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 / codeine attending: chief complaint: palitations/pa fib major surgical or invasive procedure: mi maze/laa resection history of present illness: 42 yo male with pa fib for approx. 4 years. when he is in a fib, he gets severe palpitations associated with dyspnea and angina. experiences pafib about 5 times per week and has undergone 6cardioversions in the past year. has been off coumadin for several years. referred for surgical intervention. past medical history: pafib ( s/p dccv x6) cervical spine injury s/p rod low back pain ? cva- no symptoms- findings on ct scan/mri at time of spine surgery renal calculi other psh: knee arthroscopy, hernia repair, cerv. spine . social history: works in auto body active smoker ppd x 30 years occasional etoh lives with wife and 3 kids family history: brother with open heart surgery at age 50 mother with cad at 61 physical exam: hr 84 rr 14 nad skin- cardioversion burns noted neck supple, full rom ctab rrr no murmur noted extrems warm,well-perfused, no edema or varicosities noted grossly intact neurologically 2+ bil. fem/dp/pt/radials no carotid bruits appreciated pertinent results: radiology final report chest (portable ap) 7:37 am chest (portable ap) reason: interval evaluation of pneumothorax medical condition: 42 year old man ws/p mini maze with chest tube removal with bilateral pneumothorax reason for this examination: interval evaluation of pneumothorax reason for examination: followup of a patient after mini-maze procedure and chest tube removal. portable ap chest radiograph compared to . the right internal jugular line tip is in distal svc, unchanged in position. there is stable appearance of the cardiomediastinal silhouette. interval increase in right lower lung predominantly retrocardiac but also more lateral opacity is consistent with atelectasis accompanied by right pleural effusion. the rest of the lungs are unremarkable. the right pneumothorax is not demonstrated on the current film. tiny left apical pneumothorax is still present. there is interval decrease in small amount of subcutaneous left lower neck emphysema. dr. dr. approved: mon 9:22 am echocardiography report , (complete) done at 12:50:26 pm final referring physician information , , status: inpatient dob: age (years): 42 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: laa ligation/maze icd-9 codes: 427.31, 424.0 test information date/time: at 12:50 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw1-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 55% to 60% >= 55% aorta - ascending: 2.7 cm <= 3.4 cm aorta - descending thoracic: 2.2 cm <= 2.5 cm findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending, transverse and descending thoracic aorta with no atherosclerotic plaque. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. no mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-procedure: no spontaneous echo contrast is seen in the left atrial appendage. right ventricular chamber size and free wall motion are normal. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque.. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. no mitral regurgitation is seen. there is no pericardial effusion. post procedure: 3-d and 2-d images confirm complete ligation of laa. other parameters as pre-procedure. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 12:54 ?????? 05:48am blood wbc-9.8 rbc-4.34* hgb-12.7* hct-37.8* mcv-87 mch-29.3 mchc-33.7 rdw-12.4 plt ct-257 05:48am blood pt-12.5 ptt-27.1 inr(pt)-1.1 05:48am blood plt ct-257 05:48am blood glucose-86 urean-11 creat-0.8 na-141 k-4.2 cl-102 hco3-31 angap-12 11:25am blood alt-19 ast-26 ld(ldh)-158 alkphos-86 amylase-93 totbili-0.4 05:48am blood calcium-9.0 phos-2.5* mg-1.8 brief hospital course: admitted and underwent minimally invasive maze procedure with pulm. vein isolation/laa resection. transferred to cvicu in stable condition on a propofol drip.started coumadin per protocol and indomethacin. extubated the following am and transferred to the floor later that afternoon. chest tubes removed and gently diuresed. indomethacin, colchicine,coumadin and protonix started per protocol. cleared for discharge to home with services on pod #2. pt.is to make an appt. with dr. (neurology) in 2 weeks. medications on admission: dofetilide 250 mcg asa 81 mg daily discharge medications: 1. potassium chloride 20 meq packet sig: one (1) packet po once a day for 7 days. disp:*7 packet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. dofetilide 250 mcg capsule sig: one (1) capsule po q12h (every 12 hours). disp:*60 capsule(s)* refills:*2* 5. indomethacin 75 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). disp:*30 capsule, sustained release(s)* refills:*2* 6. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. coumadin 2.5 mg tablet sig: one (1) tablet po once a day for 2 days: take as directed by dr. for inr of .5. disp:*40 tablet(s)* refills:*0* 9. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed. disp:*50 tablet(s)* refills:*0* 10. motrin 600 mg tablet sig: one (1) tablet po four times a day: take with food. disp:*120 tablet(s)* refills:*2* 11. lasix 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: atrial fibrillation prior cerv. spine injury (s/p rod) low back pain ?cva noted on prior ct scan/mri discharge condition: good. discharge instructions: follow medcations on discharge instructions. do not drive while taking pain medication. do not lift more than 10 lbs for 1 month. shower tomorrow after taking dressings off. call our office for temp>101.5 no lotions, creams or powders on any incision. followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 4 weeks. make an appt. with dr. ( neurology) in 2 weeks. procedure: left heart cardiac catheterization diagnoses: tobacco use disorder atrial fibrillation personal history of other diseases of circulatory system lumbago 

Answer: The patient is high likely exposed to