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: the patient is a 50 year old black woman who reported sudden onset of abdominal pain approximately one week ago. abdominal pain has been steadily worsening and the patient reports no change in bowel symptoms. the patient has had a decrease in appetite and sudden increase in shortness of breath. the pain is epigastric in nature and crampy. the patient was admitted for workup of her abdominal pain. past medical history: 1. morbid obesity; 2. asthma; 3. hypertension; 4. heart murmur; 5. myocardial infarction in ; 6. congestive heart failure, ejection fraction of 35 to 40% by echocardiogram in ; 7. irregular menses. medications on admission: 1. iron supplement. 2. flovent 2 puffs b.i.d.; 3. aspirin 325 mg q.d.; 4. univasc 15 mg q.d.; 5. medroxyprogesterone approximately one month ago for uterine bleeding. allergies: ibuprofen causes dyspnea. physical examination: the patient is a middle-aged black woman in no acute distress. vital signs are as follows - temperature 96.7, heartrate 96, blood pressure 155/91, 99% on room air. head, eyes, ears, nose and throat is atraumatic, normocephalic. extraocular movements intact. pupils equal, round and reactive to light. anicteric. throat is clear. neck, supple, midline without masses or lymphadenopathy. the chest is clear to auscultation bilaterally. cardiovascular, regular rate and rhythm with grade ii/vi holosystolic ejection murmur. the abdomen is soft, mildly distended, nontender, with no masses or organomegaly, obese. extremities are warm, noncyanotic, with 2+ lower extremity edema, prominent chronic venous stasis changes bilaterally. rectal examination is guaiac negative per emergency department staff. neurological is grossly intact. laboratory data: laboratory data on admission revealed complete blood count 5.9/39.2/223. pt was 12.7, inr 1.1, ptt 23.5. urinalysis was negative. chemistries, 142/4.0/109/22/20/0.9/115. alt 178, ast 91, alkaline phosphatase 115, total bilirubin 0.6, amylase 53, lipase 40. cardiac enzymes, creatinine kinase 110, troponin less than 0.3. admission electrocardiogram shows normal sinus rhythm at 95. no significant abnormalities. chest x-ray shows cardiomegaly with prominent interstitial markings, no free air in the diaphragm. right upper quadrant ultrasound shows grossly normal liver with no ductal dilatation, no stones. gallbladder wall is slightly edematous, but there were no other overt signs of cholecystitis. hospital course: the patient was admitted for evaluation of her vague abdominal pain as well as worsening of her shortness of breath. the patient ruled out for myocardial infarction by serial cardiac enzymes. evaluation of her shortness of breath with her history of congestive heart failure eventually yielded catheterization. cardiac catheterization showed an ejection fraction of approximately 35% with moderate to severe mitral regurgitation. there was also noted to be a right coronary artery system with only mild disease of the left anterior descending and left circumflex. the patient did also have an elevated left ventricular end diastolic pressure. thoracic surgery was called to evaluate the patient and per the patient's severe mitral regurgitation the patient was taken to the operating room on . at that time she had a mitral valve repair which she tolerated well. in the postoperative period she was taken to the csru for closure monitoring. the patient was extubated on the evening of postoperative day #0. the patient was begun on amiodarone drip for some occasional ectopy. the heart failure service was consulted for the patient's congestive heart failure. ace inhibitor was increased as tolerated and the patient was actively and aggressively diuresed. milrinone was weaned off. on postoperative day #3, the patient's chest tubes were discontinued and invasive monitoring was also discontinued. the patient otherwise had a fairly unremarkable course and was transferred to the floor on postoperative day #6. her main issues again remained active diuresis as well as increasing of her ace inhibitor. the patient was begun on lopressor 12.5 mg b.i.d. but did not tolerate this over a 24 hour period with worsening of shortness of breath. this is felt to be likely due to her underlying asthma. lopressor was discontinued and captopril was again increased. the patient was then subsequent transfused 1 unit of blood on the evening of postoperative day #7. this was done for a hematocrit of 28.8 and congestive heart failure. ultimately the patient was discharged on postoperative day #8 tolerating a regular diet, adequate pain control and p.o. pain medications and having been cleared for home discharge by physical therapy. discharge condition: stable. discharge disposition: to home. discharge diet: cardiac and diabetic. discharge medications: 1. lasix 40 mg b.i.d. times seven days 2. potassium chloride 20 meq b.i.d. times seven days 3. percocet 5/325 one to two q. 4 hours prn 4. colace 100 mg b.i.d. 5. amiodarone 400 mg b.i.d. 6. albuterol 1 to 2 puffs q. 4 hours prn 7. flovent 110 mcg 2 puffs b.i.d. 8. captopril 75 mg t.i.d. 9. niferex 150 mg b.i.d. 10. aspirin 325 mg q.d. discharge instructions: the patient is sent home with . she is encouraged to continue working actively with physical therapy at home. she should follow up with her cardiologist in one to two weeks time to adjust diuresis as well as adjustment of cardiac medications at that time. the patient should follow up with dr. in four weeks time. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures open heart valvuloplasty of mitral valve without replacement diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension asthma, unspecified type, unspecified morbid obesity 

Answer: The patient is high likely exposed to