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: cardiac catheterization history of present illness: mr. is a 71 y.o male with history of disease s/p aortic valve replacement, non-ischemic cardiomyopathy with ef of 30% who presented to the hospital after two episodes of vt that occured on the day of admission. the first episode occured after physical exercise with his visiting physical therapist during which time the patient syncopized. pacer interrogation showed that the vt was at a rate of 286 bpm, terminated by 25 joule shock. the second episode also caused the patient to syncopize, and interrogation found the that the patient was in vt/vf in the afternoon at a rate of 210-220 beats, accellerated to 300-310 with afib morphology, terminated by 34.5 joule shock. both times, the patient was in a sitting or supine position, and he did not fall down or hit his head. of note, the patient reports that over the past several months he has noticed a progressive decline in his overall health. he has been increasing short of breath with decreased exercise tolerance overall, with increased overall weakness. . on review of systems, he denied any increased orthopnea, pnd, chest pain, fevers, chills, recent flu-like illnesses or rashes. no nausea, vomiting or diarrhea. he has in fact lost weight over the past several months, going from 330lbs to 315lbs. all of the other review of systems were negative. past medical history: cardiomyopathy, congestive heart failure, ef 30-40% atrial flutter atrial fibrillation nsvt-->s/p icd with upgrade to biventricular icd c/b pocket hematoma s/p av junctional ablation, pacemaker dependent s/p prior mechanical avr mitral regurgitation from heart disease . cardiac risk factors: dyslipidemia, hypertension . percutaneous coronary intervention, in *** anatomy as follows: . pacemaker/icd, in (replacement): concerto c154dwk icd generator (initial icd placed in , upgrage in , pocket revision in ) avj ablation . other past history: obstructive sleep apnea-->bipap obesity osteoarthritis social history: married with grown children. patient is a computer engineer. lives with wife, who has medical issues including chronic lung disease on o2 therapy at home. social history is significant for the absence of current tobacco use. there is no history of alcohol abuse. family history: there is no family history of premature coronary artery disease or sudden death. mother passed away of a hypertensive stroke physical exam: discharge exam: gen: alert, oriented, pleasant heent: supple, no jvd cv: irreg irreg, mechanical click for s2, no other murmurs appreciated resp: ctab posteriorly abd: obese, nt, pos bs extr: no peripheral edema, feet warm neuro: a/o, no focal defecits right: dp 1+ pt 1+ left: dp 1+ pt 1+ skin: intact pertinent results: 05:08pm blood wbc-5.8 rbc-4.12* hgb-11.7* hct-34.9* mcv-85 mch-28.5 mchc-33.7 rdw-13.7 plt ct-233 05:30am blood wbc-6.9 rbc-4.00* hgb-11.7* hct-33.9* mcv-85 mch-29.3 mchc-34.7 rdw-13.6 plt ct-203 05:08pm blood neuts-63.2 lymphs-24.0 monos-8.0 eos-4.5* baso-0.2 05:08pm blood pt-30.1* ptt-29.3 inr(pt)-3.0* 03:40am blood pt-17.8* ptt-107.7* inr(pt)-1.6* 06:45am blood pt-29.9* ptt-: 117.4* inr(pt)-3.0* 06:05am blood pt-17.0* ptt-56.7* inr(pt)-1.5* 05:30am blood pt-30.1* ptt-32.7 inr(pt)-3.0* 05:08pm blood glucose-134* urean-22* creat-1.4* na-139 k-3.4 cl-102 hco3-25 angap-15 03:40am blood glucose-139* urean-22* creat-1.2 na-138 k-3.6 cl-102 hco3-26 angap-14 05:30am blood glucose-118* urean-27* creat-1.7* na-131* k-4.5 cl-96 hco3-24 angap-16 05:45am blood alt-18 ast-21 ld(ldh)-239 alkphos-51 totbili-0.3 05:08pm blood ck-mb-3 probnp-1575* 05:08pm blood ctropnt-0.03* 11:27pm blood ck-mb-3 ctropnt-0.03* 04:41am blood ck-mb-3 ctropnt-0.03* 05:45am blood tsh-4.8* 05:45am blood free t4-1.6 --- cardiology report cardiac cath study date of comments: 1. selective coronary amgiography in this right dominant system demonstrated no obstructive coronary artery disease. the lmca was normal. the lad, lcx and rca were large with minor luminal irregularities. 2. resting hemodynamics revealed mildly elevated right and left sided filling pressures with rvedp of 13 mm hg and mean pcwp of 25 mm hg. final diagnosis: 1. no significant coronary artery disease. --- radiology report chest (portable ap) study date of 6:07 pm findings: single frontal view of the chest reveals an aicd with stable position of three intact leads. there is stable cardiomegaly. again, there is obscuration of the left lower lobe due to the enlarged heart. however, the lungs appear grossly clear. no pleural effusion or pneumothorax is identified. status post median sternotomy. impression: stable appearance of the chest with stable cardiomegaly. stable position of aicd and three leads. --- cardiology report ecg study date of 6:12:06 pm sinus rhythm with a-v conduction delay, atrial sensed and ventricular paced rhythm, intermittent atrial pacing. since the previous tracing of same date ventricular ectopy is absent. otherwise, baseline artifact on previous tracing makes