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: past medical history: significant for: 1. hypertrophic cardiomyopathy, status post septal ablation in with alcohol. 2. history of hypertension. 3. history of hypercholesterolemia. 4. status post vertebral/t4 osteoporosis. 5. history of copd. 6. asthma. 7. history of mi. 8. history of left hip dislocation. 9. history of pulmonary hypertension. medications on admission: included: 1. percocet, one to two tablets q.4h. p.r.n. 2. zofran, 8 mg iv p.r.n. 3. sublingual nitroglycerin p.r.n. 4. reglan 5.0-10 mg iv q.4h. p.r.n. 5. mon p.r.n. 6. colace 100 p.o. b.i.d. p.r.n. 7. tylenol 325 one p.o. q.4h. p.r.n. 8. ambien 5.0 mg one p.o. q.h.s. p.r.n. 9. prednisone 50 mg one p.o. b.i.d. 10. aspirin 160 mg one p.o. q.d. 11. toprol xl 5.0 mg p.o. (question b.i.d. or q.d.) 12. calcium 500 mg one p.o. b.i.d. 13. coumadin 5.0 mg one p.o. q.h.s. allergies: no known drug allergies physical examination: vitals: temperature 96.8; pulse 97; blood pressure 110/70. the patient was saturating at 94 percent on room air. the patient was generally in no acute distress, pleasant. her heent was normocephalic, atraumatic. extraocular movements were intact. oropharynx was clear with no lymphadenopathy, no jvd. heart was irregularly irregular, a iii/vi systolic murmur throughout her precordium with radiation to the neck as well as axilla. abdomen has good bowel sounds, soft, nontender, nondistended ........... extremities: free of any clubbing, cyanosis or edema. neurologically, cranial nerves ii to xii were intact. strength was throughout. reflexes were symmetric and toes were downgoing. data on admission: include white count 9,300, hematocrit 31.0, platelet count 277,000, inr 3.6, pt 23.2, sodium 140, potassium 4.8, chloride 102, bicarbonate 32, bun 41, creatinine 0.8, glucose 122, magnesium 2.4, calcium 8.7, phosphorus 3.2. hospital course by system: as follows: 1. the patient was admitted for atrial fibrillation. the patient was maintained on coumadin as well as metoprolol. the patient was ruled out for an mi. her chest x-ray was not consistent with chf. on telemetry, the patient continued to have rapid atrial fibrillation with rates greater than 100. during these episodes, the patient would have shortness of breath. her metoprolol was continued to be increased but the patient was still very poorly rate controlled. the patient was continued on coumadin with good inr. for the patient's hocm, the patient was maintained on good preload. she was prevented from being dehydrated and her eyes and nose were ................ daily. the goal was to keep the patient ................ and slightly positive. the patient would have episodes of rapid atrial fibrillation, she would have worsening dyspnea and shortness of breath, as well as chest pain. for each episode of chest pain, ekgs were performed, which were unchanged. the patient never had an enzyme leak and hence it was felt that these episodes of chest pain were consistent with worsening of her outflow tract obstruction secondary to tachycardic rate. hence it was decided that the patient should undergo alcohol septal ablation. the patient was thus sent to the ccu where the patient underwent an alcohol septal ablation on . after the patient had her alcohol septal ablation she had a cardiac catheterization which revealed normal coronaries, normal ventricular function, severe hocm, successful ethanol ablation of s4, persistent left svc draining into coronary sinus. the patient had an echo prior to undergoing alcohol septal ablation which revealed the following: following: a. an ejection fraction of greater than 75 percent. b. moderate symmetric left ventricular hypertrophy with normal cavity size and systolic function of greater than 55 percent. c. systolic anterior motion of the anterior valve leaflets with severe resting left outflow tract obstruction. d. right ventricular chamber size and free wall motion were normal. e. mild 1+ ar, mitral valve leaflets were mild thickened, moderate 3+ mr. the patient tolerated the alcohol septal ablation without complications. she was then transferred to the cardiology floor two days post procedure. her management post procedure was fairly uncomplicated. her metoprolol was titrated up slowly in an effort to maintain good beta blockade. repeat ekgs, post procedure, revealed that the patient continued to remain in sinus rhythm with first-degree av block. she tolerated increased titrations in her beta blocker with good affect. her pulse by discharge was in the 60s to 70s with no tachycardia on ambulation. 