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: this is a 78-year-old female who underwent a screening electrocardiogram preoperatively for follow up cystoscopy status post bladder cancer which showed question of silent myocardial infarction. the patient also reports history of increasing dyspnea on exertion. the patient was admitted to for cardiac catheterization which showed an ejection fraction of 75%, 70% left main disease, 50% proximal lad, 80% proximal left circumflex, 80% proximal rca, aortic valve area of 0.8 with a mean gradient of 19 mmhg. the patient was discharged post catheterization to return on for cardiac surgery. past medical history: 1. status post bladder cancer surgery 2. status post total abdominal hysterectomy 3. history of peptic ulcer disease six years ago 4. coronary artery disease 5. aortic stenosis allergies: penicillin preoperative medications: 1. synthroid 100 mcg monday through friday 2. lasix 20 mg po q day 3. kcl 20 milliequivalents po q day 4. glucotrol xl 2.5 mg po q day 5. fosamax 10 mg po q day 6. niacin 500 mg po q day preoperative laboratory data: the patient's hematocrit was 40.4, bun 20, creatinine 0.8. th was taken to the operating room on with dr. for coronary artery bypass graft x3, left internal mammary artery to lad, saphenous vein graft to om, saphenous vein graft to rca. the patient also underwent an aortic valve replacement with a 21 mm pericardial valve. the patient was transferred to the intensive care unit in stable condition. the patient was weaned and extubated from mechanical ventilation on first postoperative evening. the patient remained in the intensive care unit on postoperative day #1 requiring neo-synephrine infusion which was weaned to off by postoperative day #2. the patient was transferred out of the intensive care unit to the floor on postoperative day #2. at the time of transfer on postoperative day #2, the patient was noted to be in atrial fibrillation with a controlled ventricular response. the patient was started on lopressor and amiodarone. the patient converted into sinus rhythm the evening of postoperative day #2. on postoperative day #3, the patient's wires and chest tubes were removed. the patient began ambulating with physical therapy. it was felt that the patient could benefit from short term rehabilitation per assessment by physical therapy. on postoperative day #5, the patient was cleared for discharge to rehabilitation. discharge condition: t-max 97.5??????, pulse 72 sinus rhythm, blood pressure 110/52, room air oxygen saturation 94%. the patient's weight is 72 kg preoperatively. the patient was 63 kg. neurologically, the patient is awake, alert and oriented x3. neurologically grossly intact and nonfocal. cardiovascular: the patient has regular rate and rhythm. no rub or murmur noted. respiratory: breath sounds clear bilaterally, decreased posteriorly at the bases. gastrointestinal: positive bowel sounds, soft, nontender, nondistended, tolerating regular diet, bowel movement x2 yesterday. extremities: 1+ to 2+ edema, left medial leg incision is clean, dry and intact. steri-strips are intact. there is a moderate amount of ecchymosis to medial thigh; area is soft. the leg is warm and well perfuse. sternal incision staples are intact. the sternum is without click. there is no erythema, edema or drainage in the sternal incision. laboratory data: white blood cell count 12.0, hematocrit 32.8, platelet count 220. sodium 138, potassium 4.3, chloride 100, bicarbonate 28, bun 13, creatinine 0.8, glucose 99. discharge status: the patient is to be discharged to a rehabilitation facility in stable condition. discharge diagnoses: 1. status post coronary artery bypass graft 2. status post aortic valve replacement 3. postoperative atrial fibrillation 4. noninsulin dependent diabetes mellitus discharge medications: 1. synthroid 100 mcg po q monday through friday 2. lopressor 12.5 mg po bid 3. lasix 20 mg po bid x1 week, then 20 mg po q day 4. kcl 2 milliequivalents po bid x1 week, then 20 milliequivalents po q day 5. colace 100 mg po bid 6. ranitidine 150 mg po bid 7. enteric coated aspirin 325 mg po q day 8. glucotrol xl 2.5 mg po q day 9. amiodarone 400 mg po bid x1 week, then 400 mg po q day x1 month 10. tylenol 650 mg po q6h prn 11. tylenol with codeine #3 1 to 2 tablets po q6h prn 12. ibuprofen 400 mg po q6h prn 13. lactulose 30 cc po tid prn for constipation 14. regular insulin sliding scale, for blood sugar 150 to 200 give 3 units subcutaneous, for blood sugar 201 to 250 give 5 units subcutaneous, for blood sugar 251 to 300 give 7 units subcutaneous , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation aortic valve disorders old myocardial infarction personal history of malignant neoplasm of bladder 

Answer: The patient is high likely exposed to