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: morphine / asacol attending: chief complaint: icd firing major surgical or invasive procedure: electrophysiology study with ablation of 1 of 2 foci history of present illness: 82 y/o male with cad s/p cabg, hypertension, chf ef 35%, atrial fibrillation, and sustained vt with icd and subsequent catheter ablation treatment who presents following an episode of icd firing earlier today at home. the patient was at home the day of presentation watching television when he suddenly became lightheaded and diaphoretic and his icd fired. he states that he had similar symptoms when his icd fired in the past. his last episode of icd firing was in early and was admitted to the hospital. . in the ed, initial vitals were t: 95.1 hr: 120 bp: 121/79 rr: 16 o2sat: 97% on 4lnc. ep was called and he was found to be in slow vt. he received an amiodarone bolus and was started on a gtt. plans were made for cardioversion and he received etomidate. however, the slow vt was able to be broken via antitachycardia pacing. he was also loaded with plavix, given 80 mg of atrovastatin po x 1, and a heparin gtt was started with concern for possible acs. past medical history: 1. coronary artery disease, status post imi and coronary artery bypass graft in . 2. status post v-fib arrest and icd placement in . 3. history of ulcerative colitis diagnosed in , last scoped in . 4. recurrent dvt bilaterally from the year . on coumadin 5. hypertension. 6. hypercholesterolemia. 7. history of tuberculosis, status post thoracotomy in with wedge resection. 8. status post right inguinal hernia repair. 9. postphlebitic syndrome. 10. s/p flutter ablation x2 . chf: ef = 30% 11/04 12. supraventricular tachycardia. 13. ventricular tachycardia. 14. cri to chf. 15. s/p fall and right hip hemiarthroplasty, . social history: the patient is married with two children, lives with his wife at home. he smoked many years ago, but stopped when he was diagnosed with tuberculosis. he drinks an occassional glass of wine. family history: father had a "leaky valve." the patient's mother had hypertension. physical exam: on presentation vs - t 97.6 hr 60 v-paced bp 140/53 rr 17 98%ra gen: wd/wn elderly male in nad. oriented x 3. mood, affect appropriate. heent: nc/at. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple without jvd or lymphadenopathy. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no wheezes or rhonchi. abd: soft, nt/nd. no hsm or tenderness. normoactive bs. ext: no c/c/e. rectal: guaiac negative in the ed. on discharge: gen: nad, a+o x 3 heent: moist mucosal membranes, no jvd cv: rrr, no murmurs pulm: cta b, resps unlabored abd: soft, nt, nd, +bs, no hsm or masses. ext: no edema, large area of ecchymosis over right groin with firm nontender hematoma over lower abdomen and in iliac groove. warm, well perfused distally. pertinent results: 05:40am blood wbc-5.9 rbc-3.25* hgb-9.4* hct-27.0* mcv-83 mch-28.9 mchc-34.7 rdw-15.4 plt ct-178 04:45pm blood neuts-57.1 lymphs-35.1 monos-4.3 eos-3.0 baso-0.5 05:40am blood pt-16.1* ptt-25.7 inr(pt)-1.4* 05:40am blood glucose-83 urean-24* creat-1.0 na-139 k-3.7 cl-103 hco3-30 angap-10 04:20am blood ck(cpk)-125 04:20am blood ck-mb-3 ctropnt-0.01 05:40am blood calcium-8.3* phos-3.1 mg-1.9 cxr : stable cardiomegaly with no acute pulmonary process. echo : the left atrium is dilated. the left ventricular cavity size is normal. there is mild to moderate regional left ventricular systolic dysfunction (35-40%) with inferior akinesis/dyskinesis and inferolateral akinesis. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. due to the eccentric nature of the regurgitant jet, its severity may be significantly underestimated (coanda effect). the tricuspid valve leaflets are mildly thickened. there is borderline pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. compared with the prior study (images reviewed) of , findings are similar. left ventricular systolic function appears similar. us : findings are compatible with the arteriovenous fistula at the puncture site. us : 1. no av fistula or psueudoaneurysm. 2. small right groin hematoma. us : previously demonstrated av fistula appears to have resolved. there is now no evidence of fistula or pseudoaneurysm brief hospital course: the patient is an 82 year old male with cad s/p cabg and multiple mis, htn, chf ef 35%, afib, and sustained vt with icd and subsequent catheter ablation treatment who presents with an episode of icd firing, found to be in slow vt. # cad - the patient has a history of cad with multiple mis, but had no signs of active acs while hospitalized (cardiac enzymes negative x 3, ekgs without changes). pt was maintained on his medical regimen, with switch of hydralazine to ace inhibitor. pt maintained his baseline normal renal function after initiating ace inhibitor and was monitored carefully given his prior history of arf on acei. # - pt remained euvolemic, with a known baseline lvef of 35%. # rhythm - pt presented after icd firing and was found to be in slow vt in the ed. he was able to be paced out of vt, received a bolus of amiodarone, was started on a gtt, and eventually transitioned to an oral amiodarone regimen. pt underwent ablation, with success in 1 of 2 foci. pt's pacer setting was changed to anti-tachycardia pacing at 122bpm, and his beta-blocker was titrated up. pt was monitored