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: the patient is a 60 year-old male with a history of diabetes mellitus, hypertension, long standing smoking history who was transferred in from an outside hospital for an elective cardiac catheterization to evaluate operative intervention for aortic stenosis. since winter, the patient's edema and dyspnea on exertion as well as chest pressure has been worsening progressively. the patient's shortness of breath is currently limited with 6 to 7 foot of exercise tolerance. the patient's echocardiogram shows evidence of 40% ejection fraction with mean gradient of 37 mmhg and peak gradient of 66 mmhg across the aortic valve area of .67 cm squared. the patient was noted to have mild to moderate mitral regurgitation and was waiting for surgical evaluation for valve replacement. no evidence of significant coronary artery disease is found at this time. past medical history: hypertension, long standing tobacco history, insulin dependent diabetes mellitus, 6 to 12 beers per night drinking history, gout, bilateral total hip replacement, knee surgery, and chronic renal insufficiency. allergies: no known drug allergies. medications at home: 1. lasix 160 mg po q.d. 2. hydrochlorothiazide 25 mg po q.d. 3. lisinopril 10 mg po q.d. 4. probenecid/colchicine 500/.5 po q.d. 5. nph 10 units q.d. with regular insulin sliding scale. physical examination: at the time of discharge the patient is a well developed, well nourished male in no acute distress. heent sclera anicteric. mucous membranes are moist. no evidence of oral ulcers. cranial nerves ii through xii intact. no cervical lymphadenopathy noted. chest is clear to auscultation bilaterally. there are post chest tube removal incision sites that are well healed with no evidence of erythema. sternotomy site has no erythema and has healed well without any serosanguinous drainage. chest is clear to auscultation bilaterally and cardiac regular rate and rhythm. no murmurs, but positive click heard. abdomen soft, nondistended, nontender with positive bowel sounds and no evidence of abdominal hernia noted. lower extremity no evidence of rash, however, there is 1+ symmetric bilateral edema. pertinent laboratories: , white blood cell count 9.7, hematocrit 28.7, platelets 226, sodium 133, potassium 4.6, bun 39, creatinine 1.6, glucose 85. pt 20.8, ptt 73.1 and inr 2.9. hospital course: the patient is a 60 year-old male with a history of diabetes, hypertension and chronic renal insufficiency presented to the cardiothoracic service for an aortic valve replacement. the patient underwent an uncomplicated avr mm carbomedics mechanical and ascending aortoplasty on . indications at this time was critical aortic stenosis. postoperatively, the patient was doing well. the patient was extubated shortly after transferring to the cardiac intensive care unit for close observation. on postoperative day one the patient's milrinone was discontinued and neo-synephrine was also weaned to off. chest tube was maintained, because of brisk output and the patient was continued on diuretics. by the following day the mediastinal tube was discontinued and the patient's creatinine level was noted to be stable at 1.8. the patient's anticoagulation was also promptly started with approximately 5 mg of coumadin, which resulted in a corresponding bump in the inr of approximately to 5.6. subsequently coumadin was held until the anticoagulation was within therapeutic range. by postoperative day number four the patient was transferred to the floor in good condition. the patient remained rather volume overloaded, therefore the patient was initiated on natrecor drip and lasix regimen was also increased at this time. during this time the patient responded very well to the diuretic regimen by maintaining -1 liter diuresis per day. over aggressive diuresis was avoided since the patient's cardiac echocardiogram showed right bilateral ventricular hypertrophy, which may not tolerate the rapid diuresis. by postoperative day number twelve the patient was doing well after having diuresed the bulk of the fluids. the patient's lower extremity edema remained markedly decreased with residual +1 symmetric edema. at this time the decision was made to discharge the patient to a rehab facility to further facilitate endurance training, and maintain close observation on the anticoagulation issue. discharge condition: good. discharge status: to rehab facility. discharge diagnosis: status post avr mm carbomedics mechanical, ascending aortoplasty. discharge medications: 1. atenolol 25 mg po q.d. 2. lasix 80 mg po q.a.m. and 40 mg po q.p.m. the duration of lasix administration will be determined by the amount of residual volume retained by the patient and the patient should consult with cardiologist before continuing the lasix regimen beyond four days. 3. aspirin 81 mg po q.d. 4. coumadin, the patient is to take 1 mg of coumadin on and the patient is to have a coagulation check on tuesday, thursday and saturday for redosing. for redosing issue the coagulation should be monitored by a physician at the rehab facility. 5. colace. 6. protonix. 7. tylenol. 8. regular insulin sliding scale, sliding regimen will be enclosed. 9. percocet. 10. milk of magnesia. 11. dulcolax. follow up plans: the patient is to follow up with dr. in four weeks. the patient is also to follow up with dr. in one to two weeks. the patient is also to follow up with dr. primary care physician in one to two weeks. , m.d. dictated by: medquist36 d: 08:37 t: 08:45 job#: procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures open and other replacement of aortic valve injection or infusion of nesiritide diagnoses: congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified aortic valve disorders diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to