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: erythromycin/sulfisoxazole attending: chief complaint: icd firing major surgical or invasive procedure: multiple external cardioversions intra aortic balloon pump foley catheter venous sheath arterial sheath endotracheal intubation oral gastric tube history of present illness: mr. is a 64 y/o m with a history ichemic cm with a history of vtach s/p icd placement, s/p three prior ablations. the patient has a history of -monthly episodes of syncope associated with appropriate icd firing. over the past two days, the patient states that his icd has fired while he is conscious. pt stated that two days ago his icd fired three times, then fired another two times yesterday, and then once more this evening that led him to seek medical attention in the er. the patient has been on meiiletine and dofetilide, and the plan has been for patient to switch to dronetarone as patient has failed prior medical therapy. in the ed, the patient's vs were 98 69 130/63 16 99%ra. ekg av paced similar to prior. ep was consulted and recommended admission. interrogation revealed slow vt at 140s, patient's settings were not changed this evening. labs only notable for k 3.9. recevied 40meq po kcl. on transfer, vs were afeb, 70, 107/57, 16, 100% ra. cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: past medical history: asthma gerd anxiety cardiac risk factors: -diabetes, +dyslipidemia, +hypertension cardiac history: -cabg: cad s/p cabg x 5 ' -percutaneous coronary interventions: unk -pacing/icd: h/o vt and vf s/p icd in biv upgrade in s/p vt ablation procedures in and , lvef 15-20%, left ventricular aneurysm, severe infarct related myopathy social history: tobacco 1.5ppd x 20 yrs, quit in . occ etoh. no drugs, married family history: + dm, +cad no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: vs: 97.8, 118/74, 70. 18, 98%ra general: 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. neck: jvp 8cm. cardiac: inferolaterally displaced, rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: ctab, no crackles, wheezes or rhonchi. abdomen: soft, nt. mild abdominal distention. no hsm or tenderness. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ ----------------- vs upon discharge: t 98.2 hr 70 av paced 95/38 with iabp set to 1:1 rr 20 o2sat 99% vent settings: ac 500 x rr 20 x 5 peep fio2 40% -failed pressure support trial because of oversedation pertinent results: admission labs: 09:15pm wbc-9.6# rbc-4.34* hgb-12.6* hct-36.7* mcv-84 mch-29.1 mchc-34.4 rdw-14.7 09:15pm plt count-187 09:15pm glucose-109* urea n-25* creat-1.3* sodium-137 potassium-3.9 chloride-96 total co2-33* anion gap-12 09:15pm ctropnt-0.01 09:15pm ck(cpk)-43 09:15pm ck-mb-notdone 09:15pm calcium-9.5 phosphate-3.0 magnesium-2.2 09:15pm pt-24.3* ptt-25.7 inr(pt)-2.3* ecg: a-v sequential paced rhythm. premature ventricular contraction or fusion beat. compared to the previous tracing of the ventricular premature beat or fusion beat is new. tte : the left atrium is markedly dilated. left ventricular wall thicknesses are normal. the left ventricular cavity is severely dilated. there is severe global left ventricular hypokinesis with some preservation of the basal septal wall (lvef = %). the inferior and inferolateral walls are thinned and akinetic. the right ventricular cavity is mildly dilated with moderate global free wall hypokinesis. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. the end-diastolic pulmonic regurgitation velocity is increased suggesting pulmonary artery diastolic hypertension. there is a trivial/physiologic pericardial effusion. impression: severe dilated left venticular cardiomyopathy with akinesis of the inferior and inferolateral walls and hypokinesis of the remainder of the ventricle. mild right ventricular dilation with moderate global hypokinesis. mild to moderate mitral regurgitation. compared with the report of the prior study (images unavailable for review) of , the left ventricle is more dilated, and systolic function is more impaired. cxr : findings: in comparison with the study of , the endotracheal tube tip lies approximately 8.2 cm above the carina and is at the mid clavicular level. pacemaker device is in place. continued substantial enlargement of the cardiac silhouette with minimal prominence of interstitial markings consistent with mild elevation of pulmonary venous pressure. no evidence of pleural effusion or acute pneumonia. of incidental note is prosthetic right shoulder. cath lab: placement of iabp brief hospital course: 64 year old male with a history of ischemic cm and vtach s/p icd placement with three prior ablations p/w vt storm. # vt storm: he has had three failed vt ablations in the past and on admission, interrogation of his icd showed slow vt with appropriate firing of his icd. he was on mixiletine and tikosyn on admission, and had been in the process of getting insurance approval for dronedarone. his digoxin was stopped on admission and his was monitored on telemetry. he had multiple episodes of vtach on the floor with icd firing and he had some transient hypotension treated with iv fluid bolus. he was