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) / codeine / hydrochlorothiazide / carbonic anydrase inhibitors attending: chief complaint: chest pain major surgical or invasive procedure: - coronary artery bypass grafting x 3. (left internal mammary->left anterior descending artery, saphenous vein graft (svg)->obtuse marginal artery, svg->posterior descending artery). history of present illness: 88 year old female who presented with three weeks of intermittant substernal chest pain that was worse with activity. she recently started taking probiotics 6 weeks ago and thought that chest discomfort was indegestion. today she saw her pcp who referred her to . at the osh her ekg showed sinus tachycardia 108 bpm, no pr or qrs prolongation, ste in lead iii, v4-v6, st dep avl, i. she had mild pain and was given nitropaste and 4 81 mg asa. her trop i was 0.16. hct 31.1 she was started on a heparin gtt. cardiology was consulted and decided to admit for possible cath in am and not immediately given chest pain free and diffuse st changes (not contiguous st elevations). she is being referred for cardiac catheterization. past medical history: coronary artery disease hypertension hyperlipdemia peripheral neuropathy multiple urinary tract infections social history: pt lives as winter valley senior citizen living. she was married for 39 years, and her husband passed in the . she previously worked for internal medicine as accountant. she has 4 daughters and 2 sons. - history: denies -etoh: one drink roughly every 10 days on social occasions -illicit drugs: none family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. father died of pulmonary embolism age 74. physical exam: pulse:82 resp:16 o2 sat:100/2l b/p right:156/64 left:150/76 height:5' weight:118 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: none neuro: grossly intact pulses: femoral right: cath site left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right: no left: no pertinent results: echo prebypass: 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. there is mild regional left ventricular systolic dysfunction with hypokinesia of the apical and mid portions of the inferior and inferospetal walls.. overall left ventricular systolic function is mildly depressed (lvef= 45 %). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (valve area 0.8-1.0cm2). trace aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. mild to moderate (+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on at 1400 hours. dr confirms severity of aortic stenosis. valve area is 0.9 on planimetry and continuity. post bypass: patient is a paced and receiving an infusion of phenylephrine. biventricular systolic function is unchanged. aorta is intact post decannulation. mild mitral regugitation persists. peak gradient across the aortic valve is 17 mm hg and the mean gradient is 8 mm hg with a cardiac index of 2.0 l/min. cxr: small right pleural effusion and right basal atelectasis have increased, left lower lobe atelectasis has decreased, and there is no longer any appreciable left pneumothorax following removal of midline and left pleural drains. postoperative cardiomediastinal silhouette is unremarkable. admission: 01:58pm hgb-10.3* calchct-31 01:58pm glucose-104 lactate-1.5 na+-137 k+-4.5 cl--106 05:03pm pt-13.7* ptt-31.1 inr(pt)-1.2* 05:03pm plt count-136* 05:03pm wbc-10.8 rbc-2.57* hgb-7.8* hct-22.7* mcv-89 mch-30.5 mchc-34.4 rdw-14.6 06:27pm urea n-16 creat-0.7 sodium-142 potassium-4.3 chloride-118* total co2-18* anion gap-10 discharge: 04:55am blood wbc-9.0 rbc-3.94* hgb-11.3* hct-33.2* mcv-84 mch-28.6 mchc-33.9 rdw-16.0* plt ct-182 04:55am blood glucose-93 urean-26* creat-1.1 na-134 k-3.7 cl-102 hco3-26 angap-10 04:55am blood mg-2.2 brief hospital course: ms. was admitted to the on for surgical management of her coronary artery disease. she was taken directly to the operating room where she underwent coronary artery bypass grafting. please see operative note for details. in summary she had: coronary artery bypass grafting x3 with the left internal mammary artery to the left anterior descending artery, and reverse saphenous vein graft to the posterior descending artery and obtuse marginal artery. her bypass time was 62 minutes with a cross clamp time of 52 minutes. she tolerated the operation well and postoperatively she was taken to the intensive care unit for monitoring. over the several hours, she awoke neurologically intact and was extubated. she remained hemodynamically stable after extubation and was transferred to the stepdown floor on pod2. all tubes lines and drains were removed per cardiac surgery protocols. the remainder of her hospital course was uneventful. she continued to make steady progress and was discharged to home with vna services and the appropriate medications on postoperative day 4. she will follow-up with dr. , her cardiologist and her primary care physician as an outpatient. medications on admission: cozaar 25 mg q day metoprolol tartrate 50 mg premarin mv vitamin d 1 tab q day fishoil lovastatin 10 mg q day discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 5. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 7. lasix 20 mg tablet sig: one (1) tablet po once a day for 2 weeks. 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 2 weeks. 9. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/temp. 10. multivitamin tablet sig: one (1) tablet po daily (daily). 11. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 12. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). discharge disposition: extended care facility: tba discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 multiple bladder infections hypertension hyperlipidemia neuropathy discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with ultram incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema- 1+ pedal bilat discharge instructions: 1) 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. 2) please no lotions, cream, powder, or ointments to incisions. 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart provided. 4) no driving for one month or while taking narcotics. driving will be discussed at follow up appointment with surgeon when you will likely be cleared to drive. 5) no lifting more than 10 pounds for 10 weeks 6) 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 on @ 1pm cardiologist:dr on @ 1pm please call to schedule appointments with your primary care dr 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 (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension aortic valve disorders other and unspecified hyperlipidemia unspecified hereditary and idiopathic peripheral neuropathy subendocardial infarction, subsequent episode of care 

Answer: The patient is high likely exposed to