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 attending: chief complaint: episodes of recurrent ventricular tachycardia major surgical or invasive procedure: electrophysiologic study and ventricular tachycardia ablation. history of present illness: 75 y.o. male transferred from with v-tach, biv icd firing several times per day. loaded with amiodarone in the ed. recently admitted in for left lead revision. . he reports a history of recurrent icd firing since it was placed approximately 3 years ago but has not had an incident since when his leads were revised. ~4am on his icd fired while he was sleeping. he was scheduled to have a colonoscopy today so went through a bowel prep throughout the day but did take his medications. his icd fired again early this morning. he was instructed not to take his medications and remain npo for his colonoscopy, but when his gastroenterologist found out that his icd had fired again, he cancelled the procedure. the patient then took his usual morning medications at ~1pm. his icd fired 2 more times, and as he was close to his cardiologist's office, he stopped in. his icd was interrogated, verified that it did fire, and he was sent by ambulance to ed. there, he was loaded with iv amio (15 mg/min for 150mg, then 1mg/min) and transferred to for further care. the patient reports a fluttering-type of sensation and "funny feeling" before his icd fired each time, similar to the past, but he never syncopized, had chest pain, or had shortness of breath. currently he feels at his baseline with no complaints. . ros: no orthopnea, pnd, chest discomfort, lower-extremity swelling, n/v/d/c/abdominal pain, fevers, chills. past medical history: -ischemic cardiomyopathy, ef documented as low as 15% -chf -prior mi - cabg at --cath report from : ---right-dominant system ---50% lmca ostial lesion ---50% tubular stenosis at bifurcation of lad and lcx ---proximal lad-> d1 stent placed on patent ---lima->lad patent, known occlusion of rca. --- pressures, aortic - 127/65, ra 16-17, rv 64/8, pa 61/26, pcwp 27 -ventricular tachycardia, s/p ablation -prior icd implant with upgrade to biv icd in -atrial flutter, s/p ablation -chronic renal insufficiency (baseline creatinine 2.0) -peripheral vascular disease -facial melanoma -bladder cancer pacemaker/icd, biv icd in , revised in . cardiac risk factors: dyslipidemia, hypertension. no diabetes. social history: no etoh or tobacco use. family history: no family history of premature cad or scd. physical exam: blood pressure was 117/56 while supine. pulse was 63 beats/min and regular, respiratory rate was 14 breaths/min. gen: well developed, well nourished and well groomed. oriented to person, place and time. mood and affect appropriate. heent: no xanthalesma, no conjunctiva pallor, mucous membranes moist neck: supple with jvp of 10cm with +hjr. carotid pulses +1. there was no thyromegaly. left-sided carotid bruit pulm: no chest wall deformities, scoliosis or kyphosis. respirations unlabored, no accessory muscle use. lungs ctab, no w/r/r cor: pmi diffuse, laterally displaced to anterior axillary line. there were no thrills, lifts or palpable s3 or s4. normal s1, loud p2. early systolic murmur at llsb radiating to apex. abd: no pulsatile masses, no hepatosplenomegaly or tenderness, nt, nd, +bs. no abdominal or femoral bruits. ext: no pallor, cyanosis, clubbing or edema. skin: no stasis dermatitis, ulcers, scars, or xanthomas. . pulses: right: carotid 1+ femoral 2+ popliteal 1+ dp 1+ pt 1+ left: carotid 1+ femoral 2+ popliteal 1+ dp 1+ pt 1+ pertinent results: 06:55am blood wbc-9.7 rbc-4.09* hgb-10.0* hct-31.1* mcv-76* mch-24.5* mchc-32.2 rdw-18.6* plt ct-316 09:45am blood pt-22.6* ptt-37.7* inr(pt)-2.2* 06:55am blood glucose-95 urean-42* creat-2.4* na-137 k-3.8 cl-101 hco3-25 angap-15 06:59pm blood ck(cpk)-65 06:55am blood calcium-9.1 phos-3.9 mg-2.6 chest x-ray on : ap upright view of the chest: the mildly enlarged heart is unchanged. the mediastinal and hilar contours are normal. the lungs are clear. the icd and pacemaker leads are in proper positions projecting over the right atrium, right ventricle, and left ventricle. patient is status post cabg. impression: 1. no acute cardiopulmonary process is noted. 2. mildly enlarged heart is unchanged. brief hospital course: #) cv - rhythm: patient on mexiletine 200mg and amiodarone 200mg qday as outpatient but was started on amiodarone continuous infusion at osh. pacer interrogation demonstrated firing x4 as above. given previous history of ischemic disease, this may be v-tach with permanent re-entrant substrate secondary to ischemia/infarction. recent increasing frequency of events may be secondary to recent bowel preparations from colonoscopy, and decreased absorption of anti-arrhythmic agents secondary to this. had recurrent episodes of v-tach with icd firing on . now status-post vt ablation on . per electrophysiology service recommendations, restarted mexiletine and continued oral amiodarone 200mg qdaily. started on anticoagulation with warfarin and heparin gtt after vt ablation procedure, which will need to continue for 2 months. . #) ischemia - history of cabg in . experienced few episodes