on telemetry with no additional arrhythmias. # groin bleed - pt's ablation was complicated by a bleed after removal of the venous and arterial sheaths. pt developed a new bruit which was evaluated by a femoral ultrasound. this showed an av fistula, in the setting of inr 2 and ptt 78. vascular surgery was consulted and did not feel surgical intervention was necessary unless pt developed uncontrollable bleeding, hypoperfusion to the extremity or high output heart failure. pt did not develop any of these complications, maintained a stable hct for several days and on reevaluation by ultrasound had resolution of the av fistula. # hypertension - continue home meds. no active issues. # history of atrial fibrillation - pt remained in sinus rhythm thoughout admission. his coumadin was held given the ablation, and not restarted in the setting of groin bleed/ av fistula. upon resolution of these issues, pt was restarted on anticoagulation with lovenox bridge to be administered by vna, and inr follow up. # h/o dvt - pt was prophylaxed with pneumoboots while anticoagulation was held. medications on admission: amiodarone 200 mg po daily toprol xl 75 mg po daily spironolactone 25 mg po daily hydrochlorothiazide 25 mg po daily digoxin 0.0625 mg po qod sertraline 25 mg po daily warfarin 2 mg qsu,mo,we,fr warfarin 1 mg qtu,th,sa docusate sodium 100 mg po daily fish oil 1 gram daily atorvastatin 40 mg po daily imdur er 90 mg po daily hydralazine 50 mg po tid discharge medications: 1. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. digoxin 125 mcg tablet sig: 0.5 tablet po every other day (every other day). 3. sertraline 25 mg tablet sig: one (1) tablet po once a day. 4. metoprolol succinate 50 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po daily (daily). disp:*90 tablet sustained release 24 hr(s)* refills:*2* 5. aldactazide 25-25 mg tablet sig: one (1) tablet po once a day. 6. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. imdur 30 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po once a day. 9. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily) as needed. 10. docusate sodium 100 mg capsule sig: one (1) capsule po daily (daily). 11. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 12. warfarin 1 mg tablet sig: one (1) tablet po every tues/thurs/sat. 13. nitroquick 0.4 mg tablet, sublingual sig: one (1) tablet sublingual every 5 minutes x3. 14. lovenox 80 mg/0.8 ml syringe sig: one (1) syringe subcutaneous twice a day. disp:*8 syringes* refills:*2* 15. warfarin 1 mg tablet sig: two (2) tablet po every sun/mon/wed/fri. 16. outpatient lab work please check your inr on monday and call results to at discharge disposition: home with service facility: discharge diagnosis: ventricular tachycardia with internal cardiac defibrillator firing paroxsymal atrial fibrillation on warfarin chronic systolic congestive heart failure: ef 35% coronary artery disease hypertension deep vein thrombosis discharge condition: stable hct 27 k 3.7 (repleted) bun 24 creat 1.0 wbc 5.9 discharge instructions: you had ventricular tachycardia, a dangerous heart rhythm that was converted into a normal rhythm by your icd at home. we adjusted some settings on your pacemaker/icd and performed an ablation procedure in one out of two areas in your heart that were causing the ventricular tachycardia. after the ablation procedure, you developed an aneurysm and some bruising in your right groin area. on the day you were discharged, the aneurysm seems to be resolving and it is ok to resume your warfarin. you will be taking lovenox at home until your warfarin is therapeutic. new medicines: 1. lovenox: a subcutaneous injection that acts as a blood thinner. you will take this shot twice daily until your inr is greater than 2.0. 2. lisinopril: this is in place of your hydralazine to keep your blood pressure controlled and help your heart better 3. toprol: this was increased to 75 mg (3 tablets) every day 4. stop taking hydralazine 5. continue your warfarin schedule as before. . please check your inr on monday using the prescription attached. . weigh yourself every morning, md if weight > 3 lbs in 1 day or 6 pounds in 3 days. adhere to 2 gm sodium diet fluid restriction: about 8 cups per day followup instructions: provider: , dpm phone: date/time: 1:50 electrophysiology: provider: clinic phone: date/time: 2:30 . provider: , m.d. phone: date/time: 3:00 . vascular surgery: , md phone: medical office building, . please call the office on monday afternoon. you need a follow-up visit with dr. in 2 weeks from discharge and an ultrasound of your right groin area on the same day. procedure: catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping diagnoses: pure hypercholesterolemia congestive heart failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation aortocoronary bypass status chronic kidney disease, unspecified paroxysmal ventricular tachycardia hemorrhage complicating a procedure peripheral vascular complications, not elsewhere classified other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation chronic systolic heart failure long-term (current) use of anticoagulants automatic implantable cardiac defibrillator in situ personal history of venous thrombosis and embolism ulcerative colitis, unspecified hip joint replacement aneurysm of artery of lower extremity 

Answer: The patient is high likely exposed to