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: penicillins / amiodarone / quinidine attending: chief complaint: icd discharge major surgical or invasive procedure: cardiac catheterization history of present illness: 64 yo female with a history of a mixed dilated cardiomyopathy, ef 40%, s/p vf arrest and icd placement in (with a coronary cath without obstructive cad) who was admitted on for her icd firing. in the past, pt had icd shocks and underwent cath with 70-80% rca lesion that was stented with des, with no other coronary disease noted. on , she had a repeat coronary angiography which was negative for new obstructive disease. she also underwent an eps for vt with vt mapping. polymorphic vt and vf were induced, as well as a superiorly directed monomorphic vt that did not appear to originate from the endocardial region of scar by voltage mapping (basal scar identified). as pt is also known to have akinesis of mid anterior wall, as well as basal aneurysm, this was thought to be a possible focus of her vt, thus was planned for epicardial vt mapping. no ablation was attempted on the first ep study. . today, the patient underwent epicardial as well left sided vt mapping and ablation under general anesthesia. two types of vt were induced during the procedure. during the procedure she required dopamine infusion (up to 10mcg/kg/min) for hypotension, which was changed to norepinephrine prior to transfer to the ccu. she had a pericardial drain placed for the epicardial procedure which continues to drain fluid, draining a total of 800ccs of blood. after this was noted the patient was given protamine (total of 40mg) to reverse the heparin given in the procedure. she was also transfused two units of prbcs although her hct did not decrease dramatically. . on review of systems, she 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. she denies recent fevers, chills or rigors. she 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: (+)hypertension 2. cardiac history: cardiomyopathy with ef 40%, mixed etiology -cabg: none -percutaneous coronary interventions: cad s/p rca des -pacing/icd: vf arrest s/p aicd implant , generator change . 3. other past medical history: transgender operation approx -male to female asthma bronchitis recent uri-treated with cipro acid reflux face lift recent sinus infections social history: lives alone on . works as quality technician and cashier stop and shop. etoh on weekends (beer). family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: v/s: 97.0 - 64 - 16 - 130/93 gen: a&o x 3; no chest pain, palipitations, doe. rare transient lightheadedness when goes from sitting to standing heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp not elevated. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. pericardial drain in place draining sanginous fluid lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, coarse breath sounds bilaterally, 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. left groin site has no hematoma, bruit or oozing. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 1+ pt 1+ left: carotid 2+ femoral 2+ popliteal 2+ dp 1+ pt 1+ pertinent results: 02:21pm blood wbc-12.2*# rbc-3.53* hgb-11.5* hct-33.1* mcv-94 mch-32.5* mchc-34.6 rdw-16.7* plt ct-238 01:50am blood wbc-6.3 rbc-2.84* hgb-9.5* hct-27.3* mcv-96 mch-33.3* mchc-34.7 rdw-15.9* plt ct-259 02:21pm blood pt-12.2 ptt-24.8 inr(pt)-1.0 01:50am blood pt-11.2 ptt-27.8 inr(pt)-0.9 02:21pm blood glucose-82 urean-11 creat-0.8 na-142 k-4.5 cl-111* hco3-24 angap-12 01:50am blood glucose-143* urean-17 creat-1.0 na-143 k-4.4 cl-108 hco3-25 angap-14 02:21pm blood calcium-7.2* phos-5.0* mg-1.6 01:50am blood calcium-8.5 phos-3.4 mg-1.7 02:25pm blood type-art po2-185* pco2-47* ph-7.34* caltco2-26 base xs-0 05:27am blood type-art po2-132* pco2-35 ph-7.42 caltco2-23 base xs-0 07:40am urine blood-tr nitrite-pos protein-neg glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.5 leuks-lg 07:40am urine rbc-3* wbc-180* bacteri-many yeast-none epi-1 transe-7 + + + + + + + + ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ mrsa screen (final ): no mrsa isolated. urine culture (preliminary): gram negative rod(s). >100,000 organisms/ml.. blood culture: pending. + + + + + + + + + + ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ cardiac cath study date of 1- selective coronary angiography of this right dominant system showed patent ostial rca stent, mild luminal irregularities to the lmca and lad system with 20% tubular stenosis in the proximal lcx (small vessel). 