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: patient is a 72-year-old male with coronary artery disease status post myocardial infarction, chf with an ejection fraction of 15% and icd for df/vt. here for possible icd malfunction after he was shocked three times at home the night before admission to an outside hospital. the first shock occurred on the morning prior to admission with no preceding symptoms. the second shock occurred while walking downstairs, and he reported reaching out his arm. third shock occurred shortly after this when he was reaching out with his left hand, and the final and fourth shock occurred when he was reaching out in bed with his left arm and received multiple shocks in a row. at the outside hospital, the patient had a magnet placed over his icd, and was given magnesium sulfate. he was hemodynamically stable, and had no complaints otherwise. on review of symptoms, the patient reported occasional orthostatic hypotension, but denied chest pain, shortness of breath, nausea, or vomiting. the patient denies fever or chills. denied bloody stools or black stools. the patient denied orthopnea, pnd, or dyspnea. past medical history: 1. coronary artery disease status post myocardial infarction and ischemic cardiomyopathy. 2. icd for vf with second svc coil because of high dfts with three-lead fracture in 03/99. 3. atrial fibrillation. 4. chronic renal insufficiency. 5. chf with an ef of 15%. 6. hypercholesterolemia. 7. obesity. 8. history of unsuccessful vt ablation. 9. osteoarthritis. 10. bph. 11. reactive airway disease. 12. diabetes mellitus type 2. medications: 1. toprol 50 b.i.d. 2. vasotec 10 b.i.d. 3. lasix 40 b.i.d. 4. imdur 60 q.d. 5. lanoxin 125 mcg. 6. levoxyl 125 mcg. 7. lipitor 40. 8. plavix 75. 9. spironolactone 25. 10. dofetilide 250 q.d. 11. coumadin 10 two days a week, 7.5 five days a week. social history: patient reports coronary artery disease in his father. also has a 50 pack year smoking history, but quit 34 years ago. he denies alcohol use. allergies: shellfish and iv dye, which causes hives, and amiodarone which caused edema. physical exam on admission: temperature 97.7, heart rate of 80, blood pressure 86/52, respiratory rate 16. saturating 97% on room air. patient was alert and oriented times three in no acute distress. neck was supple. pupils are equal, round, and reactive to light. clear oropharynx. there was no jvd and no carotid bruits. cardiovascular reveals regular, rate, and rhythm with occasional irregular beats. faint systolic ejection murmur at the left lower sternal border. respiratory: lungs are clear to auscultation bilaterally. the abdomen was soft, nontender, nondistended. extremities revealed trace bilateral lower extremity edema. summary of hospital course: 1. cardiac rhythm: patient is admitted with multiple shocks from his icd. the shocks had occurred when the patient was using his left arm predominantly. this is likely due to the fact that there was a device malfunction. the device was interrogated, and found to be oversensing noise from certain arm movements. the device was turned off and programmed ddd. the inr was 2.5, so the patient was given vitamin k with plan for future need revision. overnight the patient had a four-second pause on telemetry, although the patient was asymptomatic. the patient returned to the electrophysiology laboratory and had a pacing catheter placed. the patient was transferred to the ccu on for further monitoring in the setting of transvenous pacing. the patient remained comfortable and when his inr trended down, he returned to the ep laboratory for device revision and lead revision. patient tolerated the procedure well. after this, the patient returned to the floors and received multiple shocks on the morning, which were appropriate for ventricular tachycardia. the patient's pacemaker was interrogated and found to be functioning well. it was reprogrammed to over pace out of ventricular tachycardia prior to shocking. the patient had additional episodes of ventricular tachycardia, which were successfully paced out of by his pacemaker. patient was started on lidocaine drip given his significant ventricular tachycardia and the episodes of vt diminished significantly. the patient was transitioned to mexiletine on the next day, and tolerated this well. the patient had no further episodes of significant ventricular tachycardia. 2. coronary artery disease: the patient currently had no symptoms. he was continued on his plavix, statin, beta-blocker, and imdur. patient was not admitted on an aspirin, although he was given an aspirin during his hospitalization given the fact that was coumadin was held. plan for no aspirin on discharge with resuming his coumadin as per his prior home regimen. 3. congestive heart failure: patient has an ischemic cardiomyopathy with an ejection fraction of less than 20%. an echocardiogram on this hospitalization again revealed an ejection fraction of 15-20%. while the patient was npo during episodes of this hospitalization, his lasix and aldactone was held; however, he was continued on his lasix, aldactone, digoxin, and ace inhibitor. patient had no evidence of congestive heart failure during this hospitalization and he resumed his prior medications before discharge. 4. endocrine: patient with hypothyroidism: the patient was continued on his levoxyl. he was also maintained on a regular insulin-sliding scale. blood sugars remained in normal levels, and he did not require significant amounts of insulin. 5. renal: patient with chronic renal insufficiency. remained stable throughout this hospitalization. 6. heme: patient's inr was reversed with vitamin k, and the patient was instructed to resume coumadin dosing on the evening following discharge. the patient will follow up with his cardiologist or primary care physician for further monitoring of his inr and adjustment of his coumadin dose. 7. id: the patient had a temperature greater than 101.5 following his pacemaker placement, and therefore was continued on his cephalosporin, which was originally given for prophylaxis. the patient was transitioned to p.o. antibiotics, plan for seven-day course. condition on discharge: stable. discharge status: to home. discharge diagnoses: 1. icd firing. 2. icd revision. 3. ventricular tachycardia. discharge medications: 1. furosemide 40 b.i.d. 2. spironolactone 25 q.d. 3. plavix 75 q.d. 4. atorvastatin 40 q.d. 5. levothyroxine 125 mcg. 6. digoxin 125 mcg q.d. 7. mexiletine 150 p.o. b.i.d. 8. isosorbide mononitrate 30 q.d. 9. enalapril 2.5 q.d. 10. dofetilide 125 b.i.d. 11. ibuprofen prn. 12. metoprolol succinate 25 q.d. 13. keflex 500 t.i.d. for three days. 14. coumadin 7.5 mg p.o. q.d. follow-up plans: the patient will follow up with his primary care physician in the week following discharge. in addition to this, the patient will follow up with the electrophysiologist, dr. , on in addition to his appointment in device clinic on . , m.d. dictated by: medquist36 procedure: implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] other nonoperative cardiac and vascular measurements diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) paroxysmal ventricular tachycardia mechanical complication of automatic implantable cardiac defibrillator old myocardial infarction unspecified disorder of kidney and ureter 

Answer: The patient is high likely exposed to