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: post-procedural hypotension major surgical or invasive procedure: atrial fibrillation ablation history of present illness: ms. is 76 year old woman has a history of myasthenia , atrial fibrillation and aortic stenosis s/p bioprosthetic avr who is was admitted to the ccu for hypotension after an af ablation earlier in the day. in she underwent an afib ablation at by dr. . she subsequently had recurrence of her af and, in , she had a bioprosthetic aortic valve replacement, excision of left atrial appendage, and pulmonary vein isolation. she again had a subsequent return of her atrial fibrillation and underwent successful dc cardioversion in with early recurrence. she underwent repeat dc cardioversion in and was initiated on sotalol 80mg b.i.d. in she was admitted to with persistent palpitations and tachycardia, possibly flutter versus atrial tachycardia at 120 bpm. she was rate controlled with the addition of diltiazem, to which she responded well symptomatically, and was referred to the ep service for repeat ablation. on the day of admission the patient underwent elective af/at ablation. the procedure lasted more than six hours, during which the patient was intubated. near the end of the procedure, the patient was noted to be hypotensive (systolics in the high 60s on two occasions by report). she was started on peripheral dopamine at 5 mcg/kg/hr with a good response in her bp. an informal echocardiogram was negative for significant pericardial effusion. over the course of her case, she had been given a total of 3l ivf. on arrival to the ccu, the patient reported feeling slightly groggy and fatigued, but otherwise is without complaint. shortly after arrival, her dopamine was titrated down to 3 mcg/mg/kg without significant fall in her bp. on ros, she denies any recent fevers or chills. no cough or wheeze, but some doe at baseline. no chest, jaw, or arm pressure or discomfort. no orthopnea, ankle edema, current palpitations, syncope or presyncope. no abdominal symptoms. no change to bowel or bladder habbits. no msk or neuro symptoms. all of the other review of systems were negative. past medical history: *aortic stenosis s/p avr *paroxysmal af/flutter s/p prior ablation/dc cardioversion *s/p bioprosthetic avr/pulmonary vein isolation, excision of left atrial appendage (, ) *gerd *hypothyroidism *myasthenia with left eye ptosis, left leg weakness, *occasional difficulty swallowing *cervical disc disease *s/p resection of right benign breast lump *sleep apnea (does not use cpap) *s/p bilateral carpal tunnel release *s/p trigger finger release *s/p remote left sided hernia repair *s/p surgical resection of pilonidal cyst social history: patient is widowed and lives alone. she had 7 children, 5 are living. she formerly worked as a pharmacy technician and administrator. contact upon discharge: (son): etoh: none currently. tobacco: quit 30 years ago, former 20 pack years. family history: the patient's father died of a heart related condition in his late 60s. the patient has a granddaugher who also has af and underwent an ablation around age 20. she has a sister who may also have an atrial arrhythmia. the patient's mother passed away from a cancer at an advanced age. physical exam: gen: well appearing adult female, no acute distress. heent: perrl, eomi. mmm. op clear. conjunctiva well pigmented. neck: supple, without adenopathy or jvd. flat neck veins. chest: lungs clear to auscultation with normal respiratory effort. cor: normal s1, s2. rrr. no murmurs appreciated. abdomen: soft, non-tender and non-distended. +bs, no hsm. extremity: warm, without edema. 2+ dp pulses bilaterally. neuro: alert and oriented. cn 2-12 intact. motor strength intact in all extremities. sensation intact grossly. pertinent results: ekg: sinus versus atrial ectopic rhythm. ventricular rate of 94. lad, lafb. pr interval 186. possible mild lateral t wave flattening. brief hospital course: 76 yof with a history of myasthenia, bioprosthetic avr and atrial fibrillation/at now s/p ablation procedure complicated by hypotension, admitted to the ccu for ongoing monitoring. 1. hypotension: most likely precipitated by anesthetics in the setting of prolonged procedure time, compounded by mild volume depletion. patient was initially maintained on peripheral dopamine to keep map > 60, although this was able to weaned off quickly. home antihypertensives were initially held. post-procedural echo showed normal biventricular cavity sizes with preserved global and regional biventricular systolic function, lvef > 55%. by time of discharge, patient was normotensive. metoprolol succinate 25mg was initiated in place of patient's prior medication regimen of sotalol and diltiazem. 