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: 2:1 chb s/p temp pacer wire placement, here for pacemaker and icd major surgical or invasive procedure: s/p biv pacemaker and icd placement history of present illness: 79 yo m w/ hx with cad, cm w/ ef 15-20%, and an osh admission two weeks ago for syncope with 2:1 heart block that subsequently reverted to 1:1 conduction who went to see his cardiologist for fatigue and recent syncope (). he was found to be in 2:1 heart block with a ventricular rate in the 30s and an sbp in the 70s; he was admitted to an osh. his furosemide dose had been increased prior to his admission and his hypotension was partially attributed to overdiuresis. pt. received a normal saline bolus with an increase in his sbp to the 90s. he was stable overnight and was then transferred to for ep consult and biventricular pacemaker w/ icd implantation. . pt was taken for temp wire placement, as pacer/icd placement was deferred given his inr 2.7. . past medical history: cardiomayopathy (ef of 15-20%), mi, paf on anticoagulation, prostate ca s/p prostatectomy, dmii, cri, anteroseptal apical scar + small apical aneurysm w/ thrombus formation -- **on coumadin social history: lives with wife. physical exam: 96.0 70 v paced, 108/57 92%ra -> 96% 3l nc rr 15 gen: cauc obese m lying in bed in nad heart: rrr, s1, s2, no m/r/g lungs: ctbla, no rales or wheezing abd: obese, nabs/s/nt/nd, no masses, no hsm r groin: no hematoma, femoral sheath in place, no bruit ext: dp 1+ b/l le, pt 1+ b/l pertinent results: ekg: chb vent r 30's sinus w/ 2:1 av block w/ vr 35 av delay 250msec, rbbb w/ lad likely lafb, q in v1-v4, lae, qtc 500msec, qrs 150msec; post-procedure ekg: v paced @ 75bpm qrs 200msec . rad: stress mibi for cad - ef 55% 3/04 myoview ef 21%, lg anterolat infarct extending around apex to inf wall . echo: pending at time of discharge . 06:25am blood wbc-10.7 rbc-4.21* hgb-13.0* hct-40.3 mcv-96 mch-31.0 mchc-32.4 rdw-13.8 plt ct-169 06:25am blood plt ct-169 06:25am blood pt-13.9* ptt-26.4 inr(pt)-1.3 05:26am blood pt-15.2* ptt-30.1 inr(pt)-1.5 07:29pm blood pt-16.6* ptt-25.3 inr(pt)-1.8 06:25am blood glucose-110* urean-32* creat-1.7* na-143 k-4.2 cl-108 hco3-25 angap-14 05:26am blood glucose-138* urean-37* creat-1.6* na-142 k-4.6 cl-110* hco3-23 angap-14 06:25am blood mg-2.1 05:26am blood calcium-8.7 phos-2.4* mg-2.2 05:26am blood tsh-1.6 brief hospital course: 79 yo male with history of cad, ef 20% w/ new complete heart block, currently in 2:1 block, s/p temporary wire placement, transferred here for permanent pacemaker. . # heart block- he was given vitamin k sq at the outside hospital and his inr was 1.5 so icd and -v pacer placed on . the pacer/icd was placed without complications. he was v paced. he reported feeling much better after the pacemaker was placed. he developed a hematoma at the site of pacemaker implantation which was monitored by ep: pressure bandage applied with resolution. ep interogated the pacemaked prior to discharge on . pt is to complete 7 day course of abx as prescribed. #cad: we initially held his carvedilol given the heart block. we continued amiodarone and asa and statin. we lowered his dose of carvedilol given persistent hypotension after the procedure, likely decrease volume. patients sbp in 80-90s range, however he remained asymtpomatic. although initially discontinued, he was started on low dose of valsartan (40mg daily) prior to discharge. he should follow up with his cardiologist/pcp and have blood pressure meds adjusted as tolerated. . #chf: currently euvolemic. given arf and hypotension, patients lasix and diurel were held, and ultimately not restarted on discharge per ep recs. he should have these restarted in follow up with his cardiologist/pcp. . # arf - likely in setting of overdiuresis given recent increase in lasix and poor perfusion from heart block . his creatinine on admission was 2.5 up from baseline, and went down to 1.7 and then back up to 2.1 with re-starting of lasix and diovan. his creatinine was trending back down upon discharge, to 1.4 after d/cing lasix and diovan. his urinalysis and urine eos were negative. . medications on admission: outpt medications: kcl 20mg po q24h warfarin 2mg po qhs ntg sl prn flonase ativan 1mg po bid prn, lipitor 20 mg q24h imdur 120mg po q24h valsartan 320mg po q24h lasix 40mg po q24h (recently increased from 20 mg qd) amiodarone 200mg po q24h (recnetly discontinued) . meds on transfer: lipitor 80mg po q24h, flonase, imdur 120mg po q24h, kcl 20mg po 24h, detrol 4mg po qhs, valsartan 320mg po q24h . discharge disposition: extended care facility: - discharge diagnosis: heart block 2:1 s/p biv pacemaker and icd placement discharge condition: good discharge instructions: take all medications as prescribed call you doctor if you feel lightheaded, dizzy, palpitations. you need to have your inr checked on monday, . followup instructions: procedure: insertion of temporary transvenous pacemaker system implantation of cardiac resynchronization defibrillator, total system [crt-d] automatic implantable cardioverter/defibrillator (aicd) check other diagnostic procedures on heart and pericardium diagnoses: congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified atrial fibrillation personal history of malignant neoplasm of prostate hematoma complicating a procedure other specified forms of chronic ischemic heart disease other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure atrioventricular block, complete old myocardial infarction long-term (current) use of anticoagulants 

Answer: The patient is high likely exposed to