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: codeine attending: chief complaint: 80 yo male presented to osh with dizziness and abnormal ekg. major surgical or invasive procedure: mitral valve repair ( 30 mm ce annuloplasty band) history of present illness: 80 yo male presented to osh with dizziness and abnormal ekg with diffuse st elevations consistent with pericarditis. ruled out for mi and discharged to home. he returned within 6 hours and was transferred to for furtther evaluation.underwent cardiac cath which revealed ef 70%, severe mr, and no significant cad.referred to for mvr. past medical history: mitral regurgitation degenerative joint disease pericarditis and social history: lives with daughter works pt delivering newspapers quit smoking 50 years ago; 15 year pack hx denies etoh family history: father died at 80 abruptly /?cad physical exam: sr 82 rr 18 right 140/74 left 142/50 6'0" 71.8 kg nad eomi perrla neck supple with full rom and no carotid bruits no lymphadenopathy ctab rrr with 4/6 holosystolic murmur soft, nt, nd, + bs, no palpable masses extrems warm, well-perfused, no edema, mult. superficial varicosities nonfocal alert and oriented x3 2+ radials/dp/pt right femoral with closure device;left 2+ fem pertinent results: 06:40am blood wbc-7.4 rbc-3.03* hgb-9.7* hct-28.7* mcv-95 mch-32.1* mchc-33.8 rdw-13.8 plt ct-360 08:05pm blood wbc-7.7 rbc-4.29* hgb-13.7* hct-41.2 mcv-96 mch-32.0 mchc-33.3 rdw-14.0 plt ct-226 06:40am blood plt ct-360 06:40am blood pt-14.7* inr(pt)-1.3* 08:05pm blood pt-14.6* ptt-25.0 inr(pt)-1.3* 08:05pm blood plt ct-226 12:35pm blood fibrino-228 08:05pm blood esr-43* 06:40am blood glucose-100 urean-14 creat-0.9 na-140 k-4.2 cl-104 hco3-28 angap-12 08:05pm blood glucose-78 urean-12 creat-0.9 na-143 k-4.2 cl-105 hco3-31 angap-11 08:05pm blood alt-10 ast-13 ld(ldh)-211 alkphos-61 totbili-0.8 06:40am blood mg-2.5 02:41am blood calcium-7.7* phos-2.8 mg-2.2 08:05pm blood albumin-3.8 08:05pm blood %hba1c-5.4 08:05pm blood crp-19.6* radiology final report chest (pa & lat) 9:39 am chest (pa & lat) reason: evaluate effusion medical condition: 80 y s/p mvr reason for this examination: evaluate effusion history: 80-year-old male status post mitral valve replacement. pa and lateral radiograph of the chest: comparison is made with the chest radiograph of . sternotomy wires and skin staples remain unchanged. there has been interval decrease in minimal residual pneumomediastinum. there has also been interval improvement in bilateral pleural effusions; a small pleural effusion remains on the left. there has also been interval improvement in the associated retrocardiac atelectasis. bilateral apical pleural thickening is unchanged from prior exams. impression: interval improvement in bilateral pleural effusions and left- sided retrocardiac atelectasis. the study and the report were reviewed by the staff radiologist. dr. dr. approved: tue 9:30 am cardiology report ecg study date of 2:54:50 pm technically difficult study sinus rhythm prolonged p-r interval left atrial abnormality since previous tracing of , qrs voltage shorter read by: , a. intervals axes rate pr qrs qt/qtc p qrs t 87 248 78 63 pathology examination name birthdate age sex pathology # , 80 male report to: dr. . gross description by: dr. /dif specimen submitted: mitral leaflets. procedure date tissue received report date diagnosed by dr. . fu/mb???????????? diagnosis: mitral valve leaflets: cardiac valve with myxoid changes. clinical: mitral regurgitation. gross: the specimen is received fresh labeled with " " and the medical record number and "mitral leaflets" and consists of two white heart valve leaflets measuring 3 x 2 x 0.5 cm in aggregate. no calcifications or other lesions are identified. the specimen is represented in a. , c portable tte (complete) done at 4:18:15 pm final referring physician information , w. , status: inpatient dob: age (years): 80 m hgt (in): 72 bp (mm hg): 120/60 wgt (lb): 158 hr (bpm): 78 bsa (m2): 1.93 m2 indication: mitral valve prolapse. murmur. icd-9 codes: 786.05, 424.0 test information