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: patient recorded as having no known allergies to drugs attending: chief complaint: myocardial infarction major surgical or invasive procedure: emergent cabgx3 on iabp ( cardiac catheterization with placement of iabp history of present illness: mrs. is a 77-year-old female with unstable anginal symptoms and a troponin leak was brought emergently to the cath lab and underwent cardiac catheterization that showed a distal left main disease and a 99% offset left anterior descending with very poor flow through the lad. she also had a tight right coronary artery stenosis. her pulmonary artery pressures were elevated and the lv gram showed severe hypokinesis of the anterior wall. intraaortic balloon pump was placed in the cath lab and she was brought emergently to the operating room for coronary arterial bypass surgery. past medical history: osteoarthritis hypothyroid social history: lives alone physical exam: bp: (r) 130/50 (l) 122/96 hr 89 exam: heart: rrr, normal s1-s2, no murmur lungs: clear abd: benign ext: pulses intact. iabp in right groin neuro: grossly intact pertinent results: 12:35pm alt(sgpt)-24 ast(sgot)-34 alk phos-133* amylase-53 tot bili-0.5 12:35pm glucose-132* urea n-22* creat-1.1 sodium-140 potassium-3.7 chloride-104 total co2-23 anion gap-17 12:35pm wbc-9.0 rbc-3.74* hgb-11.8* hct-35.3* mcv-94 mch-31.6 mchc-33.5 rdw-13.4 06:08am blood wbc-9.5 rbc-4.14* hgb-12.8 hct-39.0 mcv-94 mch-30.9 mchc-32.7 rdw-14.7 plt ct-506* 06:08am blood plt ct-506* 06:08am blood glucose-103 urean-41* creat-1.4* na-140 k-4.5 cl-102 hco3-26 angap-17 06:08am blood calcium-8.4 phos-4.4 mg-2. cardiac catheterization 1. selective angiography of this right dominant system revealed left main and two vessel cad. the lmca had a distal 60% stenosis. the lad had a 99% ostial stenosis with timi 1 flow beyond the lesion. it supplied two small-caliber diagonal branches which were free of angiographically apparent flow-limiting disease. the lcx had moderate diffuse disease throughout its course and supplied three obtuse marginal branches. the first om was free of obstructive disease. the second and third oms were small in caliber, and the second had mild diffuse disease. the rca was a dominant vessel that had a focal 80% stenosis in its proximal portion. the remainder of the vessel was free of significant disease. 2. resting hemodynamic measurements revealed normal left and right-sided filling pressures, with a mean ra of 3, rvedp of 6, mean pcwp of 9, mean pa of 14, and lvedp of 22 mm hg. central arterial pressure was normal at 124/59 (mean 58) mm hg. the cardiac index as calculated by the fick equation was normal at 2.56 l/min/m2. after coronary angiography, the patient's pa pressure increased to a mean of 28 mm hg. there was no gradient across the aortic valve upon catheter pullback from the lv to the ascending aorta. 3. left ventriculography revealed global hypokinesis with more severe hypokinesis in the anterolateral wall. no mitral regurgitation was visualized. the ejection fraction was approximately 30%. 4. placement of a 7 french 30 cc intra-aortic ballooon pump was performed in the right femoral artery. echo 1. there is severe regional left ventricular systolic dysfunction. overall left ventricular systolic function is severely depressed. resting regional wall motion abnormalities include anterior, septal, inferior apical akinesis with the rest of the lv being hypokinetic. 2.right ventricular chamber size and free wall motion are normal. 3.the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis or regurgitation present. 4.the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. 5.there is borderline pulmonary artery systolic hypertension. 6.there is no pericardial effusion. 7. there is an echogenic density in the right ventricle consistent with a pulmonary arterial catheter. echo the left atrium is mildly dilated. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. there is moderate regional left ventricular systolic dysfunction. lv systolic function appears depressed. resting regional wall motion abnormalities include mid to distal anteroseptal and apical akinesis. the apex is not fully visualized. no apical thrombus identified but cannot exclude. the aortic valve leaflets (3) are mildly thickened with focal thickening of the noncoronary cusp. