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: penicillins attending: chief complaint: bradycardia and hypotension, s/p fall major surgical or invasive procedure: pt was intubated for one day while in icu history of present illness: 69 y/o male who saw his pmd two days pta. pmd switched hctz from 25 mg to 25 mg qd, and added enalapril 5 mg qd. pt states that the day pta he only took 0.5x his usual dose of verapamil and played tennis. he says he may have been dehydrated throughout the day. that night he took 1.5x his usual dose of verapamil along with his first ever dose of enalapril and drank eight gin and tonics. he and his wife were watching television, his wife went into another room when she heard the pt fall. when she returned to the room the pt was lying on the floor with blood coming from his nose. it is not clear whether there was a loc, as the pt has little recollection from the time of the fall until arriving at . his wife notes that the pt was "foggy" in his thought process when she found him moments after falling. his wife called ems and he was first taken to , his bp and hr were recorded to be 55/21 and 49, respectively. he was med flighted to ed. he denies fever, chills, headache, dizziness, vertigo, visual changes, palpitations, sob, n/v/d prior to this incident. pt admits to being a "heavy drinker." his wife states that he drinks both liquor and wine, at most gallon. he denies ever having had a blackout or falling before. past medical history: -cad (dx: ) -- s/p angioplasty after failed stress test secondary to exertional cp. -htn (dx: ) -erectile dysfunction (started ) social history: retired professor from . lives with wife on . children 37 and 38 years old. denies tobacco and drug use. drinks etoh up to 5 days per week. family history: father died at 52 years old of mi, mother had parkinson's disease physical exam: gen: intubated, sedated. heent: nc/at. perrl. lacerations to face, eccymoses of right eye neck: supple. no masses or lad. no jvd. no elevated jvp. lungs: cta bilaterally, no r/r/w. cardiac: bradycardia. regular rythm. normal s1/s2. no m/r/g. abd: soft, +bs, guiaic negative musculoskeletal: no external deformities, pelvis stable skin: warm, dry. extrem: warm, no c/c/e, pulses 2+ throughout. pertinent results: studies: -ct head: impression: no mass effect or hemorrhage -ct spine: impression: no evidence of fractures. mild degenerative changes -ct chest/abdomen/pelvis: impression: no evidence of traumatic injury -echo : 1. the left atrium is mildly dilated. 2. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). regional left ventricular wall motion is normal. 3. mild (1+) mitral regurgitation is seen. --ekg : sinus bradycardia, first degree a-v block, st junctional depression is nonspecific, asymmetric peaked t waves in leads v3 - v6 are of uncertain significance labs: 01:40am fibrinoge-335 01:40am pt-12.6 ptt-20.6* inr(pt)-1.0 01:40am plt count-213 01:40am neuts-85.2* lymphs-11.3* monos-3.1 eos-0.3 basos-0.1 01:40am wbc-14.4* rbc-3.67* hgb-12.9* hct-34.7* mcv-94 mch-35.0* mchc-37.1* rdw-13.4 01:40am asa-neg ethanol-neg acetmnphn-neg bnzodzpn-neg barbitrt-neg tricyclic-neg 01:40am albumin-3.7 calcium-7.8* phosphate-1.1* magnesium-1.4* 01:40am ck-mb-4 ctropnt-<0.01 01:40am lipase-39 01:55am hgb-13.3* calchct-40 01:55am glucose-218* lactate-1.3 na+-137 k+-2.8* cl--106 01:55am type-art po2-95 pco2-36 ph-7.44 total co2-25 base xs-0 07:00am urine color-straw appear-clear sp -1.015 11:31am plt count-206 11:31am calcium-8.2* phosphate-1.4* magnesium-1.5* 11:31am ck-mb-4 11:31am ck(cpk)-182* 11:31am glucose-134* urea n-15 creat-1.0 sodium-142 potassium-2.5* chloride-105 total co2-26 anion gap-14 11:58am type-art temp-36.7 rates-0/12 tidal