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) / percocet attending: chief complaint: chest pain major surgical or invasive procedure: emergent coronary artery bypass grafting x2 (left internal mammary artery grafted to the left anterior descending artery/ saphenous vein grafted to obtuse marginal) on history of present illness: 71 year old female with stemi with st elevation. troponine 7. she has had dirrhea for a few days. yesterday she had nausea and vomitting and then epigastric pain radiating to left shoulder. she also complains of ongoing chest pain. she did take 325mg aspirin at home. she was given nitro x3 which reduced chest pain from to . she was given 600mg plavix. she was medflighted to for cardiac cath. she was found to have tight left main and iabp placed and now going emergently to or for cabg. past medical history: -left main and three vessel coronary artery disease s/p coronary artery bypass grafting x 2 -anterior stemi pmh: -gerd psh: s/p right cea in social history: not obtained-emergent case contact -daughter family history: not obtained due to emergent nature of surgery physical exam: admission physical not able to obtain. pt unstable in cath lab, ballooned and taken emergently to or for cabg. age 71 gender female race caucasian height 157 cm (5'2'') weight 53.10 kg (117 lbs) bsa 1.52 m2 pertinent results: intra-op tee echocardiography report general comments: the patient was under general anesthesia throughout the procedure. no tee related complications. results conclusions for post-bypass data conclusions pre-bypass: 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. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the view of the descending aorta is somewhat obscured by the presence of an intra aortic balloon pump. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). there is no pericardial effusion. the tip of the sgc is at the pa bifurcation. dr. was notified in person of the results in the operating room. post-bypass: the patient is av paced on low dose phenylephrine infusion. biventricular function is maintained. the valves remain unchanged. the aorta remains intact. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 23:19 radiology report chest (pa & lat) study date of 1:29 pm final report: in comparison with the study of , there is no pneumothorax. layering bilateral effusions with compressive atelectasis at the bases. pulmonary vascularity is essentially within normal limits. dr. . 06:00am blood wbc-10.6 rbc-3.88* hgb-11.0* hct-33.4* mcv-86 mch-28.3 mchc-32.9 rdw-16.0* plt ct-378 06:15am blood wbc-10.5 rbc-3.96* hgb-11.3* hct-33.9* mcv-86 mch-28.5 mchc-33.4 rdw-16.0* plt ct-333 06:00am blood glucose-96 urean-32* creat-1.1 na-138 k-3.7 cl-99 06:15am blood urean-31* creat-1.0 na-136 k-4.1 cl-100 brief hospital course: 71 year old female with stemi, troponin 7 med-flighted from an outside hospital. she had ongoing chest pain and was taken to the cath lab. she was found to have tight left main, an iabp was placed, and she was taken emergently to the operating room for cabg. she underwent coronary artery bypass grafting x2 (left internal mammary artery grafted to the left anterior descending artery/ saphenous vein grafted to obtuse marginal) with dr.. please see operative report for further details. she tolerated the procedure well and was transferred to the cvicu for invasive monitoring in critical but stable condition. she awoke neurologically intact. on pod#1 she weaned off pressor support, the iabp was discontinued,and she was extubated. all lines and drains were discontinued per protocol. beta-blocker/statin/asa, and diuresis was initiated, along with resuming preop meds as tolerated. pod#2 she was transferred to the step down unit for further monitoring. physical therapy was consulted for evaluation of strength and mobility. the remainder of her hospital course was essentially unremarkable. she continued to progress and was discharge to at silver / rehab. by the time of discharge on pod 5 she was ambulating and incisions healing well. appropriate follow up appointments were advised. medications on admission: aspirin 325mg daily pletal unknown dose preadmission medications listed are correct and complete. information was obtained from patientfamily/caregiver. 1. lisinopril 20 mg po daily 2. aspirin 325 mg po daily 3. lovastatin *nf* 10 mg oral daily 4. ezetimibe 10 mg po daily 5. pletal *nf* (cilostazol) 200 mg oral daily 6. vitamin d 1000 unit po daily 7. omeprazole 40 mg po daily 8. calcium carbonate 1000 mg po bid discharge medications: 1. aspirin ec 81 mg po daily 2. ezetimibe 10 mg po daily 3. docusate sodium 100 mg po bid 4. metoprolol tartrate 50 mg po bid hold for hr < 55 or sbp < 90 and call medical provider. *metoprolol tartrate 50 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*0 5. tramadol (ultram) 50 mg po q4h:prn pain rx *tramadol 50 mg 1 tablet(s) by mouth every four (4) hours disp #*60 tablet refills:*0 6. lovastatin *nf* 10 mg oral daily 7. calcium carbonate 1000 mg po bid 8. omeprazole 20 mg po daily 9. lisinopril 20 mg po daily 10. furosemide 40 mg po daily duration: 1 weeks rx *furosemide 20 mg 2 tablet(s) by mouth daily disp #*14 tablet refills:*0 11. potassium chloride 20 meq po daily duration: 1 weeks rx *potassium chloride 20 meq 1 packet by mouth daily disp #*7 packet refills:*0 12. pletal *nf* (cilostazol) 200 mg oral daily 13. vitamin d 1000 unit po daily discharge disposition: extended care facility: @ silver discharge diagnosis: -left main and three vessel coronary artery disease s/p coronary artery bypass grafting x 2 -anterior stemi -gerd past surgical history: s/p right cea in feburay discharge condition: alert and oriented x3 nonfocal ambulating, deconditioned incisional pain managed with ultram incisions: sternal - healing well, no erythema or drainage leg bilat evh- healing well, no erythema or drainage. edema- trace pedal edema discharge instructions: discharge instructions please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: recommended follow-up: you are scheduled for the following appointment: surgeon: , (, wednesday, , 1:00pm please call to schedule appointments with your: cardiologist: dr. in weeks primary care dr., k in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization (aorto)coronary bypass of one coronary artery aortography implant of pulsation balloon diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux acute posthemorrhagic anemia acute myocardial infarction of other anterior wall, initial episode of care 

Answer: The patient is high likely exposed to