comparison difficult. intervals axes rate pr qrs qt/qtc p qrs t 70 0 56 276/293 0 0 0 brief hospital course: 71 year old male with history of atrial tachycardias, s/p failed cardioversion and failure of dofetelide, non-ischemic cardiomyopathy with vt, started on amiodarone. . # ventricular tachycardia/ ventricular fibrillation - patient's cardiac enzymes were stable, not trending upwards, and cardiac catheterization showed only very mild coronary disease, ruling out ischemia as a cause for his vt. patient was started on amiodarone, completed a 10gm load then continued on 300mg daily. he was monitored on telemetry and showed no signs of prolonged vt. . # chronic systolic congestive heart failure - patient's ejection fraction on last echocardiogram was 30%. patient described increased abdominal girth but appeared euvolemic on exam. cxr on admission did not indicate fluid overload. he was continued on his home dose of lasix 80mg twice daily and spironolactone. . # anticoagulation for mechanical aortic valve - warfarin was held, and patient was bridged with heparin drip for cardiac catheterization; warfarin was restarted after cath with heparin bridge until inr reached >2.5. goal inr 2.5-3.5 for mechanical aortic valve. he was discharged on his home warfarin regimen of alternating 8mg with 9mg; however, because amiodarone is known to interact with warfarin metabolism, patient may require adjustment of his warfarin dose at home. he has a home inr monitoring device, and his coumadin is managed by dr. as an outpatient. . #hypertension - blood pressure was well controlled on home dose losartan 25mg daily and carvedilol 12.5mg twice daily. . #chronic kidney disease - patient's creatinine was 1.4 on admission and relatively stable until discharge when it peaked at 1.7, likely pre-renal. he should follow up with his primary care physician in the next couple of weeks to have his electrolytes and creatinine rechecked. . #anemia, chronic - patient's hematocrit remained stable at 33, normocytic. . #hyperlipidemia - patient was continued on atorvastatin 80mg. medications on admission: atorvastatin 10mg carvedilol 12.5 dofetilide 500mcg flomax 0.8 qhs advair 250/50 furosemide 80mg losartan 25mg qd nasacort 55mcg 2 puffs each nostril nitrofurantoin 50mg qd omeprazole 20mg proscar 5mg qd spironolactone 25mg qd warfarin 9mg stts, 8mg mwf aspirini 81mg qd discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). 3. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 4. losartan 25 mg tablet sig: one (1) tablet po daily (daily). 5. nitrofurantoin macrocrystal 50 mg capsule sig: one (1) capsule po q 24h (every 24 hours). 6. finasteride 5 mg tablet sig: one (1) tablet po daily (daily). 7. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 8. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 9. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). 10. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: two (2) capsule, sust. release 24 hr po hs (at bedtime). 11. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day) for 9 days. disp:*18 tablet(s)* refills:*0* 12. furosemide 80 mg tablet sig: one (1) tablet po bid (2 times a day). 13. warfarin 1 mg tablet sig: nine (9) mg po once daily at 4 pm: sun, tues, thurs, sat 8mg mon, wed, fri. 14. amiodarone 100 mg tablet sig: three (3) tablet po once a day. disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: area vna discharge diagnosis: ventricular tachycardia mechanical aortic valve replacement non ischemic cardiomyopathy, ef 30% atrial fibrillation hypertention discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: you had some ventricular tachycardia and your device discharged with a shock. we discontinued dofetalide and started amiodaorone. this has helped tremendously with preventing ventricular tachycardia. you had a cardiac catheterization that did not show any significant blockage that would cause ventricular tachycadia. you were in the hospital on a heparin drip waiting for your inr to increase again. . medication changes: 1. stop dofetalide 2. start amiodarone, 200mg twice daily for 9 days, then 300 mg daily thereafter. . weigh yourself every morning, md if weight goes up more than 3 lbs in 1 day or 6 pounds in 3 days. followup instructions: primary care: , phone: date/time: at 4:30pm. pulmonary: provider: . phone: date/time: 11:00 cardiology: provider: . phone: date/time: 8:40 provider: clinic phone: date/time: 9:30 provider: . phone: date/time: 10:20 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters automatic implantable cardioverter/defibrillator (aicd) check diagnoses: other primary cardiomyopathies anemia in chronic kidney disease congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified paroxysmal ventricular tachycardia other and unspecified hyperlipidemia heart valve replaced by other means chronic systolic heart failure osteoarthrosis, unspecified whether generalized or localized, site unspecified ventricular fibrillation obesity, unspecified 

Answer: The patient is high likely exposed to