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: paxil attending: chief complaint: weakness and slow heart rate. major surgical or invasive procedure: pacemaker placement. history of present illness: the patient is a 85 year old male without any significant cardiac history who had called his primary care provider (pcp) office last night with complaints of weakness and slow heart rate of around 40 bpm. he recently had presented to the for the seconed time over the past 6 months with complaints of chest pain. as in his fist presention, during his most recent hospitalization no abnormalities could be found on his ecg, echo and ett or ce. on review of systems, he denies any palpitations, current chest pain, shortness of breath (sob), edema, orhtopnea, weight loss, fever or chills. past medical history: hypertension anxiety insomnia question of cerebral vascular accident (cva) social history: lives home alone, has a history of 30 years smoking (3 packs per day), and currently drinks 4 oz of liquor daily. he is widowed and has one daughter. family history: noncontributory. physical exam: vitals: t 97.7 bp: 111/59 hr: 42 rr: 14 spo2 99% general: pleasant male, alert and oriented x 3 heent: clear oropharynx, moist mucous membranes, no lymph adenopathy, no thyromegaly. neck: no jugular venous distension. heart: bradycardic, 2/6 systolic ejection murmur abdomen: soft, nontender, nondistended extremities: no edema, 2+ pt bilaterally pertinent results: labs on admission: 11:14am wbc-10.1 rbc-4.55* hgb-14.0 hct-39.6* mcv-87 mch-30.8 mchc-35.4* rdw-13.7 plt ct-264 11:14am pt-13.7* ptt-32.3 inr(pt)-1.2* 11:14am glucose-89 urean-21* creat-1.0 na-139 k-3.8 cl-102 hco3-30 angap-11 11:14am ck(cpk)-49 11:14am ck-mb-notdone ctropnt-<0.01 11:14am calcium-8.4 phos-2.7 mg-2.1 labs on discharge: 05:37am wbc-11.0 rbc-4.46* hgb-13.7* hct-39.0* mcv-87 mch-30.7 mchc-35.1* rdw-13.2 plt ct-261 05:37am pt-14.0* ptt-29.6 inr(pt)-1.2* 05:37am glucose-84 urean-20 creat-1.1 na-137 k-4.1 cl-100 hco3-29 angap-12 05:37am calcium-8.8 phos-3.4 mg-2.0 echo : the left atrium and right atrium are normal in cavity size. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. impression: normal biventricular cavity sizes with preserved global biventricular systolic function. no pericardial effusion identified. chest x-ray : a right ij line is present, with pacemaker lead tip overlying the right ventricle. no pneumothorax is detected. the lungs are hyperinflated, consistent with copd. heart size is borderline with left ventricular configuration. the aorta is mildly unfolded and tortuous. the pulmonary hila are prominent with a tapered appearance, which may reflect the presence of pulmonary hypertension. no chf, focal infiltrate, or effusion is identified. brief hospital course: the patient is a 85 year old male with no history of cardiac disease presenting with infranodal block in the setting of rbbb. the etiology of the patient's bradycardia is currently unclear. it may be related to the patient's extensive drinking history or possibly a missed silent mi, although per omr notes, the patient's prior stress tests and echo have been unremarkable. the patient received a temporary pacemaker wire. he underwent permanent pacemaker placement on , . during the procedure, the patient's blood pressure dropped to the 40's. the patient never desaturated, and was briefly on pressors in the lab. he returned to the ccu off pressors. he had a negative tte, with no effusion. # coronary artery disease (cad)/ischemia: the patient has no history of cad or positive stress test in the past per omr records. he has had negative cardiac enzymes here. he was continued on aspirin. # alcohol abuse: ciwa scale was used. the patient did not require any benzodiazepines. # depression/anxiety: the patient was on a taper of xanax and transition to paxil. he was continued on the taper xanax (0.25 daily for a week-->0.125 daily for a week-->0.125 qod for a week). paxil was also continued. medications on admission: alprazolam 0.25 daily prn paxil 10 mg hctz 25 flomax 0.4 mg ambien 10 mg prn aspirin 325 vitamin b-12 discharge medications: 1. zolpidem 5 mg tablet sig: two (2) tablet po hs (at bedtime) as needed. 2. hydrochlorothiazide 12.5 mg capsule sig: two (2) capsule po daily (daily). 3. paroxetine hcl 10 mg tablet sig: one (1) tablet po daily (daily). 4. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 5. cyanocobalamin 500 mcg tablet sig: one (1) tablet po daily (daily). 6. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for ppm implantation for 6 days. disp:*24 capsule(s)* refills:*0* 7. aspirin ec 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: symptommatic bradycardia, status-post pacemaker placement. secondary: hypertension. discharge condition: stable. afebrile. discharge instructions: you were admitted for bradycardia (slow heart rate) for which you given a pacemaker. this procedure went well. please follow the instructions provided to you for recovery including refraining from lifting your left arm above your head or lifting heavy objects as specified by your cardiologist. please take your medications as instructed. please adhere to your follow-up appointments. they are important for managing your long-term health. please return to the hospital or call your doctor if you have temperature greater than 101, shortness of breath, worsening difficulty with swallowing, chest pain, abdominal pain, diarrhea, or any other symptoms that you are concerned about. please refrain from smoking. information was given to you on admission regarding smoking cessation and prevention of relapses. followup instructions: please follow up in device clinic on at 10:30a.m. the phone number there is primary care: please follow up with dr. on , :30am. the office can be reached at . please follow up with dr. on tues. at 3pm on the of building. his office can be reached at . procedure: venous catheterization, not elsewhere classified initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle insertion of temporary transvenous pacemaker system artificial pacemaker rate check diagnoses: unspecified essential hypertension personal history of tobacco use dysthymic disorder hypotension, unspecified personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits alcohol abuse, continuous other second degree atrioventricular block 

Answer: The patient is high likely exposed to