2. chronic obstructive pulmonary disease. the patient was maintained on medications and mdis and the goal was to keep her saturations at around 90 percent. the patient did have some evidence of volume overload post alcohol septal ablation. she was managed with gentle diuresis, using initially 10 mg of iv lasix q.d. and by date of discharge was on 20 mg of p.o. lasix with good affect. the goal was to keep patient only slightly negative, given her history of hocm. the patient was also on a prednisone taper and was to continue this taper outpatient. 3. coronary artery disease. the patient was continued on a beta blocker. her aspirin was discontinued given that she was on coumadin. the patient was continued on her coumadin with goal inr between 2.0 and 3.0. for fcm the patient was maintained on a cardiac diet. 4. infectious disease. the patient had some low-grade temperatures of 99.2 to 99.6. urine cultures, blood cultures were sent off which were negative to no growth by time of discharge. the patient did not have any evidence of left shift on cbc. additionally, she did not have any cough. chest x-rays revealed a mild fluid overload with no discrete infiltrate noted. the patient was thus managed without antibiotic treatment, as she had no focal source of infection. discharge condition: good. she is stable on room air to 1.0 liter of oxygen. she is ambulating without assistance. she is doing all her adls without assistance. the patient is tolerating a cardiac diet. discharge status: she will be discharged to a skilled nursing facility. discharge diagnoses: include the following: 1. hypertrophic obstructive cardiomyopathy, status post alcohol septal ablation in ; status post alcohol septal ablation in . 2. history of hypertension. 3. history of hypercholesterolemia. 4. history of vertebroplasty for osteoporosis. 5. history of chronic obstructive pulmonary disease. 6. history of asthma. 7. history of mi. 8. history of left hip dislocation. 9. history of pulmonary hypertension. 10. history of atrial fibrillation. medications on discharge: include the following: 1. ................... 2. metoprolol 100 p.o. t.i.d. 3. fluticasone 110 mcg, 2 puffs b.i.d. 4. alendronate 5.0 mg one p.o. q.d. 5. amiodarone 400 mg one p.o. b.i.d. 6. senna one tablet p.o. b.i.d. p.r.n. 7. ipratropium mdi p.r.n. 8. atorvastatin 10 mg one p.o. q.d. 9. calcium carbonate 500 mg one p.o. b.i.d. 10. ambien 5.0 mg one p.o. q.h.s. p.r.n. 11. docusate 100 mg one p.o. b.i.d. 12. pantoprazole 40 mg one p.o. q.d. 13. milk of magnesia 30 mg p.o. q.6h. 14. metoclopramide 10 mg p.o. q.i.d. p.r.n. 15. coumadin 5.0 mg one p.o. q.h.s. with goal inr 2.0 to 3.0 discharge follow up: includes the following. 1. the patient is to set up an appointment with her primary-care physician within one month of discharge from skilled nursing facility. 2. additionally, she is to set up with her cardiologist, dr. , within two weeks of discharge from her skilled nursing facility. 3. she will likely need an outpatient echo which she should set up with her primary cardiologist. , m.d. dictated by: medquist36 procedure: angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter diagnostic ultrasound of heart other electric countershock of heart excision or destruction of other lesion or tissue of heart, endovascular approach diagnoses: pure hypercholesterolemia unspecified pleural effusion unspecified essential hypertension atrial fibrillation old myocardial infarction chronic obstructive asthma, unspecified 

Answer: The patient is high likely exposed to