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: history of present illness: the patient is a 34 year-old male with hypertrophic obstructive cardiomyopathy diagnosed four years ago status post new ethanol ablation on this admission. he was active until about last experiencing increased dyspnea on exertion even with short walks and short climbs of stairs. also often accompanied by mild chest discomfort, which the patient has described as aching/burning. note this patient had a holter monitoring in , which was normal. the patient denies any claudication, orthopnea, paroxysmal nocturnal dyspnea, but positive lightheadedness since starting his medications. his last echocardiogram in showed a dilated left atria, also a posteriorly directed narrow jet flow of mr hugging the wall of the la with an asymmetric septal hypertrophy with of the mitral valve and outflow track gradient of 102 mmhg. posterior wall thickening was 1.2 with fractional shortening of at least 54%. denies any fevers or chills, nausea or vomiting. the patient was admitted to coronary care unit post planned ethanol septal ablation for observation with temporary rv pacemaker in place per protocol for risk of acute heart block accompanying the ablation. past medical history: 1. depression. 2. hocm diagnosed four years ago. 3. left ankle surgery in . 4. partial parathyroidectomy for hypercalcemia in . 5. tonsillectomy in . allergies: general anesthesia gives him a violent reaction when awakening up from it. home medications: 1. atenolol 50 q day. 2. verapamil 120 sr q.d. 3. aspirin 81 mg po q day. social history: single, divorced male, has a supportive girlfriend. occasional ethanol use. no tobacco. no drugs. manages a construction company. family history: strong family history of hocm. mother and maternal grandmother and aunts all with hocm. no family history of sudden death. mother has had a history of ventricular tachycardia and has required a defibrillator placed and duel chamber pacemaker two years ago. physical examination on admission (from cath lab following ablation): temperature 98.3. blood pressure 134/69. pulse 96. respirations 18. o2 sat 95% on room air. examination generally no acute distress, alert and oriented times three. heent pupils are equal, round, and reactive to light and accommodation. extraocular movements intact. mucous membranes are moist. neck supple. the patient has a right ventricular temporary pacemaker placed through a right ij sheath. dry and intact and functional. cardiovascular regular rate and rhythm. trace systolic murmur best heard at the apex, blowing in nature. no gallops or rales. respirations clear to auscultation bilaterally. abdomen soft, nontender, nondistended. bowel sounds present. no rebound or guarding. no costovertebral angle tenderness. extremities no clubbing, cyanosis or edema. groin sites were dry and intact. no hematoma. bilateral pulses present, 2+. no bruit appreciated. no hematoma appreciated on both groin sites, the entry sites for the catheterization. laboratories on admission: white blood cell count 11.7, hematocrit 39.9, platelets 208, sodium 132, potassium 4.3, chloride 104, bicarb 23, bun 17, creatinine 1.5, glucose 155, magnesium 1.7. his arterial blood gas was 7.36, 41, co2 150 02 on room air, 24 bicarb, ck 1292, ckmb 174, troponin t was 3.39. hospital course: the patient was admitted for his cardiac procedure. the patient was status post ethanol ablation, which is a deliberate controlled myocardial infarction hich was done without complication. for coronary artery protection he was placed on aspirin. his home dose of aspirin was increased to 325 mg po q day. he tolerated well without any complications. he had no chest pain until the day before discharge at which point he complained of some chest pressure. no electrocardiogram changes noted. no radiation and positionally changed more comfortable in sitting forward position then laying backward, but resolved with ibuprofen since. no electrocardiogram changes. his pre cath echocardiogram showed a hocm with valve and severe resting lvot gradient, moderate eccentric mitral regurgitation, biatrial enlargement, peak resting, lvot gradient of 60, pasp of 25 and his left ventricular ef was greater then 75% and inducible gradient was 80-160 mmhg. at conclusion following intervention, peak lvot gradient in presence dobutamine reduced to 20 mmhg. in terms of his rate the patient was placed on a temporary pacemaker in the cath lab. the temporary pacemaker was initially set at a rate of 70 with a threshold, which was about 1.5 to 2, which upon the transfer to coronary care unit the lead had moved up from the right ventricle to the right atrium and the patient was a pacing. at which point the cardiology service was consulted and he had a bedside fluoroscopy, readjustment of his pacemaker leads done and was replaced back into the right ventricle without any difficulty. follow up chest x-ray showed patient's lead again correctly placed in rv. the patient had two episodes of occasional v pacing two days prior to discharge when his heart rate dropped into the 50s. since then his heart rate parameter was decreased to 35 and the problem was alleviated since then and the patient since has not required any v pacing since he was in the coronary care unit. in terms of his history of parathyroidectomy, his calcium was checked on admission and his calcium levels had been within normal limits and monitored closely without any difficulties. in terms of his fluids, electrolytes and nutrition he tolerated his diet well after the first day and no nausea or vomiting and he was advanced to a regular diet cardiac since. prophylactically, he was on protonix, pneumoboots and a bowel regimen and did well while he was here. because of his age, strong family history of hocm, and high physical stress occupation, the ep service was consulted re consideration of future placement of aicd to lower risk of sudden death. after talking to dr. and the other cardiologists on service he is now thinking about getting an icd placed in a couple of weeks. he has dr. number and will follow up with. he is also to follow up with his cardiology physician who is dr. in in the next week. the patient is being discharged to home in stable and good condition. the patient is to call or follow up if any new chest pain or shortness of breath, lightheadedness, difficulty breathing, palpitations develop, seek medical attention as soon as possible. final diagnosis: familial hocm, nyha class iii on multidrug therapy. status post ethanol septal ablation this admission. recommended follow up: the patient is to follow up with dr. on at 1:00 p.m., at the building. he is also to follow up with dr. in two weeks, call for an appointment. also follow up with his physician . within one week. per usual protocol for ablation, repeat echo should be performed in 3 months (lv will undergo continued remodeling of outflow track in this interval). if outflow gradient at rest and with provocation is minimal, tapering of atenolol and/or verapamil may be considered at that time. major surgical and invasive procedures done while in service: status post ethanol septal ablation, status post cardiac catheterization. discharge condition: good, stable. discharge medications: 1. atenolol 50 mg po q day. 2. verapamil 120 mg sr q 24 hours. 3. aspirin 81 mg po q day. , m.d. dictated by: medquist36 d: 02:21 t: 08:03 job#: procedure: excision or destruction of other lesion or tissue of heart, endovascular approach insertion of temporary transvenous pacemaker system diagnoses: pure hypercholesterolemia mitral valve disorders depressive disorder, not elsewhere classified unspecified disease of pericardium mechanical complication due to cardiac pacemaker (electrode) 

Answer: The patient is high likely exposed to