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: there is 60-year-old male with aortic valve replacement in with valve, congestive heart failure, hypertension, hypercholesterolemia, who has no prior history of coronary artery disease. one week prior to admission, he developed chest pain up to 9/0 in severity in band-like distribution across his chest. initially, he thought it was related to anxiety or constipation, not relieved by citrucel. he denied nausea, vomiting or diaphoresis. the chest pain lasted minutes to hours, usually with exertion, but also while sleeping. his last episode of chest pain was just prior to transfer to . he saw his primary care physician today with chest pain, dyspnea on exertion, and orthopnea and was sent to with blood pressure of 113/67, pulse of 97, 100% on two liters. he received aspirin 81 mg times three, lopressor 2.5 mg intravenous times two, lipitor. was found to have ck of 1000, troponin of 9.4, a left bundle branch block that might have been old on electrocardiogram and was transferred to for re-vascularization. past medical history: 1. aortic valve replacement with valve in for aortic stenosis. 2. congestive heart failure with ejection fraction of 20% in , likely secondary to valvular disease. 3. hypertension. 4. hypercholesterolemia. 5. history of appendectomy. 6. right ear deafness. 7. history of bell's palsy. 8. history right lower extremity infection. medications at home: 1. atenolol 50 mg po q.d. 2. coumadin 10 mg po q.h.s. allergies: latex and hydrochlorothiazide. family history: no coronary artery disease or diabetes in the family. social history: he denies any tobacco history, alcohol or drug use. he lives by himself, but is close to his sibling. physical exam on admission: he was a well-developed, well-nourished male, appears diaphoretic and anxious. vital signs: temperature 100.5. heart rate 119. blood pressure 127/89. respiratory rate 22. oxygen saturation 95% on two to three liters of oxygen. pupils equal, round and reactive to light. extraocular movements intact. oropharynx clear. neck was supple with no carotid bruits. jugular venous pressure about 8 cm, bilateral crackles way up, no wheezing. heart was regular with a mechanical s2. abdomen was soft, nontender, nondistended with normal active bowel sounds. no edema in his extremities. no femoral bruits. all four extremities were cold and clammy. laboratory data: white blood cell count of 14.2, hematocrit of 40.6, platelet count 181,000. chemistries: sodium 140, potassium 4.0, chloride 108, bicarbonate 21, bun 21, creatinine 1.2, glucose 121, inr 4.9, ptt 57.7, ck 1070, mb 167, troponin of 9.4. electrocardiogram showed sinus rhythm at 112 with left bundle branch block and first degree heart block. no significant change from . an echocardiogram from showed mild left ventricular hypertrophy, left ventricular dilatation, ejection fraction of 20% with diffuse hypokinesis. peak gradient at aortic valve was 14 with thickened mitral leaflets. patient was given two units of fresh frozen plasma and taken to cardiac catheterization. his cardiac catheterization revealed a left anterior descending artery with 90% proximal stenosis with mild diffuse disease, 70% occlusion of the left circumflex at the major obtuse marginal. he had 80% proximal occlusion of the right coronary artery with moderate diffuse disease. during coronary angiography, patient developed increasing hypotension and higher degree of atrial ventricular block. an intraaortic balloon pump was inserted. dopamine was started. temporary ventricular pacing was initiated. the proximal left anterior descending artery was stented with good result. patient also developed persistent supraventricular tachycardia which responded briefly to adenosine and lopressor. the patient was discussed with dr. of cardiothoracic surgery, who felt that the patient was not a good candidate for emergency bypass surgery. the patient was transferred from the catheterization laboratory to the coronary care unit with intraaortic balloon pump, pacing and low dose dopamine, on aspirin and plavix. the ck was found to peak at 3627, subsequently trending down. the ck-mb peaked at 419. an echocardiogram of the heart on admission showed severe global left ventricular hypokinesis with severely depressed left ventricular systolic function. the bileaflet aortic valve prosthesis was present, but not well visualized. there was no significant obstruction. gradient