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: dyspnea on exertion major surgical or invasive procedure: 1. aortic valve replacement with a size 25-mm st. epic tissue valve. 2. coronary artery bypass graft x1, saphenous vein graft to diagonal. history of present illness: this is a 74 y.o. white male with past medical history of hypertension, cri, as, and second-degree av block. he presently has increasing shortness of breath suggestive of worsening aortic stenosis. his symptoms have been progressive for the last 6 months. he also has significant copd with most recent pft's revealing moderate to severe obstructive disease. he also has cri with a creatinine of 1.9 and will require prehydration overnight prior to the catheterization. he reports shortness of breath with minimal activity. he is audibly short of breath with conversation and mild wheezing can be heard. past medical history: aortic stenosis chronic renal insufficiency (1.9) hydronephrosis chronic obbstructive pulmonary disease hypertension wenckebach second degree av block prostate ca s/p radical prostatectomy s/p urethral stricture dilatation hyperlipidemia gout gastroesophageal reflux disease fracture right hand mild arthritis social history: race:caucaisian last dental exam: edentulous lives with: wife (home) . occupation:retired dpw worker tobacco: cigars quit 12 yrs ago etoh: 3-5 drinks/wk family history: mother died of heart disease at age 60 father died of heart disease at age 62 physical exam: vs: 97.1, 133/98, 66, 20, 97% ra height:6'0" weight: 250 lbs general: nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 3/6 sem abdomen: soft non-distended non-tender bowel sounds + obese extremities: warm , well-perfused edema: none varicosities: none neuro: grossly intact, non focal, a&ox3 pulses: femoral right: 1+ left: 1+ dp right: 1+ left: 1+ pt : left: radial right: 2+ left: 2+ carotid bruit bilat right: 2+ left: 2+ pertinent results: echo: prebypass: no atrial septal defect is seen by 2d or color doppler. there is mild to moderate global left ventricular hypokinesis (lvef = 40 %). right ventricular chamber size and free wall motion are normal. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are severely thickened/deformed. there is severe aortic valve stenosis (valve area 0.9-1.0cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. postbypass: lv systolic function is slightly improved (lvef~45%). rv systolic function is preserved. there is a well seated, well functioning bioprosthesis in the aortic position. no ai is visualized. the study is otherwise unchanged from the prebypass study. 06:30am blood wbc-11.8* rbc-2.99* hgb-8.8* hct-27.5* mcv-92 mch-29.5 mchc-32.0 rdw-14.1 plt ct-284 12:06pm blood wbc-15.6*# rbc-3.20* hgb-10.0* hct-29.3*# mcv-92 mch-31.3 mchc-34.2 rdw-14.5 plt ct-228 06:30am blood pt-12.7 inr(pt)-1.1 11:07am blood pt-17.1* ptt-38.5* inr(pt)-1.5* 06:30am blood glucose-84 urean-63* creat-3.5* na-130* k-4.2 cl-94* hco3-24 angap-16 03:10am blood glucose-107* urean-16 creat-2.0* na-136 k-5.5* cl-106 hco3-27 angap-9 06:30am blood alt-7 ast-38 ld(ldh)-277* alkphos-164* amylase-133* totbili-0.9 06:30am blood albumin-2.9* mg-3.0* brief hospital course: mr. was a same day admit after undergoing all preoperative work-up following his cardiac cath on . on he was brought directly to the operating room where he underwent an aortic valve replacement and coronary artery bypass graft x 1. please see operative report for surgical details. he tolerated the procedure well and was transferred in critical but stable condition to the cvicu for invasive monitoring. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. he subsequently developed rhythm issues with nonsustained vtach, a fib, and av nodal disease. ep was consulted and he is rate-controlled with beta blockade. anticoagulation was initiated with coumadin,inr goal of 2.0-2.5 for atrial fibrillation. he remained in the cvicu for closer observation of his rhythm as well as postoperative atn. renal was consulted. diuresis was limited. mr. bun/cr continued to trend down without any intervention. pod# 5 his inr increased to 13 after 2 doses of coumadin (5mg/2mg) having been bolused with amio. he was reversed with vitamin k/ffp. pod# 6 he was transferred to the step down unit for further monitoring. physical therapy was consulted for evaluation of strength and mobility. his rhythm remained stable in paroxysmal afib. he continued to progress. pod# 7 he was cleared by dr. for discharge to life care rehabilitation in . all follow up appointments were advised. medications on admission: allopurinol 100 mg once a day amlodipine 2.5 mg once a day clonidine 0.1 mg once a day fluticasone-salmeterol 500 mcg-50 mcg/1 puff twice a day nilutamide 150 mg once a day omeprazole 20 mg twice a day simvastatin 20 mg once a day tiotropium bromide 18 mcg capsule, w/inhalation device once a day aspirin 81 mg once a day ibuprofen 200 mg twice a day discharge medications: 1. aspirin 81 mg , delayed release (e.c.) sig: one (1) , delayed release (e.c.) po daily (daily). 2. insulin lispro 100 unit/ml solution sig: one (1) subcutaneous asdir (as directed). 3. acetaminophen 325 mg sig: two (2) po q4h (every 4 hours) as needed for pain/fever. 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 5. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 6. tramadol 50 mg sig: one (1) po q4h (every 4 hours) as needed for pain. 7. amlodipine 5 mg sig: two (2) po daily (daily). 8. warfarin 1 mg sig: md daily (daily). 9. warfarin 1 mg sig: 0.5 po once (once) for 1 doses. 10. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). 11. fluticasone-salmeterol 500-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 12. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 13. simvastatin 10 mg sig: two (2) po daily (daily). 14. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 15. allopurinol 100 mg sig: one (1) po daily (daily). 16. metoprolol tartrate 25 mg sig: 0.25 po bid (2 times a day). 17. hydralazine 20 mg/ml solution sig: one (1) injection q6h (every 6 hours) as needed for sbp>140. 18. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day. discharge disposition: extended care facility: life care center of discharge diagnosis: aortic stenosis/coronary artery disease s/p aortic valve replacement/coronary artery bypass graft x 1 past medical history: chronic renal insufficiency (1.9) hydronephrosis chronic obbstructive pulmonary disease hypertension wenckebach second degree av block prostate ca s/p radical prostatectomy s/p urethral stricture dilatation hyperlipidemia gout gastroesophageal reflux disease fracture right hand mild arthritis postop a fib/v tach/complete heart block postop ileus discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with percocet prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 ***daily pt/inr checks for coumadin dosing. inr goal=2.0-2.5 (atrial fibrillation) followup instructions: surgeon dr. at 1:15 pm please call to schedule appointments: primary care dr. in weeks cardiologist dr. in weeks wound check appointment - 6 () - your nurse will schedule md procedure: extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux acute kidney failure with lesion of tubular necrosis cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation personal history of malignant neoplasm of prostate obstructive chronic bronchitis with (acute) exacerbation aortic valve disorders atrial flutter chronic kidney disease, unspecified paroxysmal ventricular tachycardia other and unspecified hyperlipidemia atrioventricular block, complete surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation other second degree atrioventricular block 

Answer: The patient is high likely exposed to