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: past medical history: 1. borderline hypertension. 2. congestive heart failure. medications prior to admission: 1. lasix 20 mg q.d. 2. coreg 3.125 mg b.i.d. 3. zestril 5.0 q.d. 4. digoxin 0.125 q.d. in-house medications: (from micu) 1. protonix 40 q.d. 2. ec asa 325 mg q.d. 3. heparin drip. 4. digoxin 0.125 mg q.d. 5. captopril 25 q.d. 6. coreg 12.5 q.d. 7. percocet. 8. tylenol. allergies: the patient denied any drug allergies. social history: the patient is married and lives with wife. is a retired lobsterman. he denies any tobacco use. he has occasional ethanol use. family history: noncontributory. there was no family history of mi, sudden death, or coagulopathy. physical examination: examination revealed the following: temperature 99.8, blood pressure 132/80, respiration rate 20, oxygen saturation 93% on two liters. general: the patient was alert and oriented times three. the patient appeared comfortable. heent: mmm, perrll, eomi. neck was supple. jvp approximately 5 to 6, no bruits. cardiovascular: regular rate and rhythm. normal s1 and s2. 1/6 systolic ejection murmur at lusb. pulmonary: clear to auscultation bilaterally with slight crackles at bases. extremities: no clubbing, cyanosis or edema, no calf tenderness. abdomen: soft, nontender, nondistended, active bowel sounds, no organomegaly. vascular: 2+ dp pulses bilaterally. laboratory data: laboratory studies revealed the following: on cbc illustrated a wbc of 13.5, hematocrit 42.9, platelet count 185,000. chem 7: within normal limits. alt 55, ast 47, alkaline phosphatase 104. chest x-ray: , no evidence of failure or pneumonia. echocardiogram: pa pressure 70, ef 35%, severe lv/rv hypokinesis. paradoxical septal wall motion. vq: high probability multiple pe. ekg: : sinus rhythm at 84, normal axis, lvh with 4 mm to depression laterally. on ekg sinus rhythm at 78, normal axis, lvh with less marked st depression. pt 14.3, ptt 53.8, inr 1.4, ck times 3 negative. blood culture/urine culture negative. hospital course: #1. pe/pulmonary: the patient had high probability pe on vq scan likely leading to right heart failure, congestion. the patient's oxygen saturations gradually improved to about 95% to 96% on two liters with slight desaturation on room air to approximately 94%. heparin was continued as the patient was started on coumadin 5 mg po q.h.s. until a therapeutic inr was reached. psa screen for malignancy as a possible cause for the coagulopathy revealed psa of 3.6. #2. cardiovascular: the patient has biventricular dysfunction on echocardiogram associated with acute pe. the patient's decreased rv function was likely secondary to pe. the patient's lv dysfunction likely secondary to a combination of severe rv dysfunction on inherent changes in the left ventricular associated with cad/ischemia and hypertension. the department of cardiology was consulted. the patient's chf was well controlled with cardiac regimen of digoxin, captopril, coreg, and lasix. the patient was monitored on telemetry for episodes of pvcs and short runs of nonsustained ventricular tachycardia. it was decided that further workup of lv dysfunction in the form of repeat echocardiogram and/or catheterization would be more accurate after improvement in rv function. #3. gastrointestinal: the patient had episode of right upper quadrant pain associated with elevation in lfts. right upper quadrant ultrasound revealed large amounts of sludge within the gallbladder without evidence of cholecystitis, and normal appearance of the liver. the patient was encouraged to follow a low-fat diet and followup with pcp for possible future cholecystectomy. #4. infectious disease: the patient initially had elevated wbcs, which gradually resolved, likely secondary to stress response. urine culture and blood culture were negative. discharge diagnoses: 1. pe. 2. congestive heart failure 3. hypertension. 4. nonsustained ventricular tachycardia. 5. rv failure. discharge status: the patient was discharged to home. medications on discharge: 1. lisinopril 20 mg q.d. 2. m.v.i. one po q.d. 3. pantoprazole 40 po q.d. 4. ec asa 325 mg q.d. 5. carvedilol 12.5 mg po b.i.d. 6. lasix 40 mg po q.d. 7. senna one tablet p.o.q.h.s. 8. colace 100 mg po b.i.d. 9. tylenol 650 mg po q.4h. to 6h.p.r.n. less than two grams per day. 10. sublingual nitroglycerin 0.5 mg sublingual q.5 minute p.r.n. chest pain; maximum of 3, then medical doctor. discharge instructions: the patient was discharged with home oxygen (2 liters) and with vna. the patient has a follow-up appointment with primary care physician, . at 10:30 am the following day (). at this time, the patient will have his inr rechecked and evaluate for continuation of coumadin therapy. due to elevated inr of 3.9, coumadin was held until the follow-up appointment with dr. . , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified pulmonary artery wedge monitoring diagnoses: congestive heart failure, unspecified unspecified essential hypertension paroxysmal ventricular tachycardia cardiogenic shock calculus of gallbladder without mention of cholecystitis, without mention of obstruction other pulmonary embolism and infarction 

Answer: The patient is high likely exposed to