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: chest pain with exertion and after eating. major surgical or invasive procedure: cardiac catheterization history of present illness: the patient is a 75 year-old man with a history of mild coronary artery disease, aortic stenosis and peripheral vascular disease who presented to on with acute onset of right sided shoulder pain after eating dinner. he was at rest at onset. the pain was dull, pain and did not radiate. he had no accompanying shortness of breath, nausea, vomiting, or diaphoresis. the patient has had similar pain in the past that was associated with exertion and after eating a heavy meal. pain did not resolve on its own but was relieved in the emergency room after 3 sublingual nitroglycerin. ekg was done and showed sinus tachycardia at 108, left axis, and depressions v4, v5. enzymes were cycled and the second set of enzymes was positive with a troponin of .066. a heparin drip was started. enzymes trended up to peak tnt of 0.135. an echocardiogram showed an ejection fraction of 15 to 20% which was markedly depressed from his previous echocardiogram in which showed an ejection fraction of approximately 50%. there was global left ventricular hypokinesis and mild symmetric left ventricular hypertrophy. the right ventricular function was normal. he was transferred to the for cardiac catheterization. he also notes a recent cough productive of clear sputum and wheezing but has no shortness. on he was started on a prednisone taper and azithromycin and he was continued on this at the outside hospital. he has a history of smoke inhalation injury and has "bronchitis" with reactive airways, especially in cold weather. he has not had pulmonary function tests. he denies being on prednisone before but states when his wheezing flares, his primary care physician gives him z-pak which helps. currently he denies cp, sob, n/v, abdominal pain, dizziness. denies groin pain/leg pain. ... ... ros: denies n/v/abdpain. denies ha, visual changes, neuro deficits. past medical history: coronary artery disease myocardial infarction peripheral vascular disease aortic stenosis spinal stenosis benign prostat hypertrophy hypertension hyperlipidemia chronic renal insufficiency chronic obstructive pulmonary disease complete occlusion of the left carotid artery status post right carotid endarterectomy left femoral artery stent right superficial femoral artery percutaneous transluminal coronary angioplasty status post appendectomy social history: retired firefighter, married. quit smoking 25 years ago. family history: non-contributory physical exam: general: no acute distress, mildly obese neck: supple, full range of motion chest: clear to auscultation anteriorly, decreased breath sounds right lower lobe heart: regular rate and rhythm, iii/vi holosystolic murmur abdomen: positive bowel sounds extremities: cool, no edema, no varicosities neuro: grossly intact pulses: femoral: 2+ bilaterally dp: 1+ right, 0 left pt 1+ right, 0 left radial; 2+ bilaterally bruits: present bilaterally pertinent results: 04:15pm blood wbc-7.6 rbc-3.86* hgb-11.6* hct-34.9* mcv-90 mch-30.0 mchc-33.2 rdw-14.4 plt ct-183 06:30am blood wbc-8.9 rbc-3.54* hgb-10.5* hct-31.5* mcv-89 mch-29.6 mchc-33.3 rdw-14.9 plt ct-227 04:15pm blood pt-13.3* ptt-25.9 inr(pt)-1.2* 06:05am blood pt-21.1* inr(pt)-2.0* 04:15pm blood alt-19 ast-15 amylase-37 totbili-0.3 12:10pm blood ck-mb-notdone ctropnt-0.12* 08:50pm blood ck-mb-notdone ctropnt-0.10* right groin ultrasound: artery and vein are well visualized, and there is no evidence of pseudoaneurysm or av fistula. normal waveforms are elicited in both vein and artery. cardiac catheterization: coronary arteries are normal. severe aortic stenosis. moderate systolic and diastolic ventricular dysfunction. echocardiogram prebypass: there is severe aortic valve stenosis. mild (1+) aortic regurgitation is seen. the aortic regurgitation jet is eccentric, directed toward the anterior mitral leaflet. the mitral valve leaflets are moderately thickened. mild (1+) mitral regurgitation is seen. there is a small pericardial effusion. postbypass: normal rv systolic function. overall lvef 30-40% (on epinephrine) with no focalities. a bioprosthetic valve is seen in the native aortic position, functioning well and stable in position with a peak residual gradient of 12mm of hg. ascending aorta looks normal with no evidence of dissection. echocardiogram: overall left ventricular systolic function is severely depressed wityh global hypokinesis (most prominent in basal to mid septum). no masses or thrombi are seen in the left ventricle. there is severe global right ventricular free wall hypokinesis. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. echocardiogram: the left atrium is moderately dilated. overall left ventricular systolic function is severely depressed with global hypokinesis and akinesis of the inferior wall. tissue velocity imaging e/e' is elevated (>15) suggesting increased left ventricular filling pressure (pcwp>18mmhg). a bioprosthetic aortic valve prosthesis is present. the aortic prosthesis appears well seated, with normal leaflet/disc motion and transvalvular gradients. the left ventricular inflow pattern suggests a restrictive filling abnormality, with elevated left atrial pressure. there is moderate pulmonary artery systolic hypertension. