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: palpitations major surgical or invasive procedure: icd placement history of present illness: 39 yo m presenting with chest heaviess. pmh of ebstein's anomaly who is s/p tricuspid valve reconstuction and asd repair in . has severe tr and resultant right heart failure. he is heart failure class iii and has doe with climbing one flight of stairs. he recently saw dr. on for consideration of heart transplantation. patient was most recently admitted to 3 weeks ago after experiencing heart palpitations and had vt. at that time he was treated with iv amiodarone and cardioverted. he was started on po amio and d/c'ed with plan for an icd. . yesterday he states he started having chest heaviness at rest similar to the symptoms he had prior to his last admission. states he felt palpitations but did not take his pulse. also reports feeling dizzy at that time but no pre-syncope or syncope. these symptoms last approzimately 2 hours and had resolved by the time he got to the ed. had some mild sob at this time as well. denies diaphoresis, n/v, abdominal pain or head ache. denies pnd or orthopnea. states he has baseline r>l. states this has actually improved significantly since his last admission. of note, he reports a 30-40 lbs weight loss in the last 5 weeks - has changed his diet since his admission and has stopped eating sugar. no fever, chills or night sweats. no symptoms of claudication. states his taste has changed since starting amiodarone as well. . ros: as above, otherwise negative. past medical history: 1. ebstein anomaly, s/p tricuspid valve reconstruction - moderate to severe tricuspid regurgitation - right heart failure, rvef 25% in 2. asd, s/p primary closure 3. left heart failure with evidence of noncompaction of lv, with lvef 28% in 4. hyperlipidemia 5. hypertension 6. obstructive sleep apnea 7. obesity 8. dvt 9. superficial phlebitis 10. endocarditis w/ septic emboli to brain prior to cardiac surgery. social history: married with 3 children. former cigarette smoker, quit 10 years ago, smokes an occasional cigar, drinks 1 drink/week. no illicit drugs. has recently lost 15 lbs with healthier eating habits. works at as repair man. family history: there is no family history of premature coronary artery disease or sudden death. father's family history is unknown, mother is alive in her 60's. physical exam: on presentation: vs: t 97.6 bp 122/70 hr 68 rr 18 o2 98% on ra general: nad, aox3, obese male heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 14 cm cardiac: distant heart sounds, normal s1 and s2, 4/6 sem at llsb lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd, obese. no hsm or tenderness. extremities: 1+ edema l, 2+ edema r (long standing). no palpable cord, no calf tenderness, negative sign. skin: mild le venous stasis changes. no ulcers, scars, or xanthomas. pulses: right: carotid 2+ dp 2+ left: carotid 2+ dp 2+ pertinent results: tee : limited images were obtained by transesophageal echocardiogram to view the positioning of a right ventricular pacemaker lead in the electrophysiology laboratory. ebstein's anomaly was present with apically displaced sail-like tricuspid leaflets. a tricuspid annuloplasty ring is present at the av groove. atrialized right ventricle is dilated with a hypokinetic true right ventricle at the apex. the right ventricular pacemaker lead was guided through the tricuspid valve into the true right ventricular apex. relevant labs: - chem 7: glucose-105 urea n-17 creat-1.2 sodium-138 potassium-3.5 chloride-100 total co2-26 anion gap-16 - cbc: wbc-6.5 hgb-13.0* hct-39.8*# - coags: pt-18.1* ptt-32.7 inr(pt)-1.7* - hcv ab: negative brief hospital course: 39 yo m presenting with palpitations, dizziness and chest heaviness with pmh of ebstein's anomoly s/p tricuspid valve recontsruction and asd repair with known nyhf calss iii chf and recent admission for palpitations and vt s/p cardioversion. had icd placed without complication. discharged in stable contition home with cardiology, ep and bach team follow up appointments. # palpitations: had prior to admission, none while in patient. has ebstein's anomoly. patient with hx vt, ep study unable to reproduce but had short runs of nsvt, but nothing was ablated given could no induce vt. at that time, morphology was lbbb wtih inferior axis and v1/v2 transition point. focus per ep study was likely rvot. patient was on amiodarone drip fpr 2 days which was then d/c'ed in preparation for icd placement which was done without complication. continued metoprolol 25 mg tid. discharged in stable condition with follow up as above. # chest pressure: had on admission, but none after. has no known coronary artery disease. cardiac biomakers negative were negative x3. symptoms were likely related to palpitations. # ebstein's anomoly: followed by the bach team at , contact is dr. . has follow up with them in . likely plan is surgery after optimizing patient's physical health - weight loss specifically. patient aware. # chf: