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: dyspnea, lower extremity edema major surgical or invasive procedure: epicardial lead placement history of present illness: mr. is a 59-year-old gentleman with a history of nonischemic cardiomyopathy who underwent mitral valve replacement in the past with a prior icd who presented early in following a syncopal event. the patient has a long history of cardiomyopathy with ef of about 20-25%, also history of arrhythmias including bradycardia, atrial fibrillation and vt. based on these findings and the symptomatology of congestive heart failure, his cardiologist referred him to us for placement of epicardial leads and biventricular pacing. past medical history: non-ischemic cardiomyopathy/systolic congestive heart failure, history of mitral valve replacement(st. jude valve) in , hypertension, hyperlipidemia, atrial fibrillation, sinus bradycardia, ? sleep apnea social history: denies tobacco and etoh. family history: no premature coronary artery disease physical exam: vitals: t 97.3, bp 114/66, hr 83, rr 20, sat 98 on room air general: well developed middle aged male in no acute distress heent: oropharynx benign, neck: supple, jvp approx 12 cm, heart: regular rate, mechanical s1 with grade 2/6 systolic murmur at apex, normal s2. no s3 or s4. lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: cool, no edema, no varicosities pulses: 2+ distally neuro: nonfocal pertinent results: chest x-ray: chest radiograph is unchanged in appearance and there is persistent small left apical pneumothorax and air-fluid levels identified on pa and lateral views which may represent summation shadows or a possible hydropneumothorax. the icd pocket appears unremarkable on lateral view. there is unchanged persistent left lower lobe atelectasis/consolidation with remaining lungs appearing clear. no evidence of pulmonary edema. small left-sided pleural effusion is unchanged. vertical linear opacity likely representing atelectasis is unchanged projecting over the right mid and lower hemithoraces. 06:55pm glucose-96 urea n-28* creat-1.6* sodium-135 potassium-4.7 chloride-98 total co2-29 anion gap-13 06:55pm calcium-10.4* phosphate-3.8 magnesium-2.6 06:55pm wbc-9.9 rbc-3.99* hgb-13.6* hct-38.7* mcv-97 mch-34.1* mchc-35.2* rdw-14.0 06:55pm plt count-361 06:55pm pt-22.0* ptt-27.4 inr(pt)-2.2* brief hospital course: mr. was admitted for heparinization. he was noted to have acute renal insufficiency thought to be related to prerenal azotemia. prior to surgical intervention, his creatinine improved. on , dr. performed a thorascopic epicardial lead placement. for surgical details, please see seperate dictated operative note. following the operation, he was brought to the csru for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. his csru course was uneventful and he transferred to the sdu on postoperative day one. warfarin and his preoperative medications were resumed. he remained on heparin until he became therapeutic on warfarin. warfarin was dosed for a goal inr between 2.5 - 3.0. a routine postop chest x-ray was notable for a small left apical pneumothorax. serial chest x-rays were performed which showed stable pneumothorax. his postoperative course was otherwise unremarkable. he remained stable on medical therapy and was discharged to home on postoperative day seven. medications on admission: amiodarone 400 warfarin aspirin 81 q monday, wed, friday lisinopril 20 atorvastatin 10 qd metoprolol xl 25 qd lasix 40 qd discharge medications: 1. metoprolol succinate 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*30 capsule(s)* refills:*0* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 5. amiodarone 200 mg tablet sig: one (1) tablet po twice a day. disp:*30 tablet(s)* refills:*0* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*40 tablet(s)* refills:*0* 7. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. warfarin 5 mg tablet sig: 1.5 tablets po once a day for 2 days: please take 7.5 mg of coumadin daily for 2 days and then titrate dose per the instructions of your primary care provider . . disp:*40 tablet(s)* refills:*0* 9. lasix 80 mg tablet sig: one (1) tablet po once a day: please take in the morning. disp:*30 tablet(s)* refills:*0* 10. lasix 40 mg tablet sig: one (1) tablet po every three days: please take in the afternoon. disp:*30 tablet(s)* refills:*0* 11. outpatient lab work inr check on thursday . please send results to the office of , phone (. discharge disposition: home with service facility: discharge diagnosis: non-ischemic cardiomyopathy/systolic congestive heart failure - s/p epicardial lead placement, history of mitral valve replacement(st. jude valve) in , hypertension, hyperlipidemia, preop acute renal insufficiency, atrial fibrillation, sinus bradycardia, sleep apnea, postop pneumothorax discharge condition: good discharge instructions: take medications as directed. monitor wounds for signs of infection. patient may shower, no baths. no lotion or cream to surgical incisions. call if you experience fevers or excessive weight gain. warfarin should be dosed for goal inr between 2.5 - 3.0. inr should be checked with 48-72 hours of discharge. dr. will manage your warfarin as an oupatient. vna should call and/or fax inr results to dr. . followup instructions: device clinic phone: appt @ 1:00 dr. phone: appt @ 2:30 dr. phone: appt @ 3:40 dr. in weeks, please call office for appt dr. in weeks, please call for an appointment ( will need to have inr checked on thursday, . procedure: diagnostic ultrasound of heart insertion or replacement of epicardial lead [electrode] into epicardium diagnoses: other primary cardiomyopathies congestive heart failure, unspecified atrial fibrillation paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease atrioventricular block, complete iatrogenic pneumothorax cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure chronic systolic heart failure accidents occurring in residential institution acute kidney failure with other specified pathological lesion in kidney 

Answer: The patient is high likely exposed to