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: transfer from lakes hospital for ep evaluation major surgical or invasive procedure: ep study with vt ablation ep study with aflutter ablation cardiac catheterization thoracotomy and placement of epicardial lead biv pacer upgrade surgically history of present illness: mr. is a 58 year old w/hx of mi at age 40 with subsequent cabg 8 yrs ago, dm ii on prandin, cm with an ef of 20%, and atrial icd. sunday am, the patient experienced doe, uncomfortable sensation in his chest and fatigue. he presented to his local fire station where rural residents can get vs checks. they found his hr to be 173 and took him to hospital where has was found to be in a wide complex tachycardia @173. they attempte rx w/adenosine x 2 with no effect, followed by lopressor and cardizem, resulting in hypotension. he was shocked with 100 j to sinus rhythm, where he has remained w/significant ventricular ectopy. he was loaded oniv amiodarone followed by amiodarone 400mg tid. . per osh, bsp runs low 70-90??????s typically and is completely asympomatic and has been getting his cardiac meds with those pressures. echo done yesterday revealed ef of 15-20%, dilated lv w/multiple focal wmas. bgs @ osh of 178, 293, 292. abg of 7.4/34/62 on ra. he received mucomyst 1200 @ osh. his i/o from osh of 1840/1350 on day one and 1600/ day two. he had elevated tropnonins (.15, .44, .43), nl tsh. . he is transferred to to dr. for possible cardiac catheterization, possible ugrade to -v pacer, possible transplant evaluation. past medical history: cad w/mi @ 40yo; s/p cabg 8ya dmii cm; ef 15% icd w/single atrial lead, set to fire @hr180. had multiple chamber icd, but leads removed for incorrect function. ?osa- per pt report, negative sleep study at hosp. social history: one whiskey every two weeks. nonsmoker. never ivda. lives alone. family history: fh: father died of mi @ 69. no dm in family. physical exam: 98.2 104/63 69 20 99%2l fs178 not in distress mmm and clear, neck supple, no lad hr not entirely regular; no murmurs; jvd not visible subtle exp wheezes obese, lg ventral hernia (chronic per pt), nt, +bs wwp x 4 w/bil pitting edema nonfocal neuro rle calf lesion w/irregular borders, variation in color; per patient, unchanged since childhood pertinent results: labs from osh: wbc 15.3 upon arrival, today is 15.1, hct 43, plt 176, bands 77% na 131, k 4.6 upon arrival. today is 133, k 4.0 bun 27/2.1 on arrival. today is 24/1.2 creat. glucose on arrival was 421, today has been running 170??????s- prandin held this am d/t pt is npo d/t unsure of plan. alk phos 49, mg 2.3 amylase and lipase normal trop peak of 0.44 on sunday. ***cath: brief hospital course: 58m w/cad, dmii, cm, icd taken to lakes hospital for ventricular tachycardia where he underwent transferred to for further evaluation. . #electrophysiology -- he remained out of vt from the time of dccv at lakes hospital, though with significant ventricular ectopy. he was seen by the ep service who took him to the lab for a vt-ablation, for which amiodarone was stopped. the ablation of his rbbb superior axis vt, felt to be scar mediated was sucessful, and the patient tolerated the procedure well. however, after his cardiac catheterization performed the following day, looking for an additonal ischemic etiology for his vt (as below), he developed atrial flutter, and so the ep service brought him back to the lab for an a-flutter ablation. during the ablation he developed an atrial tachycardia that conveted into atrial fibrillation that could not be pace-terminated, so he was cardioverted with 200 joules into a sinus rhythm. dofetilide was loaded post-procedurally to prevent recurrence of atrial fibrillation. following this he had an echo that confirmed , it was felt he would benefit from an upgrade to a biventricular icd; to best accomplish this, he was taken to the or on for the placement of an epicardial lead placement. the procedure went well and after one night's observation in the csru, he returned to the cardiology service. as his insurance would not cover the medication, dofetilide was stopped. for the remainder of the admission he remained in a paced rhythm, with occasional sinus rhythm. warfarin was initiated for his atrial fibrillation with an initial heparin bridge. . #coronary artery disease -- with multiple risk factors and prior interventions, he was taken the cath lab for evaluation of his coronaries. he was found to have mild left main disease, a 70% proximal lad lesion filled distally by lima, 80% om1 lesion, totally occluded om2, proximally occluded rca with the pda filled by a jump graft from the lima. ra pressure was 21, pcwp 33, cardiac index 1.4. the cath team sucesfully ballooned the om1 lesion. he remained chest pain free for the entire admission. he was continued on aspirin, carvedilol, and pravastatin. . #heart failure -- his cardiac function was quite depressed, as the above echo and cath lab hemodynamics reveal. for much of the admission he appears volume overloaded