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: past medical history: significant for hypertrophic cardiomyopathy, chronic ddd pacer for complete heart block placed in , history of endocarditis in , and inguinal node biopsy that was notably benign. family history: her father had cad (versus hocm) and her brother has cad (versus hocm). cardiac risk factors: include hypertension, hyperlipidemia. social history: she lives alone at home. she has two daughters who are involved in her care; one lives in . she is a nonsmoker and does not drink alcohol. allergies: the patient has no known drug allergies. medications on admission: 1. aspirin 325 mg q.d. 2. verapamil 180 mg q.d. 3. toprol xl 100 mg q.d. 4. fosamax 70 mg q. week. 5. wellbutrin 100 mg b.i.d. 6. amiloride 5 mg q.d. 7. nexium. physical examination on admission: her heart rate was 64, blood pressure 94/43. she was saturating 100% on 2 liters nasal cannula. in general, she was pleasant and slightly fatigued but in no apparent distress. her eyes were anicteric. her oropharynx was clear without exudates. she had a cardiac examination that was significant for regular rate and rhythm, s1, s2, and a iii/vi systolic ejection murmur at the left upper sternal border consistent with hypertrophic cardiomyopathy. her lung examination was clear to auscultation bilaterally without wheezes. her abdomen was soft, nontender, nondistended, with no organomegaly. her extremities had palpable pedal pulses bilaterally. her right groin site was without ecchymosis, nontender, and without bruits. neurologically, she was alert and oriented times three. her cranial nerve examination was grossly intact and the remainder of her neurological examination was nonfocal. laboratory studies on admission: her white blood cell count was 5.8, hematocrit 38.3, platelets 199,000. her inr was 1.1. her sodium was 137, potassium 5.0, bun 29, creatinine 1.2, glucose 92. imaging on admission: on , she had a transthoracic echocardiogram status post ethanol ablation. it demonstrated hyperenhancement of the basal septum. her left systolic function was excellent with an ejection fraction of greater than 65%. she was also noted to have mild to moderate mitral regurgitation. this was in comparison to her preablation echocardiogram which again demonstrated and ef of greater than 65% and left ventricular outflow tract peak of 36-40. her ekg postablation on admission to the ccu demonstrated ddd pacing at 87 beats per minute with a left bundle branch block (this is an old finding). hospital course: 1. cardiac: ischemia; the patient received an ethanol ablation which is consistent with a deliberately induced myocardial infarction. she had peak creatinine kinases of 868, peak mb 122, peak index 14.1. she had no ensuing chest pain following her ablation. she was maintained on aspirin at 325 mg q.d. pump: her postablation echocardiogram demonstrated an ef of greater than 65%. she was maintained on her anticontractile agents of toprol xl at 100 mg q.h.s. and her verapamil sr was slowly tapered from 180 mg to 120 mg q.a.m. upon discharge. rhythm: the patient is chronically ddd paced. she had some episodes of her native av conduction demonstrated on telemetry throughout her postablation course. upon discharge, she remained ddd paced with no further issues. 2. neurology: sedation was withheld postablation. the patient was alert and oriented times three and had no further issues in this regard. overall, the patient did well postprocedure, ambulated well on postprocedure day number two, and was discharged home with no further issues. medications upon discharge: 1. toprol xl 100 mg p.o. q.h.s. 2. verapamil sr 120 mg p.o. q.a.m. 3. amiloride 5 mg p.o. q.d. 4. bupropion 100 mg b.i.d. 5. alendronate 70 mg q. week. 6. aspirin 325 mg q.d. of note, the patient received a flu shot prior to discharge. follow-up: the patient will follow-up in three months with dr. , appointment of which has already been scheduled. prior to this visit, she will receive a repeat transthoracic echocardiogram which has already been scheduled. condition on discharge: stable. discharge diagnosis: hypertrophic cardiomyopathy, status post alcohol septal ablation. , m.d. dictated by: medquist36 procedure: coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization other esophagoscopy excision or destruction of other lesion or tissue of heart, endovascular approach diagnoses: mitral valve disorders congestive heart failure, unspecified old myocardial infarction cardiac pacemaker in situ 

Answer: The patient is high likely exposed to