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: history of the present illness: this is an 85-year-old african-american female with a past medical history of hypothyroidism and hypertension who presented to her primary care physician with new onset shortness of breath, dyspnea, lightheadedness, and pnd. symptoms have progressed over the past two weeks prior to admission. upon presentation to her primary care physician, showed narrow complex tachycardia and an old known left bundle branch block. the patient's pulse in the office was at 128, at which point, the patient was referred to the emergency department. of note, the patient does not have any cardiac history. she was 100% functional without experiencing shortness of breath prior to this episode. in the emergency department, a cta ruled out a pulmonary embolism. the patient was given iv lasix and 12.5 mg lopressor empirically for chf. a chest x-ray revealed basilar congestion and atelectasis but no evidence of chf. the patient developed bradycardia with a pulse of 35 and hypotension with a blood pressure of 60-40 after having received the lopressor. the patient was fluid resuscitated and the blood pressure was raised to 120. the patient again became tachycardiac with a pulse of 120 and was admitted to and scheduled for ep. past medical history: 1. hypothyroidism. 2. hypertension. 3. remote gi bleed. 4. breast biopsy in . 5. knee surgery in . 6. hip surgery in . home medications: 1. hydrochlorothiazide 25 mg p.o. q.o.d. 2. levothyroxine 100 micrograms q.d. 3. hydrocortisone 2.5% twice as needed to scalp. 4. triamcinolone. 5. acetamide 0.1% twice as needed. 6. tylenol p.r.n. pain. allergies: the patient has no known drug allergies. family history: history of diabetes mellitus in mother and hypertension. social history: the patient lives with a roommate. she has a remote history of smoking one to two cigarettes a day for approximately 20 years. the patient admits to quitting 15 years ago. the patient denied alcohol use, denied any other drug use. physical examination on admission: vital signs: the patient was afebrile, blood pressure 124/81, heart rate 140s, respiratory rate 12. the 02 saturation was 97% on room air. heent: no jvd noted, no scleral icterus. mucosa moist. cardiovascular: distant heart sounds, tachycardiac, s1 and s2 present, i/vi holosystolic murmur. respiratory: positive bibasilar crackles, worse on the right, diffuse wheezing. abdomen: tender in the epigastric region, otherwise nondistended, soft, bowel sounds present. extremities: there were +2 pedal pulses, no edema noted. laboratory/radiologic data: hemoglobin 13.1, hematocrit 37.8, white blood cells 8.2, and platelets 176,000. electrolytes: sodium 140, potassium 3.2, chloride 102, bicarbonate 24, bun 10, and creatinine 1.1, sugar 104. cks were 136, mb 3, and troponin 0.01. enzymes were continued to be cycled and the patient was ruled out for acute mi. hospital course: upon admission to on the floor, the patient developed torsades which was attributed to treatment with beta blockade in the ed and resultant prolongation of qrs on the background of bradycardia. the patient was transferred to the ccu where she was given 2 mg of magnesium sulfate and converted to sinus. the next morning, , the patient underwent ep study with rfa radiofrequency ablation and dual-chamber pacemaker placement. this rfa addressed her supraventricular tachycardia. the pacemaker addressed her bradycardia. post ep study and pacemaker insertion on the floor, the patient developed tachypnea and diaphoresis with a rising blood pressure to 208/119, pulse 120, and sa02 of 90% on 2 liters. chest x-ray done at that time showed evidence of congestion and the patient was given 40 mg of iv lasix. echocardiogram also performed at this time showed severe mr left ventricular lv and ef of 30%. the next morning, , the patient underwent a catheterization which showed 100% rca ostium occlusion and otherwise patent lad and circumflex. a stent was placed in the rca. mitral regurgitation was assessed as moderate by left ventriculogram. post catheterization, the patient continued to be in congestion with significant pleural effusion. the chf service, under dr. , were also on consult following the patient. the patient was started on nisiritide on and was continued on nisiritide with successful diuresis until . throughout the course, the patient received captopril for afterload reduction and beta blockade. the patient improved significantly and is able to ambulate with pt. the patient is on room air and saturating at 97% oxygen. the patient was discharged to . final diagnosis: 1. ischemic cardiomyopathy. 2. mitral regurgitation 3. acute congestive heart failure due to number two. 4. supraventricular tachycardia. 5. hypertension. 6. hypothyroidism. recommended follow-up: 1. follow-up with cardiologist, dr. , in one week, phone number . 2. follow-up with outpatient echocardiogram on at 11:00 . 3. follow-up with dr. , primary care physician, three weeks. postdischarge medications: 1. lopressor 25 mg p.o. b.i.d. 2. lisinopril 10 mg p.o. q.d. 3. plavix 75 mg p.o. q.d. 4. spironolactone 25 mg p.o. q.d. 5. lipitor 10 mg p.o. q.d. 6. aspirin 325 mg p.o. q.d. 7. digoxin 0.125 mg p.o. q.d. 8. levothyroxine 125 micrograms p.o. q.d. 9. protonix 40 mg p.o. q.d. 10. acetaminophen 325 mg tablets, p.r.n. 11. albuterol sulfate solution p.r.n. for wheezing. discharge status: good. condition on discharge: good. dr., 12-abz dictated by: medquist36 d: 01:15 t: 13:18 job#: procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization excision or destruction of other lesion or tissue of heart, endovascular approach initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle cardiac mapping injection or infusion of nesiritide diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease sinoatrial node dysfunction 

Answer: The patient is high likely exposed to