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: atrial fibrilliation /sob major surgical or invasive procedure: pulmonary vein isolation procedure history of present illness: 57m with multiple cardiac risk factors (prev mi, cabg, fh of ihd, hyperlipidemia, htn) presents post elective pvi with significant htn onweaning sedation admitted to r/o intracranial event. . patient is a 57 year old male with a history of cad s/p cabg in , pci of svg-pda in , atrial fibrillation (diagnosed in ) on coumadin who had progressive increase of shortness of breath and was found to have congestive heart failure with an ef of 20% with severely decreased left ventricular systolic function. this was thought to be due to tachycardia induced cardiomyopathy as his ef was normal until now. he underwent successfull pvi today with conversion to nrs. after the procedure while they were weaning off sedation, with propofol, but he was not responding appropriately and was found to have sbp in the 200's mmhg (bp 90-100's during procedure). this was thought to have caused flash pulmonary edema, he was given lasix 20 mg iv x2, hydralazine 5 mg iv, started on a nitro gtt and propofol was re-started. he quickly responded with sbp lowering to 80-90 but it was decided to maintain him intubated and sedated until an acute intracranial process was ruled out. . on admission to ccu he was intubated, sedated with sbp in the 80's. post-procedure ct-head revealed no intracranial pathology. sedation was weaned and he was safely extubated at 00:30. normalneurological exam. past medical history: 1. cardiac risk factors:(-)diabetes,(+)dyslipidemia,(+)hypertension mi age 32. angina since 2x/month on exertion, short-lived. 2. cardiac history: -cabgx3: in with lima to lad, svg to om, svg to pda -percutaneous coronary interventions: pci of svg-pda 3. other past medical history: atrial fibrillation since - paroxysmal prior but did not seek medical attention non-ischemic cardiomyopathy hypothyroidism 2o to xrt hypertension hyperlipidemia ? copd no formal dx made depression/anxiety hodgkin's disease age 31 received xrt to chest and ?? no chemo??. on thyroxine post xrt as irradiation of thyroid. obesity social history: lives with wife .semi-retired parking garage staff at airport. etoh: socially 28-30 units/week -tobacco history: ex-smoker quit 5 months ago. prev 30/day since teenage. -illicit drugs: denies. family history: father - mi ?? pe. mother died from a ruptured cerebral aneurysm ? sah. sister - mi age 64. physical exam: vs: t=98.8 bp=116/78 hr=77 rr=16 o2 sat=98% ra general: 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 3cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, hs i+ii +0. systolic flow murmur. 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. bs normal. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ dp 2+ pt 2+ neuro: gcs 15/15. ul and ll exam normal. cn ii-xii normal - no fundoscopy performed. pertinent results: admssion labs 10:45am pt-30.9* inr(pt)-3.1* 10:45am plt count-399 10:45am wbc-9.3 rbc-4.50* hgb-14.2 hct-41.9 mcv-93 mch-31.6 mchc-33.9 rdw-15.8* 10:45am estgfr-using this 10:45am glucose-119* urea n-18 creat-1.0 sodium-142 potassium-4.2 chloride-102 total co2-25 anion gap-19 08:17pm pt-34.0* ptt-31.0 inr(pt)-3.5* 08:17pm plt count-371 08:17pm wbc-11.0 rbc-4.20* hgb-13.5* hct-39.1* mcv-93 mch-32.1* mchc-34.5 rdw-15.9* 08:17pm calcium-8.0* phosphate-3.8 magnesium-1.8 08:17pm ck-mb-6 ctropnt-0.92* 08:17pm glucose-150* urea n-18 creat-1.2 sodium-141 potassium-3.5 chloride-107 total co2-21* anion gap-17 08:36pm hgb-13.5* calchct-41 o2 sat-96 08:36pm lactate-2.6* 08:36pm type-art po2-96 pco2-36 ph-7.38 total co2-22 base xs--2 intubated-intubated vent-controlled . discharge labs . 