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: dyspnea, chest pain, fatigue major surgical or invasive procedure: 7/24 min. inv. mv repair history of present illness: 44 yo male with h/o mvp/mr with increasing dyspnea over the past year. stress echo was positive for ischemic changes. past medical history: mr/mvp,depression,anxiety,r finger amp social history: works as sheet metal mechanic livees with girlfriend no tobacco no etoh family history: no premature cad physical exam: admission: hr 78 rr 12 bp 136/80 nad chest lungs ctab rrr 3/6 systolic murmur abdomen benign extrem warm, no edema, right groin ecchymosis, no varicosities pertinent results: 10:45am blood hct-29.1* 04:50am blood wbc-7.7 rbc-2.99* hgb-9.5* hct-26.4* mcv-89 mch-31.8 mchc-35.9* rdw-14.6 plt ct-205 04:50am blood plt ct-205 04:50am blood glucose-110* urean-26* creat-0.9 na-139 k-4.5 cl-101 hco3-31 angap-12 brief hospital course: on he was taken to the operating room where he underwent a minimally invasive mitral valve repair with a 32 mm annuloplasty band. he was transferred to the icu in critical but stable condition on neosynephrine and propofol. he awoke and was extubated later that same day. his chest tubes were pulled and he was transferred to the floor on pod #1. he was transfused 2 units for an hct of 20. a left chest tube was inserted for a hemothorax. the hemothorax resolved and his hematacrit stabilized. his chest utbe was removed, and he was ready for discharge on pod #5. medications on admission: lexapro, mvi, prilosec discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 2. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. 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* 5. escitalopram 10 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 7. fluticasone 50 mcg/actuation aerosol, spray sig: one (1) spray nasal (2 times a day). disp:*1 inhaler* refills:*2* 8. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*60 tablet(s)* refills:*0* 9. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 11. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed. disp:*40 tablet(s)* refills:*0* 12. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 13. ibuprofen 800 mg tablet sig: one (1) tablet po every eight (8) hours for 2 weeks: then take as needed for pain/discomfort. disp:*90 tablet(s)* refills:*0* discharge disposition: home with service facility: , discharge diagnosis: mr discharge condition: good discharge instructions: no creams, lotions or powders to any incisions no driving while taking narcotics shower daily, no bathing or swimming for 1 month followup instructions: with dr. in weeks with dr. in weeks with dr. in weeks needs follow-up with pcp for nodule on ct scan in months procedure: insertion of intercostal catheter for drainage extracorporeal circulation auxiliary to open heart surgery transfusion of packed cells open heart valvuloplasty of mitral valve without replacement diagnoses: mitral valve disorders dysthymic disorder hemorrhage complicating a procedure other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to