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: pericardial effusion major surgical or invasive procedure: pericardiocentesis with drain placement in catheterization laboratory history of present illness: patient is a 77 year-old gentleman with known cad (r dominant system, prior stent to rca, ptca of d1) s/p recent off-pump cabg with dr. (cath with 90% stenosis to mid-lad, unsuccessful stenting complicated by dissection of vessel, revascularization with lima -> lad , hospital course significant for afib, treated with amiodarone, dc'd home on pod5) who now presents with pericardial effusion noted in cardiology clinic on . patient complained of increasing sob over the last 5 days pta. also experiencing worsening orthopnea, sleeps in arm chair, decreased exercise tolerance -- now only able to ambulate across a room, previously ambulating between rooms. no chest pain or abdominal discomfort, occasional palpitations. . 1 day pta patient went to dr. office for a regularly scheduled visit -- bedside echo was performed which revealed a pericardial effusion. patient was admitted to service. at night, had aflutter on telemetry which broke spontaneously. lopressor 25 po was started which was dc'd the following morning after consultation with patient's attending due to known side effects from drug. past medical history: 1. cad - rca stenting ( and ) and ptca of diagonal ; cabg after dissection of lad during elective cath 2. htn 3. hyperlipidemia 4. prostate ca with xrt/ seeding/ hormonal therapy 5. s/p appy social history: retired lieutenant firefighter quit tobacco 15 years ago, smoked cigars/day for 20 years drinks 2 glasses of wine per day lives with wife family history: brother died of mi at age 82 physical exam: vitals in ed: 96.2 127/60 76 22 97% on 2l gen: pleasant, middle aged gentleman, nad\ heent: nc, at, anicteric, jvd + 12 cm, no carotid bruits, no lad, cv: rrr, nl s1, loud s2, no extra hs chest: faint crackles at bases, midline scar - c/d/i, healthy granulating tissue abd: + bs, snt, nd ext: + femoral pulses, no bruits b/l, + 1 full dp/pt b/l pertinent results: admission cxr : impression: small bilateral pleural effusions and atelectasis within the left lung base. no evidence of chf or pneumonia. . pericardiocentesis procedure: pericardiocentesis: was performed via the subxyphoid approach, using an 18 gauge thin-wall needle, a guide wire, and a drainage catheter. conscious sedation: was provided with appropriate monitoring performed by a member of the nursing staff. . echo post pericardiocentesis there is a small somewhat echo dense pericardial region that likely represents a very small partially organized residual pericardial effusion; cannot exclude pericardial thickening. there is no echocardiographic evidence of tamponade. an interventricular septal bounce is noted. brief hospital course: patient is a 77 year-old gentleman with cad, htn, hyperlipidemia with recent cabg who presented from cardiologist's office for pericardiocentesis after bedisde echo revealed pericardial effusion. the following issues were addressed during the hospital stay -- . 1. pericardial effusion etiology was patient's recent cabg. patient underwent pericardiocentesis in the catheterization laboratory, and a temporary drain was placed. patient tolerated procedure well. portable cxr confirmed proper line placement and no pneumothorax. repeat echo the following day showed drainage of effusion, and drain was subsequently removed. patient to follow up with dr. office in 6 days. 2. cardiac (cad, rhythm) patient's outpatient cardiac medications were restored (asa, plavix, lipitor, cardizem, cardura). on the evening of admission, patient had brief episode of atrial flutter, which reverted to sinus rhythm spontaneously. patient was not on beta-blocker due to intolerable side effects including depression. in discussion with patient's cardiologist, patient had brief history of afib post-operatively which was treated with amiodarone -- he felt that anti-coagulation was not necessary as patient has been in sinus rhythm since, and afib was attributed to routine post-operative event. during this hospital stay, patient's amiodarone was increased to 400mg po qd per dr. , and patient will follow-up with him in 1 week to re-assess if this dosage and/or anticoagulation will be necessary. . 3. pump patient with preserved ef per recent echo. given shortness of breath, le edema, elevated jvp on presentation, and pleural effusions on cxr, patient was started on lasix 20mg po qd, and will follow-up with cardiologist in 1 week. . 4. ppx patient was kept on heparin sc tid for dvt prophylaxis as inpatient, and outpatient vitamin supplements were continued. medications on admission: docusate sodium 100 mg capsule ; aspirin 325 mg tablet daily; clopidogrel 75 mg daily; folic acid 1 mg daily; multivitamin capsule daily ; thiamine hcl 100 mg daily; amiodarone 200 mg tablet once a day; protonix 20 mg tablet daily; lipitor 80 mg tablet daily; zetia 10 mg tablet daily; hctz 12.5mg daily; cardizem 300mg daily; cardura 2mg daily. discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. multivitamin capsule sig: one (1) cap po daily (daily). 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 7. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 10. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 11. diltiazem hcl 300 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 12. doxazosin 1 mg tablet sig: two (2) tablet po hs (at bedtime). 13. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po once a day. 14. lasix 20 mg tablet sig: one (1) tablet po once a day: please continue taking until you see dr. next week. disp:*30 tablet(s)* refills:*2* 15. potassium chloride 10 meq capsule, sustained release sig: one (1) capsule, sustained release po once a day. disp:*30 capsule, sustained release(s)* refills:*2* discharge disposition: home discharge diagnosis: primary 1. pericardial effusion s/p pericardiocentesis . secondary 1. cad s/p 3 ptcas and recent cabg 2. htn 3. hyperlipidemia 4. prostate ca s/p rx discharge condition: clinically and hemodynamically stable, without chest pain or dyspnea, no oxygen requirement discharge instructions: 1. please take all medications as prescribed - lasix 20mg po qd has been added to your regimen, and your amiodarone has been increased to 400mg by mouth every day. please continue these medications at the prescribed dosages until you see dr. in clinic in 1 week. 2. if you develop chest pain, shortness of breath, bleeding, or any other concerning signs/symptoms, please contact your pcp /or report to the nearest emergency medical facility 3. please make all follow-up appointments followup instructions: please make an appointment to see your pcp days (dr. ). please call your cardiologist dr. to schedule a follow-up appointment to be seen in his clinic in one week. please keep your previously scheduled appointment with your cardiac surgeon -- provider: , md date/time: 1:30 procedure: pericardiocentesis diagnoses: unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of prostate aortocoronary bypass status atrial flutter other and unspecified hyperlipidemia acute pericarditis, unspecified 

Answer: The patient is high likely exposed to