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: shortness of breath major surgical or invasive procedure: cardiac catheterization history of present illness: 85f with severe as ( 0.7cm^2, peak velocity 4.6 m/sec, peak gradient, 83 mm hg),(ef 40-45%), moderate mr, lad (diffuse irregularities without stenosus), lcx (om1 50-60%, om2 70%), rca total occlusion, thats presenting to the ccu following cardiac catheterization. . the pt reported that she has had increased doe over past month that and thus presented with dyspenea at rest on . one month ago the pt reported the ability to climb up to 2 flights of stairs without doe. at 4am on the pt reported pnd and the following morning presented to her pcp where she was noted to have crackles on exam and le edema. the pt was subsequently sent to the ed. . while in the ed vs 98 108 126/75 18 100%@3l. ekg showed depression v4-v6. cxr noted b/l pleural effusion and pulmonary edema, calcified aorta (at the knob).the patient was given lisinopril 20mg x1, albuterol x1, lasix 20mg iv x1, with reported improvement of symptoms of shortness of breath. she was admitted to service. upon arrival to the floor the patients nausea had resolved. denied chest pain, lightheadedness, back pain, leg pain or parasthesias. . upon further review of symptoms the pt denies recent fevers, chills, + increased congestion and cough over the past 2 weeks. denies cp, palpitations, n/v, diaphoresis. denied prior pnd. uses 2 pillows per night to cough. the patient denies prior syncopal episodes. . on review of systems, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. all of the other review of systems were negative. past medical history: 1. cardiac risk factors: diabetes, +dyslipidemia, +hypertension 2. cardiac history: -cabg: -percutaneous coronary interventions: -pacing/icd: 3. other past medical history: s/p fall in with left humerus and left superior ramus fracture social history: -tobacco history: 20 ppy, quit 11 years ago. -etoh: none -illicit drugs: none family history: maternal uncle had mi in his 50s. otherwise, no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: admission examination vs: t=98.7 bp= 106/64 hr 102 -> 97 rr 32 -> 24 98% 2l nc general: nad. elderly caucasian female. 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 with jvp of 7 cm. cardiac: tachycardic. mid-systolic ejection radiating to the carotids. no m/r/g. no thrills, lifts. no s3 or s4. lungs: clear anteriorly abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: trace bilateral bruits. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: labs on admission: 03:35pm blood wbc-10.4 rbc-4.20 hgb-10.4* hct-32.5* mcv-78* mch-24.8* mchc-32.0 rdw-15.0 plt ct-327 03:35pm blood pt-12.9 ptt-27.1 inr(pt)-1.1 03:35pm blood plt ct-327 03:35pm blood glucose-117* urean-18 creat-0.8 na-139 k-4.0 cl-105 hco3-21* angap-17 03:35pm blood ck(cpk)-61 06:45am blood calcium-9.1 phos-4.3 mg-2.2 cholest-155 06:45am blood triglyc-123 hdl-42 chol/hd-3.7 ldlcalc-88 01:25pm blood type-art o2 flow-2 po2-129* pco2-33* ph-7.47* caltco2-25 base xs-1 intubat-not intuba comment-nasal 03:46pm blood glucose-127* lactate-4.4* na-136 k-5.0 cl-106 01:25pm blood hgb-9.9* calchct-30 o2 sat-98 cardiac labs: 03:35pm blood ctropnt-0.02* 12:53am blood ck-mb-notdone ctropnt-0.06* 06:45am blood ck-mb-notdone ctropnt-0.04* 03:35pm blood ck-mb-notdone probnp-8042* cxr (): moderate pulmonary edema and small bilateral pleural effusions. ekg (): sinus tachycardia. atrial ectopy. there is a late transition with tiny r waves in the anterior leads consistent with possible prior anterior myocardial infarction. non-specific st-t wave changes. compared to the previous tracing atrial ectopy is new. (): the left atrium is moderately dilated. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with inferior, inferolateral and basal inferoseptal hypokinesis. the remaining segments contract normally (lvef = 40-45%). right ventricular chamber size and free wall motion are normal. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (?#) are severely thickened/deformed. there is critical aortic valve stenosis (valve area 0.7 cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is a trivial/physiologic pericardial effusion. impression: severe calcific aortic stenosis. mild regional left ventricular systolic dysfunction, c/w cad. moderate mitral regurgitation. compared with the report of the prior study (images unavailable for review) of , regional lv systolic dysfunction appears new. aortic stenosis has significantly progressed. the other findings appear similar. preliminary findings discussed with dr. at 1115 hours on the day of the study. cardiac cathterization (): 1. coronary angiography in this right-dominant system demonstrated two-vessel coroanry artery disease. the lmca was without significant disease. the lad had diffuse irregularities without stenoses. the lcx was without significant disease, but om1 and om2 both had proximal 60% and 70% stenoses, respectively. the rca was proximally occluded with right-to-right and left-to-right collaterals and what appeared to be diffuse distal disease. 