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: chief complaint: slurred speech major surgical or invasive procedure: closure of patent foramen ovale through a minimally invasive approach. transesophageal echocardiogram and cardioversion history of present illness: 57 year old male hospitalized in with slurred speech. cva treated with tpa and discharged home with no residual deficit. during workup he was found to have pfo by echocardiogram. past medical history: cva (treated with tpa) right knee . social history: lives with: adult son occupation: chemist tobacco: none etoh: none recreational drug use: none family history: no premature cad physical exam: pulse: 57 resp: 18 o2 sat: 98%-ra b/p right: 126/78 left: 130/81 height: 5'8" weight: 160 lbs general:a&ox3, nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: left: dp right: left: pt : left: radial right: left: carotid bruit none right: 2+ left:2+ pertinent results: chest x-ray: small pleural effusions are noted in the dorsal aspect of the sinus. the size of the cardiac silhouette has minimally increased. no evidence of pneumonia. no pulmonary edema. moderate tortuosity of the thoracic aorta. no pneumothorax. 05:04am blood wbc-10.0 rbc-4.19* hgb-12.6* hct-36.5* mcv-87 mch-30.2 mchc-34.6 rdw-13.5 plt ct-127* 05:40am blood urean-16 creat-1.0 k-4.5 05:04am blood glucose-123* urean-12 creat-0.9 na-138 k-3.9 cl-103 hco3-30 angap-9 01:35am blood pt-14.1* ptt-46.2* inr(pt)-1.2* echocardiographic measurements results measurements normal range left ventricle - ejection fraction: >= 55% >= 55% findings left atrium: no spontaneous echo contrast or thrombus in the body of the laa. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: no spontaneous echo contrast in the body of the ra or raa. no asd by 2d or color doppler. left ventricle: overall normal lvef (>55%). right ventricle: rv not well seen. aorta: normal ascending, transverse and descending thoracic aorta with no atherosclerotic plaque. simple atheroma in aortic arch. aortic valve: normal aortic valve leaflets (3). trace ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was monitored by a nurse throughout the procedure. the patient was monitored by a nurse in throughout the procedure. local anesthesia was provided by benzocaine topical spray. the patient was sedated for the tee. medications and dosages are listed above (see test information section). the posterior pharynx was anesthetized with 2% viscous lidocaine. no tee related complications. the rhythm appears to be atrial flutter. conclusions no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no spontaneous echo contrast is seen in the body of the right atrium or right atrial appendage. no flow is seen across the intra-atrial septum by color doppler. overall left ventricular systolic function is normal (lvef>55%). the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque to 35cm from the incisors. there are simple atheroma in the aortic arch. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. impression: no evidence of intracardiac thrombus. no flow across the intra-atrial septum by color doppler. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 15:52 brief hospital course: admitted and underwent minimally invasive pfo closure by dr. - see operative note for details. following the operation, he was transferred to the cvicu in stable condition on titrated phenylephrine and propofol drips. within 24 hours, he awoke neurologically intact and was extubated without incident. he maintained stable hemodynamics and transferred to the step down unit on postoperative day one. chest tube was removed per cardiac surgery protocol. he had atrial flutter that did not respond to medications, so he underwent tee to rule out thrombus and was cardioverted back to sinus rhythm were he remained. he was ready discharge home on pod 5 with services. medications on admission: simvastatin 40 mg daily, asa 325 mg daily discharge medications: 1. 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* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for minimally invasive for 1 months. disp:*90 tablet(s)* refills:*0* 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. 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* 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. amiodarone 200 mg tablet sig: two (2) tablet po once a day: please take 400 mg once a day for 1 week then decrease to 200 mg once a day until follow up with dr . disp:*37 tablet(s)* refills:*0* 9. warfarin 5 mg tablet sig: goal inr 2.0-2.5 tablets po once a day: dose to vary based on inr . disp:*60 tablet(s)* refills:*0* 10. warfarin 2 mg tablet sig: goal inr 2.0-2.5 tablets po once a day: dose to vary based on inr . disp:*60 tablet(s)* refills:*0* 11. coumadin please take 7.5mg of coumadin/warfarin on - lab to be drawn for further dosing by heart center coumadin clinic 12. outpatient lab work labs: pt/inr for coumadin dosing for atrial fibrillation with goal inr 2.0-2.5 with results to heart center coumadin clinic with first draw discharge disposition: home with service facility: vna discharge diagnosis: patent foramen ovale s/p closure post operative atrial flutter s/p cardioversion past medical history stroke s/p tpa discharge condition: alert and oriented x3 nonfocal ambulating, gait steady right minimally invasive thoracotomy pain controlled with percocet prn right chest incision with resolving ecchymosis no erythema/drainage right groin incision healing with steri strips no erythema/drainage 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: appointments already scheduled dr at heart center - on thrusday at 9 am please call to schedule appointments primary care dr. in weeks cardiologist dr. in weeks labs: pt/inr for coumadin dosing for atrial fibrillation with goal inr 2.0-2.5 with results to heart center coumadin clinic with first draw procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart other electric countershock of heart other and unspecified repair of atrial septal defect diagnoses: unspecified pleural effusion cardiac complications, not elsewhere classified atrial fibrillation atrial flutter ostium secundum type atrial septal defect other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits 

Answer: The patient is high likely exposed to