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: spironolactone attending: chief complaint: s/p vt ablation major surgical or invasive procedure: ablation of ventricluar ectopic automaticity focus history of present illness: 54 year old man with htn, hld, cad with h/o anterior mi s/p des to lad (), systolic chf nyha class iii(ef 30-35% from tte ), h/o sustained vt s/p biv icd (biv pacing turned off ), and copd requiring 2l at day and night. recent device interrogation revealed 23 episodes of nsvt lasting between 1 and 5 seconds. there were 11 logs of svt by the device with episodes lasting between 9 seconds and 2 minutes and 42 seconds. he had one episode of pace terminated monomorphic vt that fell in the vf zone but has never had an icd shock. due to his underlying heart failure and copd, dr. does not feel that he is a candidate for antiarrhythmic medication given copd and has referred him for vt ablation. . in the last several months the patient reports frequent episodes of pre-syncope and palpitations with the sensation that "my heart's going to come right out of my chest." these episodes occur multiple times per day and last for 10-15 minutes at a time. he reports having associated chest tightness and a feeling that he is starved for air. he also describes multiple episodes of feeling like he is going to pass out but denies any frank syncope. these episodes are unrelated to activity. occasional diaphoresis, no pnd, no orthopnea. . in ep lab tandem heart inserted prior to vt ablation for prophylactic support. were able to recreate nsvt not sustained vt -> successful ablation -> extubated, tandem heart removed; - 21f venous sheath on r, 8f arterial sheath on r, 15f arterial sheath on l, 7f and 9f venous sheaths on l; - bed rest till 10pm - 4l positive; goal 2l negative by midnight; got 40 iv lasix in lab - full dose aspirin . on arrival to the ccu, hr 90, 120/75, spo2 98 on 100% facemask. . review of systems: pt difficult historian. on review of systems denies recent illness, does confirm pre-syncopal episodes for about 6 months, worse recently and palpitations. . cardiac review of systems is notable for some mild chest pain with episodes, sometimes diaphoresis, both symptoms resolve on own. no orthopnea or pnd. past medical history: - hypertension - hyperlipidemia - cad s/p anterior wall mi treated with a des to the lad - systolic chf (lvef 30-35% or 10-15%? unclear) - sustained ventricular tachycardia- ; - s/p biv -icd implant at ; biv pacing turned off ? - underlying bifasicular block - severe copd on 2l home day and nighto2; referred to for consideration of heart lung transplant, turned down on basis of lacking social supports (heavy smoker, poor social support) - was evaluated by for heart/lung tx and declined due to poor social support social history: single, lives alone. no children. disabled. quit smoking years ago, previously smoked 1.5 ppd for 39 years. - former heavy drinker family history: adopted physical exam: wt 90 kg ht 72 inches . vs: 97.8, 80/54, 75, 99% on facemask general: caucasian man, looks stated age, with facemask laying flat and complaining of back pain. heent: eomi, sclera anicteric. mmm. neck: jvp difficult to appreciate given large habitus, seems to be to angle of jaw? cardiac: +s1+s2 but distant heart sounds, difficult to hear. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. hypoacive bs. extremities: warm, right radial aline, left piv, groin bandages clean/dry. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: dopplerable b/l le pertinent results: 07:10am pt-10.9 inr(pt)-1.0 07:10am plt count-340 07:10am wbc-10.6 rbc-5.17 hgb-13.8* hct-44.7 mcv-86 mch-26.7* mchc-30.9* rdw-16.8* 07:10am estgfr-using this 07:10am glucose-95 urea n-15 creat-0.9 sodium-142 potassium-4.2 chloride-97 total co2-38* anion gap-11 07:44am freeca-1.13 07:44am hgb-13.0* calchct-39 07:44am glucose-95 lactate-0.6 na+-140 k+-3.8 cl--92* 07:44am type-art po2-203* pco2-73* ph-7.35 total co2-42* base xs-11 10:03am type-art po2-339* pco2-56* ph-7.40 total co2-36* base xs-8 intubated-intubated vent-controlled 01:44pm freeca-1.00* 01:44pm hgb-9.7* calchct-29 o2 sat-99 01:44pm glucose-99 lactate-0.8 na+-138 k+-3.4 cl--102 01:44pm type-art po2-350* pco2-54* ph-7.40 total co2-35* base xs-7 07:56pm plt count-244 07:56pm wbc-13.3* rbc-3.69*# hgb-9.9*# hct-31.8*# mcv-86 mch-26.7* mchc-31.0 rdw-17.0* 07:56pm albumin-3.4* calcium-7.8* phosphate-3.4 magnesium-1.7 07:56pm glucose-123* urea n-15 creat-0.7 sodium-144 potassium-4.8 chloride-105 total co2-34* anion gap-10 09:30pm hct-30.8* . ekg: 80-90bpm, sinus, lad, pr < .2, qrs > .12, rbbb, lafb, q in v3,v4, ii, iii, avf (old inferior septal mi) . stress mibi (): large fixed severe defect, almost total anterior septum and apex. rv enlarged. ef 23%. . tte (): ef 30-35% with apex, septum, and distal anterior wall akinetic; remainder of lv hypokinetic. mildly dilated right ventricle with normal function. . tte at (): lv function severely reduced with regional variability. lvef 25-30%. mild generalized rv systolic dysfunction. no evidence of pericardial effusion or tamponade. brief hospital course: 54 year old man h/o anterior mi in and with biv-icd since , found to have multiple episodes of vt and nsvt on device interrogation and also symptomatic of presyncope/palpitation, referred to for