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: palpitations/ substernal chest pain x 2 days major surgical or invasive procedure: : permanent pacemaker placement history of present illness: on he underwent coronary artery bypass grafting. he was discharged to rehab on after an uneventful post operative course, other than some delirium. he presented to an outside hiospital with 2 days of substernal chest pain and palpitations. he was found to be in rapid atrial fibrillation. he was started on a diltiazem infusion and transferred to the ed. he had 4 sec conversion pauses and cardizem was stopped. currently the patient denies pain, dyspnea or dizziness. past medical history: s/p coronary artery bypass hypertension hyperlipidemia h/o prostate cancer social history: lives with: son occupation: retired tobacco: quit 15 yrs. ago etoh: none family history: non-contributory physical exam: pulse:af 140 resp:16 o2 sat: 100% 2 l b/p right:108/46 left: height:5'6" weight: general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular ii/vi murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:2+ left:2+ dp right:2+ left:2+ pt :2+ left:2+ radial right:2+ left:2+ carotid bruit right:none left:none pertinent results: 05:10am blood pt-15.5* ptt-71.7* inr(pt)-1.4* 04:39am blood pt-14.2* ptt-32.8 inr(pt)-1.2* 02:44am blood pt-13.7* ptt-37.5* inr(pt)-1.2* 05:10am blood wbc-9.8 rbc-3.34* hgb-9.9* hct-31.3* mcv-94 mch-29.7 mchc-31.8 rdw-14.0 plt ct-647* 04:39am blood glucose-92 urean-18 creat-1.0 na-140 k-4.6 cl-107 hco3-26 angap-12 05:00am blood wbc-7.3 rbc-3.40* hgb-9.7* hct-32.1* mcv-94 mch-28.6 mchc-30.4* rdw-14.0 plt ct-603* 05:00am blood pt-15.6* ptt-29.2 inr(pt)-1.4* 05:10am blood pt-15.5* ptt-71.7* inr(pt)-1.4* 04:39am blood pt-14.2* ptt-32.8 inr(pt)-1.2* 02:44am blood pt-13.7* ptt-37.5* inr(pt)-1.2* 12:35pm blood pt-13.6* ptt-27.0 inr(pt)-1.2* , m 79 radiology report chest (pa & lat) study date of 11:04 am , fa6a 11:04 am chest (pa & lat) clip # reason: lead placement final report two-view chest of comparison: . indication: pacemaker placement. findings: new permanent pacemaker is present with leads overlying expected locations of right atrium and right ventricle, with no visible pneumothorax. heart is enlarged, and aorta is mildly tortuous. small pleural effusions versus pleural thickening appear unchanged as well as minimal linear basilar areas of atelectasis and/or scarring. impression: permanent pacemaker leads overlie right atrium and right ventricle with no visible pneumothorax. dr. approved: wed 3:20 pm brief hospital course: at time of admission from osh mr. was in rapid atrial fibrillation and on a diltiazem drip. he had a 4 sec conversion while on the drip as well as bradycardia in response to intravenous beta-blocker. he was transferred to the cvicu for closer observation. ep was consulted. nodal agents were held and anticoagulation with heparin was initiated. ddd ppm- capsurefix, serial no=. ep interrogated the ppm. anticoagulation with coumadin was initiated post procedure. hd# 5 he was cleared for discharge to home. dr. (pcp) agreed to follow his inr/coumadin dosing for inr goal 2-2.5. all follow up appointments were advised. medications on admission: 1. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 2. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever/pain. 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 6. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 7. simvastatin 20 mg tablet sig: one (1) tablet po at bedtime. 8. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 9. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). discharge medications: 1. simvastatin 20 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). disp:*30 capsule, sust. release 24 hr(s)* refills:*2* 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain, fever. 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 2 days. disp:*8 capsule(s)* refills:*0* 8. warfarin 2.5 mg tablet sig: one (2) tablet po once a day for 2 days: inr 2-2.5 goal take as directed by dr. . disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: atrial fibrillation - tachy-brady syndrome discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: surgeon dr. () on at 1:15 please call to schedule appointments primary care dr. () in weeks cardiologist dr. in weeks ep device clinic in 1 week ep followup dr. in 2 weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: initial insertion of dual-chamber device initial insertion of transvenous leads [electrodes] into atrium and ventricle diagnoses: unspecified essential hypertension atrial fibrillation personal history of malignant neoplasm of prostate coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status personal history of tobacco use atrial flutter other and unspecified hyperlipidemia sinoatrial node dysfunction 

Answer: The patient is high likely exposed to