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: patient recorded as having no known allergies to drugs attending: chief complaint: recurrent vt major surgical or invasive procedure: 1. ep study w/ v tach ablation history of present illness: 74 yo m with h/o 3vd cad (inoperable), chf, afib, cri, h/o vt with icd and biv pacer placement whi presented to device clinic today and was noted to be having frequent episodes of vt - at least 20 since noon today and over 100 since . he has been paced out of these rhythms. he recalls one shoch on and a smaller shock on . he has been feeling tired for the last 3 - 4 weeks. he denies cp but has had somce wordening of sob over the last few weeks not associated with pnd/orthopnea. also c/o epidoses of hot flashes 2 - 3 times per day with some lightheadness. also went to see dr. today after device clinic appointment. he was admitted to the ccu on the ep service. past medical history: cad s/p cath : 3vd: 100% occlusion in prox rca, 100% mid lad and 100% intermedieus disease mi (markedly elevated tnt, negative ck) profound ischemic cardiomyopathy with an ef of 15-25% chronic atrial fibrillation s/p icd, biventricular ppm h/o monomorphic vt , s/p successful ablation of three vt circuits chf cri - baseline 1.3-1.9. 4+mr, 2+tr htn hyperlipidemia pvd cva x 2 12 years ago, 6 years ago. residual l-sided weakness he had a nephrectomy in secondary to complication of nephrolithiasis. pulm htn (tr grad 72 ). he had a lv thrombus documented in by echocardiogram depression lbp bph social history: married, lives with wife. former tobacco and etoh use. family history: nc physical exam: vitals: t= af, hr = 66, bp = 98/59, rr =12 , sao2 = 100% on ra. general: pleasant russian speaking male, appears comfortable, nad. heent: normocephalic and atraumatic head, anicteric sclera, moist mucous membranes. neck: no thyromegaly, no lymphadenopathy, no carotid bruits. no nuchal rigidity ; elevated jvd chest: chest rose and fell with equal size, shape and symmetry, lungs were clear to auscultation bilaterally. cv: pmi appreciated in the fifth ics in the midclavicular line without heaves or thrills, rrr, normal s1 and s1 iii/vi hsm no rubs or gallops. abd: normoactive bs, nt and nd. no masses or organomegaly back: no spinal or cva tenderness. ext: no cyanosis, no clubbing or edema with 2+ dorsalis pedis pulses bilaterally integument: no rash neuro: cn ii-xii symmetrically intact, perrl . strength 5/5 throughout. pertinent results: 03:59pm glucose-93 urea n-45* creat-1.8* sodium-140 potassium-4.2 chloride-101 total co2-28 anion gap-15 03:59pm alt(sgpt)-7 ast(sgot)-9 ck(cpk)-34* alk phos-100 tot bili-2.2* 03:59pm ctropnt-0.05* 03:59pm ck-mb-notdone 03:59pm albumin-4.3 calcium-9.1 phosphate-3.0 magnesium-2.4 03:59pm wbc-9.8 rbc-4.51* hgb-12.6* hct-37.0* mcv-82 mch-27.9 mchc-34.0 rdw-16.2* 03:59pm plt count-156 03:59pm pt-23.1* ptt-37.1* inr(pt)-3.4 chest single ap film history: chf. the left costophrenic region is not included on the film. there is cardiomegaly with lv predominance and some blunting in the left costophrenic angle. a left-sided transvenous pacer/fibrillator is present with atrial ventricular and coronary sinus leads in situ unchanged in location in this single view and compared with the prior study of . dr. liver or gallbladder us (singl reason: please eval for cholelithiasis or evidence of obstruction medical condition: 74 year old man with recurrent vt, abd pain/n/v reason for this examination: please eval for cholelithiasis or evidence of obstruction history: abdominal pain with vomiting. comparison: abdominal ct of is available for correlation. findings: the gallbladder appears normal without evidence of stones. there is no intrahepatic or extrahepatic biliary ductal dilatation. the head of the pancreas is unremarkable. the liver is normal in echotexture without focal masses. there is no perihepatic fluid. impression: normal gallbladder and bile ducts. echo conclusions: the left ventricular cavity is dilated. overall left ventricular systolic function is severely depressed (basal septum and basal anterolateral wall contracts best). right ventricular chamber size is normal. the aortic valve leaflets are mildly thickened. the mitral valve leaflets are mildly thickened. the tricuspid valve leaflets are mildly thickened. there is no pericardial effusion. medical condition: 74 year old man s/p nephrectomy admitted for vt. now with acute on cri reason for this examination: r/o obstruction history: a 74-year-old man status post left nephrectomy now with acute on chronic renal insufficiency. the right kidney measures 10.6 cm. the left kidney is absent. there is no hydronephrosis, stones, or mass. the bladder is unremarkable. the prostate is enlarged. impression: normal right renal ultrasound. brief hospital course: # recurrent vt: the patient had vt that was very difficult to control with the many antiarrhtymics tried. initially he was placed on procainamide which was useful for his vt because caused him to have serious n/v with hypotension. therefore, he was switched to lidocaine but still had vt runs with icd firing. finally he underwent a vt ablation on with 2 foci ablated. 