transferred to the ccu for an amiodarone load and drip. at that time, the excess fluid given via bolus earlier was diuresed off. the patient continued to experience recurrent runs of ventricular tachycardia on amiodarone, though the frequency began to decrease. once his loading was complete and the drip stopped, the patient again had recurrent vt several times an hour(with icd firing). the patient was bolused with lidocaine, started on lidocaine gtt, and restarted on amiodarone gtt. . the patient continued to experience runs of ventricular tachycardia causing hemodynamic instability at slower rates (110s-120s) than before (140s-160s). the patient was electively intubated and an intra-aortic balloon pump was placed. it was determined that the vt storm was refractory to medical management and the next best course of action would be heart transplant. . the patient had been previously screened at for cardiac transplantation. given his current clinical situation, he would likely be at the top of the list for transplant. the case was discussed amongst drs. , , as well as physicians at , and it was decided that the patient would benefit from transfer as soon as medically stable. . # coronaries: his cardiomyopathy is related to ischemia. it is not clear whether his vt represents a new scar-mediated focus. he was continued on a statin and aspirin. his beta-blocker and acei were held in the setting of hemodynamic instability. . #. code status: he was full code during this hospitalization. medications on admission: tikosyn 0.5mg mexiletine 200mg tid niasapn 500mg inspra 50mg qhs altace 10mg daily dig 125mcg daily coreg 25mg mag 500mg qhs fish oil 100mg qhs lipitor 20mg daily torsemide 60-100mg daily ativan 2mg tid prilosec 20mg daily flomax 0.4mg daily effexor 37.5mg daily trazodone 100mg daily flonase combivent prn coumadin 2.5mg daily (except m & f - takes 5mg) asa 81mg daily potassium 20meq prn mvi biotin 500mcg qhs selenium 200 mcg qhs l-carnitine 250mg qhs alpha lipoic acid 100mg daily coq10 discharge medications: 1. atorvastatin 20 mg tablet : one (1) tablet po daily (daily). 2. aspirin 81 mg tablet, chewable : one (1) tablet, chewable po daily (daily). 3. multivitamin tablet : one (1) tablet po daily (daily). 4. torsemide 20 mg tablet : three (3) tablet po daily (daily). 5. eplerenone 50 mg tablet : one (1) tablet po hs (at bedtime). 6. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 7. venlafaxine 37.5 mg tablet : 0.5 tablet po bid (2 times a day). 8. chlorhexidine gluconate 0.12 % mouthwash : fifteen (15) ml mucous membrane (2 times a day). 9. fentanyl citrate (pf) 50 mcg/ml solution : 100-500 mcg injection infusion (continuous infusion): titrate to sedation. 10. midazolam 5 mg/ml solution : 5-20 mg injection titrate to (titrate to desired clinical effect (please specify)): sedation. 11. phenylephrine hcl 10 mg/ml solution : 0.5-5 mcg/kg/min injection titrate to (titrate to desired clinical effect (please specify)): map>65. 12. ipratropium-albuterol 18-103 mcg/actuation aerosol : puffs inhalation q6h (every 6 hours) as needed for sob, wheeze. 13. sodium chloride 0.9% flush 3 ml iv q8h:prn line flush peripheral line: flush with 3 ml normal saline every 8 hours and prn. 14. sodium chloride 0.9% flush 3 ml iv q8h:prn line flush peripheral line: flush with 3 ml normal saline every 8 hours and prn. 15. amiodarone 1 mg/min iv infusion 16. heparin (iabp) 3 ml/hr iv infusion for intra-aortic ballon pump administration only 17. heparin, porcine (pf) 100 unit/ml solution : dose for ptt 50-70 units intravenous continuous infusion. 18. sodium chloride 0.9% flush 10 ml iv prn line flush temporary central access-icu: flush with 10ml normal saline daily and prn. 19. lidocaine 2 mg/min iv infusion discharge disposition: extended care discharge diagnosis: ventricular tachycarida ischemic dilated cardiomyopathy cardiogenic shock discharge condition: transport to with aortic ballon pump in place, not requiring any pressor agents, intubated and sedated on versed and fentanyl discharge instructions: you were seen at for recurrent ventricular tachycardia. your clinical situation worsened during your hospitalization and you required elective intubation and sedation in efforts to control your ventricular tachycardia. an intra-aortic balloon pump was placed in order to lessen the demands of your heart in order to decrease the abnormal heart rhythm. after discussion amongst our staff, it is felt that your best option at this time is heart transplant. as you had been screened previously at for heart transplant, we discussed your clinical situation with the physicians there and agreed that you should be transferred there to await transplant. followup instructions: you have the following appointments scheduled for you. provider: , m.d. phone: date/time: 3:00 provider: clinic phone: date/time: 2:00 procedure: implant of pulsation balloon diagnoses: esophageal reflux congestive heart failure, unspecified asthma, unspecified type, unspecified paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease cardiogenic shock chronic systolic heart failure 

Answer: The patient is high likely exposed to