ef 40%, class iii symptoms. euvolemic throughout hospital stay, had baseline lower extremity edema right greater than left which is baseline. patient has had lenis at prior admission with no dvt. has elevated jvp thought to be to 4+ tricuspid regurgitation. increased lasix to 40mg qd and increased lisinopril to 5mg qd. # elevated inr: has been chronically elevated 1.5-1.7, non-responsive to po vitamin k x2 during this hospitalization. likely secondary to heart failure, possibly cirrhosis. lft's normal hep c negative, mixing study negative. recommend out patient follow up with hepatologist and liver ultrasound. # ppx: received heparin medications on admission: aspirin 325 mg daily amiodarone 200 mg t.i.d. lipitor 20 mg daily colchicine 0.6 mg daily lasix 40 mg daily lisinopril 2.5 mg daily metoprolol 25 mg b.i.d. discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 4. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). 5. furosemide 40 mg tablet sig: one (1) tablet po every twelve (12) hours. disp:*60 tablet(s)* refills:*2* 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. levofloxacin 500 mg tablet sig: one (1) tablet po once a day for 4 days. disp:*4 tablet(s)* refills:*0* 8. tylenol-codeine #3 300-30 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain. disp:*15 tablet(s)* refills:*0* 9. ibuprofen 400 mg tablet sig: one (1) tablet po every eight (8) hours: take every 8 hours for 3 days then as needed. discharge disposition: home discharge diagnosis: - ebstein anomaly, s/p tricuspid valve reconstruction with moderate to severe tricuspid regurgitation - right heart failure, rvef 25% in - asd, s/p primary closure - left heart failure with evidence of noncompaction of lv, with lvef 28% in - hyperlipidemia - hypertension - obstructive sleep apnea - on cpap at home - obesity - dvt - superficial phlebitis - history of bacterial endocarditis w/ septic emboli to brain prior to cardiac surgery discharge condition: vitals stable. ambulating without difficulty or pain. discharge instructions: you were admitted with heart palpitations and an abnormal heart rhythm. because this rhythm is potentially dangerous, you had an intracardiac defibrillator (icd) implanted. this is in case your heart goes in to an abnormal rhythm and needs to be shocked. you tolerated this procdure without difficulty. you were also evaluated by the adult congenital surgery team and they will consider surgery on you in the future. you should make an appointment to see dr. on at 3pm. your amiodarone was stopped and you should discontinue this medication at home. additionally, you should take levofloxacin 500mg once a day for the next 5 days to prevent infection at your icd site. you can also tylenol #3 pills every 6 hours for pain. take ibuprofen 400mg every 8 hours - take for 3 days and then as needed. finally, your lasix was increased to 40mg twice a day and your lisinopril was increased to 5mg once a day. no other medication changes were made and you should continue all your other home medications as directed. as we spoke about, further weight loss will help you when you go for surgery and you should continue the healthy eating habits you've recently started. because you have heart failure, you should weigh yourself every morning and call your doctor if your weight increases by 3 pounds or more. you should also follow a low salt diet. some of your liver tests indicated that there may be damage to your liver from your long standing heart failure. you should follow up with your primary care doctor who can recommend a liver specialist. if your icd fires you should come to the emergency room immediately. if you have heart paliptations, chest pain, pain, redness or swelling at the icd implantation site, shortness of breath, abdominal pain, increased lower leg swelling, high fever, nausea or vomiting, light headedness or dizziness, or any other concerning symptom, please seek medical care immediately. it was a pleasure meeting and participating in your care. followup instructions: device clinic: phone: on at 10:00pm cardiology: - , md phone: date/time: 12:20 - , md phone: date/time: 9:20 : dr. at 3:00pm please follow up with your pcp, . , you can reach him at . he will also be able to help you find a liver specialist. procedure: diagnostic ultrasound of heart implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] automatic implantable cardioverter/defibrillator (aicd) check diagnoses: obstructive sleep apnea (adult)(pediatric) abnormal coagulation profile congestive heart failure, unspecified unspecified essential hypertension paroxysmal ventricular tachycardia other and unspecified hyperlipidemia other specified cardiac dysrhythmias other left bundle branch block chronic systolic heart failure personal history of venous thrombosis and embolism other postprocedural status obesity, unspecified venous (peripheral) insufficiency, unspecified tricuspid valve disorders, specified as nonrheumatic ebstein's anomaly 

Answer: The patient is high likely exposed to