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: syncope, pauses major surgical or invasive procedure: metronic pacemaker placement history of present illness: mr. is a 44 year-old male with no significant pmhx who presented to outside hospital after a syncopal episode occurring at work today. at 10am patient was sitting at his desk, felt his heart "skip a beat" had associated lightheadedness but continued working. at noon, just after eating lunch the sensation of lightheadedness recurred for a few seconds and he woke up on the floor. he hit his head on a piece of heating equipment. his coworkers told him that he was unconscious for 20 seconds. they also reported some jerking movements when he initially passed out. when mr. he felt well. he was taken to the er for evaluation. at , he was found to have small bilateral subdural hematomas which were felt to be traumatic in nature. while in the ed he was monitored on telemetry and had two additional syncopal episodes half hour apart. both occurred when he was lying on the stretcher, were preceded by approximately 5 seconds of lightheadedness. he lost consciousness for 30 seconds each time. this time, unlike the prior episode he felt unwell afterwards. the second episode was witnessed by mds at the hospital and telemetry revealed a 15 second pause. he was transferred to for consideration of a pacemaker. of note, at baseline he has had the sensation of "pauses" in his chest which last for 1 second 1-2x/month for the past year, however over the past two months this sensation has been occurring weekly. he went to see a primary care doctor and had holter monitor, echocardiogram and ekg all of which were reportedly normal. he exercises 1-2 times per week and has never had symptoms with exercise. he passed out 1 time years ago in the setting of being very ill with the flu. in the ed, initial vitals were t: 98.3 hr: 74 bp: 112/100 rr: 18 o2sat: 100% on 3l. he was seen by neurosurgery in the ed and was felt to be stable and not requiring neurosurgical intervention nor did they feel that dilantin was required on arrival to the ccu, the patient is feeling well and is without complaints. on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations. syncope and presyncope as described in hpi. past medical history: r elbow bursitis achilles tendon tear social history: social history is significant for the absence of current tobacco use. there is no history of alcohol abuse. he drinks drinks/day. family history: there is no family history of premature coronary artery disease or sudden death. the patient's father had "enlarged valves" requiring replacements and atrial fibrillation at the age of 57. he also had a paternal uncle with arrhythmia. physical exam: vs t97.3, bp 153/79, hr 85, rr 10-14, o2sat 97% on ra. gen: wdwn middle aged male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp 6cm. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no c/c/e. no femoral bruits. warm and well perfused. skin: mild ecchymosis noted over left eyebrow. neuro: fluent speech, good comprehension. no dysarthria. cn ii-xii intact. motor exam with normal bulk and tone, bilaterally in both upper and lower extremities. sensation also intact throughout to light touch. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 04:47pm blood wbc-12.9* rbc-4.48* hgb-14.9 hct-39.7* mcv-89 mch-33.2* mchc-37.4* rdw-13.7 plt ct-217 07:00am blood wbc-7.3 rbc-4.72 hgb-15.3 hct-41.8 mcv-89 mch-32.4* mchc-36.5* rdw-12.8 plt ct-230 04:47pm blood glucose-107* urean-23* creat-1.1 na-140 k-4.4 cl-106 hco3-26 angap-12 07:00am blood glucose-88 urean-21* creat-0.9 na-140 k-3.9 cl-107 hco3-26 angap-11 04:47pm blood ctropnt-<0.01 04:53am blood ck-mb-4 ctropnt-<0.01 urine cx: negative lyme serology: negative ct head (): no change in tiny left inferior frontal subdural hematoma. ekg (): nsr. tte (): no structural cardiac cause of syncope identified. normal global and regional biventricular systolic function. cxr (): the heart is normal in size and there is no evidence of vascular congestion. blunting of what appears to be the right costophrenic angle posteriorly may reflect some pleural thickening. no evidence of acute focal pneumonia. a pacemaker device is now in place with the leads in the general area of the right atrium and apex of the right ventricle. no evidence of pneumothorax. brief hospital course: 1) loss of consciousness: had 3 total episodes on day of admission. the episode in the osh ed was seen on telemetry and showed a 15 second sinus arrest. baseline ekg with some 1mm ste vs j point elevation diffusely, although history and ck not consistent with pericarditis. telemetry monitoring showed occasional sinus pauses, but no sustained arrhythmias. the patient had no further lightheadedness or syncope. tte was normal. a pacemaker was placed without complications and he was discharged in stable condition. 2) sdh: small and likely traumatic in origin. seen by neurosurgery in the ed, who signed off. neuro exam remained within normal limits during his admission. medications on admission: asa 162.5mg daily ibuprofen 400-600mg daily glucosamine multivitamin discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 2. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 2 days. disp:*8 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: sinus arrest requiring pacemaker placement subdural hematoma discharge condition: stable discharge instructions: you had long heart pauses that caused you to pass out and required a pacemaker. there were no complications with the procedure. please do not raise your left arm over your head for 6 weeks, also avoid carrying more than 5 pounds with your left arm or tucking in your shirt with your left arm. no showers or baths for 1 week until you are seen in the device clinic. keep the bandage clean and dry. you will take antibiotics for 48 hours to prevent a skin infection. you also have a tiny blood collection in the subdural part of your head that is stable. you do not need another ct scan unless you develop changes such as increasing headaches and light-headedness, confusion, fatigue or seizures. the blood will reabsorb with time. . new medicines: 1. cephalexin: an antibiotic to prevent skin infection 2. tylenol to take as needed for pain. . please call dr. if you have any increasing redness, pain or discharge at the pacer site. also call with any increasing lightheadedness, fainting, trouble breathing, color changes or swelling in your left arm or any other unusual symptoms. followup instructions: device clinic phone: date/time: 2:30 cardiology: dr. phone: date/time: friday at 3:20pm. clinical center, . . primary care: dr. phone: date/time: at 10:00pm. please bring any medical records with you. procedure: initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle diagnoses: sinoatrial node dysfunction subdural hemorrhage following injury without mention of open intracranial wound, with brief [less than one hour] loss of consciousness fall resulting in striking against other object 

Answer: The patient is high likely exposed to