was fully assessed. trace aortic regurgitation was seen and mitral regurgitation was present, but could not be quantified on the echocardiogram. a repeat echocardiogram showed an ejection fraction of less than 20% with anterior septal, anterior anterolateral and apical akinesis with hypokinesis elsewhere. the aortic root was mildly dilated. the ascending aorta is mildly dilated and the transaortic gradient was thought to be normal for the prosthesis. trace aortic regurgitation was seen and 1+ mitral regurgitation was also seen. the patient was taken back to cardiac catheterization on . during cardiac catheterization, patent proximal stent in the left anterior descending was seen. the right coronary artery was dilated and stented with normal flow post stent. he was started on heparin after his inr started decreasing. he was continued on plavix and the patient was weaned off of dopamine and weaned off of the intraaortic balloon pump. he was found to be hypoxic requiring supplemental oxygen. his chest x-ray showed pulmonary edema with bilateral small pleural effusion. he was aggressively diuresed. initially, during the hospital course, the patient was successfully diuresed, but became less responsive to lasix. he was started on a nesiritide drip with good effect and effective diuresis. the patient was weaned off of oxygen. his lasix dose was decreased, however, the patient continued to have large amounts of urine output. his creatinine started increasing. his acute renal failure was thought to be prerenal azotemia from over diuresis. the lasix was decreased. his ace inhibitor was held for a day and hospital course was also significant for two runs of 16 beats and 18 beats of non-sustained ventricular tachycardia. he was evaluated by electrophysiology team who recommended an electrophysiology study, as well as defibrillator. the patient preferred and decided to defer the study for two to three weeks until he re-cooperated from this acute myocardial infarction. the patient's creatinine improved with the decrease in lasix dose. he was started on an ace inhibitor and restarted on his coumadin and discharged after his inr became therapeutic. he was evaluated by physical therapy who recommended some home services with cardiac rehabilitation and outpatient exercise program. the patient was also felt to be anxious and depressed. he was started on celexa at 10 mg po q.d. by the end of the hospital course, the patient's acute renal failure had resolved. his congestive heart failure was now compensated. he was discharged in good condition to home with services. he was to have his chemistries, magnesium and inr drawn in two to three days and to follow-up with his primary care physician with the results. final diagnoses: 1. acute myocardial infarction, anterior initial episode. 2. congestive heart failure, systolic acute on chronic. 3. aortic valve disorder. 4. coronary artery disease, native ventricular tachycardia. follow-up: the patient is to follow-up with his primary care physician before and to follow-up with his cardiologist at . he was to follow-up with dr. in electrophysiology in two weeks. major surgical and invasive procedures: 1. cardiac catheterization. 2. central line placement. 3. stent placement times two. discharge medications: 1. aspirin 325 mg po q.d. 2. protonix 40 mg po q.d. 3. plavix 75 mg po q.d. 4. carvedilol 3.125 mg po b.i.d. 5. digoxin 0.125 mg po q.d. 6. lipitor 80 mg po q.h.s. 7. coumadin 10 mg po q.h.s. 8. aldactone 25 mg po q.h.s. 9. lasix 40 mg po q.d. 10. losartan 25 mg po q.d. 11. celexa 10 mg po q.d. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of non-drug-eluting coronary artery stent(s) insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization combined right and left heart cardiac catheterization coronary arteriography using two catheters coronary arteriography using two catheters intraoperative cardiac pacemaker insertion of endotracheal tube implant of pulsation balloon nonoperative removal of heart assist system injection or infusion of nesiritide diagnoses: pure hypercholesterolemia congestive heart failure, unspecified acute kidney failure, unspecified acute myocardial infarction of anterolateral wall, initial episode of care paroxysmal ventricular tachycardia atrioventricular block, complete cardiogenic shock acute on chronic systolic heart failure other specified hypotension 

Answer: The patient is high likely exposed to