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: tetracycline / shellfish derived attending: chief complaint: lightheadedness major surgical or invasive procedure: pulmonary vein isolation with ablation history of present illness: 64 year old woman with a history of atrial tachycardia since , s/p pulmonary vein isolation and ablation complicated by hypotension requiring pressors. per previous notes: over the past six months to a year the patient has noticed a recurrence of palpitations. she had been successfully treating these episodes by taking two 150mg doses of flecainide, but more recently this has not been effective. ekg on revealed atrial tachycardia with probable 2:1 block at 125 bpm. currently she describes having episodes about once every 1-2 weeks. when she goes into atrial tachycardia, she feels weak, nauseous, short of breath, fatigued and a sensation that her heart is in her throat. denies le edema, orthopnea, pnd, lightheadedness, claudication after the procedure, the patient had episodes of hypotension into the 50s systolic. after several hours, she remained unable to be weaned off pressors - with systolic blood pressures into the 80s. subsequently, she is admitted to the ccu. currently, the patient is without complaint. she states she felt dizzy while hypotensive earlier in the day, but this has since improved. she denies a full ros including cough, sob, chest pain, abd pain, n/v/d, headache, edema. she does note some mild abdominal bloating that feels like gas pain. of note, the patient does have a small known pericardial effusion. by report, this is unlikely to be related to her hypotensive episode. past medical history: atrial tachycardia s/p pvi and ablation in , repeat hypothyroidism sleep apnea (cpap) tonsillectomy hysterectomy hsv-i nephrolithiasis - social history: married with two children, and two step children. (husband): cell tobacco:smoked about 15 years, quit at age 35 etoh: denies recreational drugs: denies home services: denies family history: brother with af. father died at age 73 from heart disease physical exam: general: pleasant woman in nad sitting up in bed speaking in full sentences. oriented x3. mood, affect appropriate. heent: mmm neck: no jvd cardiac: normal s1, physiologic split s2. no excess heart sounds. no murmurs or rubs lungs: clear b/l, no rales, rhonchi or wheezes. good inspiratory effort. abdomen: soft, non-tender, non-distended extremities: no c/c/e. skin: no stasis dermatitis, ulcers, scars, or xanthomas. neuro: aaox3, moving all extremities pulses: right: dp 2+ left: dp 2+ vitals: 100s/60s, hr 70s, afebrile, >95% ra pertinent results: admission 07:30am blood wbc-5.7 rbc-4.81 hgb-14.2 hct-44.1# mcv-92 mch-29.5 mchc-32.2 rdw-13.3 plt ct-185 07:30am blood pt-11.0 ptt-30.8 inr(pt)-1.0 07:30am blood glucose-101* urean-21* creat-0.7 na-139 k-4.1 cl-104 hco3-29 angap-10 01:15am blood wbc-7.0 rbc-3.88* hgb-11.6* hct-35.4* mcv-91 mch-29.8 mchc-32.7 rdw-13.5 plt ct-178 01:15am blood pt-13.2* ptt-27.7 inr(pt)-1.2* 01:15am blood glucose-178* urean-18 creat-0.7 na-139 k-4.3 cl-108 hco3-22 angap-13 01:15am blood calcium-8.4 phos-3.8 mg-2.0 brief hospital course: 64 year old woman with a history of paroxysmal atrial tachycardia since , s/p pulmonary vein isolation and ablation complicated by hypotension post procedure. . # hypotension: most likely related to anesthesia post-procedure (which has happened to her in the past). other causes were ruled out. she initially required low dose phenylephrine which was quickly weaned off in the ccu. . # s/p pvi and ablation. currently in sinus rhythm. stopped aspirin, continued rivaroxaban. she was started on low dose ppi for prophylaxis (post procedure) for one month. . # pericardial effusion: felt not related to hypotension. per attending, this is a common issue post-procedure, and she was started on 7d course of colchicine. she will have a tte at her follow-up appointment in weeks. . # hypothyroid: cont levothyroxine . # osa: cpap at night . # supplementation: cont vitamin d; hold resveratrol . ===== transitional issues: -will f/u with dr. (attending) in weeks -1 month of omeprazole -1 week of colchicine -holding aspirin, and continuing rivaroxaban -continues on prn flecainide for palpitations medications on admission: acyclovir 200 mg prn flecainide 300 mg as needed levothyroxine 150 mcg daily rivaroxaban 20 mg daily aspirin 325 mg daily cholecalciferol 2,000 unit daily omega-3s-dha-epa-fish oil - dosage uncertain resveratrol - dosage uncertain medications: 1. levothyroxine 75 mcg tablet sig: two (2) tablet po daily (daily). 2. cholecalciferol (vitamin d3) 2,000 unit tablet sig: one (1) tablet po once a day. 3. acyclovir 200 mg capsule sig: one (1) capsule po twice a day as needed for symptoms. 4. flecainide 150 mg tablet sig: two (2) tablet po as needed. 5. rivaroxaban 20 mg tablet sig: one (1) tablet po daily (daily). 6. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily) for 1 months. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 7. colchicine 0.6 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 weeks. disp:*14 tablet(s)* refills:*0* disposition: home diagnosis: hypotension atrial flutter ablation condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. instructions: you were admitted after you blood pressure was low following your procedure. you improved, and should follow-up with your primary outpatient doctors , below. please note the following medication changes: -stop aspirin -start omeprazole for 1 month to decrease acid in your stomach -start colchicine for 1 week to help with inflammation around your heart followup instructions: dr. cardiology 9am clinical center - procedure: catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping intracardiac echocardiography diagnoses: other iatrogenic hypotension obstructive sleep apnea (adult)(pediatric) unspecified acquired hypothyroidism atrial fibrillation atrial flutter unspecified disease of pericardium other and unspecified general anesthetics causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to