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: palpitations major surgical or invasive procedure: mitral valve repair history of present illness: 72 y.o. old primary care physician with history of severe mitral regurgitation, new onset acute diastolic congestive heart failure. he reports occasional palpitations. he denies shortness of breath, pnd, orthopnea, presyncope, or syncope. he reports mild dependent chronic 1+ bilateral le edema. tee revealed mildly thickened and myxomatous mitral valve leaflets, moderate to severe mvp with severe 4+mr. was evaluated by dr. and agreed to proceed with elective mitral valve repair. past medical history: mitral regurgitation/mitral valve prolapse hypertension svt/atrial tachycardia diverticulosis nephrolithiasis polymyalgia rheumatica osteopenia low back pain/sciatica osa-compliant with cpap left knee arthroscopic knee surgery; case was done under general anesthesia and patient reports post anesthesia course complicated by a bronchospastic reaction along with oxygen desataturation, which required overnight observation prior to discharge. no issues with conscious sedation during prior colonoscopy. social history: lives with wife occupation: pcp : remote- quit 25 yo etoh: drinks a week family history: non-contributory physical exam: pulse: 60sr resp: 20 o2 sat: b/p right: 112/64 left: height: 5'9" weight: 150lb general: nad, wgwn, appears stated age skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 3/6 systolic abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema- trace varicosities: none neuro: grossly intact x pulses: femoral right:2+ left:2+ dp right:2+ left:2+ pt :2+ left:2+ radial right:2+ left:2+ carotid bruit right: left: no bruits pertinent results: :conclusions pre-cpb: the left atrium is moderately dilated. no thrombus is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. overall left ventricular systolic function is normal (lvef>55%). the rv systolic function is borderline low normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. trivial aortic regurgitation is seen. the mitral valve leaflets are myxomatous. the portion of the mitral leaflet between p2 and p3 is flail with ruptured chord. there is a anteriorly directed jet of severe mr effect. there is a smaller central mr jet. post-cpb: a mitral valve annuloplasty ring is present. the anterior leaflet spans the entire length of the mitral annulus, and the posterior leaflet is minimally visible, consistent with a mitral valve repair. there is no residual mr. the peak gradient across the mitral valve is 6mmhg, the mean gradient is 3mmhg.the tr is now mild. the lv systolic function is borderline normal with no new wall motion abnormalities. the rv systolic function appears improved to normal. there is no evidence of dissection. cxr: findings: in comparison with the study of , there is partial clearing of the bilateral atelectatic change, though opacification persists in the retrocardiac region at the left base. blunting of the costophrenic angles is again seen. no evidence of pneumothorax. 11:32am blood wbc-1.6*# rbc-2.80*# hgb-8.8*# hct-25.0*# mcv-90 mch-31.4 mchc-35.1* rdw-13.5 plt ct-95* 12:10pm blood wbc-4.7# rbc-3.44* hgb-10.6* hct-30.6* mcv-89 mch-30.8 mchc-34.7 rdw-13.5 plt ct-103* 07:15pm blood hct-32.3* 04:16am blood wbc-6.1 rbc-3.54* hgb-11.2* hct-31.6* mcv-89 mch-31.6 mchc-35.4* rdw-13.5 plt ct-100* 04:16am blood wbc-7.6 rbc-3.70* hgb-11.5* hct-32.5* mcv-88 mch-31.0 mchc-35.3* rdw-13.4 plt ct-99* 05:05am blood wbc-5.7 rbc-3.46* hgb-10.7* hct-31.1* mcv-90 mch-31.0 mchc-34.4 rdw-13.4 plt ct-102* 11:32am blood pt-15.4* ptt-36.1* inr(pt)-1.3* 11:32am blood plt smr-low plt ct-95* 12:10pm blood pt-14.4* ptt-38.4* inr(pt)-1.2* 12:10pm blood plt ct-103* 04:16am blood plt ct-100* 04:16am blood plt smr-low plt ct-99* 05:05am blood plt ct-102* 12:10pm blood urean-16 creat-0.9 na-142 k-4.3 cl-112* hco3-25 angap-9 07:15pm blood na-142 k-4.2 cl-112* 04:16am blood glucose-122* urean-17 creat-0.9 na-140 k-4.5 cl-109* hco3-26 angap-10 04:16am blood glucose-128* urean-20 creat-1.0 na-136 k-3.8 cl-100 hco3-31 angap-9 05:05am blood urean-21* creat-1.0 na-138 k-3.9 cl-100 11:12pm blood glucose-112* urean-18 creat-1.0 na-137 k-4.2 cl-99 hco3-31 angap-11 brief hospital course: the patient was brought to the operating room on where the patient underwent mitral valve repair with 28mm ring. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility and cleared for discharge to home. by the time of discharge on pod 5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. his home ace inhibitor was not added back secondary to hypotension. the patient was discharged in good condition with appropriate follow up instructions. medications on admission: citalopram - 40 mg tablet - 1 tablet(s) by mouth once a day ergocalciferol (vitamin d2) - 50,000 unit capsule - one capsule(s) by mouth qweek furosemide - 20 mg tablet - tab tablet(s) by mouth once a day - no substitution lisinopril - 40 mg tablet - 1 tablet(s) by mouth once a day metoprolol succinate - 50 mg tablet sustained release 24 hr - 1 tablet(s) by mouth once a day - no substitution sildenafil - 100 mg tablet - 1 tablet(s) by mouth as directed aspirin - (otc) - 81 mg tablet, chewable - 1 tablet(s) by mouth daily calcium citrate - (prescribed by other provider) - 200 mg (950 mg) tablet - 1 (one) tablet(s) by mouth twice a week cyanocobalamin (vitamin b-12) - (prescribed by other provider) - 1,000 mcg tablet sustained release - 1 tablet(s) by mouth twice a week ergocalciferol (vitamin d2) - (otc) - 1,000 unit capsule - 1 capsule(s) by mouth daily ranitidine hcl - (otc) - 150 mg tablet - 1 tablet(s) by mouth prn as needed for gerd discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*75 tablet(s)* refills:*0* 4. citalopram 40 mg tablet sig: one (1) tablet po once a day. 5. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po q12h (every 12 hours). disp:*20 tablet, er particles/crystals(s)* refills:*0* 6. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 10 days. disp:*20 tablet(s)* refills:*0* 7. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day. 8. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 10. ergocalciferol (vitamin d2) 50,000 unit capsule sig: one (1) capsule po once a week: per home routine. 11. vitamin d 1,000 unit tablet sig: one (1) tablet po once a day: per home routine. 12. vitamin b-12 1,000 mcg tablet extended release sig: one (1) tablet extended release po twice a week: per home routine. 13. calcium citrate 200 mg (950 mg) tablet sig: one (1) tablet po twice a week: per home routine. discharge disposition: home with service facility: homecare discharge diagnosis: mitral regurgitation/mitral valve prolapse hypertension svt/atrial tachycardia diverticulosis nephrolithiasis polymyalgia rheumatica osteopenia low back pain/sciatica obstructive sleep apnea discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage edema:2+ 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 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 do not resume your lisinopril do not resume viagra please call with any questions or concerns **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. @ 1:30pm phone: cardiologist: dr. @ 1:30pm please call to schedule the following: 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: sciatica obstructive sleep apnea (adult)(pediatric) polymyalgia rheumatica mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension personal history of tobacco use chronic systolic heart failure calculus of kidney diverticulosis of colon (without mention of hemorrhage) disorder of bone and cartilage, unspecified 

Answer: The patient is high likely exposed to