ablation of ventricluar ectopic automaticity focus. now s/p ventricular ablation. . # ventricular tachycardia - ablation performed on . post ablation patient was in sinus rhythm with occasional pvcs. vt was found on device interrogation which prompted his admission. on ros pt endorsed palpitation and pre-syncope. of note, patient is a poor amiodarone candidate given severe copd. on discharge pt denied palpitations, pre-syncope. . # acute blood loss - post procedure pt developed severe abdominal pain and low back pain, with a hct that was 29, down from 44 on admission. a non-con ct abd/pelvis showed small perinephric hematoma with no extravasation, but some tracking into the pelvis. his hct was monitored serially and had a hct nadir of 24.3. on , his abdominal pain acutely woresened after transfusion of 1u prbcs, repeat ct at that time did not show enlargement of the hematoma. his abdominal pain resolved after he had a bm. he recieved a second unit of prbcs and his hct increased to 27.3 and he was discharged home in stable condition. his back and and abdominal pain resolved prior to discharge. # ischemic cadiomyopathy with schf ef 30-35%: volume status was overloaded on admission, on 40mg po lasix daily at home. received 3l ivf during ablation, followed by 40mg iv lasix. dry weight 97kg, currently 90kg. he was gently diuresed during admission until his o2 requirement decreased to his baseline of 2l, and he was not objectively overloaded on exam. metop succinate 25 mg was started which is half of his home dose and was increased back to 50mg prior to discharge. in addition, the following medications were continued: aspirin 81mg (lower dose than when he came in acute blood loss), furosemide, and rosuvastatin. . # chronic copd with 2l requirement at home day and night - currently on facemask sao2 99%, no wheezing, and moving air well. he was diuresed as mentioned above and weaned to his home o2 requirement of 2l. in addition, his combivent was continued q6h during this hospital admission. . # cad - asymptomatic currently. ami in des to lad in . rosuvastatin 10, metop succinate 50 mg, plavix 75, asa 81. his cardiologist notes intolerant to lisinopril, can consider as an outpatient. . transitional - pt was placed on medications based on list from his primary cardiologist prior to discharge. - check hct in 1 week - consider starting ace intolerance (per cardiologist) as an outpatient - consider f/u scan to make sure rp bleed resolved on own, and consider this etiology if patient continues to complain of abdominal/back pain - dnr/ok to intubate medications on admission: preadmission medications listed are correct and complete. information was obtained from pcp. 1. clopidogrel 75 mg po daily 2. furosemide 40 mg po daily 3. metoprolol succinate xl 50 mg po daily hold for sbp < 100, hr < 55 4. pantoprazole 40 mg po q24h 5. rosuvastatin calcium 10 mg po daily 6. zolpidem tartrate 10 mg po hs:prn insomnia 7. aspirin 162 mg po daily 8. alprazolam 1 mg po qid:prn anxiety hold for rr< 12 9. albuterol-ipratropium 2 puff ih q6h wheezing/sob 10. albuterol 0.083% neb soln 1 neb ih q6h:prn wheezing 11. nitroglycerin sl 0.4 mg sl prn chest pain, inform ho discharge medications: 1. albuterol 0.083% neb soln 1 neb ih q6h:prn wheezing 2. albuterol-ipratropium 2 puff ih q6h wheezing/sob 3. aspirin 81 mg po daily 4. alprazolam 1 mg po qid:prn anxiety hold for rr< 12 5. clopidogrel 75 mg po daily 6. furosemide 40 mg po daily 7. metoprolol succinate xl 50 mg po daily hold for sbp < 100, hr < 55 8. nitroglycerin sl 0.4 mg sl prn chest pain, inform ho 9. pantoprazole 40 mg po q24h 10. rosuvastatin calcium 10 mg po daily 11. zolpidem tartrate 10 mg po hs:prn insomnia discharge disposition: home discharge diagnosis: ventricular tachycardia acute blood loss anemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: mr. , you were admitted to to fix the irregular beating in your heart. the procedure was done without complications on . after the procedure you had several episodes of abdominal pain. we performed a ct scan which showed a small amount of blood in your abdomen, but not a concerning amount. we monitored your lab results, which were not concerning and stable. your vital signs were stable and normal during the duration of your stay. we have made an appointment for you with dr. , who performed the procedure. followup instructions: pcp primary care appointment: , at 1:30pm with: ,md location: hilltop family practice address: , somersworth, phone: . cards: department: cardiac services when: friday at 11:00 am with: , md building: sc clinical ctr campus: east best parking: garage md procedure: catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping intracardiac echocardiography insertion of percutaneous external heart assist device diagnoses: congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia chronic airway obstruction, not elsewhere classified hematoma complicating a procedure personal history of tobacco use percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia anxiety state, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure blood in stool old myocardial infarction acute on chronic systolic heart failure other dependence on machines, supplemental oxygen fitting and adjustment of other cardiac device 

Answer: The patient is high likely exposed to