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is a very small pericaridal effusion with no echocardiographic signs of tamponade. although the region of the right a-v groove appeared prominent in some views, supplemental views with and without saline contrast revealed no extrinsic or intrinsic right heart mass. cxr the patient is status post cabg and median sternotomy. the patient has been extubated. the right jugular swan-ganz catheter terminates in the main pa. no pneumothorax is identified. there is continued mild congestive heart failure with cardiomegaly and small bilateral pleural effusion. there is continued bibasilar patchy atelectasis. holter monitor long-term ecg monitoring was performed using a continuous-loop recorder (" of hearts") to evaluate this patient with history of ventricular tachycardia, on a drug trial of amiodarone 400 mg daily. other reported medications include asa 81 mg daily, metoprolol 25 mg twice daily, lisinopril 5 mg daily, and furosemide 20 mg daily. the baseline recording was sinus with rates ranging from 63 to 65 bpm without ectopy. non-diagnostic t wave inversion was seen. the baseline intervals were as follows: at a rate of 65 bpm, the qt was .44 (upper limits), the qrs was .09 and the pr was .19 (both within normal limits). a total of 15 daily recordings were transmitted. the recordings showed sinus rhythm with rates of 49 to 69 bpm with 1 isolated apb. non-diagnostic t wave inversion was present (strip #9). ekg reversal left - right lead sinus rhythm probable anteroseptal myocardial infarct, age indeterminate - possible acute anterolateral st-t wave abnormalities - cannot exclude in part ischemia clinical correlation is suggested since previous tracing of , reversed left-right lead present. atrial pacing absent and further st-t wave changes seen brief hospital course: ms. was admitted to the on . she was taken to the cardiac catheterization lab where she was found to have severe left main and three vessel disease. an iabp was placed for coronary perfusion. due to the severity of her disease, the cardiac surgical service was consulted. ms. was taken urgently to the operating room on /-5 where she underwent coronary artery bypass grafting to three vessels. postoperatively she was taken to the cardiac surgical intensive care unit for monitoring. an echocardiogram was obtained due to hypotension which did not show any tamponade. her iabp was slowly weaned and removed on postoperative day two. she then awoke neurologically intact and was extubated. on postoperative day three, ms. developed ventricular fibrillation requiring defibrillation. amiodarone was started and her magnesium was repleted. she again developed ventricular fibrillatory arrest on two other occasions requiring defibrillation back into normal sinus rhythm. she continued to have runs of ventricular tachycardia and the electrophysiology service was consulted. beta blockade was titrated upward and it was felt that she was a likely candidate for an icd in the future. a cardiac catheterization was recommended if she continued to have ventricular arrhythmias. ms. improved on beta blockade, amiodarone and an ace inhibitor without further ventricular arrhythmias. she was gently diuresed towards her preoperative weight. the physical therapy service was consulted for assistance with her postoperative strength and mobility. the electrophysiology service continued to follow her and recommended an evaluation in 3 months for an icd. a 24 hour holter monitor was placed which showed no arrhythmias. ms. continued to make steady progress and was discharged to her home on postoperative day eleven after having 6 days free of arrhythmias. she will follow-up with dr. , her cardiologist and her primary care physician as an outpatient. she will follow-up with the electrophysiology service in 1 to 3 months for icd evaluation. medications on admission: vitamins advil discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 2. 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:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. amiodarone 200 mg tablet sig: two (2) tablet po once a day. disp:*60 tablet(s)* refills:*2* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*15 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: s/p cabgx3(lima->lad, svg->om, svg->drca, w/postop vt pmh:preop mi, oa, hypothyroid, appy, discharge condition: good discharge instructions: keep wound clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds followup instructions: dr 2-3 weeks dr in 4 weeks dr (electrophysiology/device clinic) on wed . @1pm 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 implant of pulsation balloon diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified acquired hypothyroidism cardiac complications, not elsewhere classified paroxysmal ventricular tachycardia ventricular fibrillation 

Answer: The patient is high likely exposed to