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: percodan attending: chief complaint: elective admission for cardiac catheterization major surgical or invasive procedure: cardic catheterization history of present illness: this 77 year old woman has a history of aortic stenosis and has been followed by serial echocardiograms. her most recent echo done on demonstrates severe aortic stenosis with peak gradient of 100mmhg/mean gradient of 60mmhg, ef 60%. the patient has been experiencing intermittent episodes of lightheadedness over the last 6 months. she denies any syncope. she also has chronic lower extremity edema and fatigue. she denies any dyspnea or chest pain. due to the progression of her symptomatic aortic stenosis, pt was referred for cardiac catheterization for eval of ao valve and coronaries. at around 9pm pt went to bathroom, felt lightheaded and clammy pressures dropped to 65/31 (baseline 120s systolic) hr 56, rr 14, 98%2l. was noted to have expanding hematoma in right groin, borders not measured at that point.pressure was held for approximately 45 minutes, 2 large bore iv's in place and pt put in trandelenberg, given two liters ns bolus. crit was sent 35.2-->32.9 within 20 minutes pressures improved to 114/32, hr 58. ekg was checked revealed no change from baseline with exception of prolonged qt. no events on tele. pt was transferred to ccu for close blood pressure monitoring. . on review of systems, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, myalgias, joint pains, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, palpitations, syncope or presyncope. + history of ankle edema past medical history: past medical history: 1. cardiac risk factors: dyslipidemia (diet controlled), hypertension 2. cardiac history: - cabg: none - percutaneous coronary interventions: none - pacing/icd: none 3. other past medical history: hypertension dyslipidemia; treated with diet trauma to both legs from a remote rope injury aortic stenosis total hip replacement bilaterally , osteoporosis social history: social history married and lives in . - tobacco history: remote smoker, quit - etoh: occassional - illicit drugs: no functionally independent. has some gait instability bilat ankle injuries but no history of falls. family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: on admission: physical examination: vs: t=99 bp=114/32 hr=58 rr18 o2 sat= 99ra general: nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp flat, no bruits cardiac: rrr 3/6 systolic murmur rusb radiating to carotids lungs: ctab abdomen: soft, ntnd. no hsm or tenderness extremities: no c/c/e. no femoral bruits. large hematoma on r thigh, diameter of thigh is 64in skin: no stasis dermatitis, ulcers, scars, or xanthomas. no bruising on flank pulses: right: carotid 2+ dp 1+ left: carotid 2+ dp 2+ . at discharge: vitals - tm/tc: 98.7/98 bp:102-120/49-66 hr:63-80 sr rr: 18 02 sat:98% ra in/out: last 24h: i= 3030 o= 2031 last 8h: i= 100 o= 200 weight: 79.2 general: 77 yo f in no acute distress heent: mucous membs moist, no lymphadenopathy, jvp non elevated chest: ctabl no wheezes, no rales, no rhonchi cv: s1 s2 holosystolic murmur at lusb, rad bilat to carotids and back. abd: soft, non-tender, non-distended, bs normoactive. no rebound/guarding ext: right groin with mod diffuse hematoma, not able to palpate margins, no tenderness. no edema. dp 1+ pt unable. neuro: cns ii-xii intact. 5/5 strength in u/l extremities.skin: no rash psych: a/o pertinent results: 09:30pm urine hours-random 09:30pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg 09:18pm glucose-122* urea n-18 creat-1.0 sodium-140 potassium-3.6 chloride-106 total co2-24 anion gap-14 09:18pm ck(cpk)-39 09:18pm ck-mb-3 ctropnt-0.03* 09:18pm calcium-9.5 phosphate-3.7 magnesium-1.8 09:18pm wbc-9.2 rbc-3.69* hgb-11.7* hct-32.9* mcv-89 mch-31.7 mchc-35.5* rdw-13.6 03:23pm %hba1c-5.7 eag-117 03:23pm albumin-3.9 03:23pm alt(sgpt)-18 ast(sgot)-21 alk phos-52 amylase-76 tot bili-0.4 03:23pm pt-13.2 ptt-49.9* inr(pt)-1.1 . labs at discharge: 07:05am blood wbc-7.4 rbc-3.29* hgb-10.8* hct-30.0* mcv-91 mch-32.9* mchc-36.1* rdw-13.6 plt ct-164 07:05am blood glucose-97 urean-12 creat-0.9 na-140 k-3.8 cl-108 hco3-26 angap-10 05:30am blood ck(cpk)-37 09:18pm blood ck(cpk)-39 07:05am blood calcium-9.1 phos-2.0* mg-2.3 cardiac cath study date of 1. selective coronary angiography in this right dominant system demonstrated no angiographically apparent disease. the lmca had no angiographically apparent disease. the lad had a mild proximal plaque. the lcx and rca were free of hemodynamically significant lesions. 2. resting hemodynamics revealed mildly elevated left sided filling pressures with lvedp of 18 mmhg. there were normal pulmonary artery systolic pressures with pspp of 30 mmhg. the cardiac index was preserved at 2.5 l/min/m2 (using an assumed oxygen consumption). there was severe aortic stenosis with a mean gradient of 55 mmhg and a calculated aortic valve of 0.7 cm2. 