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: ceclor / vasotec / talwin / elavil / iodine; iodine containing / vioxx / bactrim ds / colchicine attending: chief complaint: s/p septal ablation major surgical or invasive procedure: etoh septal ablation cardiac cath history of present illness: 69 yo lady with h/o cad (one vessel dz), diastolic chf, longstanding htn, obesity, pbc, djd admitted s/p etoh septal ablation of lvot obstruction. patient was first diagnosed with lvot obstruction in when she was admitted for chest pressure and shortness of breath. patient notes longstanding chest pressure symptoms that have been present for more than 10 years. she says that she has diffuse chest pressure over her mid sternum, poorly localized, not associated with any other symptoms such as sob, diaphoresis, radiation. her first cardiac cath in revealed clean coronaries. in terms of her sob, she reports symptoms starting in where she could only walk 20 yards before having to stop to cath her breath. also sob with walking stairs. she reports sleeping in a recliner with her feet elevated, "can't breath" if lying flat. she states that she was diagnosed with htn at 15 and has been "well controlled" however does not check her bp at home. she was admitted with chest pressure, sob, le edema. it was felt that her sob was likely due to diastolic dysfuntion with chf exacerbation due to prednisone, dietary indescretion, and poorly controlled htn. she was diuresed with lasix and sent home with outpatient follow up of her lvot obstruction. most recently, she was referred for a diagnostic catheterization at on . during the procedure it was noted that her lad had a 50% lesion and confirmed the left ventricular outflow obstruction (50mmhg). she is now admitted for elective septal ablation and lad stenting. . upon arrival to the floor, patient talkative and feeling well, no sob or chest pain. lying flat, having some back pain, groin site minimally painful. ros negative for f/c/s, no n/v/d, no other recent illnesses. past medical history: # primary biliary cirrhosis by liver biopsy, recent biopsy w/ minimal findings # lactose intolerance. # celiac sprue:has not followed a gluten-free diet. her last upper endoscopy was done in with findings consistent with celiac sprue. # neuropathy from ?celiac # gout # hypertension. # obesity. # osteoporosis- not on treatment # obstructive sleep apnea, moderate-to-severe on study . # musculoskeletal problem, cervical spondylotic myopathy, c5,c6, c7 discectomies, anterior c6 carpectomy, anterior cervical fusion with iliac crest bone graft, knee osteoarthritis, lower spine degenerative spondylosis, left knee torn meniscus, left hip trochanteric bursitis, recent knee replacement. she also had recent surgery on her back to repair prior surgery. # monoclonal gammopathy of uncertain significance in 09/00 # spine surgery(anterior spinal fixation) in followed by a postoperative wound infection social history: she is divorced with one adult son. to retiring she worked as a bookkeeper for an insurance agency. quit smoking approximately 15 years ago. prior to quitting she smoked 1.5ppd for approximately 40 years. rare etoh. family history: non-contributory physical exam: vs: 166/74 48 15 95% ra ht: 5'2" wt: 210lbs bmi 38.4 gen: obese, nad, very pleasant heent: op clear, moist, eom, anicteric, no pallor neck: obese, ?jvd to mid jaw at 30 deg, normal carotids chest: clear anteriorly, trace crackles at bases cvs: nl s1 s2, harsh esm at lsb, radiates throughout abd: obese, soft, nt x 4, nabs ext: groin site intact, non tender, no hematoma, distal pulses 2+ b/l neuro: grossly intact pertinent results: 10:17pm ck(cpk)-709* 10:17pm ck-mb-94* mb indx-13.3* 03:58pm ck(cpk)-444* 03:58pm ck-mb-55* mb indx-12.4* 09:23am glucose-102 urea n-43* creat-1.4* sodium-141 potassium-4.3 chloride-106 total co2-24 anion gap-15 09:23am ck(cpk)-61 09:23am ctropnt-<0.01 09:23am wbc-17.5* rbc-4.63 hgb-11.8* hct-34.4* mcv-74* mch-25.5* mchc-34.3 rdw-17.7* 09:23am neuts-77.0* lymphs-17.0* monos-4.8 eos-0.6 basos-0.7 09:23am anisocyt-1+ poikilocy-1+ microcyt-3+ 09:23am plt count-456* 09:23am pt-11.4 ptt-21.0* inr(pt)-1.0 04:05pm glucose-123* 04:05pm urea n-42* creat-1.4* sodium-141 potassium-4.4 chloride-103 total co2-23 anion gap-19 04:05pm wbc-19.2*# rbc-4.58 hgb-11.5* hct-35.2* mcv-77* mch-25.0* mchc-32.6 rdw-17.8* 04:05pm plt count-557* 04:05pm pt-11.7 ptt-23.2 inr(pt)-1.0 . echo ()pre-ablation:there is symmetric left ventricular hypertrophy. the left ventricular cavity is unusually small. there is a severe resting left ventricular outflow