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: the patient is a 70 year old female with a history of chronic back pain initially admitted to an outside hospital for mental status changes per husband and son. has been increasingly "out of it" for the last month with slurred speech, ataxia and disorientation. she had worsened from through the 11th to the degree such that the family brought her to for evaluation of her mental status. thought to be amiodarone toxic at the outside hospital secondary to the fact that patient had been taking three times the dose due to confusion about the dose. amiodarone was stopped on . at the outside hospital cardiac enzymes were positive and patient ruled in for myocardial infarction and was transferred to for cardiac cath. cath revealed three vessel disease and cabg had been recommended. carotid ultrasound had been done preoperatively. plan was made for possible carotid endarterectomy prior to cabg due to significant left carotid artery disease. additionally, psych was consulted on as patient seemed to be increasingly agitated and was confused after being examined by the cardiothoracic surgery service. past medical history: significant for atrial fibrillation status post cardioversion five weeks prior to admission. history of coronary artery disease with stable angina now with recent myocardial infarction ruling in for a non-q wave mi. hypercholesterolemia. migraines. peripheral vascular disease status post multiple interventions. hypertension. chronic back pain. status post prior carotid endarterectomy on the left. outpatient medications: medications at home include depakote 125 mg p.o. b.i.d., effexor 150 mg q.day, oxycontin 20 mg b.i.d., temazepam 15 mg one to two tabs p.r.n. insomnia at hour of sleep. at the time of evaluation by the cardiac service she additionally was taking digoxin 0.25 mg p.o. q.day, metoprolol 100 mg p.o. t.i.d., docusate 100 mg p.o. b.i.d., zolpidem tartrate 2.5 mg p.o. q.h.s. p.r.n., effexor xr 150 mg p.o. q.day, depakote 125 mg p.o. b.i.d., pantoprazole 40 mg p.o. q.24, nitro drip, heparin iv, lisinopril 20 mg p.o. b.i.d., atorvastatin 80 mg p.o. q.day, aspirin 325 mg p.o. q.day. allergies: no known drug allergies. hospital course: after evaluations were executed by the psych service as well as the vascular team and cardiology service, it was determined that patient was likely suffering from resolving delirium. she was cleared for surgery. ultimately on dr. took patient to the operating room and operated on patient secondary to recurrent right carotid stenosis. she underwent right carotid endarterectomy with patch angioplasty. she had 50 cc ebl for the procedure with fluids 800 cc of lactated ringer. she had no foley and was due to void. it was performed under general endotracheal anesthesia. there was a plaque in the right common carotid artery extending into the internal carotid artery. a single specimen of the right carotid plaque was sent to pathology. patient was extubated and sent to the post anesthesia recovery unit in satisfactory condition. on the night of surgery patient was seen by psychiatry. they had recommended continuing temazepam, hold effexor and ambien during the acute postoperative period. also there were recommendations from dr. of the psychiatry to follow up patient's tsh given the possibility of amiodarone toxicity at the outside hospital where the initial workup of her mental status changes had originally begun. effexor xr could be added back postoperatively. they wanted to avoid anticholinergics. they wanted to otherwise try to simplify pain regimen and avoid ambien altogether. postoperatively patient was noted on post-op day one, , to be having no complaints of chest pain, shortness of breath, no nausea, vomiting. she was neurologically intact, alert and oriented times three at this time. hematocrit at this time was 27.1 down from 3.18 preoperatively from carotid endarterectomy. bun and creatinine were 9 and 0.7. enzymes were ruled out times three postoperatively. this was done empirically. right neck incision was small with some ecchymosis, but no evidence of hematoma. ultimately patient was doing well, hemodynamically stable. she was taken to the operating room to have sequential cabg performed. that was secondary to her recent myocardial infarction and significant cath findings showing two vessel disease. she underwent off-pump coronary artery bypass graft times two including lima to lad and saphenous vein graft to om. this was done under general endotracheal anesthesia. dr. performed the procedure with the assistance of . pericardium was left open. patient had left ulnar arterial line, left ij oximetric swan-ganz catheter. two ventricular wires were placed. there were two mediastinal tubes. it was noted that there was severe mac and there was anterior aortic plaque as well as they had to utilize oximetry device for the proximal anastomosis. at the end of the procedure patient had mean arterial pressure of 90, cvp 21, pad 37, coronary artery mean pressure 48. she was in a-fib with a slow ventricular response with a rate of 52. she was on neo-synephrine 0.5 mcg per kg per minute and propofol 100 mcg per kg per minute. postoperatively on post-op day one, patient remained intubated