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: no known allergies / adverse drug reactions attending: chief complaint: syncope complete heart block major surgical or invasive procedure: st. pacemaker implantation history of present illness: 89 y/o m with a past medical history of cad s/p poba to 80% ostial lesion d2 , aortic stenosis, hypertension, hyperlipidemia presented to after being found unresponsive at home by son and wife. son's report, patient was in usual state of health earlier in the afternoon when patient's wife found him unresponsive. on ems arrival, patient was lethargic with hr 40, .5 mg atropine x 2 was given. on arrival to ed, patient was still lethargic with rhythm strip showing high grade av block, hr 40 bp 120/70. he was given versed with attempted transcutaneous pacing at 110 ma, which was successful. he recived aspirin 325 and was sent to for further evaluation and treatment. . on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable mild ankle edema, which patient states is baseline. there is absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: dyslipidemia, hypertension 2. cardiac history: - percutaneous coronary interventions: cardiac cath with d2 ostial 80% stenosis s/p poba 3. other past medical history: 1. htn 2. s/p prostatectomy for prostate ca in 3. h/o hydrocele 4. hypercholesterolemia 5. baseline urinary incontinence 6. t11 fx after fall s/p kyphoplasty 7. osteopenia 8. aortic stenosis 9. depression 10. age-related senility per neurology 11. recurrent falls and shuffling gait- on treatment for parkinson's disease, possible vascular dementia social history: completed the sixth grade. he is a business owner, been retired for 20 years. married and lives with his wife. does not smoke, does not drink and denies any illicit drug use. family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. family history notable for alzheimer's. the mother and father have since passed away. physical exam: vs: t= 97.6 bp= 139/69 hr= 39 rr= 10 o2 sat= 100% general: nad. oriented x 1. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 7 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. brady, iii/vi sem at usb, indicative of as. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. sparse bibasilar crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. no abdominial bruits. extremities: 1+ pitting edema to mid-shin. no femoral bruits. weak pedal pulses b/l. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pertinent results: 1. labs on admission: 08:30pm blood wbc-6.5 rbc-4.05* hgb-12.5* hct-37.3* mcv-92 mch-30.9 mchc-33.6 rdw-12.7 plt ct-192 08:30pm blood pt-13.3 ptt-24.5 inr(pt)-1.1 08:30pm blood glucose-92 urean-35* creat-0.9 na-140 k-5.0 cl-111* hco3-24 angap-10 08:30pm blood ctropnt-0.02* 03:10am blood ctropnt-0.03* 08:30pm blood calcium-8.4 phos-3.3 mg-2.0 . 2. labs on discharge: 06:45am blood wbc-7.9 rbc-3.73* hgb-11.7* hct-33.9* mcv-91 mch-31.5 mchc-34.7 rdw-12.9 plt ct-198 06:45am blood plt ct-198 06:45am blood glucose-97 urean-33* creat-0.9 na-137 k-3.9 cl-107 hco3-24 angap-10 . 3. imaging/diagnostics: - cxr (): successful uncomplicated placement of permanent pacer. no pneumothorax. patient has moderate marked cardiomegaly and a mild degree of pulmonary congestion. brief hospital course: 89 y/o m with a past medical history of cad s/p poba to 80% ostial lesion d2 , aortic stenosis, hypertension, hyperlipidemia presents with a syncopal episode, now in 3rd degree heart block, asymptomatic. . # rhythm: on admission, patient had asymptomatic 3rd degree av block. mental status similar to baseline, with stable bp and urine output. he was supported with dopamine gtt overnight and then pacemaker was placed. patient tolerated procedure with no complications afterwards. he will be discharged on keflex for 2 days. . # cad: cath from showing 80% ostial lesion d2 s/p poba, with medical therapy since. patient currently asymptomatic. he was continued aspirin, statin. . # htn: continued on amlodipine. . # hld: continued on statin. . # dementia: patient has cognitive impairment at baseline according top son and has a waxing and memory. likely secondary to vascular dementia per recent neuro notes. continual neuro exam was stable. . #. parkinsonian features/gait disturbances: continued sinemet. . #. depression: continued sertraline. . #. urinary tract obstruction: baseline problem and is followed by urology for chronic bladder neck stricture and radiation for prostate cancer. post-void residual was monitered. patient was asymptomatic throughout and will follow-up with outpatient urologist. medications on admission: sinamet 25/100 sertraline 25 daily amlodipine 2.5 daily simvastatin 20 daily aspirin 81 mg discharge medications: 1. cephalexin 250 mg tablet sig: one (1) tablet po three times a day. disp:*6 tablet(s)* refills:*0* 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 3. sertraline 25 mg tablet sig: one (1) tablet po daily (daily). 4. amlodipine 2.5 mg tablet sig: one (1) tablet po daily (daily). 5. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 6. carbidopa-levodopa 25-100 mg tablet sig: one (1) tablet po bid (2 times a day). 7. tylenol extra strength 500 mg tablet sig: 1-2 tablets po four times a day as needed for pain. discharge disposition: home with service facility: homecare discharge diagnosis: complete heart block dementia discharge condition: level of consciousness: alert and interactive. mental status: confused - always. activity status: ambulatory - requires assistance or aid (walker or cane). discharge instructions: you had a slow rhythm called complete heart block that caused you to be unresponsive. we implanted a pacemaker to prevent the rhythm from being slow again. you can take tylenol for any pain or discomfort at the site. keep dressing over left chest site for 72 hours, then pt/wife can remove and pt may shower. no baths or pools for one week. no lifing more than 5 pounds with the left hand for 6 weeks. no lifting left arm over head for 6 weeks. . we made the following changes to your medicines: 1. take cephalexin to prevent and infection at the pacer site 2. take tylenol for any pain at the pacer site. followup instructions: device clinic: department: cardiac services when: thursday at 10:00 am with: , np building: sc clinical ctr campus: east best parking: garage name: , l. location: center address: , , phone: appt: at 12:30pm name: , location: -cardiology address: , , ma phone: ( appt: at 2:30pm procedure: initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension personal history of malignant neoplasm of prostate aortic valve disorders depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status other persistent mental disorders due to conditions classified elsewhere other and unspecified hyperlipidemia paralysis agitans atrioventricular block, complete do not resuscitate status disorder of bone and cartilage, unspecified 

Answer: The patient is high likely exposed to