2. resting hemodynamics revealed elevated left- and right-sided filling pressures with a means pcwp of 16 mm hg and a mean ra pressure of 12 mm hg. there was moderate pulmonary arterial systolic hypertension with a pasp of 47 mm hg. the cardiac index was mildly depressed at 1.9 l/min/m2. there was normal systemic arterial blood pressure. final diagnosis: 1. two vessel coronary artery disease with poor distal targets. 2. moderate pulmonary hypertension. brief hospital course: 85 year old f with h/o htn, as, mr , worsening doe over the past month, who presented with progressive worsening of dyspnea on exterion now with shortness of breath at rest. shortness of breath / chf: the pt. had exacerbation of chf, as evident by pulmonary edema, b/l leg edema. the patient was given 20mg iv lasix with and was maintainted on oxygen therapy to maintain adequate saturation. performed on admission showed severe calcific aortic stenosis, mild regional left ventricular systolic dysfunction consistent with cad (ef of 40-45% from 55% () as well as moderate mitral regurgitation. the patient reported some symptomatic improvement after iv lasix and the plan was to continue iv lasix with goal diuresis net 1l negative per day. the patient was given low sodium diet / heart healthy diet. the patient was started on a low dose of metoprolol 12.5mg with tight holding parameters. lisinopril dose was decreased to 10mg daily and was held prior to cathterization. the patient was started on high-dose statin (lipitor 80mg daily). troponins were borderline elevated (peak 0.06). given findings c/w cad on echo, borderline elevated cardiac enzymes, inability to perform cardiac stress testing due to severe aortic stenosis, the patient was referred for cardiac catheterization for further evaluation of aortic valve disease and cad prior to open-heart surgery. the patient was informed about the findings on , severe aortic valve disease requiring avr. risks and benefits of cardiac cathterization were discussed in detail and consent was obtained. ct surgery was consulted for evaluaton of the patient for surgery. cardiac catheterization revealed a two vessel coronary artery disease with poor distal targets and moderate pulmonary hypertension. they were unable to cross the av. during the right heart catheterization the pt developed atrial fibrillation with rvr to the 150s. the pt was given metoprolol 5mg x3 and amiodarone 150mg iv. the patient remained in af and was subseqently cardioverted back into nsr without complication. during the procedure the cath team noted a thrombus while exchanging catheters through the arterial puncture site. following the procedure the pt reported increase in nausea while in the pacu but denied chest pain. sheath was pulled was without complication. post-catheterization, the patient was transferred to the ccu for close monitoring. there, patient remained in nsr with occasional pacs. post-cath check wnl. bp were ranging 90-100/50-60 (pt's baseline). the patient had no further episodes of nausea, had no chest pain, palpitations, diaphoresis, and reported improvement in shortness of breath. the patient remained stable, in normal mental status, with improving shortness of breath and was called out to service. upon presentation, the pt. was alert and oriented x3, with blood pressures at baseline and improved shortness of breath. however, during a trip to the bathroom, the pt. became bradycardic and immediately went into pea. despite full resuscitation efforts for 35 minutes, the patient expired. medications on admission: lisinopril 20mg daily simvastatin 20mg daily discharge medications: expired discharge disposition: expired discharge diagnosis: critical aortic stenosis systolic heart failure coronary artery disease discharge condition: expired procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters other electric countershock of heart diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified cardiac complications, not elsewhere classified atrial fibrillation primary pulmonary hypertension mitral valve insufficiency and aortic valve stenosis acute systolic heart failure 

Answer: The patient is high likely exposed to