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: history of present illness: this is an 83-year-old gentleman with severe aortic stenosis admitted for cardiac catheterization prior to avr surgery and cabg. patient notes that since he has been experiencing worsening lower extremity edema and dyspnea with exertion. he currently has shortness of breath after walking 100 feet. he denies chest pain, orthopnea, pnd, or claudication. patient was admitted for a catheterization, which showed moderate lm and three-vessel disease, moderate-to-severe aortic stenosis and moderate pulmonary hypertension. hemodynamics: wedge pressure of 40, ra of 9, cardiac output of 5.26, cardiac index 2.64. he was transferred to ccu for observation prior to surgery. past medical history: 1. aortic stenosis. 2. hypertension. 3. status post ptca years ago at bu. denies history of mi. 4. pe in . 5. asbestosis. 6. afib. 7. hypothyroidism. 8. spinal meningitis at age 7. 9. upper gi bleed four years ago. 10. status post cataract surgery. 11. status post thyroidectomy. 12. status post cholecystectomy. 13. status post left lower extremity vein stripping. 14. status post ivc clip. allergies: morphine causes a rash. medications: 1. occunt drops two b.i.d. 2. armour thyroid 180 q.d. 3. verapamil 240 in the morning, 120 at night. 4. zantac 150 twice a day. 5. lanoxin 0.25 alternating with 1.25 q.d. 6. coumadin held since . 7. proscar 5 q.d. 8. singulair 10 q.d. 9. advair 100/50 b.i.d. 10. imdur 60 q.d. 11. lasix 40 q.d. 12. 40 q.d. family history: father died of a mi in his 50's. social history: he is a widower. wife passed away in . tobacco includes smoking 26 years ago. smoked 40 years at 2.5 packs per day. physical exam: vital signs: temperature 96.9, blood pressure 148/53, heart rate 66, respiratory rate 20, and sats 98% on room air. in general, pleasant, elderly man in no acute distress. heent is normocephalic, atraumatic. pupils are equal, round, and reactive to light. extraocular muscles are intact. moist mucous membranes. oropharynx is clear. neck: jugular venous pressure at about 8 cm, delayed carotid upstrokes. left subclavian swan. cardiovascular: irregularly, irregular s1, 3/6 systolic ejection murmur at the right upper sternal border going to the carotids. lungs: crackles at the bases. abdomen is soft, nontender, and nondistended, positive bowel sounds. extremities: no cyanosis, clubbing, or edema. laboratories on admission: white count 7.7, hematocrit 38, platelets 157. sodium 136, k 3.8, chloride 104, bicarb 25, bun 22, creatinine 0.9, glucose 203. inr 1.5, albumin 3.8, alt 19, ast 20, alkaline phosphatase 122, total bilirubin 1.2, direct bilirubin 0.4. cardiac catheterization showed 40% stenosis of the distal lmca, 40% diffuse mid lesion of the lad, 50% mid d1, left circumflex 60% mid vessel stenosis after the om-1. om-1 was not obstructed. om-2 40% mid vessel stenosis. rca minimal luminal irregularities, 40% proximal stenosis, pda tandem 60% stenosis. hemodyamics: wedge pressure of 22, ra pressure of 9, cardiac output 5.26, cardiac index 2.64. pa pressure of 63/34, mean of 40. lv of 190/14. aortic valve area of 0.88. aortic valve gradient of 46. chest x-ray with a left subclavian pa catheter. echocardiogram in with dilated. ra mildly dilated. symmetric lvh. left ventricular ejection fraction greater than 55%. rv free wall is hypertrophied, severe as, 1+ mr, moderate pa hypertension. hospital course: this was an 83-year-old gentleman with severe aortic stenosis and three vessel coronary artery disease status post catheterization with elevated wedge pressure in the ccu and anticipation of avr and cabg. 1. cad: patient with three-vessel disease. was continued on his aspirin, started on low dose beta-blocker, continued on his imdur. patient was planned for cabg with his avr. surgery is planned for , . otherwise, patient remained chest pain free throughout the course of his stay. 2. fluid overload: patient had elevated wedge pressures and left sided heart pressures. patient initially euvolemic was diuresed with 40 mg iv lasix and put out total was 5 liters negative throughout the course of his ccu admission. eventually, swan was pulled with stable numbers and otherwise euvolemic. 3. atrial fibrillation: patient was continued on his digoxin and his home regimen. continued on a calcium-channel blocker and also started on low dose beta-blocker and titrated down on his calcium-channel blocker, which can eventually be discontinued as his beta-blockers titrated up. patient's coumadin was on hold initially and was started on lovenox at therapeutic b.i.d. dosing and in anticipation of surgery. this can be held the morning of surgery and the patient can be anticoagulated until that time. 4. hypothyroidism: the patient was stable on his home regimen of armour thyroid at 180 mcg q.d. 5. peptic ulcer disease: patient was stable. continued on his zantac. 6. asthma: patient was stable and continued on his singulair and was transitioned to salmeterol and fluticasone for dosing here. can continue advair at time of discharge. 7.c stenosis: patient was stable. valve area of 0.88, gradient of 46. the patient will return on , for surgery by dr. . patient had preoperative workup done during this admission and was started on perioperative beta-blocker during this admission. patient was given some vitamin k to help decrease his inr. his inr had still not reached goal of 1.2, so the patient was discharged home on lovenox and off coumadin to come back for surgery once his inr is below 1.2 anticipated . patient had carotid dopplers at which were negative on . 8. hypertension: the patient was stable on low dose beta-blocker and lower dose of calcium-channel blocker and otherwise stable after diuresis. discharge diagnoses: 1. three vessel coronary artery disease. 2. severe aortic stenosis. 3. atrial fibrillation. 4. asthma. 5. hypertension. discharge medications: 1. armour thyroid 180 mcg q.d. 2. zantac 150 mg p.o. b.i.d. 3. lanoxin 0.125 mg alternating with 0.25 mg q.o.d. 4. finasteride 5 mg p.o. q.d. 5. singulair 10 mg p.o. q.d. 6. advair diskus one puff b.i.d. 7. imdur 60 mg p.o. q.d. 8. colace 100 mg p.o. b.i.d. 9. senna one tablet p.o. b.i.d. 10. verapamil 120 mg sustained release p.o. b.i.d. 11. metoprolol 25 mg p.o. b.i.d. 12. aspirin 325 mg p.o. q.d. 13. lovenox 80 mg subq q.12. for five doses until he returns for surgery. discharge followup: patient is to followup with his pcp days after discharge from surgery. patient is to followup with dr. on . patient is to followup with dr. on , for cardiac cabg and avr surgery. discharge condition: good. patient is ambulating without difficulty, not requiring oxygen. patient is shortness of breath and pain well controlled. discharge status: discharged to home with services. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation asthma, unspecified type, unspecified aortic valve disorders other chronic pulmonary heart diseases asbestosis 

Answer: The patient is high likely exposed to