of angina associated with v-tach during this admission, that resolved with sublingual nitroglycerin without and significant ecg changes. continued with aspirin, clopidogrel, metoprolol, statin, but held lisinopril. . #) pump - per records, patient has ef ranging 15-25%. although jvp is elevated, appears to be euvolemic otherwise, given absence of crackles on pulmonary exam and absence of peripheral oedema. continued with furosemide 120mg qam, 80mg qpm , isosorbide mononitrate, and hydralazine, metoprolol. held lisinopril, can consider discontinuing if already on imdur/hydralazine. discontinued digoxin due to arrhythmogenicity . #) valves - no known issues. have mitral regurgitation secondary to dilated cardiomyopathy. no symptoms. . #) hypertension - continued metoprolol, imdur/hydralazine, furosemide. . #) chronic renal failure - creatinine was slightly elevated from baseline of 2.0. likely secondary to recent bowel preparation/dehydration. electrolytes and volume status stable. held lisinopril. . #) copd - continued advair. . #) iron deficiency anemia - patient was undergoing colonoscopy for work-up of this. continued with iron supplements. guaiaced stools and monitor hematocrit. medications on admission: aspirin 81 mg daily digoxin .125 mg daily lasix 120 qam, 80 mg qpm mexiletine 200 mg hydralazine 10 mg three times a day protonix 40 mg lisinopril 2.5 mg qd metoprolol 100 mg q am, 50 mg qpm folic acid 1 mg qd niferex 150 mg daily colace 100 mg plavix 75 mg daily flomax 0.4 mg daily mvi 1 qd lipitor 80 mg daily amiodarone 200 mg daily imdur 60 mg qd advair 250/1 puff discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. furosemide 80 mg tablet sig: 1.5 tablets po qam (once a day (in the morning)). 3. furosemide 80 mg tablet sig: one (1) tablet po qday at 3:00 pm. 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 5. metoprolol tartrate 50 mg tablet sig: two (2) tablet po qam (once a day (in the morning)). 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 8. polysaccharide iron complex 150 mg capsule sig: one (1) capsule po daily (daily). 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 10. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 11. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily). 12. hexavitamin tablet sig: one (1) cap po daily (daily). 13. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 14. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 15. amiodarone 200 mg tablet sig: one (1) tablet po once a day. 16. mexiletine 200 mg capsule sig: one (1) capsule po q12h (every 12 hours). 17. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). 18. warfarin 1 mg tablet sig: two (2) tablet po at bedtime: adjust dose as directed by primary care physician. :*60 tablet(s)* refills:*2* 19. bactrim ds 160-800 mg tablet sig: one (1) tablet po twice a day for 6 days: to complete 7-day course on . :*12 tablet(s)* refills:*0* 20. isosorbide mononitrate 60 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 21. inr check sig: pt and inr 2 times per week.: please have inr checked 2 times per week in lab in dr. office building and forward results to dr. . :*qs * refills:*2* discharge disposition: home discharge diagnosis: ventricular tachycardia urinary tract infection secondary diagnoses: ischemic cardiomyopathy chronic renal insufficiency coronary artery disease discharge condition: vital signs stable. discharge instructions: you were admitted for evaluation of abnormal heart rhythm. you were evaluated by heart rhythm specialist and had an ablation procedure to help improve problems with heart rhythm. your rhythm medications were adjusted. also, you were started on blood thinners (coumadin) which you should continue for at least 1 month. you were also started on antibiotic for urinary tract infection. please complete the full course of antibiotic even if you no longer have any symptoms. please call your physician or report to the emergency room if you notice worsening chest pain, shortness of breath, severe palpitations, receive a shock from your icd device, or any other concerning symptoms. followup instructions: you should follow up for your blood-thinning levels (inr) in the laboratory at your primary care physician's office building. (dr. ). you should have your next level checked on friday . you have been given a prescription for this and the results will be automatically sent to your primary care physician. taking 2mg of coumading until adjustment made by primary care. . you have been scheduled for follow-up in dr. office on mondary at noon. please call for any questions or to change your appointment. procedure: excision or destruction of other lesion or tissue of heart, endovascular approach diagnoses: congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified aortocoronary bypass status peripheral vascular disease, unspecified chronic kidney disease, unspecified paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease other and unspecified angina pectoris personal history of malignant neoplasm of bladder iron deficiency anemia, unspecified automatic implantable cardiac defibrillator in situ 

Answer: The patient is high likely exposed to