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: patient recorded as having no known allergies to drugs attending: chief complaint: rapid a fib major surgical or invasive procedure: none history of present illness: this 60 year old male is s/p bentall procedure on and had an uneventful postoperative course. he has a history of atrial fibrillation and was discharged to home on . he developed a slight cough on and called the vna this am. they called his pcp and he wanted the patient to come to the ed. he has been afebrile and has had very slight sputum production with cough. his chest xray was unchanged and his wbc went from 10.4 to 12.2. he missed his afternoon dose of lopressor and went into afib while he was in the ed. his rate was in the 120s and he got 75 mg of lopressor. he continued to have a fast heart rate and received 5 mg of iv lopressor. he was admitted for rate control of atrial fibrillation. past medical history: aortic stenosis, bicuspid aortic valve aortic aneurysm hypertension hyperlipidemia rheumatic heart disease recurrent afib, on coumadin benign prostatic hypertrophy vitamin d deficiency tia x3 carotid stenosis social history: race:caucasian last dental exam:6 months ago for root canal lives with:wife occupation: worker tobacco:denies etoh:1 drink every 2 weeks family history: non-contributory physical exam: pulse:120 resp: 16 o2 sat: 98%ra b/p right: 130/75 left: height: 69" weight: general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur: crisp valve sounds abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: no left: no pertinent results: conclusions the left atrium is mildly dilated. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. a bileaflet aortic valve prosthesis is present. the transaortic gradient is normal for this prosthesis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. compared with the prior study (images reviewed) of , findings are similar. electronically signed by , md, interpreting physician 20:26 04:55am blood wbc-10.9 rbc-3.13* hgb-9.5* hct-28.3* mcv-91 mch-30.4 mchc-33.5 rdw-13.8 plt ct-553* 04:55am blood plt ct-553* 04:55am blood pt-23.4* inr(pt)-2.2* 04:55am blood glucose-104* urean-16 creat-0.8 na-140 k-4.8 cl-103 hco3-31 angap-11 04:55am blood mg-2.1 brief hospital course: admitted for mgmt of rapid a fib and eval. of cough. r/o for pna by cxr with wbc decreasing. supratherapeutic inr rose to 6.2 while inpt. treated with ffp and ultimately brought down to 2.2 on day hd #2. target inr is 2.5-3.0 for mechanical valve. first blood draw is thursday with results to dr. . cleared for discharge to home with vna on hd #2.will continue on amiodarone for a fib under direction of dr. . medications on admission: tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). rosuvastatin 20 mg tablet sig: two (2) tablet po daily finasteride 5 mg tablet sig: one (1) tablet po daily warfarin 2 mg tablet sig: one (1) tablet po once a day: dose will change daily for goal inr . dr. to manage. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily tramadol 50 mg tablet sig: 1-2 tablets po q4h as needed for pain. amiodarone 200 mg tablet sig: one (1) tablet po bid metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 10. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days. benazepril-hydrochlorothiazide 20-12.5 mg tablet sig: one (1) tablet po once a day. discharge medications: 1. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). disp:*30 capsule, sust. release 24 hr(s)* refills:*1* 2. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 3. aspirin 81 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:*1* 4. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*25 tablet(s)* refills:*0* 5. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 6. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 7. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*1* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 2 weeks. disp:*28 capsule(s)* refills:*0* 9. benazepril 10 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*1* 10. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*1* 11. warfarin 1 mg tablet sig: one (1) tablet po once (once): dose today is 1 mg, then further daily dosing per dr. . disp:*30 tablet(s)* refills:*1* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: s/p bentall procedure atrial fibrillation supratherapeutic inr hypertension hyperlipidemia rheumatic heart disease benign prostatic hypertrophy vitamin d deficiency tias x 3 carotid stenosis discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with ultram prn incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema: minimal discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. tuesday @ 1:00 pm please call to schedule appointments with your : primary care/cardiologist dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication mechanical valve goal inr 2.5-3.0 first draw day thursday then please do inr checks monday, wednesday, and friday for 2 weeks then decrease as directed by dr. results to fax ; phone 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 diagnostic ultrasound of heart open and other replacement of aortic valve other incision of pleura extraction of other tooth repair of blood vessel with synthetic patch graft diagnoses: unspecified essential hypertension thoracic aneurysm without mention of rupture atherosclerosis of aorta atrial fibrillation aortic valve disorders hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia long-term (current) use of anticoagulants congenital insufficiency of aortic valve dental caries, unspecified unspecified vitamin d deficiency adhesive pericarditis aggressive periodontitis, unspecified 

Answer: The patient is high likely exposed to