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: pravastatin / atenolol / colchicine attending: chief complaint: bradycardia/weakness major surgical or invasive procedure: icd pacemaker placement history of present illness: 61 yo male with history of cad s/p cabg ', htn, obesity, copd, being followed by dr. comes in today with worsening lightheadedness, sob on exertion. he recently had a holter monitor placed by dr. and was found to have episodes of bradycardia. betablockers and lisinopril were stopped (on ). however, his symptoms persisted, with him feeling worse for the past 3-4 days. he has had intermittent chest discomfort as well, had trouble walking in the kitchen. he called his pcp who recommended for him to go to the ed for bradycardia. in the ed, initial vs were 98.2 30 150/65 18 100% ra. ekg revealed complete heart block. labs unremarkable. external pads were placed. ep saw the patient in the ed, plan for pacer placement today. vs on transfer were 32 133/59 17 99% on 2l. . on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for chest "pressure", but absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. . past medical history: past medical history: 1. cardiac risk factors: diabetes, dyslipidemia, (+) hypertension 2. cardiac history: cad -cabg: cabg (lima-diagonal, svg-lad) in after failed angioplasty -percutaneous coronary interventions: s/p rca stent , ostial and mid-svg-lad tetra stent in -pacing/icd: none 3. other past medical history: . obesity, osa home cpap , copd, herpes zoster ophthalmicus, osteoarthritis, pseudogout, chronic back pain, depression, djd, and hypothyroidism social history: social history -tobacco history: smokes 1.5 packs per day, smoker for 45 years. -etoh: on occasion, had 3 drinks yesterday at a party -illicit drugs: denies family history: father, mother, uncle, and multiple cousins with . no diabetes or hypertension in the family members. physical exam: on admission: vs: t=97 bp=139/64 hr= 26-33 rr=18 o2 sat=98% 2l o2. general: obese man in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. wears glasses. neck: jvp not appreciated due to obesity. cardiac: distant heart sounds. pmi located in 5th intercostal space, midclavicular line. slow heart rate, s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: ctab, no crackles, wheezes or rhonchi. abdomen: soft, obese. no hsm or tenderness. extremities: no c/c/e. no femoral bruits. scars on lower extremities (cabg graft). pulses:right:dp 2+ left:dp 2+ on discharge: pertinent results: admission labs: 12:00pm pt-13.6* ptt-24.9 inr(pt)-1.2* 12:00pm neuts-71.2* lymphs-20.6 monos-4.5 eos-2.4 basos-1.2 12:00pm wbc-10.2 rbc-4.25* hgb-13.6* hct-40.5 mcv-95 mch-32.0 mchc-33.6 rdw-14.3 12:00pm ctropnt-<0.01 12:00pm estgfr-using this 12:00pm glucose-121* urea n-18 creat-1.1 sodium-139 potassium-3.9 chloride-104 total co2-27 anion gap-12 12:09pm o2 sat-48 carboxyhb-6* 12:09pm k+-4.1 12:09pm comments-green top cxr: brief hospital course: 61 yo male with history of cad s/p cabg ', htn, obesity, copd, being followed by dr. admitted with worsening symptoms and bradycardia. in the icu for pacemaker placement. . # rhythm: on arrival to the er, patient was bradycardic to 30's though asymptomatic and normotensive ekg revealed complete heart block with previous showing rbb with left anterior fascicular block. labs unremarkable. external pads were placed and the patient underwent transcutaneous pacing. he was seen by electrophysiology who recommended pacer placement. on hd2, patient had a biventricular pacer placed. he was restarted on bisoprolol 2.5mg daily and lisinopril 5mg daily. he was discharged the same day with a plan for a total of three days of kefflex for antibiotic prophylaxis and followup with ep in 1 week. . # coronaries: s/p cabg in 93 (lima-diag, svg to lad), s/p stents, most recently in . he was continued on asa 325 daily, rosurvastatin 10 daily and clopidogrel 75mg. . # pump: on admission, patient was not on a beta blocker or and ace given history of bradycardia. last echo showed ef 45-54%, with an akinetic lv apex . # copd - continued home inhalant therapy as needed . # hyperlipidemia: continued rosurvastatin 10mg daily . #osa - he was continued on cpap which he uses at home. . #chronic back pain - oxycodone q4hrs 5mg prn for back pain. . # depression - continued citalopram home dose medications on admission: medications (confirmed with patient): 1. bisoprolol fumarate - (on hold from to unknown for bradycardia) - 5 mg tablet - tablet(s) by mouth once a day 2. citalopram - 40 mg tablet - 1.5 tablet(s) by mouth once a day 3. clopidogrel - 75 mg tablet - 1 tablet(s) by mouth once a day 4. fluticasone - 110 mcg/actuation aerosol - 2 puffs twice a day 5. folic acid - 1 mg tablet - 1 tablet(s) by mouth once a day 6. hydrocodone-acetaminophen - 5 mg-500 mg tablet - 1 tablet(s) by mouth at bedtime as needed for pain 7. ipratropium-albuterol - 103 mcg-18 mcg/actuation 8. aerosol - 2 puffs four times a day as needed for sob 9. levothyroxine - 137 mcg tablet - 2 tablet(s) by mouth once a day 10. lisinopril - (prescribed by other provider: ; dose adjustment - no new rx) - 5 mg tablet - 1 tablet(s) by mouth once a day 11. nitroglycerin - 0.4 mg tablet, sublingual - 1 tablet(s) sublingually every 5 minutes as needed for chest pain (max 3) 12. rosuvastatin - 10 mg tablet - 1 tablet(s) by mouth once a day 13. aspirin - (otc) - 325 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth once a day 14. omega-3 fatty acids - (prescribed by other provider; otc) - 1,000 mg capsule - 1 capsule(s) by mouth daily . discharge medications: 1. citalopram 40 mg tablet sig: 1.5 tablets po once a day. 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 4. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 5. hydrocodone-acetaminophen 5-500 mg tablet sig: one (1) tablet po at bedtime as needed for pain. 6. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed for shortness of breath. 7. rosuvastatin 10 mg tablet sig: one (1) tablet po at bedtime. 8. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 9. omega-3 fatty acids capsule sig: one (1) capsule po daily (daily). 10. levothyroxine 137 mcg capsule sig: two (2) capsule po daily (daily). 11. keflex 500 mg capsule sig: one (1) capsule po every six (6) hours for 2 days. disp:*8 capsule(s)* refills:*0* 12. bisoprolol fumarate 5 mg tablet sig: 0.5 tablet po once a day. 13. lisinopril 5 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: 1. complete heart block discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital with a dangerous heart rhythm called complete heart block. you had a pacemaker placed without complication. you tolerated the procedure well. . some of your medications were changed during this admission: restart bisoprolol 2.5mg daily (you already have these pills) restart lisinopril 5mg daily (you already have these pills) start cephalexin 500mg every 6 hours for 2 days (8 pills total) . you should continue to take all of your other medications as prescribed. followup instructions: department: cardiac services when: wednesday at 10:00 am with: device clinic building: sc clinical ctr campus: east best parking: garage department: - adult med when: wednesday at 3:15 pm with: , md building: (, ma) campus: off campus best parking: free parking on site department: cardiac services when: friday at 3:00 pm with: , m.d. building: sc clinical ctr campus: east best parking: garage procedure: initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle diagnoses: obstructive sleep apnea (adult)(pediatric) other chronic pain tobacco use disorder unspecified essential hypertension unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status depressive disorder, not elsewhere classified other and unspecified hyperlipidemia atrioventricular block, complete obesity, unspecified backache, unspecified 

Answer: The patient is high likely exposed to