2- diffisulty engaging the rca ostium due to the stent "sticking out" into the aorta. a lima catheter eventually engeged (after several attempts and failure of jr4 and ar-1 catheters). 3- normal systemnic arterial blood pressure. 4- an attempt to close the r groin with perclose device was aborted as the ep service requested preservation of arterial access. the 5 french sheath was exchanged for a new 8 french sheath. final diagnosis: patent rca stent and no occlusive cad in the rest of the coronary arteries. . ecg study date of sinus bradycardia. intraventricular conduction delay. compared to the previous tracing of no diagnostic change. . portable tte (focused views) done there is mild (non-obstructive) focal hypertrophy of the basal septum. overall left ventricular systolic function is mildly depressed (lvef= 45%). right ventricular chamber size and free wall motion are normal. the mitral valve leaflets are myxomatous. there is moderate/severe mitral valve prolapse. there is a trivial/physiologic pericardial effusion. impression: overall mildly depressed left ventricular systolic function. no signficant pericardial effusion. . chest (portable ap) impression: orogastric tube placed successfully to reach below the diaphragm in intubated patient with evidence of icd device. no previous chest examination available for direct comparison. . portable tte (focused views) the mitral valve leaflets are mildly thickened. the mitral valve leaflets are myxomatous. there is a small anterior pericardial effusion. the effusion is echo dense, consistent with blood, inflammation or other cellular elements. there are no echocardiographic signs of tamponade. . portable tte (focused views) overall left ventricular systolic function is severely depressed (lvef=20-30 %) although difficult to assess given rapid heart rate. the right ventricular cavity is mildly dilated with moderate global free wall hypokinesis. there is a trivial/physiologic pericardial effusion. compared with the prior study (images reviewed) of , the pericardial effusion is smaller. . portable tte (focused views) the estimated right atrial pressure is 0-5 mmhg. the mitral valve leaflets are mildly thickened/myxomatous with bileaflet systolic prolapse. there is no pericardial effusion. compared with the prior study (images reviewed) of , the findings are similar. brief hospital course: in summary, mrs is a 64 year old female with history of mixed cardiomyopathy, vf s/p icd with icd shocks, and inducible vt on transferred to the ccu following epicardial vt mapping and ablation procedure. . #. rhythm: the patient has a history of polymorphic, monomorphic vt as well as vf. she is now s/p epicardial mapping with ablation which appeared to be sucessful as she had no additional episodes of pacemaker firing while in the hospital. during the procedure she required pressor support and returned to the icu on pressors, intubated and with pericardial drain in place given that a sternal approach was required for the procedure. after the procedure, the pericardial drain was removed and there was no evidence of further fluid accumulation. additionally, she was started on propafenone, then transitioned to dronedarone, to help control her arrhythmia as she did have several runs of nsvt as well as afib while on tele in the unit. afib responded to iv doses of metoprolol and she was in sinus rhythm for the majority of her hospitalization. digoxin and po metoprolol were also started for rate control and continued on discharge. patient refused to take warfarin at discharge and given the stable nature of her condition and the recent pericardial drain placement, it was decided that she will meet with her cardiologist, dr. , to discuss the use of warfarin in two weeks. . #. pump: the patient has a history of a mixed picture of cardiomyopathy with an ef documented at 40% in . tte on discharge showed resolution of pericardial effusion that persisted after ablation procedure. . # coronaries: this admission coronary catheterization shows patency of rca des. no other occlusive coronary artery diease was present. she was continued on asa and plavix, and also starting on a statin on discharge. . # hypertension: hx of hypertension prior to admission, however given her hypotension on admission, her home diovan was held. could restart as an outpatient if needed for bp control. . # respiratory: the patient was electively intubated for the procedure and general anesthesia however she was able to be extubated one day after the procedure and had no further respiratory issues while in the hospital. . # uti: on the day of discharge, patient reported foul smelling urine and report