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: shellfish / ativan / fentanyl attending: chief complaint: shortness of breath, flash pulmonary edema major surgical or invasive procedure: 1. cardiac catheterization- no intervention history of present illness: 70 year old with hypertension initially presenting with acute-onset sob , tranferred from nwh and for acute pulmonary edema in setting of ? new lbbb, ? ck elevation. in brief, patient had, at 10 am, acute-onset sob last night while laying flat attempting to sleep. of note, over past few months, patient has had difficulty sleeping, but does not attribute this to shortness of breath or cough, no orthopnea, pnd, or le edema, though has gained > 30 lbs over ? months - ? years. in setting of sob, no associated fevers, chills, cough, sputum, chest pain, palpitations, pleuritic chest pain, le edema or calf tenderness. never had this sob in past; reports no exertional chest pain or dyspnea. also, no recent dietary indiscretion or medication changes/non-compliance. had echocardiogram in distant past, with "normal results," but admits to "heart murmur" since birth. no history of clotting abnormalities. at , her o2 saturation was 95% nrb, rr 32, bp 165/79 hr 98, given lasix 60 mg iv (-100 cc), morphine 2 mg iv, baby asa, 1" for acute pulmonary edema, with o2 requirement down to 4 l 91%. given ciprofloxacin 400 mg iv for uti. also ? ck elevation (? at 2 am) prompting eventual transfer to -, where afebrile, hr 106, bp 133/67; chest x-ray consistent with pulmonary edema, bnp 335, ck 71, tn < 0.01 (unclear when these were drawn). transferred to for further management. past medical history: htn hyperthyroidism (s/p rai ablation, on synthroid) social history: no ivdu, smokes, or etoh. retired spinstress. . family history: father with massive mi and scd in 60s. physical exam: vs: 97.2 120-130/60 hr102 atrial fibrillation 20 93%-4l gen: nad, breathing comfortably, reclining heent: op clear, mm dry, eomi, anincteric neck: supple, full rom. jvp < clavicle, no hjr chest: wet rales way up bilaterally, + inspiratory wheeze on r cor: regular rate and rhythm, harsh iii/vi systolic murmur at rusb => carotids, no augmentation with valsalva abd: soft, nt nd + bs extr: no edema, 2+ dp neuro: cn ii-xii intact, motor/sensory grossly intact pertinent results: 10:38pm %hba1c-6.0* -done -done 09:17am wbc-14.2* rbc-3.85* hgb-11.9* hct-32.4* mcv-84 mch-30.8 mchc-36.6* rdw-14.0 03:30pm alt(sgpt)-14 ast(sgot)-17 ck(cpk)-78 alk phos-63 tot bili-0.8 05:45pm pt-14.1* ptt-63.0* inr(pt)-1.3 05:46pm urine blood-lg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-mod 05:46pm urine color-yellow appear-clear sp -1.014 09:17am glucose-103 urea n-22* creat-1.1 sodium-140 potassium-4.0 chloride-102 total co2-25 anion gap-17 03:30pm tsh-2.9 03:30pm triglycer-177* hdl chol-49 chol/hdl-2.9 ldl(calc)-56 03:30pm albumin-3.7 cholest-140 imaging ekg : af at 89, lbbb with 2' st/t wave changes, none > 5 mm or concordant, no q waves ekg (old): nsr at 96, nl axis, nl intervals, no st/t wave changes, no evidence of lvh, +pac +pvc, no q waves cxr: pulmonary edema (osh) cath: 1. normal coronary arteries 2. severe aortic stenosis with of 0.7cm2 3. severely elevated left heart filling pressure. 4. severe pulmonary arterial hypertension. comments: 1. selective coronary angiography in this right dominant circulation demonstrated normal coronary arteries. the lmca, lad, lcx, and rca were all patent without any angiographically apparent flow limiting disease. the vessels were also noted to be tortuous. 2. resting hemodynamics from right and left heart catheterization demonstrated moderately elevated right and severely elevated left sided filling pressures (rvedp 15mmhg, lvedp 35mmhg). there was severe pulmonary arterial hypertension. there was no mitral stenosis appreciated. the calculated cardiac output by the fick method was 4.2 l/min with a cardiac index of 2.2. 3. the mean transaortic pressure gradient was 26mmhg measured with a double lumen pigtail catheter. the aortic valve area calculated by the gorlin formula was 0.7 cm2. carotid non-invasive studies negative brief hospital course: hospital course by system: 1) cardiovascular: initially transferred for flash pulmonary edema, that was thought possibly secondary to tight aortic stenosis + mitral regurgitation. echocardiogram demonstrated results as above: , lv moderately dilated, lv systolic function depressed, resting mid-distal anteroseptal hypokinesis. 1+ ar, 3+ mr, moderate as, small effusion w/o tamponade. cardiac catheterization as above. lasix was continued as home po lasix and . chest x-ray with cardiomegaly. ecg was nsr at 96 with normal axis, intervals, no st/t wave changes, with multiple multifocal pacs. telemetry with one episode to 120s, with pause x 6 seconds x 1 in setting of beta-blockade, which was decreased. asa, statin was continued. she was seen by cardiac surgery, who recommended pre-op eval (carotids non-invasive negative) for mvr, avr, which will be scheduled for next week. she will follow with dr. (of ct surgery). 2) renal/fen: creatinine of baseline of 1.0 => 1.4, which remained at that level throughout. this will need to be followed as outpatient. lasix and were continued at home dose. 3) id: she was diagnosed and treated with bactrim x 3 days for uti. wbc was increased on discharge, but she was without symptoms of infection and remained afebrile and hemodynamically stable. 5) endo: tsh 2.9, with continuation of synthroid and mvi. 6) prophy: ppi, sq heparin, colace full code medications on admission: diovan hctz fosamax synthroid advil calcium mvi discharge medications: 1. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. levothyroxine 125 mcg tablet sig: one (1) tablet po daily (daily). 3. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 4. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 5. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid (3 times a day). 6. toprol xl 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* 7. valsartan 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1. severe aortic valve stenosis 2. severe mitral regurgitation 3. flash pulmonary edema 4. hypertension 5. ? new left bundle branch block discharge condition: good discharge instructions: please report chest pain, shortness of breath, fever or chills, palpitations, lightheadedness or dizziness to your primary physician. notify surgery of these symptoms since they could change your operation schedule. you may contact dr. office at . please take all medications as outlined below. please follow-up as scheduled for your surgery next week. followup instructions: follow-up for surgery as scheduled. . please follow-up with dr. at -marine for post-hospital follow-up. . you may also follow-up with dr. if needed, please contact his office at procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnoses: urinary tract infection, site not specified unspecified acquired hypothyroidism other chronic pulmonary heart diseases rheumatic heart failure (congestive) other and unspecified hyperlipidemia other left bundle branch block mitral valve insufficiency and aortic valve stenosis delirium due to conditions classified elsewhere benzodiazepine-based tranquilizers causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to