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: amiodarone attending: chief complaint: icd firing three times major surgical or invasive procedure: vt ablation history of present illness: mr. is a 75 year old male with past medical history of type2 dm, atrial fibrillation s/p avn ablation and several aads, cad complicated by systolic heart failure with lvef of 25%, ventricular tachycardia s/p icd placement and vt ablation in complicated by right iliac artery disection requiring emergent angiography and stenting. he woke up this morning with icd shock. he does not report chest pain, shortness of breath, palpatations or syncope prior to the episode. he went to his pcp today where interrogation was thought to be inappropriate. he was instructed to go home and come to the ed if he has icd shock. he did have icd shock x 2 this evening without any associated symptoms. he called ems and was brought to . labs at osh were notable for normal electrolytes, creatinine at baseline of 1.56, bnp of 193, nomral cbc and troponin of 0.068. he was transferred to for further management. in the ed, initial vitals were: 98.2 70 141/91 18 100% 2lnc. ep was consulted who recommended increasing metoprolol to 100 mg , trending troponin and admission to after interrogation revealed his icd shocks were appropriate for 330 ms cycle length ventricular tachycardia. past medical history: aaa - 4 cm per recent ultrasound peripheral vascular disease s/p iliac disection and stenting prostate cancer coronary artery disease s/p angioplasty s/p pacemaker placement gerd hyperlipidemia hypertension sciatica hyperthyroidism atrial fibrillation type ii diabetes stage iii chronic kidney disease social history: patient quit smoking in . he has a 10 pack year smoking history. he occassionally has alcohol. he never uses other drugs. he was never married. he is a priest and lives in a monastary. family history: his father did of a heart attack at age 46, his sister at age 59. physical exam: admission physical exam: vs: 98.0 134/80 88 18 98%ra gen: elderly male, pale, lying in bed in no acute distress. oriented x 3, mood and affect appropriate. heent: ncat. sclera anicteric. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 7 cm, left sided carotid bruit cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. aicd site intact, well healed incision. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no c/c/e. bilateral femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. discharge physical exam: vs: t = 97.9, bp = 99/58 - 111/56, hr = 81, rr = 18, o2 sat = 99% on ra general: older caucasian male, no acute distress, sitting up easily this morning. heent: normocephalic, atraumatic. mmm. op clear. neck: supple. nondistended jvd. heart: regular rate, s1 and s2. no audible mumurs, rubs, or gallops. aicd site intact with well healed incision. lungs: no increased wob or accessory muscle use. lungs clear bilaterally to wheezes, rhonchi, rhales. abd: nabs, soft, nondistended. nontender to palpation. ext: warm to perfusion, no edema. distal pulses diminished but intact. pertinent results: admission labs: 08:57pm blood wbc-9.5 rbc-3.76*# hgb-12.7*# hct-36.6*# mcv-97 mch-33.8* mchc-34.7 rdw-14.2 plt ct-222 08:57pm blood neuts-77.1* lymphs-14.6* monos-5.7 eos-1.7 baso-0.8 08:57pm blood pt-32.3* ptt-41.8* inr(pt)-3.1* 08:57pm blood glucose-118* urean-30* creat-1.7* na-140 k-4.0 cl-102 hco3-26 angap-16 08:57pm blood ctropnt-0.03* 03:21am blood ck-mb-3 ctropnt-0.03* 12:27pm blood ck-mb-3 ctropnt-0.02* 03:21am blood calcium-8.6 phos-3.4 mg-2.3 08:57pm blood tsh-7.1* 12:27pm blood t4-7.9 08:57pm blood digoxin-0.8* discharge labs: 06:33am blood wbc-8.4 rbc-3.58* hgb-11.7* hct-35.3* mcv-98 mch-32.6* mchc-33.2 rdw-14.2 plt ct-211 06:33am blood plt ct-211 06:33am blood glucose-117* urean-34* creat-1.8* na-136 k-4.2 cl-101 hco3-26 angap-13 06:33am blood calcium-8.8 phos-3.3 mg-2.2 imaging ekg (): a-v sequential pacing with a very short a-v interval. ventricular paced complex is of the appropriate left axis deviation, but with a right bundle-branch block pattern in the precordial leads consistent with biventricular pacing. compared to the previous tracing of the same date the overall rate has increased with uniform atrial pacing rather than intermittent atrial sensing. morphology of the ventricular paced beats is unchanged. cxr (): findings: as compared to the previous radiograph there is no relevant change. no pulmonary edema. no pneumonia. borderline size of the cardiac silhouette. moderate tortuosity of the thoracic aorta. pacemaker in left pectoral position. no pneumothorax. brief hospital course: 75 yo m with history of ischemic cardiomyopathy, recurrent vtach, atrial fibrillation, and pvd who p/w recurrent vt. he had an unsuccessful vt ablation, and was started on quinidine and mexilitine, w/ suppression of vt, prior to discharge. # vtach: the patient has a h/o vtach and is s/p 2 ablations and icd placement previously. he presented with