3rd foci not ablated. he was restarted on amiodarone 400 qd and was stable with only occasoinal runs of nsvt. # arf on cri s/p nephrectomy - the patient was thought to have nre renal failure from epidosed of dehydration and hypotension from vt and nausea and vomiting. renal was consulted. the patient underwent a renal ultrasond of his transplant which was unreavealing. slowly her cr trended downwards. medications on admission: . aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. atorvastatin calcium 40 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. bumetanide 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*3* 5. tamsulosin hcl 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). 6. tolterodine tartrate 1 mg tablet sig: one (1) tablet po bid (2 times a day). 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*60 tablet(s)* refills:*1* 9. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 10. calcitriol 0.25 mcg capsule sig: one (1) capsule po 3x/week (mo,we,fr). disp:*90 capsule(s)* refills:*2* 11. digoxin 125 mcg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. amiodarone hcl 200 mg tablet sig: one (1) tablet po once a day: please begin amiodarone 200 mg by mouth once per day after 2 months of 400 mg a day. disp:*30 tablet(s)* refills:*2* 13. amiodarone hcl 400 mg tablet sig: one (1) tablet po once a day for 2 months: please continue on amiodarone 400 mg by mouth once daily for 2 months and then change to 200 mg once a day. disp:*60 tablet(s)* refills:*0* 14. warfarin sodium 2 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. atorvastatin calcium 40 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. bumetanide 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*3* 5. tamsulosin hcl 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). 6. tolterodine tartrate 1 mg tablet sig: one (1) tablet po bid (2 times a day). 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. disp:*60 tablet(s)* refills:*1* 9. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 10. calcitriol 0.25 mcg capsule sig: one (1) capsule po 3x/week (mo,we,fr). disp:*90 capsule(s)* refills:*2* 11. digoxin 125 mcg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. amiodarone hcl 200 mg tablet sig: one (1) tablet po once a day: please begin amiodarone 200 mg by mouth once per day after 2 months of 400 mg a day. disp:*30 tablet(s)* refills:*2* 13. amiodarone hcl 400 mg tablet sig: one (1) tablet po once a day for 2 months: please continue on amiodarone 400 mg by mouth once daily for 2 months and then change to 200 mg once a day. disp:*60 tablet(s)* refills:*0* 14. warfarin sodium 2 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 15. outpatient lab work please call dr. for inr check on - goal inr is 2.0 discharge disposition: home discharge diagnosis: ventricular tachycardia s/p ablation x 2, now resolved coronary artery disease stable congestive heart failure stable acute renal failure resolved discharge condition: fair discharge instructions: breath, palpitations, light-headedness, or shocks. weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 2 liters followup instructions: please call pcp . at for appt in weeks. please call cardiologist dr. for appt at in one month please call cardiologist dr. at for appt in weeks or as previously scheduled please call pulmonary function test lab at for appt to check lung function as baseline on amiodarone procedure: catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping automatic implantable cardioverter/defibrillator (aicd) check diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified acute kidney failure, unspecified peripheral vascular disease, unspecified paroxysmal ventricular tachycardia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease nausea with vomiting hypotension, unspecified long-term (current) use of anticoagulants acute on chronic systolic heart failure fitting and adjustment of other cardiac device 

Answer: The patient is high likely exposed to