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: no known allergies / adverse drug reactions attending: chief complaint: chest pain radiating to midback and jaw major surgical or invasive procedure: coronary artery bypass graft x 4 (left internal mammary artery to left anterior descending, saphenous vein graft to right coronary artery, saphenous vein graft to diagonal, saphenous vein graft to obtuse marginal) history of present illness: this 83 year old female developed substernal pressure radiating to her back, neck and jaw. she called ems and the chest pressure subsided on its own in 15 minutes prior to ems arrival. she relates several years of dyspnea on exertion. she was brought to were she was admitted and a cardiac catheterization was done. she was found to have multivessel disease and is was transferred to for revascularization. past medical history: hypertension hyperlipidemia non insulin dependent diabetes osteoarthritis shingles cholecystectomy bilateral hip replacement resection of thyroid nodule and a right parotid excision social history: race:caucasian last dental exam:partial on lower and full upper dentures lives with:son, very active does her own adls and walks her dog 3 times/day. does not use any assisted devices. contact: (son) , (daughter) occupation:retired cigarettes: smoked no yes hx:quit 20 years ago, history of 40 ppy other tobacco use:denies etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use:denies family history: premature coronary artery disease- father died of mi at age 51, two brothers died in their 50's of uncertain causes physical exam: pulse:83 resp:18 o2 sat:95/ra b/p 117/78 height:5' weight:89.3 kgs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: obese, soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema none varicosities: none neuro: grossly intact pulses: femoral right: +2 left:+2 dp right: +2 left:+2 pt :+2 left:+2 radial right: +2 left:+2 carotid bruit none right: left: pertinent results: echo: the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. 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). the left ventricular inflow pattern suggests impaired relaxation. the pulmonary artery systolic pressure could not be determined. there is an anterior space which most likely represents a prominent fat pad. . 04:35am blood wbc-17.9* rbc-3.14* hgb-9.8* hct-28.0* mcv-89 mch-31.1 mchc-34.8 rdw-14.1 plt ct-235 07:15pm blood wbc-14.0* rbc-4.17* hgb-13.5 hct-37.9 mcv-91 mch-32.3* mchc-35.5*# rdw-13.8 plt ct-363 07:15pm blood glucose-111* urean-30* creat-0.9 na-141 k-4.2 cl-105 hco3-26 angap-14 07:15pm blood %hba1c-6.1* eag-128* 12:37am blood wbc-14.9* rbc-3.04* hgb-9.3* hct-27.8* mcv-92 mch-30.7 mchc-33.6 rdw-13.5 plt ct-347 12:37am blood pt-11.6 inr(pt)-1.1 12:37am blood glucose-135* urean-35* na-136 k-4.9 cl-101 hco3-27 angap-13 brief hospital course: mrs. was transferred from outside hospital after cardiac cath revealed severe three vessel coronary disease requiring surgery. upon admission she was medically managed and underwent surgical work-up. on she underwent coronary artery bypass graft x 4. please see operative report for surgical details. following surgery she was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours she was weaned from sedation, awoke neurologically intact and extubated. post-op day one she was started on beta-blockers and diuretics and gently diuresed towards her pre-op weight. later on this day she was transferred to the step-down floor for further care. chest tubes and epicardial pacing wires were removed per protocol. physical therapy worked with her for mobility and strength. she was able to return to her home where she lives with her son who will be with her for the first week. on she developed rapid atrial fibrillation with a ventricular response of 140 and transient bp to 80s. she received a total of 10mg of iv lopressor with restoration of sinus rhythm. the following day she had multiple short bursts of svt and amiodarone and coumadin were instituted. she was in sinus with occassional vpcs/ junctional beats at discharge. dr. , her primary care physician agreed to monitor her anticoagulation. she will take 2.5 mg of coumadin on -4 and have an inr drawn on . all follow up appointments were given. medications on admission: zocor 40mg hs zestril 30mg metformin 1000mg janusian 10mg daily hydrochlorothiazide 25mg daily aspirin 81mg daily lopressor 12.5mg (started at ) discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever, pain. 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 6. januvia 100 mg tablet sig: one (1) tablet po once a day. 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 7 days. disp:*7 tablet(s)* refills:*0* 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 10. amiodarone 200 mg tablet sig: as directed tablet po bid (2 times a day): 400mg (2 tablets) twice daily for two weeks, then 200mg (one tablet) twice daily for two weeks, then 200mg (one tablet) daily until directed to discontinue. disp:*100 tablet(s)* refills:*2* 11. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day for 7 days. disp:*7 tablet, er particles/crystals(s)* refills:*0* 12. pravastatin 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 13. warfarin 2.5 mg tablet sig: as directed tablet po once a day: one tablet at 4pm on . then as directed by dr. on . disp:*100 tablet(s)* refills:*2* 14. outpatient work pt/inr on , then prn. please call result to dr. office at . discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 hypertension hyperlipidemia non insulin dependent diabetes osteoarthritis shingles s/p cholecystectomy s/p bilateral hip replacement s/p resection of thyroid nodule and right parotid excision discharge condition: alert and oriented x3, nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg 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. (on at 1:30pm cardiologist: dr. ( 7) on at 10am please call to schedule appointments with: primary care dr. (in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication paroxysmal atrial fibrillation goal inr 2-2.5 first draw results to phone: dr. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: other iatrogenic hypotension anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation other and unspecified hyperlipidemia other specified cardiac dysrhythmias obesity, unspecified hip joint replacement body mass index 32.0-32.9, adult 

Answer: The patient is high likely exposed to