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: iodine-iodine containing / adhesive tape attending: chief complaint: sob and left arm burning major surgical or invasive procedure: cabg x4 (lima to lad, svg to diag, svg to om, svg to pda)/mv repair (28 mm cg future ring) history of present illness: 70 year old female who complains of sob. she awoke from sleep with burning chest pain. she reported stuttering chest pain all day today as with some associated shortness of breath. she states she was last admitted 3 weeks ago with similar symptoms and was diagnosed with a chf exacerbation. she has been taking her diuretics faithfully since that time. referred for cardiac catheterization which showed 3v cad. subsequently referred for surgery. past medical history: 1. cardiac risk factors: +diabetes, +dyslipidemia, +hypertension 2. cardiac history: -diastolic chf 3. other past medical history: -hypothyroidism -squamous cell carcinoma of left forearm. - h/o varicella zoster - vitreous hemorrhage- r and l eye. - l hemispheric stroke social history: married, lives at home with husband, denies tobacco, alcohol, illicits. family history: no early cad, dm, or htn. physical exam: pulse:89 resp:16 o2 sat: 98/ra b/p right:175/73 left:160/52 height:63" weight:195 lbs general: 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: neuro: grossly intact pulses: femoral right: 1+ left: 1+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right:- left:- pertinent results: 06:00am blood wbc-7.4 rbc-3.87* hgb-11.5* hct-34.9* mcv-90 mch-29.8 mchc-33.0 rdw-14.9 plt ct-247 06:00am blood glucose-222* urean-44* creat-1.6* na-137 k-4.9 cl-98 hco3-29 angap-15 06:00am blood mg-2.2 conclusions pre bypass the left atrium is moderately dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. overall left ventricular systolic function is mildly depressed globally(lvef= 45 %). the right ventricle displays borderline normal free wall function. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are complex (>4mm) 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. moderate (2+) mitral regurgitation is seen. the regurgitation is mostly central but has a slight posterior lean. dr. was notified in person of the results in the operating room at the time of the study. post bypass the patient is av paced. there is normal biventricular systolic function with a left ventricular ejection fraction of 55-60%. a mitral valve annuloplasty ring is in situ. it appears well seated. there is trace mitral regurgitation. there is no mitral stenosis. the remainder of valvular function remains unchanged. the thoracic aorta appears intact after decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 16:12 brief hospital course: admitted and underwent surgery with dr. . transferred to the cvicu in stable condition on titrated phenylephrine and propofol drips. extubated early on pod #1. sleep medicine was consulted for possible sleep apnea risks. transferred to the floor on pod #2 to begin increasing her activity level. chest tubes and pacing wires removed per protocol. picc placed for access and subsequently removed. gently diuresed toward pre-op weight. made good progress and was cleared for discharge to rehab on pod #5. all f/u appts were advised. metformin to be restarted at discretion of dr. when creatinine normalizes. levemir to be restarted at discretion of rehab provider. medications on admission: 1. gabapentin 300 mg capsule sig: one (1) capsule po at bedtime. 2. levothyroxine 150 mcg tablet sig: one (1) tablet po days (mo,tu,we,th,fr). 3. levothyroxine 150 mcg tablet sig: two (2) tablet po days (,sa) . 4. lovastatin 40 mg tablet sig: one (1) tablet po at bedtime. 5. cyanocobalamin (vitamin b-12) 250 mcg tablet sig: one (1) tablet po daily (daily). 6. avalide 300-25 mg tablet sig: one (1) tablet po once a day. 7. hydralazine 50 mg tablet sig: one (1) tablet po three times a day. 8. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 9. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 10. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 11. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*0* 12. carvedilol 12.5 mg tablet sig: two (2) tablet po bid (2 times a day). 13. insulin sliding scale humalog insulin sliding scale as directed by your primary care physician 14. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 15. insulin detemir 100 unit/ml insulin pen sig: fourteen (14) units subcutaneous at bedtime. discharge medications: 1. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 2. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day: hold for k+ >4.5. 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 6. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily): on lovastatin 40 mg daily at home. 7. levothyroxine 75 mcg tablet sig: two (2) tablet po mon tues wed fri (). 8. levothyroxine 100 mcg tablet sig: three (3) tablet po sat sun (). 9. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). 10. heparin (porcine) 5,000 unit/ml solution sig: 5000 (5000) units injection tid (3 times a day). 11. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily) for 2 weeks. 12. furosemide 40 mg tablet sig: one (1) tablet po once a day. 13. insulin lispro 100 unit/ml solution sig: per sliding scale subcutaneous asdir (as directed): humalog per sliding scale . 14. lorazepam 0.5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for sleep. 15. metformin to be restarted at discretion of dr. when creatinine normalized 16. levemir to be restarted at rehab provider discharge disposition: extended care facility: discharge diagnosis: cad/mitral regurgitation s/p cabg x4/mv repair dyslipidemia hypertension diastolic congestive heart failure diabetes mellitus type 2 hypothyroidism squamous cell carcinoma- left forearm and chest h/o varicella zoster vitreous hemorrhage- right and left eye (post heparin) left hemispheric stroke anemia- baseline hct=27 (per patient) discharge condition: alert and oriented x3 nonfocal ambulating with assistance incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema 1+ 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: you are scheduled for the following appointments: surgeon:dr. @ 1:45 pm pcp/cardiologist:dr. at 2:45 pm ( office) **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart open heart valvuloplasty of mitral valve without replacement diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism other chronic pulmonary heart diseases diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes other and unspecified hyperlipidemia personal history of other malignant neoplasm of skin personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits chronic diastolic heart failure 

Answer: The patient is high likely exposed to