and sedated. lungs were otherwise clear. extremities were benign. dressings were clean and dry. she was placed on aspirin and plavix with lasix accordingly. hematocrit was 35.6 at this time with bun and creatinine 4 and 0.6. co2 was 70 with pa pressure of 60/26, cvp 13, cardiac index 1.99. gas was ph 7.43, paco2 41, pao2 110, base excess 2, 96% saturation. she had received large volume preoperatively for resuscitation. had adequate urine output and was thereafter serially diuresed. at this time psych had recommended utilizing haldol 0.5 mg p.o. or iv q.two to three hours p.r.n. and hold if qtc was greater than 500. on post-op day two patient was extubated, was alert and oriented, still on nipride and nitro for blood pressure control as her blood pressure was in the 190s for a significant portion of her postoperative course in the first 48 hours. ultimately this was weaned back and oral agents such as lopressor and norvasc and lisinopril were titrated to maintain adequate blood pressure control. neurology was asked to see patient because of persistent postoperative delirium which became more evident again on post-op day two from cabg. at this time her medications included plavix, docusate, ranitidine, aspirin, sucralfate, vancomycin peri-op, insulin, nitroglycerin, propofol drip, amiodarone and toprol. she received 8 mg of morphine on , 20 mg on and 6 mg on the morning of which were thought to potentially contribute to the patient's state. she was irregularly irregular on exam. her wound was otherwise intact, clean and dry without drainage. after being seen by dr. , it was felt that patient, in fact, did have persistent delirium likely toxic metabolic. she could utilize antipsychotic medications as needed such as haldol p.r.n. with titration to qtc interval. on post-op day three she was hemodynamically stable. blood pressure remained somewhat elevated. she was out of bed, ambulating otherwise, eating, conversant, less combative. by post-op day four she continued to have labile bps and low cardiac indices. she was getting around a lot and complaining of persistent low back pain which she had at baseline. at this time nipride was 2.5, amiodarone drip 0.5. she was off esmolol drip. lisinopril was administered 10 mg p.o. b.i.d. she was also getting lopressor 100 mg p.o. t.i.d. she was started back on all her preoperative meds including ones particularly for her atrial fibrillation. once iv nipride was weaned off, patient had the swan discontinued. chest tubes were removed on post-op day four. by post-op day five she was comfortable, awake and alert. on post-op day six she was transferred to the floor. over the next 48 hours patient did quite well. by postoperative day seven from coronary artery bypass and post-op day 10 from right carotid endarterectomy, she was awake and alert, walking, doing stairs independently. temperature was 97.2, rate 53 in sinus, blood pressure 150/66, respiratory rate 18, 92% in room air saturation. she was negative 1100 cc times 24 hours. exam was notable for a stable sternum with no evidence of drainage. lungs were clear with decreased at the bases. heart was regular, but slow. abdomen was soft, nondistended, nontender. lower extremities were not edematous. given these findings, it was deemed that she was appropriate and stable for discharge to home. discharge medications: 1. lopressor 100 mg p.o. t.i.d. 2. lasix 20 mg p.o. b.i.d. times five days, then lasix 20 mg p.o. q.day times five days. 3. k-dur 20 meq p.o. b.i.d. times five days, then change to k-dur 20 meq p.o. as stated. 4. plavix 75 mg p.o. q.day times three months. 5. lisinopril 20 mg p.o. b.i.d. 6. amiodarone 400 mg p.o. b.i.d. times seven day, then amiodarone 400 mg p.o. q.day to be continued for several weeks. this should be followed by the pcp to determine whether amiodarone taper is in order, given the fact that she had been cardioverted approximately five weeks prior to discharge. 7. venlafaxine xr 75 mg p.o. q.day. 8. divalproex 125 mg p.o. b.i.d. 9. aspirin 81 mg p.o. q.day. 10. dilaudid 4 mg p.o. q.four or as needed for pain. 11. oxycodone 100 mg p.o. b.i.d. 12. norvasc 10 mg p.o. q.day. 13. colace 100 mg p.o. b.i.d. discharge instructions: home safety evaluation, blood pressure control monitoring and blood glucose monitoring. patient's diet should be cardiac and heart healthy. patient is to follow up at with dr. in approximately four weeks from time of discharge. see her pcp, . , in two weeks to evaluate her medication list as well as having a wound check here on 2 in wound check clinic in approximately two weeks' time from discharge. , m.d. dictated by: medquist36 d: 15:26 t: 16:10 job#: procedure: single internal mammary-coronary artery bypass coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnostic ultrasound of heart other esophagoscopy (aorto)coronary bypass of one coronary artery endarterectomy, other vessels of head and neck diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery mitral valve disorders unspecified essential hypertension atrial fibrillation systolic heart failure, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction drug-induced delirium atherosclerosis of native arteries of the extremities, unspecified 

Answer: The patient is high likely exposed to