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: atrial fibrillation major surgical or invasive procedure: s/p emergent removal of retained ep catheter, bilateral pvi, maze, resection of left atrial appendage history of present illness: 60 year old male with history of proxysmal atrial fibrillation who was admitted as an outpatiet for pulmonary vein isolation and ablation with the ep service. cardiac surgery was consulted after they were unable to remove the catheter. past medical history: paroxysmal atrial fibrillation hypertension dyslipidemia s/p right ear surgery social history: divorced with two children. lives with his girlfriend. retired police officer. averages 4 beers/night family history: noncontributory physical exam: discharge: 98.7 141/84 79 20 92% ra general: pleasant to speak with chest: lungs clear to auscultation. sternum stable cor: regular, no murmurs appreciated sternal incision: dry and intact without drainage extremities: warm with trace pedal edema pertinent results: 05:15am blood wbc-10.3 rbc-3.40* hgb-11.1* hct-31.6* mcv-93 mch-32.7* mchc-35.3* rdw-13.1 plt ct-199 02:24am blood wbc-11.3* rbc-3.66* hgb-12.3* hct-33.2* mcv-91 mch-33.5* mchc-36.9* rdw-13.2 plt ct-204 08:35am blood wbc-7.1 rbc-4.66 hgb-15.5 hct-42.3 mcv-91 mch-33.2* mchc-36.7* rdw-12.7 plt ct-291 07:10am blood pt-16.6* inr(pt)-1.5* 05:15am blood pt-14.8* inr(pt)-1.3* 08:35am blood pt-16.3* inr(pt)-1.5* 05:15am blood glucose-100 urean-13 creat-0.9 na-137 k-4.1 cl-102 hco3-31 angap-8 08:35am blood glucose-108* urean-18 creat-1.0 na-139 k-3.9 cl-104 hco3-27 angap-12 05:15am blood mg-2.4 02:24am blood mg-2.3 echocardiography report , (complete) done at 1:54:02 pm final referring physician information , c. , status: inpatient dob: age (years): 60 m hgt (in): 80 bp (mm hg): 140/80 wgt (lb): 185 hr (bpm): 90 bsa (m2): 2.23 m2 indication: left ventricular function. right ventricular function. tamponade. icd-9 codes: 440.0 test information date/time: at 13:54 interpret md: , md, md test type: tee (complete) 3d imaging. son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw06-: machine: echocardiographic measurements results measurements normal range left ventricle - diastolic dimension: 4.1 cm <= 5.6 cm left ventricle - ejection fraction: 55% to 60% >= 55% aorta - ascending: 2.8 cm <= 3.4 cm aorta - descending thoracic: 1.8 cm <= 2.5 cm findings multiplanar reconstructions were generated and confirmed on an independent workstation. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. left-to-right shunt across the interatrial septum at rest. small secundum asd. asd. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal regional lv systolic function. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal diameter of aorta at the sinus, ascending and arch levels. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. trace ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: physiologic 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. no tee related complications. suboptimal image quality - poor echo windows. emergency study. results were conclusions prebypass: 1. the patient is v paced. 2. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. trace aortic regurgitation is seen. 6. the mitral valve appears structurally normal with trivial mitral regurgitation. 7. there is no pericardial effusion. 8. a rv catheter/pacing wire is seen. a separate wire/catheter is seen traversing the intraatrial septum and extending into the right inferior pulmonary vein. post bypass: the patient is in sinus rhythm. left and right ventricular function is preserved. the aorta is intact. the entrapped wire/catheter has been successfully removed. an atrial septal defect is now present. the left atrial appendage has been removed. the remainder of the examination is unchanged. dr. was notified in person of the results intraoperatively. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, md, interpreting physician 22:40 brief hospital course: patient was brought to the operating room urgently from the electrophysiology lab. he underwent emergent removal of retained catheter, pulmonary vein isolation, maze, and left atrial appendage removal with dr . please see operative note for full details. post-operatively he was admitted to the cvicu for invasive hemodynamic monitoring. drips were weaned and he was extubated on pod 0. by pod 1 he was transferred to the step down floor. physical therapy was consulted to work on strength and conditioning. he was re-started on coumadin and his home doses of propafenone. by pod 3 he passed physical therapy and was cleared for discharge home. medications on admission: propafenone 225 mg po qam and qpm, 150 mg po at lunch coumadin 2.5 mg po saturday, 5 mg every other day simvastatin 80 mg po daily hctz 25 mg po daily viagra 50 mg po prn atenolol 50 mg po daily mvi fish oil benadryl discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(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:*0* 5. warfarin 1 mg tablet sig: five (5) tablet po daily (daily): please take this dose 12/20 and . dr office will call with dose adjustment monday after inr drawn. disp:*50 tablet(s)* refills:*0* 6. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. propafenone 225 mg tablet sig: one (1) tablet po qam and qpm (). 8. propafenone 150 mg tablet sig: one (1) tablet po afternoon (). 9. hydromorphone 2 mg tablet sig: one (1) tablet po q3h (every 3 hours) as needed. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: hospice and vna discharge diagnosis: s/p emergent removal of retained ep catheter, bilateral pvi, maze, resection of left atrial appendage afib dyslipidemia discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr. in 4 weeks () please call for appointment dr. in 1 week () please call for appointment wound check appointment 2 as instructed by nurse () procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery excision or destruction of other lesion or tissue of heart, open approach insertion of temporary transvenous pacemaker system atrial cardioversion intracardiac echocardiography diagnoses: other iatrogenic hypotension unspecified essential hypertension atrial fibrillation atrial flutter other and unspecified hyperlipidemia cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure long-term (current) use of anticoagulants other mechanical complication of cardiac device, implant, and graft 

Answer: The patient is high likely exposed to