that she usually contract uti after foley placement. ua and ucx showed evidence of uti. she was given bactrium ds and was send home on a 7 day course. sensitivity were not back at the time of discharge and will require follow up as outpatient. . # transgender operation: premarin was held out of concern for increased risk of cardiac disease with high levels of estorgen use. . # depression: lexapro continued . # gerd: zantac continued as an inpatient . # chronic sinus problems: flonase was restarted after extubation. medications on admission: rythmol 325 mg lexapro 10 mg daily diovan 40 mg daily asa 325 mg daily oxazepam 15 mg qhs prn premarin 1.25 mg daily plavix 75 mg daily zantac 150 mg po prn flonase 1 spray each nostril prn ntg sl prn discharge medications: ... 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. dronedarone 400 mg tablet sig: one (1) tablet po bid (). disp:*60 tablet(s)* refills:*2* 5. rosuvastatin 5 mg tablet sig: one (1) tablet po daily (daily). 6. ranitidine hcl 150 mg capsule sig: one (1) capsule po daily (daily). 7. oxazepam 15 mg capsule sig: one (1) capsule po hs (at bedtime) as needed for anxiety. 8. escitalopram 10 mg tablet sig: one (1) tablet po daily (daily). 9. fluticasone 50 mcg/actuation spray, suspension sig: two (2) spray nasal prn (as needed) as needed for nasal irritation. 10. menthol-cetylpyridinium 3 mg lozenge sig: one (1) lozenge mucous membrane prn (as needed) as needed for sort throat. 11. dronedarone 400 mg tablet sig: one (1) tablet po twice a day for 3 days. disp:*6 tablet(s)* refills:*0* 12. dronedarone 400 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 13. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*14 tablet(s)* refills:*0* 14. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* discharge disposition: home discharge diagnosis: ventricular tachycardia coronary artery disease ventricular tachycardia non-ischemic cardiomyopathy ef40% icd uti anemia hypertension transgender depression gerd chronic sinusitis discharge condition: vss, afebrile, nad, wnwd. discharge instructions: you had a cardiac catheterization to evaluate your coronary anatomy following icd discharge. you were found to have patent vessels. you underwent an ablation procedure which was successful as you did not have any subsequent firings, however during the procedure we had to take a sternal approach. this was complicated by a pericardial effusion which required placement of a pericardial drain after the procedure. this was removed without issue. you had a few episodes of short runs of v.tach and atrial fibrillation which was controlled on dronedarone, metoprolol, and digoxin. you have been stable and was transferred to the floor without issue. you had a ventricular tachycardia (vt) ablation. please follow up with your pcp and cardiologist, specifically for your medications adjustment, follow up for your uti, and discussion with dr. regarding the use of warfarin (this is important as we have talked about the possible risk and benefits with this medication. for now, as per your preference, we are holding off until your visit with dr. . please note we made the following changes to your medications. stopped 1. diovan 40 mg by mouth daily 2. premarin 1.25 mg by mouth daily 3. rhythmol (propafenone) 325mg by mouth twice a day started 1. dronedarone *nf* 400 mg by mouth twice a day 2. toprol xl 50 mg tablet sustained release 24 hr by mouth daily. 3. digoxin 0.125 mg by mouth once a day 4. bactrim 1 tab twice a day if you experience any chest pain, shortness of breath, fever, chills, cough, palptations, dizziness, syncope, or any symptoms that is concerning to you, please come back to the emergency room and call your doctors. followup instructions: md: dr. specialty: pcp date and time: monday, at 2:45pm location: , , phone number: special instructions if applicable: appointment #2 md: dr. specialty: cardiology date and time: thursday, at 9:00am location: , bldg , , , ma phone number: special instructions if applicable: procedure: coronary arteriography using two catheters left heart cardiac catheterization catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping diagnoses: other primary cardiomyopathies anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux urinary tract infection, site not specified unspecified essential hypertension atrial fibrillation depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia unspecified disease of pericardium mechanical complication of automatic implantable cardiac defibrillator unspecified sinusitis (chronic) 

Answer: The patient is high likely exposed to