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: is a 52 year old female with a history of hypertension and hypercholesterolemia, who presents from her primary care physician's office for evaluation of complete heart block. she was seen by her primary care physician on for a routine examination and noted to have a systolic blood pressure of 175. an ekg showed complete heart block and bradycardia. she was referred to the emergency room. on history, she reports four months of gradually worsening dyspnea on exertion with associated dizziness. she denies chest pain, nausea, vomiting or diaphoresis. she also denies fevers, chills and has no abdominal, urinary or joint complaints. she denies orthopnea and paroxysmal nocturnal dyspnea and has had no lower extremity edema. past medical history: 1. hypertension diagnosed one year ago. she reports having been on an anti-hypertensive medication but does not remember its name and has not been taking it for the last three months. 2. hypercholesterolemia. medications: 1. tylenol p.r.n. allergies: no known drug allergies. social history: widowed with children; works as a storekeeper. no smoking or alcohol. family history: negative for coronary artery disease. physical examination: temperature 96.3 f.; blood pressure 160/70; heart rate 35 to 40; 99% on room air. in general, pleasant in no apparent distress. can speak very little english. heent: pupils equally round and reactive to light. sclerae anicteric. oropharynx clear. neck supple; no lymphadenopathy; no jugular venous distention. pulmonary: bibasilar crackles. cardiac: regular, bradycardic, i/vi systolic murmur at the left upper sternal border. no gallops. abdomen soft, nondistended, nontender. no hepatosplenomegaly, no masses. normoactive bowel sounds. extremities: no edema. two plus distal pulses. neurologic grossly nonfocal. laboratory: white blood cell count 4.8, hematocrit 40.9, platelets 203, inr 1.3. sodium 143, potassium 4.3, bun 16, creatinine 0.9, glucose 95. ck 226, ck mb 7. troponin 7.9. esr 9. alt 26, ast 34. total cholesterol 217. hdl 42, ldl 147. urinalysis negative. ekg bradycardia with a rate in the 40s. right bundle branch block and right axis deviation. av dissociation. q waves in ii, iii and avf. biphasic t waves in v2 through v5. summary of hospital course: assessment - 52 year old female with bradycardia and new complete heart block. 1. cardiovascular: the patient was admitted to the cardiac care unit for monitoring awaiting pacemaker placement. she was hemodynamically stable despite heart rate in the 30s and 40s and occasional excursions to the 20s while sleeping. her systolic blood pressure remained between 110 and 150, and she was asymptomatic. serial cardiac enzymes were also sent with negative cks, however, she was noted to have a troponin of 7.9 on admission which trended down over the course of her hospitalization. a transthoracic echocardiogram was obtained which showed an ejection fraction of greater than 55%, -atrial dilatation, mild dilation of the aortic root and ascending aorta, and no focal wall motion abnormalities. work-up for her complete heart block included sedimentation rate, rpr, ace level, and lyme titers which were all within normal limits. she was subsequently taken to the electrophysiology service laboratory and had a ddd pacemaker placed without complications. she was also started on hydrochlorothiazide for hypertension. although she did have a positive troponin (negative cks), it was not felt that this was necessarily due to ischemia. she is to undergo outpatient stress testing and initiation of beta blocker as per primary care physician. disposition: discharged to home in stable condition. discharge diagnoses: 1. complete heart block and bradycardia status post ddd pacemaker. discharge medications: 1. enteric coated aspirin 325 mg p.o. once a day. 2. lipitor 10 mg p.o. once a day. 3. hydrochlorothiazide 25 mg p.o. once a day. 4. keflex 500 mg p.o. four times a day times six doses for recent pacemaker placement. discharge instructions: 1. follow-up with primary care physician, . . , m.d. dictated by: medquist36 procedure: catheter based invasive electrophysiologic testing initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle diagnoses: pure hypercholesterolemia unspecified essential hypertension atrioventricular block, complete 

Answer: The patient is high likely exposed to