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: penicillins / clarithromycin / doxycycline attending: chief complaint: sob major surgical or invasive procedure: cardiac catheterization on for monitoring during milrinone initiation. history of present illness: 85 yom w/ class iii chf ischemic cardiomyopathy s/p biv icd, cad s/p cabg x2 and multiple pcis, s/p bioprosthetic mvr, pacemaker dependent due to complete heart block cardiac surgery, paf, cri who presents w/ worsening doe after a recent admission and discharge from the hospital in . . at the time of discharge, he was feeling at his best meaning that he was able to walk 2 blocks before becoming sob. however, since returning home, he has become progressively more letharigic, sob, and doe to the point that he can only walk minimally. he is still able to do adls such as drive, shop, wash, etc. he called his pcp today because of the lethargy and pcp spoke to dr. , and patient electively admitted for tailored milrinone therapy. . upon arrival to ccu, patient walked in himself, and reports feeling more fatigued, but breathing comfortably if he does not move. he denies any cp, palpitations. he does have dyspnea on exertion, paroxysmal nocturnal dyspnea every night, 3 pillow orthopnea, and ankle edema. his weight this morning was 109. . cardiac review of systems is notable for absence of chest pain, palpitations, syncope or presyncope. . on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. past medical history: 1. cad s/p cabg in with a redo in - stent to lad in . 3. mitral valve replacement porcine 4. chf with an ef of less then 20%. 5. pacemaker/ddd for post surgical complete heart block 6. atrial fibrillation - anticoagulation stopped secondary to hemoptysis in , but now resumed on coumadin 7. cri (baseline creatinine of 2.4 to 2.9) 8. prostate cancer. 9. l eye lens replacement 10. dyslipidemia 11. hypertension 12. anemia: baseline hct 38-40 social history: the patient lives lone and wife died 4 years ago. he had sons in and . tobacco, he has a fifteen pack year history. he quit greater then 50years ago. occasional alcohol. no elicits. independent in all of his adls and recently moved to a retirement community in family history: all siblings and both parents have cad. physical exam: vs: t , bp 110/78, hr 80 , rr 21, o2 % on gen: thin, elderly aged male in mild resp distress. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp at earlobe. cv: regular, ii/vi holosystolic murmur, split s2 chest: no crackles, but very coarse breath sounds throughout abd: soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. warm skin: mild erythema around a small skin abrasion at left shin pulses: right: carotid 2+ without bruit; 2+ dp left: carotid 2+ without bruit; 2+ dp pertinent results: cardiac catheterization: 1. resting hemodynamics prior to milrinone administration revealed elevated left and right sided filling pressures with mean pcw of 26 mmhg and rvedp of 14 mmhg. there was moderate-severe pulmonary arterial hypertension with pasp of 51 mmhg. the cardiac index was depressed at 1.78 l/min/m2. the svr was calculated to be dyne*sec/cm5. 2. after administration of milrinone (25 mg iv bolus followed by 0.3 mcg/kg/min iv drip), mean noninvasive aortic pressure fell from 80 to 63 mmhg, arterial sat fell from 99 to 95% and svr fell from to 1195 dyne*sec/cm5. the cardiac index increased from 1.78 to 2.16 l/min/m2 and mean pcw decreased from 26 to 21 mmhg. final diagnosis: 1. baseline moderate-severe pulmonary arterial hypertension, right and left ventricular diastolic dysfunction and severe left ventricular systolic function. 2. succesful milrinone trial. brief hospital course: the patient was admitted for evaluation for home milrinone therapy. he has a history of severe systolic heart failure, with multiple admissions where he has required milrinone. we performed a trial of milrinone with pa catheter in the cath lab to see how his cardiac index, pa pressures, and svr responded, and all responses were favorable. a picc line was placed, and the patient was discharged with home milrinone. medications on admission: amiodarone 200 mg daily atorvastatin 10 mg daily captopril ???? carvedilol 6.25 mg isosorbide mononitrate 90 mg daily digoxin 125 mcg as directed furosemide 80 mg allopurinol 50 mg daily warfarin 2.5 mg daily albuterol ih colchicine 0.3 mg daily prn epogen 10,000 unit/ml every other week discharge medications: 1. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 2. atorvastatin 10 mg tablet sig: one (1) tablet po mwf (monday-wednesday-friday). 3. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. captopril 12.5 mg tablet sig: 0.25 tablet po bid (2 times a day). 5. isosorbide mononitrate 30 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po daily (daily). 6. digoxin 125 mcg tablet sig: one (1) tablet po monday and thursday (). 7. furosemide 80 mg tablet sig: one (1) tablet po bid (2 times a day). 8. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 9. warfarin 2.5 mg tablet sig: one (1) tablet po daily16 (once daily at 16). 10. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for shortness of breath. 11. epoetin alfa 10,000 unit/ml solution sig: one (1) ml injection qmowefr (monday -wednesday-friday). 12. saline flushes: instill 2-10 cc flushes daily and prn 13. heparin flushes: please instill 3-5cc flushes of heparin 100units/ml daily and prn discharge disposition: home with service facility: critical care systems discharge diagnosis: congestive heart failure discharge condition: stable. discharge instructions: you were admitted to evaluate the utility of a drug therapy called milrinone for your heart failure. we have determined that this medication improves your heart function, and would like for you to get it at home. we placed a picc line for long term intravenous therapy, which will allow you to get the milrinone at home. please do the following: -weigh yourself every morning, md if weight > 3 lbs. -adhere to 2 gm sodium diet . . please follow up with dr. as indicated below . . please take all of your medications as directed. . . if you develop any concerning symptoms please come to the emergency department. followup instructions: provider: . phone: date/time: 1:30 provider: clinic phone: date/time: 2:30 provider: , : date/time: 3:00 procedure: venous catheterization, not elsewhere classified injection or infusion of other therapeutic or prophylactic substance pulmonary artery wedge monitoring monitoring of cardiac output by other technique diagnoses: anemia, unspecified congestive heart failure, unspecified acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of malignant neoplasm of prostate coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status other chronic pulmonary heart diseases personal history of tobacco use percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified systolic heart failure, unspecified other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia long-term (current) use of anticoagulants cardiac pacemaker in situ heart valve replaced by transplant conjunctivitis, unspecified 

Answer: The patient is high likely exposed to