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: senna / iodine attending: chief complaint: syncope major surgical or invasive procedure: 1. placement of temporary pacing wire through a right internal jugular catheter on . 2. placement of a permanent pacemaker through left subclavian on . history of present illness: 73 year-old female with coronary artery disease status post cabg times one and aortic valve replacement with a porcine valve, diabetes type ii, and hypertension who presents with complete heart block. she had a syncopal episode while doing pt excercises. the event was not witnessed, but her husband heard her fall and called ems. in the ed, she was found to be in complete heart block. she has never had any previously documented conduction abnormalities. she denies any chest pain, shortness of breath, palpitations or lightheadedness before or after her syncopal episode. she does complain of an intermittent headache for the past several months. past medical history: 1. coronary artery disease status post coronary artery bypass graft times one, saphenous vein graft to posterior descending coronary artery, aortic valve replacement with a porcine valve on . coronary catheterization from showed a 70% right coronary artery occlusion. 2. diabetes mellitus type 2. 3. hypertension. 4. history of severe aortic stenosis with a valve area of 0.7 status post avr with a porcine valve. 5. hypercholesterolemia. 6. t11 to t12 paravertebral mass. 7. anemia. 8. bilateral subclavian stenosis. 9. history of subdural hemorrhage after motor vehicle accident. social history: she is primarily russian speaking although she does understand some english. she lives with her husband. she does not smoke or drink. family history: family history is significant for a brother who died of an mi at the age of 65. physical exam: vitals: temperature: 99.4, pulse: 44, blood pressure: 175/43, respiratory rate: 19, oxygen saturation: 93% on room air. she was awake, alert and oriented times , and appeared very anxious. she had moist mucous membranes. cardiac exam was a regular rate, s1, s2, iii/vi crescendo/decrescendo systolic murmor best heard at base with radiation to carotids, no rubs or gallops; jvd was elevated to 10 cm; a-waves were present. pulmonary exam was clear to auscultation bilaterally. abdomen was soft, nontender, nondistended with bowel sounds present. extremeties were warm without cyanosis or edema and had weakly palpable distal pulses. pertinent results: 01:10pm wbc-8.1 rbc-4.40 hgb-12.9 hct-36.5 mcv-83 mch-29.4 mchc-35.5* rdw-13.6 01:10pm plt count-193 01:10pm neuts-76.5* lymphs-19.3 monos-2.5 eos-1.4 basos-0.3 01:10pm glucose-353* urea n-20 creat-1.0 sodium-140 potassium-3.9 chloride-103 total co2-25 anion gap-16 01:10pm calcium-9.1 phosphate-3.3 magnesium-2.0 01:10pm pt-12.3 ptt-21.9* inr(pt)-1.0 01:10pm ck(cpk)-37 01:10pm ctropnt-<0.01 01:10pm ck-mb-notdone 01:10pm sed rate-5 04:00pm urine color-straw appear-clear sp -1.015 04:00pm urine blood-neg nitrite-neg protein-neg glucose-1000 ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-tr 04:00pm urine rbc-<1 wbc-0-2 bacteria-occ yeast-none epi-0-2 ekg: normal sinue, left axis deviation, complete heart block with rare captured beats. chest x-ray: no evidence of chf or pna, mild atelectasis in left lower lobe. brief hospital course: 1. complete heart block (chb): she presented in chb with rare captured beats. her chb was thought to be due to either ischemia, infection, or fibrosis from her aortic valve replacement. cardiac enzymes times three were negative and an infection work-up was negative including urinalysis, urine culture, blood culture, sedementation rate, and echocardiogram. therefore her conduction abnormality is likely secondary to fibrosis. a temporary pacing wire was placed through a right internal jugular catheter on the day of admission. a permanent pacemaker was placed through the left subclavian once all sources of infection were ruled out. she was maintained on all of her regular medications with the exception of atentolol and nifedipine, which were held until after the pacemaker was placed. 