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: tetanus attending: chief complaint: palpitations major surgical or invasive procedure: pulmonary vein isolation ablation dccv history of present illness: 58 yo man with nonischemic cardiomyopathy and paroxysmal atrial fibrillation who presented to with palpitations. atrial fibrillation with rvr (120) was treated and converted with iv diltiazem. sotalol was increased. subsequent testing indicated lvef 53% by echocardiogram, ett showed mild anterior septal wall ischemia. cardiac catheterization was negative for epicardial coronary artery disease. at cardiology follow up with dr. recurrent paf was identified and elective admission for planned pvi scheduled for today. past medical history: paroxysmal atrial fibrillation nonischemic cardiomyopathy s/p crt-d st. ' for ef of 25-30%, with subsequent improvement of ef 45% with -v pacing class ii-iii chf in setting of atrial fibrillation congenital bicuspid aortic valve s/ procedure ' at cmc aortic aneurysm s/p arch replacement with reimplantation of right coronary artery and closure of pfo ' at cmc copd hypothyroidism chronic neck and back pain s/p multiple blood transfusions renal calculi depression s/p hernia repair s/p left testicular surgery s/p left shoulder surgery s/p left knee arthroscopy s/p perforated bowel (remote) social history: single, one child age 19. lives alone, disabled stopped smoking '. prior etoh abuse > 27 years family history: negative for premature cad, cardiomyopathy, or scd physical exam: patient arrives to ccu s/p pvi ablation intubated. vs 98.4 hr 72 sr bp 102/58 tele av paced general: intubated heent: perrl. conjunctiva pink, no pallor or cyanosis of oral mucosa neck: supple with jvp not visualized cardiac: pmi located in 5th ics, midclavicular line. rr, normal s1 s2 2/6 sem heard loudest in llsb. no thrills, lifts. no s3 or s4 lungs: no chest wall deformities, scoliosis or kyphosis. intubated, ctab, no crackles, wheezes or rhonchi in anterior lung fields abdomen: soft. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominal bruits skin: no stasis dermatitis, ulcers, scars, or xanthomas neuro: aaox3, cnii-xii intact, 5/5 strength biceps, triceps, wrist, knee/hip flexor/extensors, 2+ reflexes biceps, brachioradialis, patellar, ankle pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 06:56pm glucose-104* urea n-9 creat-1.0 sodium-142 potassium-4.5 chloride-105 total co2-27 anion gap-15 calcium-8.4 phosphate-4.6* magnesium-1.9 06:56pm pt-26.2* inr(pt)-2.5* 09:00am wbc-5.8 rbc-3.73* hgb-13.2* hct-36.9* mcv-99* mch-35.5* mchc-35.9* rdw-13.2 plt count-168 brief hospital course: #1 atrial fibrillation on successful pvi under the direction of dr. . immediate post procedure care required transfer to the ccu for ongoing respiratory suppport in the setting of requiring high dose propofol for intraop ventilation via high flow jet ventillation and for iv diuresis in setting of periprocedure ivf 5l. post pvi telemetry monitoring showed nsr with a-v and biv pacing. on interrogation of icd/biv pacemaker device identified persistent atrial tacycardia. he remained hemodynamically. he underwent cardioversion initially with 200j external biphasic energy without conversion, and shocked again with 300j external biphasic energy with prompt return of sinus rhythm. #2 nonischemic cardiomyopathy acute on chronic systolic heart failure in the setting of 5l ivf intraop pvi. he was diuresed by lasix drip, transitioned to po lasix reaching his pre admission dose of 80 mg qam and 40 mg qpm by day of discharge. #3 anticoagulation coumadin dosing continued daily. inrs therapeutic at 3.0 #4 copd clinically stable. at baseline he uses o2 prn dyspnea. inhalers continued. #5 htn lisinopril was held during this admission due to sbp 90-low 100s during diuresis. at day of discharge sbp trending towards 110 but not consistent to alllow restarting lisinopril. medications on admission: medications - prescription albuterol sulfate - 90 mcg hfa aerosol inhaler - as needed budesonide-formoterol - 80 mcg-4.5 mcg/actuation hfa aerosol inhaler - 2 inhaled twice a day cyclobenzaprine - 10 mg tablet: 1 tab tid as needed for back pain digoxin - 125 mcg tablet - 1 tab once a day furosemide - 40 mg tablet - 2 tabs every morning, one tablet every evening gabapentin - 300 mg capsule - 1 cap tid as needed for prn back pain lisinopril - 5 mg tablet - 1 tab once a day oxygen as needed at night potassium chloride - 20 meq tablet, er particles/crystals - 2 tabs mouth once a day simvastatin - 20 mg tablet - 1 tab once a day sotalol - 120 mg tablet - 1 tab twice a day tiotropium bromide - 18 mcg capsule, w/inhalation device - 1 inhaled once a day warfarin - 5 mg tablet - 1 tab once a day (pm) medications - otc aspirin - 81 mg tablet - 1 tab once a day cyanocobalamin (vitamin b-12) - 1,000 mcg tablet - 1 tab once a day folic acid - 0.4 mg tablet - 1 tab once a day magnesium oxide - 400 mg tablet - 1 tab twice a day discharge medications: 1. