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: sulfa (sulfonamides) attending: chief complaint: found unresponsive while kayaking on . taken to mc for treatment. pacer placed next day for slow ventricular response. major surgical or invasive procedure: cabg x3 history of present illness: 75 yo male found unresponsive while kayaking. treated at outside hospital for bradycardia with a pacer and also treated for uti. transferred ti for evaluation and cath which revealed: 70-80% lm, 70-80% lad, 80% cx, rca 99% ef 49% with inferior wall hk. referred to dr. for cabg. past medical history: cad, a-fib pacer (vvi single wire) uti chronic back problems copd htn social history: lives alone, quit smoking abpprox. 1 year ago with 55-110 pack/year history quit etoh one year ago ( beer /night) family history: father with mi brother with cabg physical exam: rrr no m/r/g 174/87 hr 60 rr 20, 97% ra sat. lungs ctab extrems with + periph. pulses and some varicosities heent unremarkable, perrla, no bruits pertinent results: 10:30am blood wbc-13.5* rbc-3.61* hgb-10.0* hct-31.0* mcv-86 mch-27.8 mchc-32.3 rdw-15.8* plt ct-309# 06:30am blood pt-13.9* inr(pt)-1.3 10:30am blood glucose-134* urean-28* creat-1.1 na-137 k-5.1 cl-103 hco3-26 angap-13 10:45am blood k-4.5 11:08am blood alt-33 ast-97* ld(ldh)-471* alkphos-84 amylase-45 totbili-1.3 05:10am blood mg-2.0 11:51pm blood %hba1c-5.7 -done -done brief hospital course: referred to dr. and underwent cabg x3 with lima to lad, svg to om1, svg to om2 on . transferred to csru in stable condition. extubated on pod #1, alert and oriented, vpaced with coarse rhonchi, swan removed. started lasix siuresis and betablockade with metoprolol. transferred to floor later that afternoon. began working with nurses and pt to increase activity level. chest tubes dced on pod #2. managed pain with percocets and toradol with good relief. encouraged to work on his pulm. toilet. ep evaluated pt on also, and interrogated his internal pacer. epicardial wires were removed without incident on pod #3. intrinsic rhythm of afib. started on captopril, plavix and amiodarone. had some echhymosis at new pacer site near left axilla on pod #4. coumadin was resumed, captopril increased and lopressor decreased with bp 161/94 and hr 66 a flutter/v paced. discharged to home in stable condition on pod #5. bp 100/48 p 90 93% ra sat, 62.4 kg. exam unremarkable and incisions c/d/i. amiodarone dced. medications on admission: none at admission was on coumadin until 6 months ago discharge medications: 1. warfarin sodium 3 mg tablet sig: one (1) tablet po once a day for 2 days: inr check onfriday, , then call results to dr. office () for continued dosing for target 2.0-2.5. disp:*60 tablet(s)* refills:*0* 2. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 3. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 7 days. disp:*14 packet(s)* refills:*0* 4. 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* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 30 doses. disp:*30 tablet(s)* refills:*0* 6. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. captopril 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: cad htn copd afib cabg x3 chronic back problems s/p pacer insertion discharge condition: stable discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet please return to the hospital or call dr. office of you experience chills or fever greater than 101 degrees f. please call if you notice redness, swelling, or tenderness of your chest wound, or if it begins to drain pus. no heavy lifting or driving until follow up with dr. . you may shower. wash incision with mild soap and waten, then dry. followup instructions: provider: , . follow-up appointment should be in 1 month provider: , follow-up appointment should be in 2 weeks provider: , . follow-up appointment should be in 2 weeks procedure: insertion of intercostal catheter for drainage single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries intraoperative cardiac pacemaker diagnostic ultrasound of heart arterial catheterization pulmonary artery wedge monitoring transfusion of packed cells artificial pacemaker rate check diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation personal history of tobacco use old myocardial infarction long-term (current) use of anticoagulants family history of ischemic heart disease cardiac pacemaker in situ alcohol abuse, in remission 

Answer: The patient is high likely exposed to