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 / ace inhibitors attending: chief complaint: twitching in abdomen major surgical or invasive procedure: none history of present illness: year old female who underwent an aortic valve replacement on who did well postoperatively and was discharged to rehabilitation on . whiule at rehab, she developed a single episode of abdominal "twitching". as there was a concern for a pacemaker malfunction, she was returned to the for further evaluation. past medical history: aortic stenosis mitral and tricupsid regurgitation hypertension glaucoma left breat cancer status post mastectomy macular degeneration gastroesophageal reflux disease colon polyps surgery: bilateral vein stripping, tonsillectomy, total hip replacement, appendectomy, pacemaker implanted for bradycardia social history: denies history of smoking. denies alcohol use. lives alone. family history: non-contributory physical exam: vitals: 76 178/80 57" 54kg general: frail elderly female in no acute distress skin: sternal incision clean/dry and intact heent: unremarkable neck: supple, full range of motion chest: clear to auscultation bilaterally. well healed pacemaker and mastectomy scars heart: regular rate and rhythm without murmur abd: soft, non-tender, non-distended, +bowel sounds ext: warm, well-perfused, trace edema neuro: grossly intact, non-focal pertinent results: 10:35am wbc-14.8* rbc-3.53* hgb-10.9* hct-33.8* mcv-96 mch-30.9 mchc-32.3 rdw-14.6 10:35pm pt-14.5* ptt-28.0 inr(pt)-1.3* 10:35pm glucose-116* urea n-20 creat-1.1 sodium-134 potassium-4.1 chloride-95* total co2-29 anion gap-14 10:35am plt count-762*# brief hospital course: ms. was admitted to the on for further management of her pacemaker. the electrophysiology service was consulted. an interrogation was performed which showed no clear indication of diaphragmatic stimulation. she was stable being ventricular paced. changes were made to the settings without issue. a chest x-ray was obtained which likely showed that the atrial lead was dislodged. as this had been a chronic and known issue, no further intervention was recommended. she was thus discharged back to rehabilitation on . medications on admission: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. dorzolamide 2 % drops sig: two (2) drop ophthalmic (2 times a day). 4. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 6-8 hours as needed for pain. 8. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 9. furosemide 40 mg tablet sig: one (1) tablet po once a day: titrate according to weight/fluid status - ideal weight approximately 52 kg - should remain on low dose lasix at discharge from rehab. 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day. discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 4. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed. 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. dorzolamide 2 % drops sig: one (1) drop ophthalmic (2 times a day). 7. furosemide 20 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: aberjona nursing center - discharge diagnosis: aortic stenosis staus post aortic valve replacement mitral and tricupsid regurgitation hypertension glaucoma left breat cancer status post mastectomy macular degeneration gastroesophageal reflux disease colon polyps ?diapragmatic stimulation from pacer surgery: bilateral vein stripping, tonsillectomy, total hip replacement, appendectomy, pacemaker implanted for bradycardia discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks from date of surgery. 6) no driving for 1 month or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: please call and sechedule the following appointments dr. in 4 weeks pcp () in weeks cardiologist () in weeks md procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters open and other replacement of aortic valve with tissue graft combined right and left heart angiocardiography diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome congestive heart failure, unspecified unspecified essential hypertension acute on chronic diastolic heart failure other chronic pulmonary heart diseases personal history of malignant neoplasm of breast other specified forms of chronic ischemic heart disease atrioventricular block, complete macular degeneration (senile), unspecified multiple involvement of mitral and aortic valves cardiac pacemaker in situ occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction diseases of tricuspid valve 

Answer: The patient is high likely exposed to