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: hydrochlorothiazide / prochlorperazine / amiodarone attending: chief complaint: palpitations major surgical or invasive procedure: ventricular tachycardia ablation history of present illness: ms. is a 75yo female who initially presented to an osh with palpitations. her aicd fired and she was noted to be in recurrent v-tach at the osh ed. she denies cp and sob. osh course: she was transferred to the ccu at the osh and had recurrent episodes of v-tach with aicd pacing her. subsequently, her v-tach resolved spontaneously. in the ccu at the osh, her vitals at presentation were 130/90 hr 70-130 (tachycardia was ventricular tachycardia) t98 rr 20 and satting 96% on ra. reportedly, device interrogation demonstrated recurrent runs of ventricular tachycardia, some of which were pace-terminated but one of them required of electrical cardioversion on . cxr showed cardiomegaly but no lung pathology and ekg with ventricular tachycardiat at 129 beats per minute, left bundle branch with superior axis with atypical right bundle branch in leads v1 and v2. the patient had wbc of 7 and hct of 34 with a negative troponin and cpk times two, and k 3.4 and mg 2.0. the icd was adjusted, enabling adaptive and pacing thresholds as well as lowering the detection rate of slow ventricular tachycardia zone from 140-120 beats per minute. the patient was started on quinidine 324mg and her home dose of metoprolol from 150mg to 100mg . . vitals on transfer were t 97 hr 70 bp 123/72 rr 18 o2 sat: 97% ra . on arrival to the floor, patient reported that she is tired, but is asymptomatic. she denies cp, sob. she reports ongoing intermittent palpitations but has never had loc. she says that she feels well and is looking forward to her ablation so she can "stop feeling this way." she does endorse dyspnea on exertion, which she says is unchanged from her. past medical history: 1. cardiac risk factors: no diabetes, no dyslipidemia, +hypertension 2. cardiac history: -chf ef 35-45% with posterobasal aneurysm, atrial fibrillation, bradycardia, 70% obtuse marginal branch stenosis and an occluded rca which are medically managed and lad stent. -cabg: none -percutaneous coronary interventions: lad stent. multiple percutaneous interventions and ventricular tachycardia ablation at . -pacing/icd: aicd 3. other past medical history: 1. c. diff colitis- 2. pvd s/p ptca of bilateral lower extremities 3. renal artery stenosis 4. carotid artery stenosis 5. vertebral artery stenosis 6. s/p thyroidectomy; hypothyroidism. 7. s/p appendectomy 8. copd social history: -tobacco history: 1 ppd x 60 years ex-smoker, quit 4 years ago. -etoh: has not had alcohol for years. she used to drink occassionally. -illicit drugs: denies family history: no family history of cad. negative for early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: admission physical exam: vs: t97 bp 123/72 hr 70 rr 18 o2 sat 97% ra general: elderly female 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. cn ii-xii intact. neck: supple with jvp at clavicles. no carotid bruits. cardiac: rr, normal s1, s2. iii/vi systolic murmer. no thrills, lifts. no s3 or s4. lungs: ctab, no crackles, wheezes or rhonchi. diminished breath sounds at bases bilaterally. resp were unlabored, no accessory muscle use. abdomen: soft, ntnd. no hsm or tenderness. extremities: no c/c/e. no femoral bruits. neuro: no pronator drift. pulses: right: carotid 2+ femoral 2+ dp 1+ pt 1+ left: carotid 2+ femoral 2+ dp 1+ pt 1+ . discharge physical exam: bp 86-123/58-79 hr 64-75 >94% ra no le edema, jvp at clavicles when patient is at 25 degree elevation of head of the bed. she is alert and oriented but does feel "weakness" in le when ambulating. pertinent results: admission labs 01:15pm blood wbc-11.1* rbc-4.05* hgb-12.6 hct-36.0 mcv-89 mch-31.1 mchc-35.1* rdw-16.4* plt ct-210 03:28am blood neuts-83.2* lymphs-9.8* monos-5.2 eos-0.9 baso-0.8 01:15pm blood plt ct-210 01:15pm blood glucose-76 urean-21* creat-1.2* na-129* k-4.6 cl-91* hco3-27 angap-16 01:15pm blood calcium-8.7 phos-4.2 mg-2.2 cholest-141 pertinent labs and studies 01:15pm blood triglyc-60 hdl-45 chol/hd-3.1 ldlcalc-84 01:15pm blood tsh-6.4* discharge labs and studies 05:35am blood wbc-7.2 rbc-3.26* hgb-10.0* hct-29.2* mcv-89 mch-30.7 mchc-34.3 rdw-16.2* plt ct-228 05:35am blood plt ct-228 03:28am blood pt-12.4 ptt-27.7 inr(pt)-1.0 05:35am blood glucose-86 urean-18 creat-1.4* na-129* k-4.3 cl-95* hco3-26 angap-12 05:35am blood calcium-8.5 phos-3.2 mg-2.1 brief hospital course: 71yo female with significant past cardiac history presenting s/p ablation for ventricular tachycardia, now with ongoing hypotension and malaise. . acute care # rhythm: initially presented with paroxysmal ventricular tachycardia, for which she would receive icd firings. she is s/p ablation but did have vt on the table so it may not have been successful. patient is refusing amiodarone due to history of qt prolongation. she has had nonsustained beats of vtach, which the patient reports some fluttering at the time of these findings. mexiletine was started , with improvement in blood pressures (previously had been symptomatically