vol-700 peep-5 o2-70 po2-254* pco2-35 ph-7.49* total co2-27 base xs-4 -assist/con intubated-intubated 02:08pm type-art temp-36.7 rates-10/0 tidal vol-700 peep-5 o2-40 po2-141* pco2-37 ph-7.47* total co2-28 base xs-4 -assist/con intubated-intubated 04:19pm urine rbc-31* wbc-0 bacteria-none yeast-none epi-0 04:19pm urine blood-lg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 04:19pm urine color-yellow appear-clear sp -1.015 06:24pm tsh-1.4 06:24pm caltibc-228* vit b12-359 folate-greater th ferritin-380 trf-175* 06:24pm calcium-8.3* phosphate-2.3* magnesium-1.8 iron-20* 06:24pm glucose-125* urea n-12 creat-0.8 sodium-143 potassium-3.7 chloride-109* total co2-25 anion gap-13 06:30pm type-art temp-38.6 rates-23/ o2-50 po2-148* pco2-40 ph-7.42 total co2-27 base xs-1 intubated-not intuba comments-simple fac brief hospital course: pt admitted to ed s/p fall on night pta. noted to have bp 55/21 and hr 49 at osh was intubated and med-flighted to ed. he received dopamine and was tranferred to the micu, meds held, and fluid resusitated. ct studies failed to show any mass effect or hemorrhage in brain, no evidence of fractures, or evidence of traumatic injury. hypotension and bradycardia resolved, bp 140/70 and hr 70s-80s. after 1 day in micu pt was tranferred to the -a service. home meds were reinstated with the exception of verapamil. enalapril was tapered-up from his home dose of 5 mg qd to 10 mg to control the patient's bp with good results, bp 120s/80s. the pt received consults from etoh counseling and cardiology. an echocardiogram showed the left atrium is mildly dilated, left ventricular wall thickness, cavity size, and systolic function (lvef>55%) and regional left ventricular wall motion is normal. mild (1+) mitral regurgitation. further cardiac work-up to be done outpt. pt's vitals remained stable and he was discharged with follow-up to his pmd and a cardiologist. medications on admission: 1. verapamil 240 mg 2. atenolol 25 mg qhs 3. enalapril 5 mg qd 4. hctz 25 mg qd 5. lipitor 20 mg qd 6. asa 81 mg qd 7. nephrocaps 1 tab qd discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po qd (once a day). disp:*3 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*6 capsule(s)* refills:*0* 3. hydrochlorothiazide 25 mg tablet sig: one (1) tablet po qd (once a day). disp:*3 tablet(s)* refills:*0* 4. enalapril maleate 10 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*14 tablet(s)* refills:*0* 5. atenolol 25 mg tablet sig: one (1) tablet po qd (once a day). disp:*3 tablet(s)* refills:*0* 6. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po qd (once a day). disp:*3 tablet, delayed release (e.c.)(s)* refills:*0* 7. atorvastatin calcium 20 mg tablet sig: one (1) tablet po qd (once a day). disp:*3 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: unintentional verapamil overdose htn cad hypercholesterolemia discharge condition: stable -- normal heart rate and normotensive discharge instructions: -if you have sob, chest pain, lightheadedness/dizziness please call your doctor and/or 911 and immediately come to the nearest emergency department. -new medications: enalapril 10 mg once in morning and 10 mg once at night -discontinued medications: verapamil followup instructions: pt to see dr. (pmd) and dr. (cardiology) as outpt. -follow potassium level -stress test -further alcohol abuse counseling md, procedure: venous catheterization, not elsewhere classified diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery unspecified essential hypertension other specified cardiac dysrhythmias alcohol abuse, continuous accidental poisoning by agents primarily affecting cardiovascular system poisoning by coronary vasodilators 

Answer: The patient is high likely exposed to