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: morphine / percocet attending: chief complaint: shortness of breath major surgical or invasive procedure: : mitral valve repair with a 26 mm future cg annuloplasty ring. history of present illness: 62 year old female with no significant past medical history who developed palpitations 2 years ago which was initially treated with beta blockade. over the past year, she has noted progressive dyspnea on exertion and exercise intolerance. she has also noted worsening palpitations which prompted a referral to a cardiologist in where her beta blocker was changed. as she continued to not feel well, she was seen by another cardiologist who performed an echocardiogram which revealed moderate to severe mitral regurgitation. given the findings, her primary care physician has referred her to dr. for surgical evaluation. past medical history: 1. cardiac risk factors: dyslipidemia, hypertension 2. cardiac history: -cabg: no -percutaneous coronary interventions: no -pacing/icd: no 3. other past medical history: fibromyalgia nephrolithiasis hiatal hernia hypercholesterolemia hypothyroidism headaches social history: race: caucasian last dental exam: every 6 months lives with: husband in occupation: teacher tobacco: never etoh: social caffeine: one beverage per day family history: father with sudden death at 58. both son's age 28-30 with palps and one apparently need to be "shocked" at a gym physical exam: pulse: 63 resp: 16 o2 sat: 98% b/p right: 124/83 left: 138/77 height: 63" weight: 175 lbs general: nad wdwn skin: warm, dry, intact. no lesions and rashes. heent: ncat, perrla, eomi, sclera anicteric, op benign, teeth in good repair. neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr, nl s1-split s2, ii/vi late systolic murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused no edema varicosities: none spider varicosities neuro: grossly intact pulses: femoral right:2 left:2 dp right:2 left:2 pt :2 left:2 radial right:2 left:2 carotid bruit right: none left: none pertinent results: : prebypass: 62 year old female for mitral valve repair. moderate to severe mitral insufficiency is present. depending on the loading conditions, the degree of mr varied between moderate and severe. vena contracta in the me long axis view measured >0.7cm consistent with severe mr, and the left atrium was dilated for this small women (4.6cm). the mechanism of mr was consistent with type 3b leaflet motion with billaterl restriction of the leaflets, and a central mr jet. the other valves were essentially normal. there was normal lv systolic function with an lvef>55% with no segmental wall motion abnormalities. the rv was mildly dilated, but rv function was preserved. lv diastolic function was preserved with e'>8 cm/sec. e/e' = 10. normal transmitral inflow velocites with e>a, and normal pulmonary venous flow. there was mild descending thoracic aortic atherosclerosis, with no significant aortic dilaton and no dissection seen. the interatrial septum was intact. the coronary sinus was of normal size and should be adequate for antegrade cardioplegia. postbypass: s/p mitral valve repair with ring. no mr. with mean gradient of mmhg. normal systolic funciton on no inotropes. lvef>55% no dissection seen following decannulation of the aorta. no significant valvular problems or wall motion changes were observed following chest closure. 04:55am blood wbc-11.3* rbc-2.85* hgb-9.2* hct-25.8* mcv-90 mch-32.1* mchc-35.6* rdw-14.2 plt ct-143* 04:55am blood glucose-115* urean-15 creat-0.8 na-137 k-4.3 cl-104 hco3-25 angap-12 brief hospital course: the patient was admitted to the hospital and brought to the operating room on where the patient underwent mitral valve repair with a 26 mm future cg annuloplasty ring. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. dilaudid was changed to ultram and ibuprofen due to nausea. the patient was discharged home with services in good condition with appropriate follow up instructions and appointments. medications on admission: clonazepam - (prescribed by other provider) - 0.5 mg tablet - 0.5 (one half) tablet(s) by mouth once a day ezetimibe - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth once a day levothyroxine - (prescribed by other provider) - 75 mcg tablet - 1 tablet(s) by mouth once a day nadolol - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth twice a day rosuvastatin - (prescribed by other provider) - 5 mg tablet - 1 tablet(s) by mouth once a day triamterene-hydrochlorothiazid - (prescribed by other provider) - 75 mg-50 mg tablet - 1 tablet(s) by mouth once a day aspirin - (prescribed by other provider) - 325 mg tablet - 1 tablet(s) by mouth once a day discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 2. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 3. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po twice a day. disp:*60 tablet, er particles/crystals(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. rosuvastatin 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. clonazepam 0.5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 10. ferrous sulfate 300 mg (60 mg iron) tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 11. senna 8.6 mg tablet sig: 1-2 tablets po bid (2 times a day) as needed for constipation. disp:*60 tablet(s)* refills:*0* 12. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 13. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 14. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*60 capsule(s)* refills:*0* 15. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with ultram, tylenol, ibuprofen incisions: sternal - healing well, no erythema or drainage 1+ edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments: surgeon: dr on at 1:30pm cardiologist: dr on at 11:10am. please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: extracorporeal circulation auxiliary to open heart surgery annuloplasty diagnoses: mitral valve disorders unspecified essential hypertension unspecified acquired hypothyroidism other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to