3. left ventriculography was not performed. the aortic valve was calcified. final diagnosis: 1. coronary arteries had no angiographically-apparent flow-limiting disease. 2. severe aortic stenosis. 3. mild left ventricular diastolic heart failure ct pelvis w/o contrast study date of right thigh hematoma without evidence of retroperitoneal hematoma. stranding extends from the groin to the mid thigh, though no discretely measurable collection is identified. chest (pre-op pa & lat) study date of low lung volumes limit assessment. blunting of the right costophrenic angle could be due to scarring or small pleural effusion. retrocardiac opacity is compatible with moderate hiatal hernia and likely chronic resultant atelectasis. no focal opacity is seen concerning for pneumonia. carotid series complete study date of 1. no evidence of significant carotid artery stenosis bilaterally. 2. mild heterogeneous atherosclerotic plaque in the internal carotid arteries bilaterally, right more than left. brief hospital course: this 77 year old woman has a history of aortic stenosis under went a cardiac catheterization for evaluation of ao valve and coronaries after which she became hypotensive and was noted to have a right groin hematoma following her catheterization. # hypotension r/t right groin hematoma: we believe the hypotension she experienced was had a multifactorial etiology and not just due to blood loss from a groin hematoma. a vasovagal component was believed to play a role in her hypotension because pressures improved when pt was placed prone and had improved before she received appreciable amount of ivf. she only had a 3 point hct drop on serial ct abdomen showed no retroperitoneal expansion present. serial hcts were followed and were stable in low 30's. pt did not require any blood transfusions. pt is able to ambulate easily at discharge. r/o'd for any ischemic event. her cardiac catheterization did not show any significant cad. . # aortic stenosis: she has severe as per cath report with a valve area of 0.68 cm2. she has never syncopized, but feeling weak over past several months. has ventricular hypertrophy but no h/o chf. also has not been symptomatic with chest pain. pt was seen by cardiac surgery team during her hospital stay and the workup is complete. she will have an avr in the next few weeks with dr. , the surgical office will contact her with a date in the next few days. . # htn: pt was restarted on hctz and atenolol at discharge but nifedipine was held as bp's were normal during hospital stay. she should have the nifedipine restarted if needed at her pcp appt next week. . # hld: per pt she is controlled with diet. #transitional: she has follow up appointments with her pcp . and her cardiologist dr. . she will need to have her blood pressure reassessed to determine if nefidipine will need to be restarted. medications on admission: atenolol - 75mg daily hydrochlorothiazide - 25mg daily nifedipine er- 90mg daily ascorbic acid calcium carbonate-vitamin d3 - discharge medications: 1. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po once a day. 2. ascorbic acid oral 3. calcium-vitamin d oral 4. atenolol 50 mg tablet sig: 1.5 tablets po once a day. discharge disposition: home discharge diagnosis: right groin hematoma severe aortic stenosis hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you had a cardiac catheterization to evaluate your coronary arteries for your upcoming aortic valve surgery. your coronary arteries did not have any significant blockages. after the catheterization, the puncture site in your right groin area developed some bleeding and you needed to have more pressure held on the site to stop the bleeding. your blood pressure was low and you were transferred to the ccu for monitoring. you have done well with a stable blood count. the cardiac surgery team will call you at home to schedule the aortic valve surgery. . we made the following changes to your medicines: 1. hold you nifedipine until your appt with dr. because your blood pressure is lower than your baseline. 2. continue your other medicines as usual. followup instructions: name: , s location: medical associates address: , , phone: when: wednesday, , 2:45pm name: , md/cardiology address: 131 ornac jcb #650, , phone: when: thursday, , 2pm md procedure: combined right and left heart cardiac catheterization combined right and left heart angiocardiography diagnoses: pure hypercholesterolemia unspecified essential hypertension hematoma complicating a procedure aortic valve disorders osteoporosis, unspecified cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure hip joint replacement 

Answer: The patient is high likely exposed to