with notable peripheral edema. he did not, however, have significant pulmonary symptoms. he was gradually diuresed with iv furosemide with a good effect and was discharge on a standing dose of this medication. he had no major electorlyte problems on this medication. the biventricular icd also was re-established for help with maintaining ventricular synchrony. in additon, he was discharged on carvedilol and told to both weigh himself daily and adhere to a two gram sodium diet, about which he was given considerable, detailed teaching. . #type two diabetes -- his blood sugar was somewhat difficult to control early in the hosptial course. he was admitted on only repaglinide,a nd his blood glucose was quite elevated on this medication. whilst in the csru he was maintained on an insulin drip. on the floor, an insulin sliding scale was continued, yet the patient was fairly adamant that he did not want to take insulin as an outpatient. as such, he was put on increasing doses of oral hypoglycemics; by the time of discharge, his blood sugars were well controlled on a regimen of repaglinide, glyburide, and metformin. medications on admission: home meds: coreg 12.5 lisinopril 2.5 qd lasix 40mg qd sprironolactone 25 qd prandin .5mg pravachol 20mg qd . transfer meds: amio 400 po tid (loading) prandin .5mg lasix 50mg qd spironolactone 25mg qd coreg 12.5mg prinivil 2.5mg qd pravachol 20mg qd percocet 1-2 tabs po q6h prn tylenol 650 q4h prn discharge medications: 1. pravastatin 20 mg tablet sig: one (1) tablet po daily (daily). 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. prandin 0.5 mg tablet sig: one (1) tablet po twice a day. 4. lasix 40 mg tablet sig: one (1) tablet po once a day. 5. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. pravastatin 20 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 8. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*1 inhaler* refills:*2* 10. warfarin 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 11. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*40 tablet(s)* refills:*0* 13. glyburide 5 mg tablet sig: 2 in the morning, 1 at night tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 14. metformin 850 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 15. morphine 30 mg tablet sustained release sig: one (1) tablet sustained release po qhs (once a day (at bedtime)). disp:*10 tablet sustained release(s)* refills:*0* 16. lancets misc sig: one (1) lancet miscell. twice a day. disp:*qs lancets* refills:*2* 17. glucose test strips sig: one (1) strip twice a day. disp:*qs strips* refills:*2* 18. coreg 6.25 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 19. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). disp:*1 inhaler* refills:*2* discharge disposition: home with service facility: community health and hospice of nh discharge diagnosis: ventricular tachycardia atrial flutter atrial fibrillation coronary artery disease s/p ptca to om1 decompensated congestive heart failure, biventricular type two diabetes, uncontrolled discharge condition: good, with normal, paced rhythm, no symptoms discharge instructions: you were admitted to with a fast heart rate and rhythm (ventricular tachycardia), underwent procedures to prevent this rhythm from happening (ablation of ventricular tachycarida and atrial flutter) and had a new pacer lead placed (epicardial lead), and were started on a blood thinner to prevent blood clots. . please take all medications as instructed. if you experience chest pain, chest pressure, shortness of breath, palpiations, or other sx of concern to you, please call your doctor or report to the ed immediately. followup instructions: you have an appointment to have your blood thinner level checked with dr. nurse ; you can go in at your convenience. dr. office will call you to make an appointment in the next week; call at if you have not heard from them or for questions. . provider: clinic phone: date/time: 10:30 this is in the building, on , on the seventh floor. . please call dr. at the diabetes center at ( for a followup appointment. procedure: insertion of intercostal catheter for drainage combined right and left heart cardiac catheterization coronary arteriography using two catheters other and unspecified coronary arteriography catheter based invasive electrophysiologic testing catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping closure of laceration of lung replacement of transvenous atrial and/or ventricular lead(s) [electrode] injection of anesthetic into peripheral nerve for analgesia proctostomy other operations on thorax excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified aortocoronary bypass status atrial flutter accidental puncture or laceration during a procedure, not elsewhere classified chronic kidney disease, unspecified paroxysmal ventricular tachycardia old myocardial infarction automatic implantable cardiac defibrillator in situ mechanical complication due to cardiac pacemaker (electrode) 

Answer: The patient is high likely exposed to