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: bradycardia major surgical or invasive procedure: -pacemaker generator changed. tolerated procedure well with no complications. history of present illness: 78 w with pmhx of cad s/p cabg, htn, afib s/p pacer in , hyperlipidemia, dm, hypothyroidism, cva presents with asymptomatic bradycardia. she was taking her blood pressure with a home monitor and noted a low heart rate. she noted an episode of lightheadness, which resolved spontaneously. she otherwise was asymptomatic, denied sob, cp, n/v, diarrhea, constipation. . pacer followed at osh, and denies malfunction, checked in by phone, and was without malfunction. . in ed vs 97.8 164/44 39 222 100% 3l. she was evaluated by ep and found to have a nonfunctioning pacemaker, was given 2.5 mg vit k po. temp wire was held as not indicated, patient being asymptomatic. . on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cabg x4: lima to the lad, saphenous vein graft to left circ, saphenous vein graft to pda, and question saphenous vein graft to rca. 2. diabetes. 3. hypercholesterolemia. 4. hypertension. 5. hypothyroid. 6. atrial fibrillation. 7. history of cerebrovascular accident. 8. s/p dual chamber cardiac risk factors: + diabetes, + dyslipidemia, + hypertension . cardiac history: cabg, anatomy as follows: lima to the lad, saphenous vein graft to left circ, saphenous vein graft to pda, and question saphenous vein graft to rca social history: social history is significant for the absence of current tobacco use. there is no history of alcohol abuse. family history: n/c physical exam: vs: t97.9 , bp 151/52 , hr 39 , rr 16, 99 o2 % on 2l gen: wdwn female, nad, aaox3, pleasant, heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of cm 10 cm cv: bradycardic, regular normal s1, s2. no s4, no s3. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. mild crackles at bases abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 1+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 1+ dp pertinent results: ekg demonstrated brady, 35bpm, lad, qt prolonged .6 (unchanged from prior before pacer), ii, iii, avf, v2-v6 twi, *** with no significant change compared with prior dated ***. brief hospital course: 78 year old female with past medical history of htn, dm, cad, sick sinus s/p pacer in , presents with bradycardia and pacemaker failure. . #) rhythm - pt was bradycardic on admission with hrs in the 30s-40s. an ekg showed a prolonged qt-interval, bradycardia, and ii, iii, avf, v2-v6 t-wave inversions which showed no change from previous ekgs in . her pacemaker was interrogated in the er, relieving that it was not functioning and would need to be replaced. the patient reported mild lightheadedness which resolved. she was placed on bedrest overnight, and all nodal agents and anticoagulants held in anticipation for permanent pacemaker replacement. vit k was given in the er for an inr of 2.5. inr decreased to 2 and pacemaker generator was replaced on . she tolerated the procedure well and was able to be discharged later that day on all of her normal home medications. give prescription for augmentin for uti which will also cover her for prophylaxis for infection following pacemaker generator change. . #) cad- s/p cabg,no ischemic events during admission. . #) pump- remained euvolemic during admission, ef last documented >55. did well following pacemaker generator change and discharged on home medications. . #)urinary tract infection-she reported dysuria during admission and urinalysis was positive for blood and leukocytes. urine culture with 10,000-100,000 colonies e.coli. she was given ceftriaxone for one dose in hospital and discharged on augmentin for 7 days to cover for uti and for infection prophylaxis following pacemaker generator change. #) htn - hypertensive on admission, blood pressure stable on disharge. restarted on home medications. . #) hyperlipidemia - statin was continued, no interventions. . #) dm - started on insulin sliding scale while hospitalized. discharged on normal antidiabetic regimen. . #) hypothyroidism- tsh 3.2, ft4 2.2, home dose of synthroid continued . #) arf- at baseline, no interventions . #) cva- aspirin and coumadin held prior to procedure. restarted prior to discharge. she is already scheduled for inr check 2 days after discharge. . #) code: presumed fc medications on admission: lasix 80mg daily cartia 240mg daily glipizide 2+ hctz 12mg daily metoprolol 50mg lipitor 20mg daily levothyroxine 75mcg warfarin 3mg daily aspirin 81mg daily metoformin 500mg daily amiodarone 200mg daily ntg discharge medications: 1. aspirin 81 mg tablet sig: one (1) tablet po once a day. 2. lasix 80 mg tablet sig: one (1) tablet po once a day. 3. cartia xt 240 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po once a day. 4. glipizide oral 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po twice a day. 6. warfarin 3 mg tablet sig: one (1) tablet po once a day: take as directed according to your blood levels which you should have checked regularly. . 7. metformin 500 mg tablet sig: one (1) tablet po once a day. 8. amiodarone 200 mg tablet sig: one (1) tablet po once a day. 9. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tab sublingual every 5 minutes, may repeat 3 times as needed for chest pain for as directed doses: place one tab under your tongue if you develop chest pain. you may repeat every five minutes for a total of 3 pills. 10. hydrochlorothiazide 25 mg tablet sig: 0.5 tablet po daily (daily). 11. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). 12. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 13. augmentin 500-125 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home discharge diagnosis: bradycardia secondary to pacemaker failure. discharge condition: good discharge instructions: you were admitted to the hospital because of slow heart rate. we checked your pacemaker and found that the battery was not working. you were given some vitamin k to reverse the coumadin that you take and then the generator of your pacemaker was replaced. none of your medications were changed. you can take your usual dose of coumadin tonight. in addition you also have a urinary tract infection. you should take the antibiotic augmentin 500mg two times per day for a total of 7 days. you should call your doctor if you continue to have pain with urination or notice blood in your urine despite taking this antibiotic. in addition you should be evaluated if you develop fever. you should return to the hospital if you notice that your heart rate is slow again or if you develop pain in your chest, shortness of breath, light headededness, fainting, or any concerning bleeding. followup instructions: you should follow up in one week in device clinic. please call tomorrow to schedule that appointment. the phone number is you should follow with your primary care physician within two weeks of discharge from the hospital. please call the office to schedule that appointment tomorrow. md, procedure: replacement of any type pacemaker device with dual-chamber device diagnoses: unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status other specified cardiac dysrhythmias mechanical complication due to cardiac pacemaker (electrode) other restorative surgery causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to