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: no known allergies / adverse drug reactions attending: chief complaint: tachycardia/dizziness major surgical or invasive procedure: none history of present illness: 61yo male s/p mitral valve repair on found to have significant on intraop echo. office recieved a call from visiting nurse stating he was tachycardic and hypotensive. patient states he is sometimes dizzy when he stands. in ed his hr was 100-110 with a bp of 107/56. he denies dizziness at this time. admitted from er for further eval and mgmt. past medical history: past medical history: mitral valve proplapse s/p mv repair hypertension hyperlipidemia impingement syndrome basal cell carcinoma tremor in hands de quarvain's disease colonic adenoma recent pneumonia past surgical history: nevi excisions left inguinal hernia social history: race: caucasian last dental exam: every 6 months lives with: alone occupation: retired contact: (sister)phone# tobacco: never etoh: 1 drink per week socially family history: father with 2 prior cabg's first at age 60. he passed away following his second cabg. uncle with fatal mi at age 60 physical exam: pulse: 104 st resp: 16 o2 sat: 99% ra b/p right: 104/56 left: height: 66" weight: 143 general: nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally sternum stable incision healing well, no eryhtema or drainage heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender +bs extremities: warm , well-perfused edema: none varicosities: none neuro: grossly intact pertinent results: 08:20pm glucose-83 urea n-10 creat-0.7 sodium-140 potassium-4.4 chloride-101 total co2-30 anion gap-13 08:20pm estgfr-using this 08:20pm ctropnt-0.02* 08:20pm urine hours-random 08:20pm urine gr hold-hold 08:20pm wbc-6.2 rbc-3.70*# hgb-12.0* hct-34.5*# mcv-93 mch-32.4* mchc-34.8 rdw-13.9 08:20pm neuts-68.7 lymphs-23.7 monos-5.0 eos-1.9 basos-0.7 08:20pm plt count-349# 08:20pm pt-13.5* ptt-24.0 inr(pt)-1.2* 08:20pm urine color-straw appear-clear sp -1.005 08:20pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.0 leuk-neg brief hospital course: admitted from er on evening of for iv fluids and tighter hr control given on postop echo. he was restarted on home inderal with improvement in tremors and metoprolol was held. meds were adjusted and fluids were encouraged. cxr unremarkable. he continued to make good progress and was cleared for discharge to home with vna on hd # 1. all f/u appts were advised. medications on admission: 1. docusate sodium 100 mg 2. ranitidine hcl 150 mg 3. aspirin 81 mg daily 4. simvastatin 40 mg daily 5. primidone 250 mg 6. hydromorphone 2 mg 1-2 tablets po q3h as needed for pain. 7. metoprolol tartrate 50 mg discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily) for 2 weeks. 3. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. primidone 250 mg tablet sig: one (1) tablet po bid (2 times a day). 5. propranolol 40 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*1* discharge disposition: home with service facility: homecare discharge diagnosis: /p tachycardia and relative hypotension mitral valve proplapse/regurgitation s/p mv repair hypertension hyperlipidemia impingement syndrome basal cell carcinoma tremor in hands de quarvain's disease colonic adenoma recent pneumonia discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage edema -none discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments: surgeon: dr on at 1:00pm. cardiologist - dr. in office on at 1:00pm please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: extracorporeal circulation auxiliary to open heart surgery open heart valvuloplasty of mitral valve without replacement diagnoses: mitral valve disorders unspecified essential hypertension personal history of other malignant neoplasm of skin other affections of shoulder region, not elsewhere classified radial styloid tenosynovitis 

Answer: The patient is high likely exposed to