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: ace inhibitors / lisinopril / adhesive tape attending: chief complaint: worsening fatigue. major surgical or invasive procedure: left mini thoracotomy, placement of 2 epicardial lv leads and repositioning of biventricular pacer/defibrillator. history of present illness: this is a 62yo male with ischemic cardiomyopathy who is followed closely at the heart failure clinic @ . over the last year, patient has noticed progressive fatigue and lack of energy, which is beginning to interfere with his day-to-day activities. he has no shortness of breath or problems with peripheral edema, orthopnea, or pnd. his weights are pretty stable at 202 pounds. his appetite is good and he remains completely independent with his routine adl's. he has no stamina and feels that this has definitely gotten worse. in , he underwent failed attempt for biventricular lead placement due to anatomy. he is now referred for surgical placment of epicardial lv lead. past medical history: coronary artery disease, prior mi, ischemic cardiomyopathy, moderate mitral and tricuspid regurgitation, hypertension, dyslipidemia, sleep apnea on cpap, tracheobronchomalacia, gerd, stable lung nodule, hx of pleural effusions s/p r thoracentesis x 4 in the past, and hx of acute renal failure in . social history: lives with: wife occupation: engineer tobacco: quit in etoh: rare family history: non-contributory physical exam: pulse: 68 resp: 18 o2 sat: 99% b/p right: 124/71 left: 123/65 height: 5'8" weight: 204 lbs general: no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear with bilateral wheezes, well-healed msi, right thoracotomy and ppm/aicd incision sites on left upper chest. heart: rrr irregular murmur-soft systolic abdomen: soft non-distended non-tender bowel sounds + ventral hernia at lower sternal incision extremities: warm , well-perfused edema/varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: - left: - pertinent results: 07:25pm blood wbc-10.1 rbc-4.00* hgb-12.6* hct-36.1* mcv-90 mch-31.5 mchc-34.9 rdw-12.8 plt ct-251 07:25pm blood glucose-111* urean-18 creat-1.0 na-137 k-4.2 cl-99 hco3-28 angap-14 07:25pm blood mg-2.3 uricacd-8.0* echocardiography report , (complete) done at 2:16:43 pm final referring physician information , c. , status: inpatient dob: age (years): 63 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: thoracotomy for ventricular lead placement. icd-9 codes: 786.05, 424.0 test information date/time: at 14:16 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 #: 2011aw1-: machine: us2 echocardiographic measurements results measurements normal range left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *7.0 cm <= 5.6 cm left ventricle - ejection fraction: 10% to 15% >= 55% tr gradient (+ ra = pasp): >= 23 mm hg <= 25 mm hg findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. left ventricle: severely depressed lvef. right ventricle: mild global rv free wall hypokinesis. aorta: normal ascending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: no ar. mitral valve: moderately thickened mitral valve leaflets. moderate (2+) mr. tricuspid valve: moderate 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. conclusions the patient is having a limited left thoracotomy to place a venticulary pacing lead s/p cabg. no spontaneous echo contrast is seen in the left atrial appendage. there is a dilated cardiomyopathy. overall left ventricular systolic function is severely depressed (lvef= 10 - 15 %). with mild global free wall hypokinesis. there are complex (>4mm) atheroma in the descending thoracic aorta. no aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. moderate (2+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is no pericardial effusion. brief hospital course: the patient was brought to the operating room on where the patient underwent a left mini thoracotomy, placement of 2 epicardial lv leads and repositioning of biventricular pacer/defibrillator. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. on pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery on pod 2. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. he was started on colchicine and given a cane for a complaint of left knee pain and a uric acid level of 8. his pain improved with this regimen. by the time of discharge on pod three the patient was ambulating with cane assistance, the wound was healing and pain was controlled with oral analgesics and colchicine. the patient was discharged to home with vna services in good condition with appropriate follow up instructions. medications on admission: candesartan 16 mg daily carvedilol 25 mg twice a day vytorin 10-40 mg daily,digoxin 125mg daily furosemide 40 mg twice a day imdur 30 mg daily lorazepam as needed at bedtime pantoprazole 40 mg twice a day aspirin 81 mg daily discharge medications: 1. carvedilol 12.5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 2. 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* 3. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. lorazepam 1 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for insomnia. 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 8. isosorbide mononitrate 30 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). disp:*30 tablet extended release 24 hr(s)* refills:*2* 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*0* 10. candesartan 16 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*2* 11. vytorin 10-40 10-40 mg tablet sig: one (1) tablet po once a day. 12. colchicine 0.6 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease, prior mi,ischemic cardiomyopathy, moderate mitral and tricuspid regurgitation,htn, dyslipidemia, sleep apnea on cpap,tracheobronchomalacia,gerd,stable lung nodule,hx of pleural effusions s/p right thoracentesis x 4 in the past,history of acute renal failure in . discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: please call to schedule the following: surgeon dr. in 1-2weeks cardiologist dr. in weeks primary care dr. , in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: insertion or replacement of epicardial lead [electrode] into epicardium diagnoses: obstructive sleep apnea (adult)(pediatric) mitral valve disorders congestive heart failure, unspecified other specified forms of chronic ischemic heart disease old myocardial infarction diseases of tricuspid valve chronic diastolic heart failure 

Answer: The patient is high likely exposed to