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 present illness: the patient is a 71-year-old male with a history of coronary artery disease, status post myocardial infarction times four, coronary artery bypass graft with multiple pca interventions, atrial fibrillation, congestive heart failure with several recent admissions presenting with syncope. at the time of initial interview the patient was unable to give further events secondary to ativan administration, although the following day the patient described a syncopal event on the couch witnessed by his wife. denied chest pain or shortness of breath throughout the episode. while in the emergency room the patient had multiple episodes of v tach lasting at least 16 seconds which were witnessed by the rn who stated patient's eyes rolled back in his head. the patient does have an implantable defibrillator that did not fire and received 150 mg of amiodarone in the emergency room. past medical history: significant for coronary artery disease, had a coronary artery bypass graft in which was to lad, continuous to om1, rca, had ptca with stent to the , graft. in had ptca again to to om and rca. congestive heart failure had a recent admission to . had instent stenosis with stent to the to rca and ef was 15% at that time. a cath showed to rca 99% with ptca done, patent to lad and to om1. the patient has automatic implanted defibrillator secondary to cardiac arrest that occurred in . also has benign prostatic hypertrophy. medications: on admission, aspirin 325 mg, lasix 80 mg in the morning, 40 mg at night, zestril 2.5 mg, toprol xl 12.5, lipitor 10 mg, coumadin 2 mg, proscar 5 mg, ticlid 250 mg , home oxygen 2 liters and initial blood pressure 94/61, pulse 74, respirations 20, 100% on two liters. in general the patient is sleepy, arousable to pain, anicteric, heart was regular, 2/6 systolic murmur. chest, decreased breath sounds at the bases with decent air exchange. abdomen, positive bowel sounds, nontender, nondistended. extremities showed + edema to the mid calf. laboratory data: hematocrit 39.9, white count 10.5, platelet count 116,000, sodium 134, potassium 5.0, chloride 99, co2 30, bun 67, creatinine 2.1, glucose 125, initial ck 77 with troponin of 1.2. chest x-ray showed increased perihilar haziness, bibasilar opacities suggestive of pulmonary edema. ekg initially showed a left bundle branch block at 82. hospital course: 1. the patient was admitted to the floor and placed on telemetry for syncope and v tach arrest. the patient was continued with the diuresis of iv lasix. the next day the patient was taken to the ep lab for ablation of his v tach focus and mapping of his v tach. the day before the patient received adjustment of his pacer, defibrillator settings to shock at a lower rate. on the morning after the ablation, the patient was found to be less oriented, not saturating well, cyanotic toes and was transferred to the ccu for administration of milrinone. while in the ccu the patient received 24 hours of milrinone without much response. after two days the patient was called out to the floor. on the floor the patient continued in congestive heart failure. an echo done previously on this admission had showed an ef around 10%. the patient was started on a natrecor drip and was evaluated for receiving a biventricular pacer. the patient received the pacer and on the day after continued to do well. a repeat echo showed an ef of %. the patient was mentating well and was no longer as cyanotic and was saturating well off oxygen. none of these events were thought to be ischemic. elevated enzymes post ablation were thought secondary to the ablation itself and came down appropriately. 2. pulmonary: patient had congestive heart failure throughout his admission, had good response to natrecor, lasix, spironolactone was started to increase this diuresis. of note, the patient also had episodes of sleep apnea with o2 sats down to 89% and we avoided giving him ambien for the rest of his admission. 3. hematology: a) thrombocytopenia - the patient's platelet count started dropping during his ccu stay. it was monitored and had a nadir in the 70's. we were considering discontinuing anti-platelet agents if the downward trend continued, although patient very much needed his ticlid for his stents. no signs of symptoms of bleeding were noted. b) leukocytosis - patient accidentally received a dose of solu-medrol while initially on the floor due to a nursing error. although the white count remained elevated, there were no signs or symptoms of other systemic infections. 4. infectious disease: the patient had thrush throughout his admission. he was tried on clotrimazole troches and nystatin swish and swallow although still complained of mouth burning with some visible thrush. on the day of his discharge he was started on diflucan 200 mg po the first day, then 100 mg a day after. code status: the patient's code status changed during this admission. he was initially full code and after careful discussion with his family, was changed to dnr/dni. discharge diagnosis: 1. coronary artery disease. 2. v tach. 3. syncope. 4. congestive heart failure exacerbation secondary to ventricular tachycardia and ischemic cardiomyopathy. 5. benign prostatic hypertrophy. discharge medications: aspirin 325 mg po q d, lipitor 10 mg po q d, finasteride 5 mg po q d, ticlid 250 mg po bid, amiodarone 400 mg a day until , then 200 mg a day, protonix 40 mg a day, tylenol 325 to 650 mg po q 4-6 hours prn, nystatin oral suspension 5 ml po qid, spironolactone 25 mg po q d, viscus lidocaine 2%, 20 ml po tid prn, ambien 5 mg po h.s., captopril 6.25 mg po tid, lasix 80 mg iv bid, fluconazole 100 mg po q day for 7 days, carvedilol 3.125 mg po bid. follow-up: in device clinic in one week. the patient has an appointment at device clinic at 11 a.m. on and can call to confirm at . he should also be brought back for icd testing. patient to follow-up with dr. or coverage in one week. discharge condition: fair. discharge status: to rehabilitation. , m.d. dictated by: medquist36 procedure: catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] diagnoses: thrombocytopenia, unspecified congestive heart failure, unspecified unspecified protein-calorie malnutrition atrial fibrillation aortocoronary bypass status candidiasis of mouth paroxysmal ventricular tachycardia cardiac arrest 

Answer: The patient is high likely exposed to