2. heart failure: after the placement of the temporary pacing wire, she had an increased oxygen requirement. a chest x-ray showed new onset pulmonary edema consistent with heart failure secondary to chb. she was diuresed with furosemide and her oxygen requirement decreased. she was maintained on her outpatient dose of furosemide. 3. coronary artery disease: her cardiac enzymes were negative times three. she had no evidence of ischemia. 4. hypertension: on admission, her blood pressure reached 200 systolic. she required a nitroglycerin drip to maintain her pressures around 120-140 systolic. after her permanent pacemaker was place, she was hypertensice to 200 systolic. her atenolol and nifedipine were restarted and blood pressures were maintained between 130-150 systolic. 5. diabetes mellitus type 2: her blood glucose levels were elevate to over 300 on admission. she was maintained on an insulin sliding scale; however, her sugars still remained elevated. 6. psychiatry: the patient was maintained on clonazepam, mirtazipine, and paroxetine for anxiety. 7. fluids, electrolytes, and nutrition: the night of admission, she was diuresed 1300 cc with iv lasix for heart failure. she still had evidence of heart failure after the initial day of diuresis and required more diuresis with iv lasix. her potassium and magnesium were repleted. she was maintained on a diabetic low sodium diet. 8. prophylaxis: she received subcutaneous heparin for dvt, colace as a bowel regimen, pantoprazole for gastric ulcers, and ambiem for sleep. medications on admission: 1. atenolol 50 mg po bid 2. aspirin 325 mg po qd 3. valsartan 160 mg po qd 4. isosorbide dinitrate 20 mg po tid 5. nifedipine 60 mg po tid 6. furosemide 40 mg po qd 7. atorvastatin 20 mg po qd 8. glipizide 10 mg po bid 9. ferrous sulfate 325 mg po qd 10. mirtazipine 15 mg po qhs 11. paroxetine 10 mg po qd 12. clonazepam 0.5 mg po qam 13. zolpidiem tartate 10 mg po qhs 14. protonix 40 mg po qd 15. potassium chloride 10 meq po qd discharge medications: 1. paroxetine hcl 10 mg tablet sig: one (1) tablet po qd (once a day). 2. aspirin 325 mg tablet sig: one (1) tablet po qd (once a day). 3. atorvastatin calcium 20 mg tablet sig: one (1) tablet po qd (once a day). 4. clonazepam 0.5 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 5. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po qd (once a day). 6. furosemide 40 mg tablet sig: one (1) tablet po qd (once a day). 7. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 9. isosorbide dinitrate 20 mg tablet sig: one (1) tablet po tid (3 times a day). 10. atenolol 50 mg tablet sig: one (1) tablet po qd (once a day). 11. nifedipine 60 mg tablet sustained release sig: one (1) tablet sustained release po qd (once a day). 12. valsartan 160 mg tablet sig: two (2) tablet po qd (once a day). 13. glipizide 5 mg tablet sig: two (2) tablet po bid (2 times a day). 14. potassium chloride 10 meq capsule, sustained release sig: one (1) capsule, sustained release po once a day. 15. keflex 500 mg capsule sig: one (1) capsule po four times a day for 6 doses. disp:*6 capsule(s)* refills:*0* discharge disposition: home with service facility: , discharge diagnosis: complete heart block. heart failure. hypertension. discharge condition: good. discharge instructions: please take all of your normal medications as prescribed. you are also prescribed an antibiotic keflex that you should take 4 times a day for 6 doses. please keep your follow-up appointment in the device clinic for your new pacemaker. followup instructions: please follow-up in the device clinic to check you pacemaker at the following time: provider: clinic where: cardiac services phone: date/time: 11:00 please follow-up with your primary care physician, . , in weeks. you also have the following appointments: provider: where: surgical specialties phone: date/time: 10:45 provider: , m.d. where: medical specialties phone: date/time: 1:00 procedure: initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle insertion of temporary transvenous pacemaker system diagnoses: congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status atrioventricular block, complete 

Answer: The patient is high likely exposed to