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: patient recorded as having no known allergies to drugs attending: addendum: ( please see dc summ dated ) coumadin started for mechanical valve. continued to make good progress and cleared for discharge to home on pod #5 when inr therapeutic. target inr is 2.5- 3.5. first blood draw monday with dosing to be followed by dr. clinic. medications on admission: diltiazem drip lasix lovenox 60 mg ( all at admission) discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 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:*1* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 4. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*1* 5. ibuprofen 600 mg tablet sig: one (1) tablet po every eight (8) hours for 3 weeks. disp:*70 tablet(s)* refills:*0* 6. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed. disp:*40 tablet(s)* refills:*0* 7. coumadin ( dose per dr. office) discharge disposition: home with service facility: tba discharge diagnosis: mitral regurgitation s/p minimal invasive mitral valve replacement pmh: asthma, h/o ruptured thyroid cyst, corneal abrasion, afib discharge condition: good discharge instructions: shower, 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 while taking pain meds please call with any questions or concerns first blood draw monday with vna- results to be called to dr. clinic p instructions: dr. in 4 weeks dr. in weeks dr. in weeks inr and coumadin dosing will be followed by dr.. md procedure: extracorporeal circulation auxiliary to open heart surgery open and other replacement of mitral valve suture of artery diagnoses: mitral valve disorders congestive heart failure, unspecified atrial fibrillation asthma, unspecified type, unspecified peripheral vascular complications, not elsewhere classified aneurysm of artery of lower extremity 

Answer: The patient is high likely exposed to