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: penicillins / erythromycin base attending: chief complaint: increased frequency of icd firing major surgical or invasive procedure: av ablation, icd generator change history of present illness: 67 m w/ cad s/p mi yrs ago, ischemic cm, ef 10-15%, vt s/p icd placement in ', s/p upgrade in ', had stem cell therapy in in , pvd, resented with recurrent firing of his icd. received vt ablation and icd reprograming. he was continued on amiodarone. he presents now after icd fired earlier this am. here for possible icd generator change +/- av nodal ablation past medical history: past medical history: 1. coronary artery disease status post mi years ago. 2. congestive heart failure with an ef of 15%. 3. peripheral vascular disease. 4. ventricular tachycardia status post implantable cardioverter-defibrillator placement s/p vt ablation and biv icd upgrade. past surgical history: he has had a cardiac aneurysm resected. on last visit, total of 7 shocks, not consistently associated with any activity. first 3 were not associated with any sx, had interrogation at osh. over past week 4 more shocks, 3 with loc, unknown duration of syncope likely seconds. syncope clearly preceded shock. final shock he felt palpations in his lower chest immediately prior to icd firing. social history: retired businessman. he lives in . he does not smoke and does not drink alcohol. family history: non-contributory. physical exam: t=98 bp=104-118/69-72 p=68-81 r=20 o2sat=96-98%ra gen: lying in bed, nad heent: no elevated jvp, no carotid bruits pulmo: ctab cv: rrr, nl s1/s2, 1/6 sem rusb abd: bs+, nt, nd ext: warm, 2+ dp/pt, no c/c/e pertinent results: ecg: a-v paced rhythm, no significant change since previous tracing of . ct abd: right-sided rectus sheath hemorrhage extending along the oblique muscles as well. there is no retroperitoneal/intraperitoneal extent of hemorrhage. . ecg: a-v sequentially paced rhythm with capture. compared to the previous tracing of the paced interval has decreased. . ecg: the rhythm is likely atrial fibrillation with ventricular pacing. compared to the previous tracing of atrial paicng is not evident. . ecg: atrial fibrillation and ventricular paced rhythm with capture. compared to the previous tracing of no diagnostic interim change. . ct chest: 1) no findings to indicate amiodarone lung toxicity. 2) left circumflex artery stent and calcification of the distal anterior and septal left ventricular walls. 3) emphysema . 04:50pm blood wbc-9.0 rbc-4.51*# hgb-10.6* hct-34.0* mcv-76*# mch-23.6*# mchc-31.2 rdw-15.9* plt ct-208# 06:15am blood wbc-7.1 rbc-3.90* hgb-10.0* hct-31.4* mcv-81* mch-25.7* mchc-31.9 rdw-18.6* plt ct-154 04:50pm blood pt-17.2* ptt-30.9 inr(pt)-1.9 06:15am blood pt-13.9* ptt-28.3 inr(pt)-1.2 04:50pm blood glucose-128* urean-55* creat-2.3* na-138 k-3.4 cl-101 hco3-25 angap-15 06:15am blood glucose-99 urean-44* creat-1.7* na-140 k-4.1 cl-107 hco3-24 angap-13 04:50pm blood calcium-9.1 phos-3.8 mg-2.3 04:50pm blood digoxin-0.7* 06:34am blood digoxin-0.9 02:36am blood digoxin-1.0 06:59pm blood amiodarone and desethylamiodarone- 1.2/1.0 brief hospital course: . ep: in the ep lab the pt had different vts, two of which were ablated, one of which was not well tolerated. the pt was on dopamine and neosynephrine during the case secondary to hypotension. during the case he also had afib which was cardioverted. he was placed in the ccu overnight and dopamine was weaned off. he returned to the ep lab for an icd generator () replacement w/o complication. rhythm post procedure was af. . paf: pt was placed on heparin iv for anticoagulation pre-procedure and continued on carvedilol for rate control. pt was in afib post generator change and cardioverted. digoxin and amiodarone levels were checked and meds dosed accordingly. ct chest performed, and did not show any findings suggestive of amiodarone toxicity. pt had asymtomatic runs of vt noted on telemetry throughout the hospitalization. his final ecg showed atrial fibrillation and ventricular paced rhythm with capture . . hematoma: pt developed a right-sided rectus sheath hemorrhage extending along the oblique muscles post procedure. pt was transferred to the ccu, heparin and coumadin held, received prbcs with stabilization of hct. coumadin was restarted after hct stabilization. pt was seen by rehabilitation before discharge . cad: no angina. continued on atorvastatin, isosorbide mononitrate (extended release), and aspirin at time of discharge. . chf: euvolemic throughout stay. continued on furosemide, spironolactone, carvedilol, digoxin at time of discharge. . gout: pt with gouty flare noted on , started on colchicine, discharged on allopurinol once gout resolves. . medications on admission: spironolactone (aldactone)25 mg qd furosemide (lasix) 40 mg qd metolazone (zaroxoyln) 5 mg once or twice a wk isosorbide mononitrate (imdur) 30 mg qam digoxin (lanoxin) 0.0625 qd carvedilol (coreg) 9.375 mg atorvastatin (lipitor) 10 mg qd amiodarone 200 mg calcium 10 mg qd aspirin 81 mg qd zithromax 250 mg qd discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). 3. amiodarone hcl 200 mg tablet sig: (see below) tablets po three times a day: take:400 mg (2tabs) in am and pm and 200 mg midday (1 tab) x 1 week until (total 1gm/day).then,take 200 mg 3x/day for total 600mg/day. disp:*60 tablet(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed for pain. 5. digoxin 125 mcg tablet sig: 0.5 tablet po once a day. disp:*15 tablet(s)* refills:*2* 6. spironolactone 25 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. warfarin sodium 7.5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 8. isosorbide mononitrate 30 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 9. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. pyridoxine hcl 25 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. allopurinol 100 mg tablet sig: 1.5 tablets po daily (daily). disp:*45 tablet(s)* refills:*2* 13. coreg 3.125 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 14. colchicine 0.6 mg tablet sig: one (1) tablet po twice a day for 5 days: cont for 5 days or until your left ankle swelling resolves. disp:*10 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1. ventricular tachycardia s/p icd generator change 2. chf 3. chronic renal insufficiency 4. gout 5. s/p rectus sheath hemorrhage discharge condition: stable discharge instructions: please take all medications as prescribed. you will continue to take amiodarone 1 gram per day (400 mg qam, 200 mg midday,400 mg at night) for the rest of this week, but then decrease to 600 mg total per day on monday (200 mg tid). you will also need to have your inr checked tomorrow at dr. office and he will adjust your inr accordingly. please return to the ed or call your pcp if you experience any worsening chest pains or palpitations, shortness of breath, abdominal pain, dizziness/lightheadedness or any other concerning symptoms. return to the ed if you experience any worsening chest pain, palpitations, loss of consciousness, dizziness/lightheadedness, nausea or vomiting, sweats, or any other concerning symptoms. followup instructions: you should see dr. in his office at 12:30 pm tomorrow and he will have your inr checked and coumadin dose adjusted accordingly (phone number ) provider: clinic where: cardiac services phone: date/time: 11:30 procedure: catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach replacement of automatic cardioverter/defibrillator pulse generator only diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute posthemorrhagic anemia hematoma complicating a procedure peripheral vascular disease, unspecified paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease mechanical complication of automatic implantable cardiac defibrillator 

Answer: The patient is high likely exposed to