2. atrial fibrillation: patient was admitted following successful atrial fibrillation ablation, in nsr. post-procedural echo did show residual atrial septal defect from instrumentation. prior antiarrhythmic (sotalol) was discontinued and patient was started on amiodarone. once blood pressure could tolerate, patient was also started on bblockade with metoprolol for adequate rate control. patient continued anticoagulation for chads score of 2 with coumadin and was discharged with inr of 2.1. of note, patient will need close monitoring of pt/inr and follow up of tft, lfts, and pft as an outpatient since recently started amiodarone. 2. myasthenia : stable, continued on patient's home pyridostigmine. confirmed with neurology that amiodarone should not interact with pyridostigmine. 3. hypothyroidism: clinically euthyroid, continued home levothyroxine. 4. gerd: continue home omeprazole. 5. osa: does not wear cpap at home. continued zonagran. monitored on pulse oximetry throughout the night. medications on admission: diltiazem hcl - 120 mg sustained release daily levothyroxine - 100 mcg - 1 tabletby mouth every morning six days a week, half a tablet on wednesdays. omeprazole - 20 mg capsule daily pyridostigmine bromide - 60 mg tid sotalol - 80 mg warfarin - 5 mg m/w, 2.5 mg all other days zonisamide - 100 mg - 3 capsules by mouth at bedtime loratadine - 10 mg daily omega-3 fatty acids - 1,200 mg-144 mg capsule daily discharge medications: 1. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 7 days: last day . disp:*120 tablet(s)* refills:*2* 2. acetaminophen 650 mg tablet sig: 1-2 tablets po every six (6) hours as needed for fever, pain. 3. zonisamide 100 mg capsule sig: three (3) capsule po hs (at bedtime). 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 5. pyridostigmine bromide 60 mg tablet sig: one (1) tablet po three times a day. 6. claritin 10 mg tablet sig: one (1) tablet po once a day. 7. levothyroxine 50 mcg tablet sig: one (1) tablet po 1x/week (we). 8. levothyroxine 100 mcg tablet sig: one (1) tablet po 6x/week (,mo,tu,th,fr,sa). 9. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily) for 1 months. 10. 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:*2* 11. outpatient lab work please check inr on and call results to dr. _________ at __________ 12. warfarin 2 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 13. amiodarone 200 mg tablet sig: two (2) tablet po once a day for 7 days: start on , last day on . 14. amiodarone 200 mg tablet sig: one (1) tablet po once a day: start on and continue thereafter. discharge disposition: home with service facility: vna discharge diagnosis: atrial fibrillation s/p bioprosthetic avr discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you had an atrial fibrillation ablation and you are now in a normal rhythm with some bursts of atrial fibrillation. you were started on amiodarone and metoprolol to try to keep you in a regular rhythm. you will need to have regular monitoring of your liver, thyroid and lung function while you are on amiodarone. dr. will arrange this after you are home. no lifting more than 10 pounds for one week. no baths or pools for one week, you may shower. . medication changes: 1. discontinue sotolol and diltiazem 2. start amiodarone to prevent atrial fibrillation 3. start metoprolol to prevent atrial fibrillation 4. start a baby aspirin daily followup instructions: electrophysiology: phone: date/time: at 2:00pm. clinical center, , , . primary care: pcp: , . phone: date/time: at 12:00pm. please call to confirm appts. you will get a call from the cardiac mri office to schedule an mri in 1 month. their number is procedure: excision or destruction of other lesion or tissue of heart, endovascular approach atrial cardioversion cardiac mapping diagnoses: other iatrogenic hypotension obstructive sleep apnea (adult)(pediatric) esophageal reflux unspecified acquired hypothyroidism atrial fibrillation personal history of tobacco use atrial flutter heart valve replaced by transplant hypovolemia other sedatives and hypnotics causing adverse effects in therapeutic use myasthenia gravis without (acute) exacerbation other and unspecified disc disorder, cervical region other musculoskeletal symptoms referable to limbs dysphagia, unspecified paralytic ptosis 

Answer: The patient is high likely exposed to