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: bactrim / ultram / sulfa (sulfonamides) / ivp dye, iodine containing attending: chief complaint: heart block as a complication of valvuloplasty major surgical or invasive procedure: aortic valvuloplasty, followed by temporary pacer wire placement, prior to admission to ccu history of present illness: this is an elderly female with a history of hypertension and hyperlipidemia who is followed by dr. for a history of aortic stenosis. she returned for her routine surveillance visit on where she complained of shortness of breath and profound fatigue. she underwent an echocardiogram the same day which revealed mild concentric left ventricular hypertrophy, left ventricular systolic function that was hyperdynamic with an ef >75%. she had trace ar and severe aortic stenosis. the aortic valve area was 0.7 cm2 with a mean gradient of 62.12 mmhg. there was trace mr and mild mitral annular calcification. dr. note reported the aortic valve area in as 0.9 cm2. she was therefore referred for an aortic valvuloplasty. . (+) htn (+) chol (-) dm (-) cigs . denies claudication, edema, orthopnea, pnd, lightheadednes on review of symptoms, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he 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, ankle edema, palpitations, syncope or presyncope. last palpitations were last year, lasted less than a minute. . past medical history: hyperlipidemia hypertension aortic stenosis chronic neck pain s/p cervical spine laminectomy in , fusion of c4-5 and c5-6 s/p total laminectomy of c1, c2, c3 and c4 on s/p lumbar spine surgery in , l2-5 laminectomy with l2-3, l3-4, l4-5 and l5-s1 foraminectomies, bilateral fusion with hardware s/p syncopal episodes degenerative disc disease severe spinal stenosis cataract, with left lens implant s/p bilateral wrist fractures ??????s disease tonsillectomy arthritis . cardiac risk factors: diabetes, dyslipidemia, hypertension . cardiac history: no cabg history, no pci history . pacemaker/icd: temporary pacer placed as above social history: married for 68 years with two grown children. she does not smoke and denies any significant smoking history ("for about a month, a hundred years ago"); she drinks wine occasionally. she is a homemaker. she states that she can do adls including cooking and getting things off of shelves. family history: -brother: dm -father: "heart disease", died at 77; also, colon ca -mother: pvd physical exam: vs: t 98.8, bp 120/55, hr 73 (v paced), rr 17, o2 97% on room air. gen: elderly woman in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 7 cm. cv: pmi located in 5th intercostal space, midclavicular line. faint heart sounds. rr, normal s1, s2. systolic ejection murmur. no s4, no s3 appreciated. chest: no chest wall deformities. resp were unlabored, no accessory muscle use. some crackles at bases of anterior exam. abd: obese, soft, ntnd, no hsm or tenderness. no abdominal bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 1+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 1+ dp . femoral catheterization site: no current bleeding, no hematoma, no bruit. in place and dressed. . . medical decision making . ekg on the morning of the procedure () showed sinus rhythm with frequent pacs. . telemetry demonstrated: ventricular pacing, normal rhythm . 2d-echocardiogram performed on in early demonstrated: "mild concentric left ventricular hypertrophy, left ventricular systolic function that was hyperdynamic with an ef >75%. she had trace ar and severe aortic stenosis. the aortic valve area was 0.7 cm2 with a mean gradient of 62.12 mmhg." . cardiac cath performed on (only prelim report is avail at time of admission to ccu) demonstrated normal lmca, lad, lcx and rca. it showed "severe elevated filling pressures, with mean gradient of 57 mmhg, and valve area of 0.57... gradient of 25-27 mmhg." . hemodynamics: site_____sys_____dias_____end_______mean_____a wave_____v wave_____hr r a . . . ................................6.........10..........7.......63 r v . . . .....29.......4.........5.....................................67 a o . . . ....154......61.................98............................66 l v . . . ....212.......8........17.....................................65 p c w . . ................................14........17..........15......65 f a . . . ...............................-408...........................65 p a . . . .....30......13.................19............................68 . . pertinent results: 01:31pm blood type-art fio2-2 po2-151* pco2-45 ph-7.40 caltco2-29 base xs-2 intubat-not intuba comment-nc . 01:31pm blood hgb-10.3* calchct-31 o2 sat-99 brief hospital course: #aortic stenosis: patient initially presented to the hospital for an aortic valvuloplasty. this procedure was complicated by development of complete heart block as noted below. otherwise the patient tolerated the procedure well. she will be followed by her outpatient cardiologist. . #complete heart block: as noted above, this occurred during her valvuloplasty. initially a temporary pacer wire was placed and she was admitted to the ccu. she was paced overnight without complications. briefly her pacer was turned off and she was noted to have a slow escape rhythm. however, she did not tolerate this secondary to fatigue and decreased urine output. a permanent pacer was placed by the ep service and at the time of discharge it was working appropriately. she will follow in device clinic in 1 week and otherwise be followed by her general cardiologist. . #hypertension: the patient's beta blocker was stopped in house and she was continued on her lisinopril. discharge medications: 1. duloxetine 30 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 2. cyanocobalamin 1,000 mcg tablet sig: one (1) tablet po once a day. 3. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 4. multiple vitamin tablet sig: one (1) tablet po once a day. 5. pravastatin 40 mg tablet sig: 1.5 tablets po once a day. 6. quinapril 20 mg tablet sig: one (1) tablet po daily (daily). 7. calcium & magnesium carbonates oral 8. alprazolam 0.25 mg tablet sig: 0.5 tablet po once a day as needed. 9. aspirin 81 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: care network of discharge diagnosis: aortic stenosis complete heart block discharge condition: stable discharge instructions: you were seen in the hospital for dilation of your narrowed aortic value. during the procedure, you were noted to have an abnormally slow heart rhythm. this did not improve after surgery and a pacemaker was placed. . we stopped your metoprolol. also, we recommend you take a 81mg aspirin daily. please discuss these medication changes with your cardiologist and primary care physician . please keep all of your appointments listed below . either call your primary care physician or return to the emergency room if you have chest pain, shortness of breath, palpitations, or other symptoms of concern. followup instructions: provider: clinic phone: date/time: 9:00 . please call dr. at and make a follow up appointment in 2 weeks. . please call dr. at and make a follow up appointment in weeks. md, procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle percutaneous balloon valvuloplasty diagnoses: pure hypercholesterolemia unspecified essential hypertension cardiac complications, not elsewhere classified aortic valve disorders atrioventricular block, complete 

Answer: The patient is high likely exposed to