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: shortness of breath major surgical or invasive procedure: pericardiocentesis pacer lead revision history of present illness: ms. is a 68 year old female with h/o tias, htn, paf s/p sss s/p pacer presented to osh with 1 week nausea, sob, palpitations. found to have small left pleural effusion and small pericardial effusion without tamponade. also her atrial fibrilliation was controlled initially with amiodarone, and now she is on a diltiazem drip. transferred to for possible lead revision versus removal of pacemaker if perforation. she had slight chf by bnp but actually sounding pretty clear on cxr. also with transient facial numbness. past medical history: cardiac tamponade pericardial effusion pleural effusion atrial fibrillation tachy/ brady syndrome s/p pacemaker h/o tia diverticulosis hypertension peptic ulcer disease social history: lives alone. no alcohol or tobacco. retired. physical exam: 98.8, 87, 140/61, 16, 96%2l, 98.7kg cor: irregularly irregular, normal rate, 10mmhg pulsus chest: decreased breathsounds at l>r base with egophany. pertinent results: 02:40am blood wbc-9.9 rbc-3.10* hgb-10.1* hct-29.4* mcv-95 mch-32.8* mchc-34.5 rdw-12.9 plt ct-330 02:40am blood glucose-112* urean-20 creat-0.9 na-142 k-3.5 cl-104 hco3-26 angap-16 01:05pm blood type-art o2 flow-2 po2-69* pco2-49* ph-7.42 calhco3-33* base xs-5 intubat-not intuba comment-nasal 01:00pm other body fluid wbc-5300* hct,fl-2.5* polys-48* lymphs-43* monos-5* eos-2* basos-1* mesothe-1* 01:00pm other body fluid totprot-4.7 glucose-82 ld(ldh)-2093 amylase-18 albumin-2.7 electrocardiogram performed on: atrial fibrillation. nonspecific st-t wave changes echo : the left atrium is normal in size. left ventricular wall thickness, cavity size, and systolic function are normal (lvef 60-70%). right ventricular chamber size and free wall motion are normal. right ventricular systolic function is normal. the aortic valve leaflets (3) are mildly thickened but not stenotic. trace aortic regurgitation is seen. trivial mitral regurgitation is seen. there is a moderate to large sized pericardial effusion. the effusion appears circumferential. there is brief right atrial collapse. there is significant, accentuated respiratory variation in mitral/tricuspid valve inflows, consistent with impaired ventricular filling and early cardiac tamponade. a pacemaker wire is seen in the right heart ; the tip is at the apex of the right ventricle. perforation cannot be excluded with certainty, but the tip of the wire was not visualized outside the epicardial surface of the heart. impression: moderate-to-large circumferential pericardial effusion with early cardiac tamponade. catheterization: indications for catheterization: pericardial effusion final diagnosis: 1. successful pericardiocentesis. 2. mild pulmonary hypertension. comments: 1. limited resting hemodynamics prior to pericardiocentesis showed a mildly elevated pulmonary pressure (pa mean 28 mmhg). the left and right sided filling pressures were elevated and entrained in the pericardial pressure (ra mean 14 mmhg, pcw mean 19 mmhg, rvedp 19 mmhg, pericardium mean 15 mmhg). the cardiac output was normal (co 4.5 l/min, ci 2.15 l/min/m2). 2. the mean right atrial and pericardial pressure after pericardiocentesis of 600 ml of fluid was 7 mmhg and 4 mmhg, respectively. cardiac output and index were essentially unchanged (co 5.0 l/min, ci 2.4 l/min/m2). 3. an echocardiogram after pericardiocentesis showed minimal residual fluid in the pericardium. 4. the pacemaker lead positions were confirmed with fluroscopy together with the electrophysiology team. echo: left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there is a small to moderate sized pericardial effusion subtending the right atrial and right ventricular free walls. the effusion is echo dense, consistent with blood, inflammation or other cellular elements. there are no echocardiographic signs of tamponade. no right atrial diastolic collapse is seen. compared with the findings of the prior study (tape reviewed) of , no major change is evident; a small-to-moderate sized pericardial effusion without evidence of cardiac tamponade persists. cxr: findings: note is made of dual chamber cardiac pacemaker, with two leads, one terminating in the right atria appendage and the other one terminating in the right ventricle. no evidence of pneumothorax. again note is made of cardiomegaly. the mediastinal and hilar contours are unchanged compared with previous study. again note is made of bilateral pleural effusions with left lower lobe atelectasis, which is likely increased compared to prior study. pulmonary vasculatures are within normal limits, and there is no evidence of cardiac failure. there is no suspicious lesion in skeletal structures. impression: cardiac pacemaker leads as described above. no pneumothorax. cardiomegaly. increased bilateral pleural effusion and atelectasis. brief hospital course: ms. is a 68 yo woman who underwent pacemaker placement two weeks prior to admission, found to have subsequent pericardial and pleural effusions with moderate tamponade. she then underwent pericardiocentesis draining 600cc of fluid. following the procedure she was observed in the ccu, where she remained stable until returning to the cardiology service a few days later. after her pericardiocentesis, she underwent pacer lead revision. a repeat echo showed stable small to moderate effusion without evidence for tamponade. she did have bilateral pleural effusions, which were not clinically significant given that her ambulatory saturations were >90% on room air. regarding her atrial fibrilliation, we titrated up her beta-blocker because she was tachycardic upon exertion. cardioversion was not completed because anticoagulation is contraindicated after pericardiocentisis. discharge medications: 1. citalopram hydrobromide 20 mg tablet sig: two (2) tablet po qd (once a day). 2. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 3. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po tid w/meals (3 times a day with meals). 4. multivitamin capsule sig: one (1) cap po qd (once a day). 5. digoxin 125 mcg tablet sig: one (1) tablet po qd (once a day). 6. dorzolamide hcl 2 % drops sig: one (1) drop ophthalmic (2 times a day). 7. aspirin 325 mg tablet sig: one (1) tablet po qd (once a day). 8. metoprolol tartrate 100 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*2* 9. keflex 500 mg capsule sig: one (1) capsule po three times a day for 3 days. disp:*9 capsule(s)* refills:*0* discharge disposition: home with service facility: nursing services discharge diagnosis: cardiac tamponade pericardial effusion pleural effusion atrial fibrillation tachy/ brady syndrome s/p pacemaker h/o tia diverticulosis hypertension peptic ulcer disease discharge condition: stable discharge instructions: please call your doctor or go to the emergency room if you develop worsening shortness of breath followup instructions: with primary care physician within one to two weeks of discharge please call your cardiologist for a follow up appointment in weeks after discharge please keep scheduled appointment with dr ( in . provider: , . call to schedule appointment procedure: pericardiocentesis revision of lead [electrode] diagnoses: unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation unspecified disease of pericardium other complications due to other cardiac device, implant, and graft 

Answer: The patient is high likely exposed to