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. brief hospital course: mr. was evaluated by the cardiac surgical service and underwent preoperative testing in preparation for aortic valve repair. courses of steroids and azithromycin were completed pre-operatively for presumed bronchitis. a right groin ultrasound s/p catheterization was negative for pseudoaneurysm or arteriovenous fistula. on he underwent aortic valve replacement with pericardial valve. postoperatively, he was taken to the cardiac surgical intensive care unit. there sedation was weaned, and he was extubated. his icu course was uncomplicated, and he was transferred to the cardiac surgical step down unit on postoperative day 1. physical therapy was consulted for assistance with strength and mobility. on post-operative day 2 he developed atrial fibrillation with a rapid ventricular rate. he was treated with intravenous beta blockade and intravenous amiodarone. he converted to sinus rhythm, but again developed atrial fibrillation/atrial flutter. intravenous heparin was started. he was transferred to the cardiac surgical intensive care unit for reintubation and cardioversion. he was cardioverted to sinus bradycardia with 100 joules and was extubated the next day. intravenous amiodarone was transitioned to oral amiodarone and follow-up echocardiogram showed no evidence of tamponade. he was gently diuresed toward his preoperative weight and beta blockade was advanced as tolerated. ace inhibitor was started for optimum blood pressure control and low ejection fraction. he was transferred to the cardiac surgical step down unit in stable condition after a few days. he developed a mild left forearm cellulitic phlebitis which was treated with levofloxacin . he worked with physical therapy and was found safe for home discharge. he was discharged to home on with planned follow-up with cardiac surgery. all questions were answered to his satisfaction upon discharge. medications on admission: terazosin 5 mg qd asa 325 mg qd plavix 75 mg qd lisinopril 40 mg qd lipitor 80 mg qd zetia 10 mg qd verapamil 240 mg qd folate 400 mg qd vitamin b vitamin c vitamin b12 flovent 2 puffs qid albuterol prn prednisone 40 mg taper discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. 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:*2* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). disp:*qs qs* refills:*2* 6. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*qs qs* refills:*2* 7. amiodarone 200 mg tablet sig: two (2) tablet po once a day: take two tablets daily for one week then one tablet daily thereafter. disp:*60 tablet(s)* refills:*2* 8. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. terazosin 5 mg capsule sig: one (1) capsule po hs (at bedtime). disp:*30 capsule(s)* refills:*2* 10. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. warfarin 1 mg tablet sig: one (1) tablet po daily (daily): dosage will vary according to inr. disp:*90 tablet(s)* refills:*2* 12. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 13. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed. disp:*120 ml(s)* refills:*2* 14. carvedilol 3.125 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 15. hydralazine 25 mg tablet sig: one (1) tablet po q6h (every 6 hours). disp:*120 tablet(s)* refills:*2* 16. lasix 20 mg tablet sig: one (1) tablet po twice a day for 14 days. disp:*28 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: as cad htn mi hyperlipidemia pvd cri copd to l carotid spinal stenosis bph discharge condition: good discharge instructions: shower, wash incisions with mild soap and water and pat dry. no lotions, creams or powders to incisions. call with fever >101, redness or drainage from incision, or weight gain more than 2 pounds in one day or five pounds in one week. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon. followup instructions: dr. in two weeks dr. in one week dr. in one week procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnostic ultrasound of heart other electric countershock of heart open and other replacement of aortic valve with tissue graft pulmonary artery wedge monitoring transfusion of packed cells diagnoses: other primary cardiomyopathies abnormal coagulation profile intermediate coronary syndrome unspecified essential hypertension atrial fibrillation aortic valve disorders peripheral vascular disease, unspecified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) percutaneous transluminal coronary angioplasty status chronic kidney disease, stage iii (moderate) old myocardial infarction personal history of venous thrombosis and embolism acute diastolic heart failure phlebitis and thrombophlebitis of superficial veins of upper extremities obstructive chronic bronchitis with acute bronchitis 

Answer: The patient is high likely exposed to