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: status post pulmonary vein isolation for a-fib now with cardiac tamponade major surgical or invasive procedure: pulmonary vein isolation history of present illness: 67 year old female with a history of atrial fibrillation, asthma/copd, hld, osteoporosis, glaucoma presented with cardiac tamponade s/p pulmonary vein isolation procedure. the pt has had drug refractory a-fib which has been progressive over the past few years despite failed attempts at cardioversion and rate control (intolerance to beta blockers due to asthma/copd). she complains of fatigue and dyspnea with exertion and intermittent palpitations that resolve with rest. . a pulmonary vein isolation procedure was performed on which was complicated by perforation. bp dropped and an emergent pericardiocentesis was performed and drain was put in place. 250cc of fluid was drained. pt was given protamine and started on phenylephrine. transferred to ccu intubated. hct dropped from 45 --> 34.7 after the procedure. preop inr was 2.6. no recent fever, cough, sputum, back pain, arthralgias, myalgias or rash. the rest of the review of systems is negative in detail. past medical history: 1. cardiac risk factors: dyslipidemia 2. cardiac history: paroxysmal afib s/p failed cardioversion 3. other past medical history: asthma copd glaucoma macular degeneration tonsillectomy rhinoplasty hysterectomy exc. benign left breast lump cataract social history: patient is a retired bank administrator and lives with her husband and has two grown children. -tobacco history: smoked pack per day for 7 years. quit 30yrs ago. -etoh: none. -illicit drugs: none. family history: father had a chf in his 80's, mother had in her 80's. physical exam: vs: t=36.2 bp= 92/66 hr= 77 rr=16 o2= 100% intubated general appearance: sedated. no acute distress. eyes / conjunctiva: perrl head, ears, nose, throat: normocephalic, endotracheal tube lymphatic: cervical wnl, supraclavicular wnl cardiovascular: (s1: normal), (s2: normal), no(t) s3, no(t) s4, no(t) rub, (murmur: no(t) systolic, no(t) diastolic) peripheral : (right radial pulse: present), (left radial pulse: present), (right dp pulse: present), (left dp pulse: present) respiratory / chest: (breath sounds: clear : , no(t) crackles : , no(t) wheezes : ) abdominal: soft, non-tender, bowel sounds present, no(t) distended, no(t) tender. ecchymosis over l groin site tracking to mid thigh. extremities: right lower extremity edema: absent, left lower extremity edema: absent skin: warm pertinent results: on admission: 06:45am wbc-6.8 rbc-4.75 hgb-14.8 hct-45.0 mcv-95 mch-31.2 mchc-33.0 rdw-14.1 06:45am neuts-57.8 lymphs-33.3 monos-5.7 eos-2.0 basos-1.2 06:45am plt count-224 06:45am pt-26.3* inr(pt)-2.6* 06:45am glucose-98 urea n-21* creat-0.8 sodium-143 potassium-4.1 chloride-105 total co2-31 anion gap-11 02:20pm wbc-14.7*# rbc-3.68* hgb-11.3*# hct-34.7*# mcv-94 mch-30.7 mchc-32.6 rdw-14.1 02:20pm neuts-78.3* lymphs-17.7* monos-3.2 eos-0.6 basos-0.2 02:20pm plt count-176 . femoral ultrasound : impression: findings concerning for a pseudoaneurysm in the left groin, that is predominantly thrombosed. . ct chest/abd/pelvis : impression: 1. no retroperitoneal hematoma. 2. no pericardial effusion with catheter in the pericardial space wrapping around the heart. 3. a few ground-glass opacities throughout the lungs bilaterally, as described above. while these may represent focal areas of atelectasis, a six-month followup ct thorax is recommended to ensure stability or resolution. 4. unremarkable ct of the abdomen and pelvis. . echo : there is a bidirectional shunt across the interatrial septum at rest. a secundum type atrial septal defect is present. overall left ventricular systolic function is normal (lvef>55%). with mild global rv free wall hypokinesis. mild (1+) aortic regurgitation is seen. mild (1+) mitral regurgitation is seen. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. dr. was notified in person of the results on at 1430hours. post removal of the drain there was no accumulation of fluid in the pericardial space. . on discharge: 06:20am blood wbc-12.7* rbc-3.16* hgb-10.0* hct-30.8* mcv-98 mch-31.7 mchc-32.5 rdw-14.2 plt ct-283 06:20am blood plt ct-283 06:20am blood glucose-132* urean-21* creat-0.7 na-140 k-4.0 cl-104 hco3-29 angap-11 06:20am blood calcium-9.1 phos-3.4 mg-1.9 brief hospital course: 67 year old female with a history of atrial fibrillation, copd/asthma, osteoporosis, glaucoma, hyperlipidemia presented with cardiac tamponade s/p pulmonary vein isolation procedure. . # cardiac tamponade: developed during ep procedure. paracardiocentesis was performed and drain was put in place. 250cc fluid was drained. hypotension developed and the patient was supported with phenylephrine. hematocrit dropped 45-->34.7. followup hct??????s were stable. the patient was then extubated and sedation and phenylephrine were weaned. an attempt was made on to pull peridcardiocentesis drain which was unsuccessful as the drain appeared to be adhesed to pericardium. the drain was then removed under fluoroscopy in the cath lab, as there was concern that drain had adhered to pericardium. tte after drain removal showed no reaccumulation of fluid in the pericardial space. the patient's hematocrit continued to be stable and there was no evidence of retroperitoneal bleed. . # rhythm: the patient has a history of a-fib refractory to cardioversion and rate control. there is evidence of left atrial tachycardia intermittently. after the pulmonary vein isolation procedure she continued to