hypotensive to the systolic 80s with feelings of "dizziness and weakness" and some orthostatic hypotension). . # coronaries: known cad. medically managed and s/p pci. continued , , bb, statin. stopped imdur as the patient is not having anginal chest pain. she presented on metoprolol tartrate 150mg but was not tolerating this dose after her ablation and is on a lower dose of metoprolol tartrate now, 25mg . she had not previously been on an , lisinopril 5mg was started. lipids not at goal with ldl of 141 in setting of hx of cad, continue statin therapy, consider uptitration of statin. . # uti: bactrim started , completed a 5 day course. culture did show e. coli which was sensitive to bactrim. patient was asx and it was an incidental finding. . # pump: chf with ef of 35%. currently optimized and not fluid-overloaded, not symptomatic. continued aldactone. the patient did have hypokalemia prior to starting her aldactone but this was resolved after introduction of the aldactone. she could not tolerate lasix, as her hypotension was limiting. she is being discharged without this medication, but it could be restarted in the outpatient setting. . # hypothyroidism: currently asx, on home regimen of levothyroxine, the patient is s/p thyroidectomy. tsh elevated at 6.6, will allow for outpatient f/u because we will do not increase synthroid in the inpatient setting. . chronic care # gerd: continued ranitidine. not symptomatic during hospitalization. . #copd: continued spiriva . # psych: insomnia and anxiety-continued home ambien 5mg qhs. she did have significant anxiety in the setting of her icd firing and the procedure and benefited from her home dose of lorazepam 0.5mg prn 6h anxiety in setting of procedure. . issues of transitions in care: code status: dnr dni contact: (son) harding (daughter) pending studies: none follow up issues of care: -finding of elevated tsh (6.6) during hospitalization. -finding of elevated ldl (141). -note: discontinued lasix (due to hypotension during the hospitalization) and started lisinopril, (because she has known coronary artery disease and chf). medications on admission: 1. 325mg daily 2. lasix 40mg 3. spiriva 18mcg daily 4. levothyroxine 25mcg daily 5. ambien 5mg qhs 6. zocor 40mg 7. 75mg qday 9. nitroglycerin .4mg prn chest pain 10. calcium carbonate 1000mg 11. ativan .5mg prn anxiety 12. imdur 30mg daily 13. metoprolol tartrate 150mg 14. zantac 150mg 15. aldactone 25mg daily 17. lactobacillus gg 1 cap daily osh medications: as above as well as: - lasix 40mg - quinidine 324mg discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 3. levothyroxine 25 mcg tablet sig: one (1) tablet po daily (daily). 4. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 7. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 8. mexiletine 150 mg capsule sig: one (1) capsule po q8h (every 8 hours). disp:*90 capsule(s)* refills:*0* 9. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 10. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 12. lorazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for anxiety. 13. calcium carbonate 200 mg calcium (500 mg) tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day) as needed for dyspepsia. 14. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) sublingual up to 3 times prn as needed for chest pain. 15. outpatient lab work please obtain cbc and chemistry on friday . please send results to dr. , phone is ( discharge disposition: extended care facility: nursing home - discharge diagnosis: primary diagnosis: ventricular tachcardia secondary diagnoses: peripheral vascular disease, peripheral arterial disease, hypothyroidism, chronic obstructive pulmonary disease, coronary artery disease discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , it was a pleasure taking care of you. you were admitted to the hospital for ventricular tachycardia and you were transferred to for ablation for this condition. you underwent the ablation with the following result: improvement in your symptoms. . please note the following changes to your medications: - stop imdur - stop lactobacillus - stop lasix - decrease metoprolol - start lisinopril - start mexilitine. please keep your follow up appointments with your physicians. . weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: please make an appointment to see your cardiologist within weeks. . please make an appointment to see your pcp 2 weeks. md procedure: other electric countershock of heart catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery urinary tract infection, site not specified congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation peripheral vascular disease, unspecified personal history of tobacco use percutaneous transluminal coronary angioplasty status hypopotassemia paroxysmal ventricular tachycardia anxiety state, unspecified atherosclerosis of renal artery old myocardial infarction unspecified disorder of kidney and ureter automatic implantable cardiac defibrillator in situ do not resuscitate status occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction insomnia, unspecified unspecified renovascular hypertension 

Answer: The patient is high likely exposed to