known drug allergies. family history: her family history was noncontributory. social history: she was married with 1 child and had no tobacco or social alcohol history. she had no history of cva, tia, migraine headaches, or seizures. she did have palpitations and some syncopal episodes prior to this admission. on exam, she was 5 feet 4 inches tall, 135 pounds, saturating 96% on room air, blood pressure 127/79, sinus rhythm at 74. she appeared her stated age. she was in no apparent distress. her skin and heent exams were unremarkable. her neck was supple without an thyromegaly, lymphadenopathy, or carotid bruits. her heart was regular rate and rhythm with s1, s2 tones and no murmurs, rubs, or gallops. her lungs were clear to auscultation bilaterally. abdomen was soft, nontender, nondistended with positive bowel sounds, no rebound or guarding. extremities were warm without any clubbing, cyanosis, edema, or varicosities. she had cranial nerves ii through xii intact, alert and oriented times three with a nonfocal exam. her pulses were 2+ femoral bilaterally, 2+ radial bilaterally, 2+ dp bilaterally, and 2+ pt bilaterally. she is admitted for full laboratory studies and to start heparin later in the day based on her labs. on hospital day 2, her labs were as follows: her sodium 141, k 4.4, chloride 103, bicarbonate 31, bun 16, creatinine 0.8 with a blood sugar of 82. white count 5.7, hematocrit 38.6, platelet count 308,000. ptt 47.3 on heparin. alt 17, ast is 23, ldh 188, alkaline phosphatase 75, amylase 70, total bilirubin 0.9. her ua was negative. blood pressure 108/61 in sinus rhythm at 62. her exam was otherwise unremarkable. patient was very concerned about panic preoperatively and discussion was had to make sure she gets her benzodiazepine in the morning if her condition permits. heparin was started and on hospital day 2, she was on 600 units an hour. was continuing with her klonopin, paxil, and lopressor therapy. shalso seen and evaluated by case management. on the 17th, additional lab work was a pt of 13.2. she was placed to be npo after midnight that evening. on , she underwent a minimally invasive asd secundum closure by dr. . she was transferred to cardiothoracic icu in stable condition on a neo-synephrine drip at 0.5 mcg/kg/minute. she was weaned and extubated without incident later that evening. on postoperative day 1, her white count was 9.3, hematocrit 25, platelet count 215,000. k 4.1, bun 11, creatinine 0.7. patient's chest tubes were discontinued. she remained on neo- synephrine drip at 0.8 mcg/kg/minute and weaning of that was begun, and her foley was discontinued. on postoperative day 2, her hematocrit dropped slightly to 22, k 3.9. her neo-synephrine was still at 0.7 mcg/kg/minute. her central line was to be discontinued once her neo- synephrine was off. she was transfused a unit of pack red blood cells for her hematocrit. on postoperative day 3, her neo-synephrine had been weaned off successfully. her hematocrit dropped to 20.5, and she was transfused 2 units of pack red blood cells and transferred out to the floor with a stable blood pressure of 98/47, heart rate in sinus tachycardia at 100. on postoperative day 4, she remained in the cardiothoracic icu. her creatinine was stable at 0.7. her hematocrit rose to 26.8. she had decreased breath sounds on the right and a chest x-ray was obtained, and she was transferred out to the floor. on the floor, she began to work with the nurses and physical therapists increasing her activity level and ambulating with pt. she was also encouraged to use her incentive spirometer for good pulmonary toilet and made very good progress with her activity level. her hematocrit rose to 27.9. her creatinine was stable at 0.7. on postoperative day 5, she was discharged to home with vna services. she was doing very well. she had decreased breath sounds in her right base, but otherwise her exam was unremarkable. bowel sounds were present. lungs were otherwise clear. she was alert and oriented with nonfocal exam. her pacing wires and central venous line all had been removed. extremities were warm with no edema. sh very well and was deemed ready for discharge with the following follow-up instructions: she was told to followup with dr. approximately 3-4 weeks post discharge for her postop surgical visit, to followup with dr. in weeks post discharge, and to followup with her cardiologist in approximately 1-2 weeks post discharge. discharge diagnoses: 1. status post minimally invasive anteroseptal defect secundum closure. 2. atrial fibrillation status post cardioversion . 3. anxiety. 4. status post removal of lipoma. 5. status post benign breast biopsy. 6. status post tonsillectomy. discharge medications: 1. metoprolol 12.5 mg p.o. twice a day. 2. lasix 20 mg p.o. twice a day for 5 days. 3. potassium chloride 20 meq p.o. twice a day for 5 days. 4. colace 100 mg p.o. twice a day. 5. percocet 5/325 1-2 tablets p.o. p.r.n. q.4h. for pain. 6. vitamin c 500 mg p.o. twice a day. 7. ferrous gluconate 300 mg p.o. once a day. 8. ibuprofen 600 mg p.o. q.6h. 9. clonazepam 0.5 mg p.o. 3x a day. 10. paxil 15 mg p.o. once a day. 11. aspirin enteric coated 325 mg p.o. once a day. the patient was discharged in stable condition on . , m.d. procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart other and unspecified repair of atrial septal defect transfusion of packed cells diagnoses: atrial fibrillation anxiety state, unspecified ostium secundum type atrial septal defect long-term (current) use of anticoagulants encounter for therapeutic drug monitoring 

Answer: The patient is high likely exposed to