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: s/p pvi c/b post op hypotension and bradycardia major surgical or invasive procedure: pulmonary vein isolation history of present illness: 53 yo male a history of mild ebstein??????s anomaly, atrial tachycardia and recently diagnosed atrial fibrillation. he has had a tee cardioversion and subsequently discharged. then, in he ad palpitations again and had another cardioversion, started on sotalol, but couldn't tolerate due to bradycardia and was referred in for pvi. today, the patient underwent successful pvi, but postoperatively he was bradycardic to the high 30s/low 40s, and was hypotensive to the 80s/90s. he was given ivf bolus with improvement of his sbp. the rhythm appeared to be intermittent junctional bradycardia, thought to be due to sinus dysfunction post pvi. at the time of transfer to the ccu for monitoring, he was hemodynamically stable and otherwise doing well. he had an echo in the pacu which did not show any pericardial effusion. hct was stable. ct abdomen/pelvis without evidence of rp bleed. . on review of systems, he denies 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 for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: (-)diabetes, (+)dyslipidemia, (-)hypertension 2. cardiac history: -cabg: none -percutaneous coronary interventions: none -pacing/icd: cardioversion x 2 3. other past medical history: atrial fibrillation atrial tachycardia ebstein??????s anomaly h/o tia/rind abnormal ekg-sinus brady, rbbb, t wave inversion iii, avf dyslipidemia heart murmur social history: -tobacco history: denies -etoh: 2 drinks/week -illicit drugs: none family history: no family history of early mi, otherwise non-contributory. physical exam: general: wdwn in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of *** cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 04:16am blood wbc-7.9 rbc-3.81* hgb-11.9*# hct-32.3* mcv-85 mch-31.3 mchc-36.9* rdw-13.1 plt ct-219 07:45am blood pt-16.2* ptt-25.5 inr(pt)-1.5* 04:16am blood glucose-109* urean-13 creat-0.8 na-140 k-3.8 cl-107 hco3-28 angap-9 . cta chest: 1. two left sided and a single, common right sided pulmonary vein with no evidence of anomalous pulmonary venous return or focal stenosis (dimensions listed above). 2. dilated right atrium and right ventricle. 3. less than 4-mm lung nodules, do not warrant further followup is the patient has no risk factor for malignancy. if risk factors are present, followup is recommended in 1 year. 4. signs of small airway disease. . echocardiogram: the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). there is no ventricular septal defect. the right ventricular cavity is markedly dilated with normal free wall contractility. the aortic root is moderately dilated at the sinus level. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the septal insertion of the tricuspid valve is apically displaced, consistent with ebstein's anomaly. moderate tricuspid regurgitation is seen. there is borderline pulmonary artery systolic hypertension. there is no pericardial effusion. impression: mild ebstein's anomaly with dilated right ventricle and moderate tr. normal regional and global left ventricular systolic function. mild aortic and moderate tricuspid regurgitation. no pericardial effusion seen. . ct abd/pelvis: 1. no evidence of retroperitoneal hematoma. 2. transitional lumbosacral anatomy. brief hospital course: the patient was admitted with difficult to control atrial fibrillation, s/p pulmonary vein isolation with post-operative bradycardia and hypotension. nodal agents were held and no pressors were needed. blood pressures on admission were in the 100s systolic with hr in the 60s. the patient did well and was discharged the following day. he was initially put on a heparin drip, then started on coumadin and given lovenox for a bridge. he was discharged with follow-up with dr. and of hearts monitor. he remained in sinus rhythm post-procedure. medications on admission: lipitor 20mg po qday mvi lysine 1,000 mg po qday discharge medications: 1. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 2. multivitamins tablet, chewable sig: one (1) tablet po daily (daily). 3. warfarin 5 mg tablet sig: one (1) tablet po once a day: at 5 pm. 4. lysine 1,000 mg tablet sig: one (1) tablet po once a day. 5. enoxaparin 80 mg/0.8 ml syringe sig: eighty (80) mg subcutaneous (2 times a day): please use until inr > 2.0. disp:*14 syringe* refills:*2* discharge disposition: home discharge diagnosis: atrial fibrillation ebstein's anomaly dyslipidemia discharge condition: vs: stable groins: stable labs: stable discharge instructions: you were admitted to the hospital to undergo a pulmonary vein isolation procedure to treat atrial fibrillation. you has a short period of low blood pressure and slow heart rate after the procedure. no changes were made to your medications, except that you should take 5 mg of coumadin daily for now while your inr is subtherapeutic as your coumadin was held for the procedure. you will need to have your inr checked on monday, and adjust your dose of coumadin for monday based on the inr. continue the lovenox until your inr is between 2.0 and 3.0 go to the emergency room or call your primary doctor if you experience fevers, chills, chest pain, shortness of breath, dizziness, blood in your stool, or black stool. followup instructions: an appointment was made for you to follow up with your cardiologist: 2 weeks - 3 weeks provider: , m.d. phone: date/time: 1:40 procedure: excision or destruction of other lesion or tissue of heart, endovascular approach diagnoses: other iatrogenic hypotension atrial fibrillation other and unspecified hyperlipidemia other specified cardiac dysrhythmias ebstein's anomaly 

Answer: The patient is high likely exposed to