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: bradycardia major surgical or invasive procedure: cardioversion history of present illness: mr is a 63 year old gentleman with recent cabg x 2 and mvr (onx mechanical valve)/ maze/pfo closure admitted for hypotension and bradycardia s/p dc cardioversion for aflutter/atach. per , pt was recently admitted in for subtherapeutic inr. during that admission, he was found to be in aflutter. at that time he was on toprol xl and amiodarone. per the patient, amiodarone was then discontinued. given his multiple recent surgeries, dc cardioversion was thought to be the best option for rhythm control. the patient himself has not had symptoms of tachycardia, no cp, no sob. . the patient underwent dc cardioversion with sedation. he then became hypotensive and was bradycardic in a junctional rythm. he was placed on dopamine and recovered his blood pressure. he was subsequently admitted to the icu for observation. currently he states that he felt dizzy after cardioversion, but now feels well. past medical history: complex cardiac surgery: -- artifical mv placed -- coronary artery bypass graft x 2 (lima to lad, svg to diag) -- patent foramen ovale closure -- ligation -- maze procedure atrial fibrillation endocarditis - source thought to be dental abscesses chronic obstructive pulmonary disease asthma gout anxiety s/p cataract surgery social history: quit smoking in after 2ppd x 50yrs. denies etoh use. family history: non-contributory physical exam: vitals: afebrile bp 114/89 hr 83 r 14 sao2 97% ra gen: well appearing in nad heent: no jvd cvs: well healed, midline chest scar rrr, mechanical s2, diastolic murmur resp: ctab, no labored breathing ext: no edema neuro: aox3 pertinent results: 09:54pm blood wbc-10.4 rbc-4.83 hgb-13.6* hct-40.5 mcv-84 mch-28.1 mchc-33.6 rdw-16.8* plt ct-254 04:10am blood wbc-8.7 rbc-4.15* hgb-11.9*# hct-34.7* mcv-84 mch-28.8# mchc-34.4# rdw-16.7* plt ct-225# 09:54pm blood neuts-68.3 lymphs-24.1 monos-6.1 eos-1.1 baso-0.4 12:10pm blood inr(pt)-2.0* 06:00am blood pt-13.7* ptt-21.6* inr(pt)-1.2* 04:10am blood pt-22.6* ptt-63.7* inr(pt)-2.2* 09:54pm blood glucose-133* urean-21* creat-1.1 na-141 k-3.8 cl-104 hco3-30 angap-11 04:10am blood glucose-95 urean-17 creat-0.8 na-142 k-4.2 cl-107 hco3-26 angap-13 06:00am blood ck(cpk)-54 06:00am blood ck-mb-notdone ctropnt-<0.01 09:54pm blood calcium-9.0 phos-3.7 mg-2.0 04:10am blood calcium-8.9 phos-2.8 mg-2.1 brief hospital course: this 69 year old gentleman with a history of afib, copd and endocarditis underwent cabg x 2, mechanical mvr, closure of patent foramen ovale, ligation and maze procedure on s/p dc cardioversion with subsequent hypotension and bradycardia. . # rhythm: the patient was admitted with afib/flutter for dc cardioversion. after cardioversion the patient was hypotensive to sbp 80's and bradycardic with a junctional rhythm of 40's. he was placed on dopamine. just after cardioversion, he felt dizzy but was assymptomatic from then on. he was weaned off the dopamine. intially, he remained in a junctional rythm but he sinus node then recovered to a sinus bradycardia with occaisonal pauses. he was able to increase his hr to 60's with walking and did not feel lightheaded or weak with excercise. pacemaker implantation was discussed with the pt who declined and strongly desired to avoid device implantation. his beta blocker was stopped. . # valves: prosthetic mitral valve, no acute issues. his goal inr is 2.5-3.5. heparin gtt was started with a low inr and coumadin held in setting of possible pacemaker placement. coumadin was restarted when it was decided not to place a pacemaker. he was kept in hospital on heparin until his inr reached 2.5; it reached 2.6 on the day of discharge. . # cad/ischemia: no acute issues. he was maintained on asa and statin. bb was discontinued. . # pump: mild chronic systolic heart failure at baseline w/o exacerbation. no signs of fluid overload on exam. intially lasix was held in the setting of hypotesion. it was restarted when his blood pressure recovered. - holding lasix and bb in setting of hypotension . # copd: no excerbation. the patient was maintained on home regimen. . #contact: (friend) medications on admission: aspirin 81mg daily ranitidine 150mg toprol xl 75mg daily lasix 40mg daily multivitamin daily singulair 10mg daily coumadin as per the clinic lipitor 20mg daily colace 100mg prn 180mg daily ambien 10mg prn for sleep albuterol inhaler advair disc 250-50 1 disc twice a day colchicine prn for gout flares spiriva inhaler daily discharge medications: 1. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*0* 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*90 tablet, chewable(s)* refills:*2* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 4. furosemide 40 mg tablet sig: one (1) tablet po once a day. disp:*90 tablet(s)* refills:*2* 5. montelukast 10 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*180 capsule(s)* refills:*0* 7. fexofenadine 60 mg tablet sig: three (3) tablet po daily (daily). disp:*270 tablet(s)* refills:*2* 8. zolpidem 5 mg tablet sig: two (2) tablet po hs (at bedtime) as needed. tablet(s) 9. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. disp:*3 inhalers* refills:*0* 10. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). disp:*3 disk with device(s)* refills:*2* 11. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). disp:*90 caps* refills:*2* 12. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*15 tablet(s)* refills:*2* 13. warfarin 2.5 mg tablet sig: three (3) tablet po daily16 (once daily at 16). disp:*90 tablet(s)* refills:*2* 14. multivitamin tablet sig: one (1) tablet po once a day. disp:*90 tablet(s)* refills:*0* 15. colchicine 0.6 mg tablet sig: one (1) tablet po once a day. disp:*90 tablet(s)* refills:*2* 16. outpatient lab work please check inr and notify the coumadin clinic of results. discharge disposition: home discharge diagnosis: atrial fibrillation/atrial flutter junctional rhythm bradycardia hypotension hypertension anticoagulation for mechanical valve discharge condition: good. ambulating, afebrile, tolerating po. discharge instructions: you were admitted to the hospital to undergo a procedure which would eliminate your atrial fibrillation. after the procedure, your heart rate was extremely low and you needed to be transferred to the ccu for closer monitoring. over 48 hours, your heart rate gradually increased. . please take your medications as prescribed. please do not take your metoprolol xl (toprol xl) because this will slow your heart rate even further. your doctors to restart this medication at some point later. you were started on a new blood pressure medication called lisinopril. . you should have your inr checked on thursday and sent to your coumadin clinic/pcp . . please follow-up as described below. please see your pcp or go to the emergency room if you have fevers over 102, chills, chest pain, trouble breathing, lightheadedness or any other symptoms which are concerning to you. followup instructions: provider: , md phone: date/time: 2:40 provider: , .d. phone: date/time: 1:40 pm provider: , md phone: date/time: 9:45 . provider: , cardiology: make an appointment in six months by calling . procedure: atrial cardioversion diagnoses: congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status atrial flutter systolic heart failure, unspecified dysthymic disorder heart valve replaced by other means other specified cardiac dysrhythmias hypotension, unspecified chronic obstructive asthma, unspecified 

Answer: The patient is high likely exposed to