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 2. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day) as needed for pain. 3. sotalol 120 mg tablet sig: one (1) tablet po twice a day. 4. simvastatin 20 mg tablet sig: one (1) tablet po at bedtime. 5. folic acid 400 mcg tablet sig: one (1) tablet po once a day. 6. coumadin 3 mg tablet sig: one (1) tablet po once a day. 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation four times a day as needed for shortness of breath or wheezing. 8. symbicort 80-4.5 mcg/actuation hfa aerosol inhaler sig: two (2) puffs inhalation twice a day. 9. cyclobenzaprine 10 mg tablet sig: one (1) tablet po three times a day as needed for back pain. 10. furosemide 40 mg tablet sig: two (2) tablet po in the morning: then take one tab in the evening. 11. lisinopril 5 mg tablet sig: one (1) tablet po once a day: do not restart this medicine until dr reviews your blood pressures. 12. spiriva with handihaler 18 mcg capsule, w/inhalation device sig: one (1) puff inhalation once a day. 13. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day for 1 months. 14. vitamin b-12 1,000 mcg tablet sig: one (1) tablet po once a day. 15. potassium chloride 20 meq tablet, er particles/crystals sig: two (2) tablet, er particles/crystals po once a day. 16. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day: x1 month after daily. discharge disposition: home with service facility: discharge diagnosis: atrial fibrillation non ischemic cardiomyopathy chronic systolic heart failure lvef 45% s/p crt-d biv icd ' bicuspid aortic valve, s/ ' aortic aneurysm s/p arch replacement with reimplantation right coronary artery and closure pfo ' copd discharge condition: 58yo with nicmp lvef 45%, paf, copd, referred for pvi due to increasinly symptomatic afib. procedure performed under the direction of dr . post procedure recovery significant for acute on chronic chf due to ivf requirements periprocedure. he responded to iv diuresis. lisinopril held due to hypotension with sbps 90-100. pex vs 90-110/70 tele sr biv paced hr 60s lungs cta heart rrr -mrg pv both fem access sites - bleed or bruit labs : inr 3.0 k 3.5 crea 0.7 mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. plan #1 paf s/p pvi , s/p dccv cont coumadin as per dr instructions cont sotalol 120mg continue aspirin 325 mg once a day x 1 month adding omeprazole 20 mg once a day x 1 month koh monitoring as instructed f/u dr as above #2 chronic systolic hf nicmp ef 45%-50% resume lasix dosing lisinopril on hold due to hypotension-reevaluate as outpatient. continue digoxin f/u dr as above #3 copd cont inhalers, prn o2 #4 hlp cont simvastatin discharge instructions: you had a procedure to treat atrial fibrillation called pulmonary vein ablation. your discharge was delayed because you required intravenous medicine to help your body get rid of excees intravenous fluid that was required during the ablation procedure. activity restrictions and groin site care as per discharge instructions continue coumadin at 3 mg once a day. dr requests an inr be done wednesday morning. he will give you results when you see him in the office wednesday at 3:15 record and transmit your heart rhythm using the of hearts monitor as instructed. you will be told about any concerning recordings. during device interrogation on it was noted that atrial fibrillation was present. you had successful cardioversion on . followup instructions: dr at 3:15 coumadin level to be done the morning of and will be reviewed by dr at afternoon appointment. department: cardiac services when: tuesday at 11:00 am with: icd call transmissions building: none none campus: at home service best parking: none department: cardiac services when: friday at 10:40 am with: , md building: sc clinical ctr campus: east best parking: garage department: cardiac services when: friday at 11:00 am with: device clinic 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 atrial cardioversion atrial cardioversion cardiac mapping intracardiac echocardiography diagnoses: other primary cardiomyopathies other chronic pain congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism chronic airway obstruction, not elsewhere classified atrial fibrillation personal history of tobacco use depressive disorder, not elsewhere classified atrial flutter automatic implantable cardiac defibrillator in situ other postprocedural status personal history of urinary calculi heart valve replaced by transplant acute on chronic systolic heart failure other dependence on machines, supplemental oxygen 

Answer: The patient is high likely exposed to