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. hypercholesterolemia. 2. hypertension. 3. mild bradycardia with first degree av block. 4. history of intermittent left bundle branch block. 5. congestive heart failure. 6. chronic obstructive pulmonary disease. 7. status post total hip replacement on with postoperative course complicated by congestive heart failure in the setting of aggressive fluids. 8. gastroesophageal reflux disease. 9. hypothyroidism. 10. osteoarthritis. 11. history of one month of voiding difficulty. 12. history of bladder surgery. 13. history of hysterectomy in . allergies: the patient has a beta blocker allergy with the reaction noted to be mild-to-moderate bradycardia and also beta blockers precipitate congestive heart failure in the past. hospital course: #1. cardiac: ischemia. the patient was noted to have essentially clean coronaries less the rca ostial at 50%. the patient was maintained on outpatient dose of lipitor and started on aspirin. pump: the patient was adequately diuresed. the nitroglycerin drip was weaned to off and she received lasix p.r.n. until resolution of her fluid overload status, both clinically and radiographically by chest x-ray. she was started on an ace inhibitor during this admission of zestril at 2.5 mg q.d. before afterload reduction. a transthoracic echocardiogram was done on , and it demonstrated left ventricular ejection fraction greater than 60%. she had a left ventricular systolic dimension of 3.9 cm. the echocardiogram was also notable for moderate-to-severe 3+ mitral regurgitation and there was partial mitral leaflet flail. the left atrium was mildly dilated. the aortic valve leaflets were also mildly dilated. the cardiologist, dr. was contact on , regarding these findings. it was felt by the coronary care unit team that the significantly worsening mitral regurgitation was likely a major contributor to her presenting flash pulmonary edema and decompensated heart failure. rhythm: the patient has a history of supraventricular tachycardias in the past. she was maintained on her verapamil dose of 40 mg q.12h. during this admission. beta blockade was held secondary to her allergies as mentioned above. pulmonary: the patient presented in respiratory distress in the setting of flash pulmonary edema, secondary to elevated systolic blood pressures intracatheterization. she was aggressively diuresed with marked improvement of her pulmonary status requirement. on the day of discharge, the resting room air saturation was 84%, which improved to 94% to 96% on two to three liters oxygen, which should be her requirement as she presents back to rehabilitation. gastrointestinal: the patient had mild transaminitis on presentation likely secondary to hepatic congestion in the setting of right heart failure secondary to left heart failure. subsequent to diuresis, the patient's lft abnormalities resolved with no further issues in this regard. renal: the patient had a stable creatinine throughout admission and good urine output. endocrine: the patient has a history of hypothyroidism. the patient was maintained on her current dose of synthroid during this admission. sugars were adequately controlled as well. genitourinary: the patient has ongoing bladder dystonia versus atonia versus urethral strictures. she had been followed closely by her outside urologist, dr. at . she should follow with him upon return to her rehabilitation subsequent to discharge on and from a cardiac perspective she is cleared for cystoscopy. the patient was maintained on pyridium at 200 mg b.i.d. during her hospitalization. foley catheter was not changed at the and it has been indwelling for approximately two weeks. the patient was seen by the department of physical therapy during this admission. please see patient's report for further details in that regard. medications on discharge: 1. aspirin 325 mg po q.d. 2. verapamil 40 mg q.12h. 3. captopril 37.5 mg po t.i.d. 4. flovent 110 mcg b.i.d. 5. insulin sliding scale. 6. iron sulfate 325 mg po q.d. 7. synthroid 37.5 mcg per day. 8. lipitor 20 mg po q.d. 9. protonix 40 mg q.d. 10. colace 100 mg b.i.d. 11. combivent one to two puffs q.6h. 12. buspirone 7.5 mg po b.i.d. 13. lovenox 30 mg subcutaneously q.12h. 14. pyridium 200 mg po t.i.d. allergies: the patient had an allergy to beta blockers, which can precipitate heart failure or bradycardia in her case. follow-up care: #1. the patient requires two to three liters of nasal cannula oxygen. #2. follow fingerstick b.i.d. for worsening blood glucose management. #3. the patient should follow up with the primary urologist, dr. upon return to . #4. monitor for signs of fluid overload, can use lasix on p.r.n. basis. the patient's code status is full code. , m.d. dictated by: medquist36 d: 16:17 t: 16:29 job#: procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified other chronic pulmonary heart diseases old myocardial infarction hip joint replacement 

Answer: The patient is high likely exposed to