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: nsaids attending: chief complaint: cc: increasing shortness of breath and chest tightntess major surgical or invasive procedure: right heart catheterization on swans-ganz catheter placement on history of present illness: briefly, this is a 51 yo f with pmh of chf (ef=15%) s/p icd placement , rheumatic heart disease s/p mvr who began to notice increasing doe and chest tightness on exertion x 2 months prior to admission. the pt points to her epigastrium when referring to her chest tightness. at baseline she is able to walk miles, but prior to admission she was only able to walk less than block or 5 stairs. the pt was referred to the service by her cardiologist, dr. , for treatment of chf and eval for cardiac transplant (secondary to mr). . the pt was noted to have had multiple episodes of nsvt as well as 20 beat run of nsvt on interrogation of her icd, so she was loaded and continued on amiodarone after admission. in order to better manage her chf, the pt was transferred to the ccu where a swans-ganz catheter was inserted to tailor her medications. nitroprusside was started in the ccu in order to unload her left ventricle and improve pulmonary systolic pressure. after the pt diuresed 1.5 l and appeared improved, she was weaned off the nitroprusside. while in the ccu, her cardiac transplant work up has continued. the pt is now transferred back to for further management of chf and workup for transplant. the pt currently denies any sxs of cp, sob, swelling. past medical history: pmh: . - rheumatic heart disease s/p mitral valve replacement with a #31 st. jude valve in - congestive heart failure (systolic, left heart) thought valve disease - s/p icd placement for primary prevention - cesarean section - hysterectomy - history of knee pain - herpes zoster social history: married, lives with husband and daughters/families in . family history: neg physical exam: physical exam: vs: general: nad, talking in full sentences heent: perrl, mmm neck: obese, supple, no jvd, no carotid bruit. cardiovascular: mechanical s1, s2, reg, no murmurs lungs: ctab abdomen: active bowel sounds, soft, nt, nd, no rebound or guarding. no hsm. extremities: dp 2+, l pt not palpable, r pt 1+. swan removed without evidence of groin hematoma, no bruit. tr pretibial edema. neuro: a/o x3 . pertinent results: right heart catheterization results: (with nipride) fick ci 1.52->1.7, co 3.15->3.54 ra 11 pa49/27(37-> 45/30(37) rv 49/15 pcwp 25->26 pvr 305->249 / 3.81->3.11 () svr 1828 / 22.85 () . cath results final diagnosis: 1. severe systolic and diastolic ventricular dysfunction. 2. slight reduction in pulmonary vascular resistance on nitroprusside. comments: 1. right heart catheterization revealed severe left ventricular diastolic heart failure along with the patient's known severe lv systolic heart fialure. there was mild to moderate pulmonary arterial hypertension. there was no evidence of pulmonic valve stenosis. 2. after initial measurements were made, the patient was begun on nitroprusside 20mcg/min iv in consultation with dr. . this resulted in a slight decrease in pulmonary artery pressures and slight increase in pulmonary capillary wedge pressures leading to a slight decrease in pulmonary vascular resistance. . echo the left atrium is elongated. the right atrium is moderately dilated. left ventricular wall thicknesses are normal. the left ventricular cavity is severely dilated. there is severe global left ventricular hypokinesis. no masses or thrombi are seen in the left ventricle. the right ventricular cavity is dilated. right ventricular systolic function appears depressed. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. trace aortic regurgitation is seen. a bileaflet mitral valve prosthesis is present. the mitral prosthesis appears well seated, with normal leaflet/disc motion and transvalvular gradients. no mitral regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. brief hospital course: ms. is a 51 y/o female admitted on for an increase in her symptoms of congestive heart failure (sob, doe) as well as a feeling of chest tightness with exertion. she was admitted for management of her chf exacerbation and heart transplant workup. she was noted to also have multiple runs of nsvt as well as a 20-beat run of nsvt on interrogation of her icd, so she was loaded and continued on amiodarone during her stay. a rhc on demonstrated severe known lv systolic failure and diastolic heart failure and cardiogenic shock. in order to better manage her chf, she was transferred to the ccu on for tailored therapy. a swans-ganz catheter was inserted to tailor her medications. nitroprusside was started in the ccu in order to unload her left ventricle and improve pulmonary systolic pressure. after the patient diuresed 1.5 l and appeared improved, she was weaned off the nitroprusside. while in the ccu, her cardiac transplant work up was continued. the swans-ganz catheter was taken out on , without any complications. she was transferred back to the service on for further chf management and transplantation work-up. she was continued on lisinopril to decrease her afterload, toprol, digoxin to aid with systolic function, aldactone, and lasix prn to reach a goal of -1 liter daily. she diuresed well on this regimen and remained free of any chf symptoms, such as shortness of breath, leg edema. on , she developed a right groin hematoma, without extenstion into the back or abdomen. this hematoma was without any bruits, and serial hematocrits checked remained stable. she was taken off the heparin and coumadin as her inr was supratherapeutic at 4.6. she was discharged on in stable condition, with stable hct and no further extenstion of hematoma. she was told to hold the coumadin for two days, and restart on saturday. she is to follow-up with dr. in one week, have a metabolic test for her transplant w/u in 2 weeks, and see dr. in weeks. while in-house - transplant workup: -abdominal u/s negative for aaa -tsh wnl -carotid u/s w/o evidence of stenosis -24 hour urine protein wnl - negative -cmv igg positive, cmv igm negative -toxoplasmosis igg positive, igm negative -pfts wnl -herpes, ebv, varicella, hiv pending at time of discharge -ppd placed medications on admission: meds on admission: 1. atorvastatin 20mg po qhs 2. lasix ? 20-40mg po qday 3. lisinopril 10mg po qday 4. ativan 1mg po qday 5. spironolactone 25mg po qday 6. toprol xl 25mg po qday 7. warfarin discharge medications: 1. atorvastatin calcium 20 mg tablet sig: one (1) tablet po hs (at bedtime). 2. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). 4. metoprolol succinate 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). 5. warfarin sodium 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. lorazepam 1 mg tablet sig: one (1) tablet po daily (daily) as needed for pt asks for it. 9. outpatient lab work please draw inr, cbc, and digoxin level please call results to dr. 10. percocet 2.5-325 mg tablet sig: one (1) tablet po every hours as needed for pain. disp:*10 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: primary diagnosis: chf, mvr, pre-op workup for heart transplant secondary diagnosis: mitral valve regurgitation, hyperlipidemia discharge condition: stable discharge instructions: continue all medications sent home on. do not take coumadin for the next two days until saturday. if you experience chest pain, shortness of breath, dizziness, or any other concerning symptoms, please return to the ed. keep an eye on the bruising on your right leg -- if it worsens or becomes more painful, return to the ed. please see dr. in 1 week. followup instructions: provider: , md where: cardiac services phone: date/time: 8:30 provider: /exercise lab where: cardiac services phone: date/time: 11:00 provider: , rn where: internal medicine phone: date/time: 3:30 provider: , md. where: cardiac services phone: date/time: 1:00 pm md procedure: right heart cardiac catheterization diagnoses: other primary cardiomyopathies rheumatic heart failure (congestive) other and unspecified hyperlipidemia other specified cardiac dysrhythmias cardiogenic shock automatic implantable cardiac defibrillator in situ heart valve replaced by transplant rheumatic heart disease, unspecified 

Answer: The patient is high likely exposed to