recurrent vtach from a scar focus with icd firing and atp pacing successful in terminating vt. the patient was taken to the ep lab and underwent ablation. in the pacu, he had an episode of vtach, either from irritation of the myocardium from the procedure versus failed ablation. the patient was given lidocaine bolous and started on lidocaine drip in the pacu. he was then sent to the ccu for monitoring. he was started on mexilitine and recived 2 doses before the lidocaine gtt was stopped. he was monitored on telemetry without event. the mexilitine was stopped the day after the procedure. he returned to the floor, and had two additional episodes of vt the following day. he was started on quinidine and mexilitine prior to discharge. at the time of discharge, he had been vt free for over 24 hours. # pvd: the patient has pvd and has a r iliac artery stent from previous admission. during the cath, a long sheath was used that traversed the stent. this occluded the stent and caused transient leg ischemia. once the sheath was pulled, le perfusion returned. pulses were monitored and at time of discharge were at his normal baseline. # a fib: coumadin was continued for goal inr . home metoprolol and digoxin were continued. because of interaction with quinidine, coumadin was restarted post-ep procedure at a lower dose, and he will need an inr check 2-3 days post-discharge. # cad: continued statin, plavix, aspirin, lisinopril, and metoprolol. # chronic systolic chf: continue lisinopril, metoprolol, lasix. patient received 80mg iv lasix x 1 on arrival to ccu because appeared volume overloaded. he responded well and was euvolemic the next day. # dm2: the patient's home insulin regimen was continued and he was additionally covered with iss. # bph: continue flomax transitional issues: - follow up on hospital thyroid studies - tsh elevated, but t4 normal suggesting subclinical hypothyroidism - follow up inr check 2-3 days post-discharge - follow up with ep scheduled for friday. medications on admission: preadmission medications listed are correct and complete. information was obtained from patient. 1. aspirin 81 mg po daily start: in am 2. clopidogrel 75 mg po daily start: in am 3. metoprolol tartrate 100 mg po bid hold for sbp < 95 or hr < 65 4. furosemide 80 mg po daily start: in am hold for sbp < 100 5. lisinopril 10 mg po daily start: in am hold for sbp < 95 6. digoxin 0.125 mg po 4x/week (mo,we,fr,sa) start: in am 7. ranitidine 150 mg po bid 8. tamsulosin 0.4 mg po hs 9. atorvastatin 80 mg po daily start: in am 10. 70/30 22 units breakfast nph 8 units dinner insulin sc sliding scale using hum insulin 11. warfarin 2 mg po daily16 discharge medications: 1. aspirin 81 mg po daily 2. atorvastatin 80 mg po daily 3. clopidogrel 75 mg po daily 4. furosemide 80 mg po daily hold for sbp < 100 5. 70/30 22 units breakfast nph 8 units dinner insulin sc sliding scale using hum insulin 6. ranitidine 150 mg po bid 7. tamsulosin 0.4 mg po hs 8. outpatient lab work please get inr checked on tuesday, and friday 9. quinidine gluconate e.r. 324 mg po q12h rx *quinidine gluconate 324 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*2 10. digoxin 0.0625 mg po 4x/week (mo,we,fr,sa) rx *digoxin 125 mcg 0.5 (one half) tablet(s) by mouth 4x/week disp #*10 tablet refills:*0 11. lisinopril 10 mg po daily hold for sbp < 95 12. metoprolol succinate xl 100 mg po daily rx *metoprolol succinate 100 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*0 13. mexiletine 150 mg po q12h rx *mexiletine 150 mg 1 capsule(s) by mouth twice a day disp #*60 capsule refills:*0 discharge disposition: home with service facility: community vna, discharge diagnosis: ventricular tachycardia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you at . you came in after your icd went off several times for a heart arrhythmia called ventricular tachycardia. while in the hospital, you received a vt ablation procedure. you were also started on 2 anti-arrhythmic medications. please continue to take these medications. weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: name: , a location: medical associates address: , , phone: *please call your primary care provider to book follow up appointment for your hospitalization. you need to be seen within 1 week of discharge. we are working on a follow up appointment for your hospitalization with dr. . it is recommended you be seen within 2 weeks of discharge. the office will contact you at home with an appointment. if you have not heard within 2 business days please call the office . md procedure: catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping diagnoses: esophageal reflux congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) old myocardial infarction acute on chronic systolic heart failure atherosclerosis of native arteries of the extremities, unspecified fitting and adjustment of other cardiac device family history of sudden cardiac death (scd) 

Answer: The patient is high likely exposed to