03:57am blood wbc-9.6 rbc-4.12* hgb-13.6* hct-38.5* mcv-93 mch-33.0* mchc-35.4* rdw-16.0* plt ct-396 03:57am blood plt ct-396 03:57am blood glucose-141* urean-21* creat-1.2 na-141 k-4.7 cl-107 hco3-23 angap-16 08:17pm blood ck-mb-6 ctropnt-0.92* 03:57am blood calcium-8.2* phos-3.2 mg-1.7 08:36pm blood lactate-2.6* 08:36pm blood hgb-13.5* calchct-41 o2 sat-96 . reports . ct head : there is no acute intracranial hemorrhage, edema, or mass effect. there is preservation of normal -white matter differentiation. the ventricles and sulci are normal in size and configuration. there is mild mucosal thickening of the maxillary and sphenoid sinuses, and opacification of multiple ethmoid air cells, which could be related to the endotrachial intubation. impression: no evidence of an acute intracranial abnormality. brief hospital course: 57 yo male with cad s/p cabg and pci, af, possible tachycardia induced cardiomyopathy, who underwent successful pulmonary vein isolation but was unable to be extubated after procedure due to episode of significant hypertension and flash pulmonary edema on weaning sedation. successfully extubated and appears well. . # atrial fibrillation: pt with symptomatic af since . initiated on coumadin at that time. inr today 3.1 on . the pvi successful - converted to sr. inr was 3.2 and he was continued on warfarin. . #hypertension while lightening sedation and pulmonary edema. he was safely extubated with no neurological deficits. his ct-head was normal. we repeated his chest x ray as well and monitored his hemodynamics. his urinary catheter was removed and he was given bolus 40mg iv lasix to encourage urination. the lasix was continued p.o as outpatient. . # dyslipidemia: - continued simvastatin 80mg daily . # cardiomyopathy/ chronic hf: prev mi, recently found to have an ef 20% on echocardiogram with severely decreased left ventricular systolic function. pt reports sob with minimal activity. we continued metoprolol 50mg daily, lisinopril 10mg daily, furosemide 40mg daily . fen: - low na diet, daily weights, monitor i+o's. iv kcl sliding scale was carried out. . access: piv's . prophylaxis: -dvt ppx with teds. there was no need for sc heparin as inr 3.5. - discharged home on . . code: full medications on admission: furosemide 40 mg daily levothyroxine 137 mcg daily lisinopril 10 mg daily metoprolol succinate 50 mg daily pantoprazole 40 mg daily paroxetine 40 mg qhs potassium chloride 20 meq daily simvastatin 80 mg daily warfarin 5 mg discharge medications: 1. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 2. levothyroxine 137 mcg capsule sig: one (1) capsule po hs (at bedtime). 3. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 4. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. paroxetine mesylate 40 mg tablet sig: one (1) tablet po hs (at bedtime). 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily). 8. simvastatin 80 mg tablet sig: one (1) tablet po hs (at bedtime). 9. aspirin 325 mg tablet sig: one (1) tablet po daily (daily) for 1 months. 10. warfarin 5 mg tablet sig: one (1) tablet po once daily at 4 pm. discharge disposition: home discharge diagnosis: atrial fibrillation cad cardiomyopathy dyslipidemia hypothyroid discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you had a pulmonary vein isolation procedure for your atrial fibrillation. you should continue all your current medications you were taking before coming to the hospital. your inr on was 3.1. you repeat inr on is 3.2. you should continue your coumadin at 5mg/daily. you will need to have your inr checked once/ week for the next one month. . please get your inr checked at c labs and have the results faxed over to your primary cardiologist. . followup instructions: cardiology appointment: , at 3:15pm with: , md location: cardiovascular consulting of view map address: , , phone: . provider :. date: :15am location:, , . pcp : wednesday, at 11am name:zouhdi ,md location: apex health address: 923 route 6a, bldg 7, , phone: procedure: excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping diagnoses: other primary cardiomyopathies congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status atrial flutter systolic heart failure, unspecified other and unspecified hyperlipidemia obesity, unspecified personal history of irradiation, presenting hazards to health personal history of hodgkin's disease 

Answer: The patient is high likely exposed to