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: ciprofloxacin / amiodarone / procainamide / quinidine attending: chief complaint: icd shocks x 17 today major surgical or invasive procedure: none history of present illness: the patient is a 86 yom w/ a h/o infarct related cardiomyopathy and an ef of % and vt s/p vt ablation and placement of biv-icd + intrathroacic impedence monitor (optivol), atrial fibrillation on coumadin, ckd, also new diagnosis of multiple myeloma a few weeks ago presents to er (initially osh er then transferred to er) for 17 shocks today. his most recent ppm interrogation revealed an increase in ventricular ectopy and 85 episodes of vt w/ rates 180-190 all successfully treated with atp. at this visit he was noted to be mildly volume overloaded and his lasix dose was increased. in the er initial vs were: t 97.2 hr 69 bp 101/60 rr 16 o2 sat: 98% on ra. the patients icd was interrogated by the cardiology fellow on call who stated it appears all shocks were appropriate therapies for vt. the patient was given a 150mg iv bolus of amiodarone and admitted to the ccu. vs prior to transfer to the ccu were: hr 70 bp 109/65 rr 18 o2 sat 100% on ra. currently feels well, no syncope, no lightheadedness, no sob, no doe, no orthopnea or pnd, no chest pain. no fevers / chills. in general has felt more weak over past 1 month. no numbness or paresthesias in lower extremities. 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. s/he denies recent fevers, chills or rigors. s/he denies exertional buttock or calf pain. all of the other review of systems were negative. 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: # cad s/p large anterior mi at age 36; # 2 vessel cabg lima to lad; svg to om # nstemi s/p stent to native l circ. # chf with lv ef of 25% # ventricular tachycardia: had pacemaker placed in for primary prevention (madit criteria); had hospitalization (started on amio; d/c'd due to "balance disorder/falls"), started on procainamide ; decreased from 1000mg tid to 500mg tid with level 7.2 on . # s/p pacer/defibrillator (madit ii criteria) # atrial flutter: recenty hospitalized at # cri with baseline cr in low 2 range # ???l arm emolism; on coumadin since # b achilles tendon rupture ciprofloxacin # prostate ca: s/p brachytherapy # osteoarthritis (currently taking prednisone) . social history: retired; works as volunteer at local hospital. remote smoking history, no etoh family history: father died with cad; healthy son; daughter with physical exam: admission exam vs: t 96.3 hr 73 bp 122/58 rr 19 o2 sat 97% on 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: supple with jvp of 12 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. hsm at the apex. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. rales at l base. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominal bruits. 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+ pertinent results: 07:35pm blood wbc-8.3 rbc-5.05 hgb-14.9 hct-45.8 mcv-91 mch-29.6 mchc-32.6 rdw-15.1 plt ct-217 02:14am blood wbc-8.4 rbc-4.71 hgb-14.7 hct-43.2 mcv-92 mch-31.3 mchc-34.1 rdw-15.4 plt ct-192 07:35pm blood pt-38.8* ptt-36.3* inr(pt)-3.9* 05:03am blood pt-37.9* ptt-37.2* inr(pt)-3.8* 02:14am blood pt-29.5* ptt-33.5 inr(pt)-2.9* 07:35pm blood glucose-148* urean-106* creat-2.7* na-135 k-4.4 cl-90* hco3-34* angap-15 05:03am blood glucose-194* urean-102* creat-2.5* na-133 k-3.6 cl-90* hco3-31 angap-16 02:14am blood glucose-102* urean-104* creat-2.9* na-134 k-3.5 cl-91* hco3-31 angap-16 07:35pm blood ck-mb-34* mb indx-21.7* 07:35pm blood ctropnt-0.31* brief hospital course: 86 year old male with infarct related cardiomyopathy, ef of % and vt s/p vt ablation and placement of biv-icd + intrathroacic impedence monitor (optivol), atrial fibrillation on coumadin, ckd, also new diagnosis of multiple myeloma a few weeks ago admitted after having 17 icd shocks. 1. ventricular tachycardia s/p icd shocks. his runs of sustained and nonsustained monomorphic ventricular tachycardia subsided once he was amiodarone loaded. he will be discharged on amidoarone 400 mg po bid for 13 more days and taper to 200 mg po qdaily thereafater. 2. ischemic cardiomyopathy: lvef of %. cabg in with lima to lad and svg to om. des to lcx in . he was not on antiplatelet therapy so aspirin 325 mg po qdaily was started. he was continued on metoprolol succinate 25 mg po qdaily. he is not on ace-i likely due to rise in his creatinine from baseline due to multiple myeloma. he is also not on statin as well but probably appropriate given his age and comorbidities. he was continued on home lasix 80 mg po qam and 40 mg po qpm. his metalozone was switched to 2.5 mg qod. 3. atrial fibrillation. inr supratherapeutic on admission. restarted coumadin at lower dose of 1 mg po qdaily especially in setting of starting amiodarone. will follow up with pcp this week for inr check. continued on metoprolol xl 25 mg po qdaily for rate control. discharged on amiodarone 400 mg po bid for rhythm control for 13 more days and taper to 200 mg po qdaily thereafter. will follow up with ep in one month. 4. multiple myeloma. patient reports having had workup started as outpatient with bone marrow biopsy and flow cytometry with oncologist at . follow up with oncologist. 5. chronic kidney disease stage 4 likely from multiple myeloma. follow up with pcp 6. osteoarthritis/gout: continued on uloric and prednisone medications on admission: digoxin 0.125 three times a week lasix 60mg qam and 40 mg qpm (pt states he is taking 80qam and 40qpm) metoprolol 25 mg daily prednisone 5 daily temazepam at night warfarin metolazone discharge medications: 1. furosemide 80 mg tablet sig: one (1) tablet po daily (daily): in the morning . 2. furosemide 40 mg tablet sig: one (1) tablet po daily (daily): in the evening. 3. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 4. prednisone 10 mg tablet sig: one (1) tablet po daily (daily). 5. febuxostat 40 mg tablet sig: one (1) tablet po daily (daily). 6. temazepam 15 mg capsule sig: one (1) capsule po hs (at bedtime) as needed for insomnia. 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 8. warfarin 1 mg tablet sig: one (1) tablet po days (,mo,tu,we,th,fr,sa). 9. metolazone 2.5 mg tablet sig: one (1) tablet po every other day: leg edema. 10. amiodarone 200 mg tablet sig: two (2) tablet po twice a day for 13 days: take 400 mg twice per day until . then take 200 mg per day thereafter. . disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: area vna discharge diagnosis: primary diagnosis 1. ventricular tachcardia 2. ischemic cardiomyopathy with ef of % 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 after experiencing multiple icd shocks for abnormal heart rhythm called ventricular tachycardia. you were started on a medication called amiodarone which helped suppress your abnormal rhythm. following medication changes were made to your medical regimen start amiodarone 400 mg by mouth twice a day for 13 more days (end date:) then switch to 200 mg by mouth daily. . we have changed metolazone from as needed to every other day . start aspirin 325 mg by mouth daily followup instructions: name: , md specialty: primary care address: , , , phone: when: thursday, at 9:45am procedure: automatic implantable cardioverter/defibrillator (aicd) check diagnoses: congestive heart failure, unspecified chronic kidney disease, stage iv (severe) atrial fibrillation personal history of malignant neoplasm of prostate aortocoronary bypass status paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease old myocardial infarction chronic systolic heart failure long-term (current) use of anticoagulants osteoarthrosis, unspecified whether generalized or localized, site unspecified multiple myeloma, without mention of having achieved remission automatic implantable cardiac defibrillator in situ 

Answer: The patient is high likely exposed to