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: past medical history: 1. hocm (hypertrophic obstructive cardiomyopathy) in with echocardiogram, as stated above. 2. history of chf. 3. copd/emphysema. 4. restrictive lung disease. 5. gerd/peptic ulcer disease. 6. status post appendectomy. 7. status post total abdominal hysterectomy with bilateral salpingo-oophorectomy. 8. diverticulitis. 9. history of hypertension. 10. history of carotid artery disease. 11. bilateral stenosis on carotid ultrasound in . 12. history of vertebrobasilar disease by ultrasound. 13. history of renal insufficiency, creatinine about 1.4. 14. history of spinal stenosis. allergies: motrin, penicillin, clindamycin which causes diarrhea. social history: the patient has a 150 pack year tobacco history. denied alcohol. home medications: 1. atenolol 100 q.d. 2. ativan 1 mg p.o. q.h.s. 3. verapamil 240 q.d. 4. 30 b.i.d. 5. lasix 60 q.d. 6. flonase spray q.d. 7. colace 100 b.i.d. 8. 60 b.i.d. 9. os-cal 500 b.i.d. 10. zantac 150 b.i.d. 11. combivent mdi. 12. folex one q.d. 13. enteric-coated aspirin 325 mg q.d. 14. atrovent two b.i.d. 15. advair b.i.d. physical examination on admission: vital signs: afebrile, bp 99/54, pulse 80, respiratory rate 16, saturating 100% on room air. general: the patient was comfortable, in no acute distress, lethargic. heent: perrla. extraocular motors intact. neck supple. cardiovascular: regular rate and rhythm. normal s1 and s2. respiratory: clear bilaterally with mild crackles on the left side. abdomen: soft, nontender, nondistended, positive bowel sounds, no hepatosplenomegaly. extremities: there was 1+ lower extremity edema, 1+ pulses with doppler bilaterally. neurologic: slightly lethargic with sensory and motor grossly intact. laboratory/radiologic data: on admission, white blood cell count 7.3, h&h 11.0 and 34.6, platelets 178,000. sodium 139, potassium 4.1, chloride 104, bicarbonate 25, bun 25, creatinine 1.3, glucose 108, calcium 9, magnesium 1.8, phosphorus 5.0. ck 864. inr 1.3. ptt 68.8. ekg had a rate of 82. no st or t wave changes. hospital course: this was a 76-year-old female with a history of hocm, history of chf, mitral regurgitation, copd, who was presenting status post ethanol ablation which induced complete heart block and had a temporary pacemaker placed in the left arm when admitted to the ccu. cardiac wise, coronaries: the patient was kept on aspirin without any difficulties. no acute issues. cad: kept on aspirin. pump: she is now status post ethanol septal ablation for a history of hocm. checking cardiac enzymes. looking for peak. she peaked at about 1,800, ck 1,844, and since then her ck has actually gone down. her 1,844 ck was on day number two of admission. on the day before discharge, the patient's ck has gone down to the 200 range. rhythm: the patient depended on the temporary pacemaker initially at the setting set and then the settings were lowered and the patient's own rhythm was able to take over. temporarily, the following day, the patient was unable to maintain her own rhythm and was dependent upon the pacemaker. the pacemaker was put back on at a rate of 74 and 5.0 milliamps. later on, the patient was taken throughout the course of the hospitalization, was taken to ep and a pacemaker was placed. the patient has done well with the pacemaker and without any complications or difficulty. chronic obstructive pulmonary disease/emphysema: the patient was continued on her mdis from her home regimen and has done well and was continued throughout the hospital course. renal insufficiency: the patient's creatinine was checked daily and the patient was kept at about her baseline creatinine at about 1.4. the day before her discharge, her creatinine level was 1.2 which is lower than her baseline report of 1.4. gastrointestinal: she has a history of gerd and peptic ulcer disease. she was kept on protonix for the term of her admission and her hematocrit was maintained stable at about the low 30s. electrolytes/nutrition: her lytes were repleted as needed during this hospital stay and prophylactically she was getting subcutaneous heparin and protonix while on this admission. the day before her discharge, she was changed to pneumoboots. she was then taken off the pneumoboots and encouraged to ambulate. physical therapy had come on board and seen her and they recommended that she should not go home and she should actually be transferred to rehabilitation for further treatment before being sent home. her glucose was maintained with regular insulin sliding scale. discharge diagnosis: 1. complete heart block. 2. hypertrophic obstructive cardiomyopathy. 3. status post ethanol ablation. 4. status post pacemaker placement. disposition: the patient was discharged to a rehabilitation center. discharge instructions: the patient was to take it easy for the next several weeks and to follow-up as described below with pcp and cardiologist. follow-up: the patient is to follow-up in the device clinic. the appointment will be called in for her and she will get a call from the clinic for an appointment in one week which is going to be at the seventh floor at . she is also to make an appointment with dr. in the next week or two for follow-up care and also dr. , her pcp, the next week. major surgical/invasive procedures: 1. status post ethanol ablation. 2. status post pacemaker placement. condition on discharge: good/stable. discharge medications: 1. aspirin 325 mg p.o. q.d. 2. pantoprazole 40 mg p.o. q.d. 3. multivitamins one q.d. 4. ipratropium 18 micrograms two puffs inhaled q.i.d. 5. beclomethasone 42 microgram spray nasal spray b.i.d. 6. albuterol/ipratropium mix 103-18 micrograms one to two puffs inhalation q. six hours. 7. metoprolol 50 mg 0.5 tablet oral b.i.d. 8. captopril 12.5 mg one-half tablet t.i.d., 6.25 mg t.i.d. 9. sliding scale insulin, maintain on sliding scale insulin. 10. for bowel regimen, the patient is to be kept in rehabilitation center with docusate sodium 100 mg p.o. b.i.d. 11. the patient is on some p.r.n. medications such as the lorazepam 1 mg p.o. h.s. p.r.n., and morphine for pain 1 mg iv q. eight hours p.r.n. to be held for sedation or respiratory rate depression, senna two tablets p.o. b.i.d. p.r.n. , m.d. dictated by: medquist36 procedure: excision or destruction of other lesion or tissue of heart, endovascular approach initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle diagnoses: esophageal reflux unspecified essential hypertension chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified mitral valve insufficiency and aortic valve insufficiency paroxysmal ventricular tachycardia rheumatic heart failure (congestive) atrioventricular block, complete 

Answer: The patient is high likely exposed to