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: icd firing major surgical or invasive procedure: ablation history of present illness: 45 f w/ hx apical hocm (gradient 100mm hg) w/ hx sustained vt and s/p icd placement presents for treatment for refractory vt. pt dx'd w/ hcm 9 years ago and did well until when she developed pvcs and was started on toprol which she did not tolerate (fatigue). on she presented w/ nausea and sweating and was found to be in hemodynamically stable vt. she was treated w/ icd. per osh records, she had a cardiac catheterization that revelaed no coronary disease but tortuous vessels. s/p icd placement, she did well for 10 days when she was shocked 5 times for vt (per osh records) and treated w/ iv amio and then switched to sotalol, which caused her increased fatigue. on she had 19 shocks from her icd and then given lidocaine gtt and increased sotalol dose. . per osh recs, she has apical hocm w/ peak gradient 100mm hg. also, her shocks have been appropriate for vt and they tend to be triggered by single pvc. . she is being transferred to for treatment of refractory vt. past medical history: hcm dx social history: 0-1 glasses of wine/day no smoking, no illicit drug use family history: no family history of heart disease physical exam: t 97.4 bp105/64 hr 50 rr 15 o2sat 100% gen: nad heent: normocephalic, atraumatic, perrl, eomi, mmm, no oral ulcers cv: rrr, nl s1, s2, no murmurs lungs: ctab abd: soft, nontender, nondistended, bowel sounds present ext: warm, no cyanosis, no edema, pedal pulses present neuro: alert and oriented x3, cn ii-xii intact, moving all 4 extremities pertinent results: echo : the left atrium is elongated. there is symmetric left ventricular hypertrophy. there may be an apical left ventricular aneurysm (apex not fully visualized). overall left ventricular systolic function is mildly depressed. the left ventricle is heavily trabeculated and meets borderline criteria for noncompaction. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. ekg : atrial sensed ventricular paced possible left ventricular hypertrophy anterior t wave changes may be due to myocardial ischemia clinical correlation is suggested echo : there is isolated distal left ventricular hypertrophy with an apical aneurysm (c/w apical hypertrophic cm variant). no masses or thrombi are seen in the left ventricle. an ablation catheter is seen within the lv apex. lv systolic function appears depressed. right ventricular chamber size and free wall motion are normal. there is no pericardial effusion. compared with the prior study (images reviewed) of , an ablation catheter is now seen in the lv apex. echo : there is isolated apical left ventricular hypertrophy. there is an apical left ventricular aneurysm. overall left ventricular systolic function is probably normal (lvef>55%). an apical intracavitary gradient is identified. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. there is no systolic anterior motion of the mitral valve leaflets. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. compared with the prior study (images reviewed) of , no major change. labs: 07:19pm blood wbc-5.2 rbc-4.66 hgb-14.8 hct-44.0 mcv-94 mch-31.8 mchc-33.6 rdw-13.7 plt ct-184 01:30pm blood wbc-4.3 rbc-3.67* hgb-12.3 hct-34.9* mcv-95 mch-33.6* mchc-35.4* rdw-14.0 plt ct-155 07:19pm blood pt-13.2* ptt-37.6* inr(pt)-1.2* 03:55pm blood pt-14.7* ptt-41.1* inr(pt)-1.3* 07:19pm blood glucose-112* urean-14 creat-1.1 na-137 k-4.1 cl-103 hco3-25 angap-13 01:30pm blood glucose-93 urean-9 creat-0.8 na-139 k-4.3 cl-105 hco3-27 angap-11 07:19pm blood calcium-9.5 phos-3.9 mg-2.2 01:30pm blood calcium-9.1 phos-4.4 mg-2.0 brief hospital course: a/p: 45 f w/ hx apical hocm (gradient 100mm hg) w/ hx sustained vt and s/p icd placement presents for treatment for refractory vt and ep study planned for . . # rhythm: hemodynamically stable vtach s/p icd placement. she has hcm and apical thickening across lv. she is s/p icd placement with episodes of icd firing. currently having some nsvt that is asymptomatic. ep study without inducible vt. eps with inducible nsvt at apical isthmus and plan for ablation . eps showed a small area of inducible vt that was ablated. after ablation, she was started on metoprolol and flecainide. flecainide was titrated up to 75mg po bid and the patient tolerated. the patient continued to have short runs of asymptomatic nsvt. plan for discharge with exercise test on flecanide. she will also need anticoagulation s/p ablation and f/u with device clinic. her qrs was 126ms on discharge. . # pump: pt w/ apical hcm and gradient of 100mm hg. no murmur on exam provocable. goal is to keep her slightly positive to help decrease her obstruction. echo with symmetric lv hypertrophy. . # psych: psychiatry evaluated patient yesterday. assess that patient has acute disorder/ptsd from icd firing. per psych recs, xanax d/c'd because short acting and klonopin started. encourage relaxation. . # full code medications on admission: alprazolam 0.25mg po tid and 0.5mg qhs lidocaine 1mg/min iv infusion metoprolol 50mg po bid mexiletine 150mg po tid multivitamin discharge medications: 1. outpatient lab work check on tuesday inr check, chem 10. send results to dr. phone ( 2. outpatient lab work or inr check. have results fowarded to dr. office. 3. hexavitamin tablet sig: one (1) cap po daily (daily). 4. warfarin 2 mg tablet sig: 2.5 tablets po at bedtime. disp:*75 tablet(s)* refills:*2* 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. clonazepam 0.5 mg tablet sig: 0.5 tablet po bid (2 times a day) as needed: this medication will make you sleepy. do not drive or operate heavy machinery while taking this medication. . disp:*30 tablet(s)* refills:*0* 7. flecainide 50 mg tablet sig: 1.5 tablets po q12h (every 12 hours). disp:*90 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: icd firing hcm v tach discharge condition: good, ambulatory, respiratory status stable discharge instructions: please take all medications as directed. continue to take flecainide 75mg by mouth twice daily and metoprolol 50mg by mouth twice daily as directed. also, continue to take coumadin as directed. you will need to have your inr level checked on a regular basis. you should have your next inr (blood work) checked on tuesday . have the results fowarded to dr. office. please go to all of your follow up appointments. if you develop shortness of breath, chest pain, icd firing or any other symptoms that concern you, call dr. office () and have the ep fellow on-call paged. followup instructions: follow up appointment with dr. , on , phone ( . provider: /exercise lab phone: date/time: 10:45 device clinic appointment for device check and carelink enrollment. phone . follow up inr check and have the results forwarded to dr. . go to 7 on the cardiology floor for inr checks on and . ep nurse , rn will follow up inr results procedure: catheter based invasive electrophysiologic testing catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach diagnoses: other primary cardiomyopathies esophageal reflux paroxysmal ventricular tachycardia automatic implantable cardiac defibrillator in situ other acute reactions to stress 

Answer: The patient is high likely exposed to