be tachycardic with variable rate. amiodarone was loaded and converted to po. electrical cardioversion was unsuccessful. she was discharged on metoprolol 150mg po bid, amiodarone 600 po qday until and then 400mg po daily thereafter, warfarin 2.5mg po qday. she was scheduled to follow up as an outpatient with dr. in 2 weeks. . # uti: positive u/a on with a low grade temperature but the patient was asymptomatic. e. coli was found on urine culture. her foley catheter was removed. bactrim was started and will be continued for a 7 day course. . # left cfa pseudoaneurusm: found on femoral ultrasound. surgery evaluated the patient and an appointment was set up with dr. in 2 weeks where a repeat ultrasound will evaluate progression. if the pseudoaneurysm increases to >2 cm, the patient may need a thrombin injection. . # hyperlipidemia: home simvastatin 20 po qday was continued. . # copd/asthma: home spiriva and albuterol inh were continued. . # osteoporosis: home vitamin d was continued. . # glaucoma: home eye drops were continued. . # conditioning: pt was consulted. the patient progressed to ambulating upon discharge. fen: senna, colace and miralax prn were given during admission. . access: piv's . code: full . comm: patient. medications on admission: coumadin 5mg one day and 2.5mg the next day simvastatin 20mg daily verapamil 120mg one tablet two times a day spiriva inh once daily albuterol inh q6 hrs prn citrical d (calcium citrate with vitamin d) two tablets daily omega 3 fatty acids one pill four times a day alendronate 70mg one a week alphagan one drops in ou twice a day lumigan eye one drops in each eye every night cosopt one drops in ou twice a day eye cap vitamins two tablets two times a day discharge medications: 1. amiodarone 200 mg tablet sig: three (3) tablet po daily (daily): take 3 tabs daily until , then decrease to 2 tabs daily. disp:*70 tablet(s)* refills:*2* 2. outpatient lab work please check your inr on friday and call results to dr. at ( 3. citracal + d 315-200 mg-unit tablet sig: two (2) tablet po once a day. 4. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 5. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q6h (every 6 hours) as needed for asthma. 6. acetaminophen 500 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 7. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 8. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 9. bimatoprost 0.03 % drops sig: one (1) drop ophthalmic hs (at bedtime). 10. simvastatin 40 mg tablet sig: 0.5 tablet po daily (daily). 11. polyethylene glycol 3350 17 gram/dose powder sig: one (1) packet po daily (daily) as needed for constipation. packet 12. pramoxine-mineral oil-zinc 1-12.5 % ointment sig: one (1) appl rectal prn (as needed) as needed for pain. 13. metoprolol tartrate 50 mg tablet sig: three (3) tablet po twice a day. disp:*180 tablet(s)* refills:*2* 14. trimethoprim-sulfamethoxazole 160-800 mg tablet sig: one (1) tablet po bid (2 times a day) for 6 days. disp:*12 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: pericardial effusion atrial fibrillation asthma copd discharge condition: stable discharge instructions: you had a pulmonary vein isolation to treat atrial fibrillation and some blood collected around your heart after the procedure requiring a drain. the drain was removed and there is no evidence for reaccumulation of the blood. you were started on amiodarone to control your heart rate and rhythm. you will see dr. in 2 weeks to re-evaluate your heart rhythm. medication changes: 1. start amiodarone to help your heart rhythm. you will need to have your lungs, thyroid and liver function checked at regular intervals while on this medicine. your liver function was normal during your hospitalization here. 2. start metoprolol to lower your heart rate. 3. stop taking verapamil 4. start trimethoprim-sulfamethoxazole for your urinary tract infection. you will be on this for 6 days. 5. hold your couamdin until dr. tells you to start taking it again. your inr was 3.4 on . the amiodarone will make you need less coumadin daily. . please call dr. if you notice any bleeding at the groin sites, any chest pain or trouble breathing, dark stools or vomiting blood, fevers or chills, or any other unusual symptoms. . your ct scan of your lungs showed some changes that are likely because of decreased lung volumes. you should have another ct scan in 6 months. followup instructions: cardiology: alexi , phone: ( date/time: thursday 1:00pm : provider: lab phone: date/time: 1:00 provider: , md phone: date/time: 2:00 primary care: , phone: date/time: please keep your previously scheduled appt. . needs f/ opacities throughout the lungs bilaterally, reccomended f/u in 6 months to evalutate procedure: diagnostic ultrasound of heart other electric countershock of heart pericardiocentesis excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping removal of other device from thorax intracardiac echocardiography diagnoses: other iatrogenic hypotension urinary tract infection, site not specified atrial fibrillation accidental puncture or laceration during a procedure, not elsewhere classified other and unspecified hyperlipidemia peripheral vascular complications, not elsewhere classified osteoporosis, unspecified cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure long-term (current) use of anticoagulants personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits chronic obstructive asthma, unspecified hemopericardium aneurysm of artery of lower extremity cardiac tamponade 

Answer: The patient is high likely exposed to