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: heparin agents attending: chief complaint: shortness of breath major surgical or invasive procedure: left heart catheterization, coronary angiogram, left ventriculogram coronary artery bypass grafting x 4 & mitral valve repair (28mm ring) history of present illness: this 69 year old gentleman has no past medical history has had four or five months of dyspnea on exertion. the patient was noted to be tachycardic with atrial tachycardia with 2:1 conduction at an outpatient visit. he was noted to be in congestive heart failure. lisinopril and digoxin were started (held on beta blocker because he had heart failure). with digoxin, he had much less dyspnea on exertion. he was noted to have a lvef of 10 to 15% with mitral regurgitation. dr. felt his dilated cardiomyopathy was secondary to tachycardia and underwent cardiac catheterization to evaluate for coronary disease. this revealed left main disease and mitral regurgitation. he underwent further evaluation to determine if he was a good surgical candidate. past medical history: dilated cardiomyopathy (lvef 10-15%) severe mitral regurgitation atrial arrhythmia social history: the patient lives with his wife. denies any current smoking, alcohol family history: there is no family history of premature coronary artery disease or sudden death. physical exam: admission physical examination: vs - t: 97.7, bp: 103/70, hr: 87, rr: 18, o2 sat: 98% gen: elderly male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple. jvp of 7 cm. cv: pmi located in 5th intercostal space, midclavicular line. tachycardia. regular rate. normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. limited to anterior auscultation with crackles at bases. no wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. ext: no c/c/e. skin: no stasis dermatitis, ulcers, scars, or xanthomas. . pulses: right: carotid 2+ dp 1+ pt 1+ left: carotid 2+ dp 1+ pt 1+ pertinent results: cardiac mri: impression: 1. severely increased left ventricular (lv) volume and global lv systolic dysfunction. the lvef was severely decreased at 26%. severe global hypokinesis with mild sparing of the lv apex. the effective forward lvef was severely decreased at 16%. no cmr evidence of prior myocardial scarring/infarction. this pattern of lv dysfunction (global hypokinesis with apical sparing) and lack of lge is more consistent with a non-ischemic cardiomyopathy. however, if myocardial hibernation due to severe cad is the etiology of this patient's lv dysfunction, these findings are consistent with high likelihood of functional recovery following mechanical revascularization. 2. normal right ventricular cavity size with mild global systolic dysfunction. the rvef was mildly decreased at 41%. 3. severe mitral and tricuspid regurgitation.. 4. the indexed diameters of the ascending and descending thoracic aorta were normal. the main pulmonary artery diameter index was normal. 5. moderate left atrial enlargement. mild right atrial enlargement 6. small pericardial effusion. 7. aortic atheroma. 8. small, bright signal seen in the liver on scout images which likely represents a hepatic cyst. 06:05am blood wbc-8.4 rbc-3.77* hgb-11.4* hct-32.6* mcv-86 mch-30.2 mchc-35.0 rdw-14.1 plt ct-109* 05:40am blood wbc-8.3 rbc-4.13* hgb-12.5* hct-36.0* mcv-87 mch-30.4 mchc-34.8 rdw-13.3 plt ct-196 06:05am blood glucose-98 urean-10 creat-1.0 na-136 k-3.9 cl-98 hco3-27 angap-15 11:45am blood glucose-125* urean-15 creat-1.1 na-139 k-4.1 cl-104 hco3-26 angap-13 brief hospital course: mr. was taken to the operating room and underwent coronary artery bypass grafting x4 and mitral valve repair. please see operative note for details. he tolerated the procedure well and was transferred to the cvicu in stable but critical condition, intubated, sedated, on milrinone, and pressors to optimize cardiac function. he awoke neurologically intact and was extubated on pod#1 without difficulty. inotropes and pressors were weaned off, he was started on diuretics and carvedilol. plan to start ace-i when bp tolerates. his chest tubes and epicardial pacing wires were removed per protocol. he was transferred from the icu on pod#4 for further monitoring. physical therapy was consulted for evaluation of strength and mobility. he continued to progress and was cleared for discharge to home by dr. on pod# 6. all follow up appointments were advised. medications on admission: digoxin - (prescribed by other provider) - 125 mcg tablet daily lisinopril - (prescribed by other provider) - 2.5 mg tablet daily pravastatin - (prescribed by other provider) - 80 mg tablet daily terbinafine - (prescribed by other provider) - 250 mg tablet daily . medications - otc aspirin - (prescribed by other provider) - 81 mg tablet - 1 daily cholecalciferol (vitamin d3) discharge medications: 1. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 2. pravastatin 80 mg tablet sig: one (1) tablet po once a day. 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 5. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 6. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* 9. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts s/p mitral valve repair acute exacerbation of systolic heart failure dilated cardiomyopathy severe mitral regurgitation atrial arrythmia hyperlipidemia discharge condition: alert and oriented x3, nonfocal ambulating, gait steady sternal pain managed with percocet prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: surgeon: dr on at 1pm () please schedule appointments with: primary care: dr. in weeks () cardiologist: dr. in weeks () wound check appointment - 6 () - your nurse will schedule procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnostic ultrasound of heart cardioplegia extraction of other tooth transfusion of packed cells open heart valvuloplasty of mitral valve without replacement diagnoses: other primary cardiomyopathies thrombocytopenia, unspecified anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified atrial fibrillation other chronic pulmonary heart diseases other and unspecified hyperlipidemia other specified cardiac dysrhythmias acute systolic heart failure periapical abscess without sinus cardiac dysrhythmia, unspecified chronic periodontitis, unspecified 

Answer: The patient is high likely exposed to