date/time: at 16:18 interpret md: , md test type: portable tte (complete) son: doppler: full doppler and color doppler test location: west echo lab contrast: none tech quality: adequate tape #: 2007w042-0:52 machine: vivid echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.3 cm <= 4.0 cm left atrium - four chamber length: *5.3 cm <= 5.2 cm right atrium - four chamber length: 4.6 cm <= 5.0 cm left ventricle - septal wall thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.3 cm <= 5.6 cm left ventricle - systolic dimension: 2.9 cm left ventricle - fractional shortening: 0.45 >= 0.29 left ventricle - ejection fraction: >= 60% >= 55% aorta - sinus level: 3.6 cm <= 3.6 cm mitral valve - e wave: 1.2 m/sec mitral valve - a wave: 0.9 m/sec mitral valve - e/a ratio: 1.33 mitral valve - e wave deceleration time: *253 ms 140-250 ms findings left atrium: mild la enlargement. right atrium/interatrial septum: normal ra size. left ventricle: normal lv wall thickness. normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: moderately thickened mitral valve leaflets. partial mitral leaflet flail. severe (4+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. indeterminate pa systolic pressure. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: no pericardial effusion. conclusions the left atrium is mildly dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are moderately thickened. there is partial mitral leaflet flail (posterior leaflet). severe (4+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. electronically signed by , md, interpreting physician brief hospital course: transferred from outside hospital for surgical evaluation. underwent mitral valve repair with dr. on . please see operative report for further details. he was transferred to the cvicu in stable condition on titrated phenylephrine and propofol drips. he extubated that evening and transferred to the floor on pod #2 to begin increasing his activity level. chest tubes and pacing wires removed without incident. gently diuresed toward his preop weight and beta blockage titrated. had intermittent atrial fibrillation starting on pod #4. amiodarone and coumadin were started. he has remained in sinus rhythm and was ready for discharge home with services on post operative day 7. medications on admission: asa 325 mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. amiodarone 200 mg tablet sig: two (2) tablet po twice a day: until , then 400 mg daily until , then 200 mg daily ongoing until discontinued by your cardiologist. disp:*64 tablet(s)* refills:*0* 6. outpatient lab work pt/inr for coumadin dosing (mon-wed-fri) - atrial fibrillation goal inr 2.0-2.5 to dr office coumadin clinic fax # 7. metoprolol succinate 50 mg tablet sustained release 24 hr sig: 2.5 tablet sustained release 24 hrs po daily (daily): total dose 125mg . disp:*75 tablet sustained release 24 hr(s)* refills:*0* 8. warfarin 2 mg tablet sig: 1.5 tablets po goal inr 2-2.5 : please take 3mg wed and thrus with lab draw fri for further dosing by dr . disp:*90 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: mitral valve regurgitation s/p mv repair post operative atrial fibrillation pericarditis and degenerative joint disease discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns pt/inr for coumadin dosing (mon-wed-fri) - atrial fibrillation goal inr 2.0-2.5 to dr office coumadin clinic fax # followup instructions: please call to schedule all appointments dr in 4 weeks dr. in weeks dr. in weeks pt/inr for coumadin dosing (mon-wed-fri) - atrial fibrillation goal inr 2.0-2.5 to dr office coumadin clinic fax # procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart open heart valvuloplasty of mitral valve without replacement diagnoses: other iatrogenic hypotension mitral valve disorders congestive heart failure, unspecified atrial fibrillation osteoarthrosis, unspecified whether generalized or localized, site unspecified acute pericarditis, unspecified chronic passive congestion of liver atrioventricular block, unspecified 

Answer: The patient is high likely exposed to