tract/midcavity obstruction (125 mmhg). right ventricular chamber size and free wall motion are normal. there is no pericardial effusion. . echo ()post-ablation:post ethanol injection into the third septal perforator (2 injections) and the second septal perforator (1 injection), the resting intracavity pressure gradient is 24 mmhg. compared to the previous study prior to ethanol injection, the intracavbity gradient is greatly reduced. . cardiac cath ():one vessel coronary artery disease. elevated left-sided filling pressures at rest. dynamic left ventricular outflow tract gradient of 20-30 mmhg at rest and > 90 mmhg with valsalva manuever, post-pvc, and dobutamine infusion. successful alcohol septal ablation with decrease in the left ventricular outflow gradient to < 25mmhg with dobutamine infusion. . cardiac cath : 1. one vessel coronary artery disease. 2. mildly elevated left and right sided filling pressures. 3. resting lvot gradient present on day#4 post alcohol septal ablation. 4. successful stenting of the mid lad. brief hospital course: the patient is a 69yo f with cad (70% mid lad), htn, chf, mmp underwent cardiac catheterization on for septal ablation to relieve left ventricular outflow tract obstruction. the lvot gradient was 80-90 mmhg on dobutamine infusion prior to ablation and 25 mmhg post ablation, both measured during the procedure (see results section). a 70% concentric hazy lesion of the lad was also noted during this procedure (and was known prior to admission). on she underwent a second cardiac catheterization for elective stenting of the lad lesion with a drug eluting cypher stent. her creatinine was slightly above baseline on admission and she received renal protection prior catheterization with mucomyst and iv fluids with bicarb. during her hospitalization, she had native sinus bradycardia and was discharged on half her previous dose of her outpatient atenolol. her verapamil was discontinued because of it's nodal blocking properties, and for blood pressure control, she was switched to amlodipine 10 mg daily. . medications on admission: verapamil 180mg daily every morning atenolol 100mg daily every morning lasix 40mg daily every morning allopurinol 300mg daily every morning fexofenadine 180mg daily every morning lyrica 100mg three times a day ursodiol 900mg every morning and 600mg every evening aspirin 325mg daily every morning discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*3* 2. ursodiol 300 mg capsule sig: three (3) capsule po qam (once a day (in the morning)). 3. allopurinol 100 mg tablet sig: three (3) tablet po daily (daily). 4. ursodiol 300 mg capsule sig: two (2) capsule po qhs (once a day (at bedtime)). 5. lyrica 100 mg capsule sig: one (1) capsule po tid (3 times a day). 6. atenolol 50 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*3* 7. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*3* 8. plavix 75 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*6* discharge disposition: home discharge diagnosis: 1. s/p septal ablation 2. hypertension 3. coronary artery disease discharge condition: good discharge instructions: please take your medications as directed. please note that you are no longer taking lasix or verapamil. your atenolol dose have been decreased to 50 mg daily and you are now taking a new medication called amlodipine 10 mg (two tablets) daily. it is of utmost importance that you take your aspirin and plavix every single day until directed by your cardiologist. * call your primary care physician to schedule follow-up appointment within the next 2 weeks. please note that your white blood cell count was slightly elevated during your hospitalization and your primary care doctor should check this in the future to make sure that it is now back down to normal. * please call your doctor or come to the nearest emergency room if you experience any chest pain, shortness of breath or any other complaints. followup instructions: 1. primary care doctor in weeks following discharge provider: , . appointment should be in days 2. dr. within one month following discharge you also have the following appointments scheduled: provider: , md phone: date/time: 1:00 procedure: combined right and left heart cardiac catheterization injection or infusion of platelet inhibitor coronary arteriography using a single catheter insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified unspecified essential hypertension osteoarthrosis, unspecified whether generalized or localized, site unspecified celiac disease diastolic heart failure, unspecified 

Answer: The patient is high likely exposed to