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: sulfa (sulfonamide antibiotics) / amiodarone attending: chief complaint: hypotension s/p pvi procedure major surgical or invasive procedure: pulmonary vein isolation pressor support icu-level monitoring history of present illness: ms. is a 78 year old female with pmh of recurrent drug refractory atrial fibrillation who presented for elective pulmonary vein isolation procedure on . after the procedure, she was noted to be hypotensive to as low as sbp 70s. an echocardiogram was ordered which revealed only a small pericardial effusion. she was briefly put on a small amount of peripheral dopa, which was able to be weaned off with sbps in the 90s-100s. there was no bleeding noted at the femoral puncture site, but a repeat stat hct returned at 26 (from 32 pre-procedure). she did receive 4l ivf during the case. she was ordered for a ct abdomen/pelvis and 2 units of prbcs and was referred for ccu admission for post procedural monitoring. . upon arrival to the ccu she has no complaints and feels in her usual state of health. she specifically denies f/c, ha/blurry vision/palpitations, cp/sob/cough. no abdominal pain or back pain. no dysuria or pain at femoral cath sites. she states that she feels so well that "i could go dancing." past medical history: # atrial fibrillation/atrial flutter - longstanding. she was initially treated successfully with amiodarone but this was stopped after she developed pulmonary fibrosis. she was subsequently treated with propafenone, however continued to have paf and had difficulty sleeping so this was ultimately stopped. she has also been treated with sotalol and dofetilide and was started on digoxin in . she has had multiple cardioversions, most recently . she was evaluated by dr. in who switched her medications to flecainide and cardizem (digoxin and dofetilide stopped). ultimatley the patient opted for pvi in # hypothyroidism # rheumatic fever as a child with no significant valvular heart disease-mitral insufficiency # osteoporosis # glaucoma # tonsillectomy # anemia # pneumonia social history: married and lives on with her husband. retired. alcohol. no smoking. family history: mother died at 88 from heart failure, father died at 65 from stomach cancer. physical exam: on admission to the ccu vs: 97.5 72 125/60 15 100%ra gen: pleasant caucasian female, elderly, nad heent: nc/at, mmm. no conjunctival pallor. o/p normal, no exudates/lesions. neck: no elevated jvp. no carotid bruits cor: rrr, s1 s2, 2/6 systolic murmur at llsb with radiation to apex resp: fine dry inspiratory crackles otherwise ctab abd: s/nt/nd +bs groin: b/l punctures sites c/d/i no bruit or hematoma ext: wwp no c/c/e skin: no rash pertinent results: 04:32pm hct-25.0* 03:32pm hct-26.2* 06:30am glucose-92 urea n-28* creat-1.3* sodium-143 potassium-4.3 chloride-106 total co2-27 anion gap-14 06:30am wbc-5.8 rbc-3.70* hgb-10.7* hct-32.1* mcv-87 mch-29.0 mchc-33.4 rdw-18.5* 06:30am plt count-148* 06:30am pt-22.9* inr(pt)-2.2* . ct: trace free fluid in the pelvis with no retroperitoneal bleed. no groin hematoma. fluid density structure in the upper abdomen, measuring 2.5 cm in diameter which is new since , of uncertain etiology. indeterminate right renal lesion, likely a cyst. an us may be obtained for further evaluation. echo there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. valvular stenosis and regurgitation were not adequately assessed. the aortic valve leaflets are moderately thickened. the mitral valve leaflets are moderately thickened. the mitral valve shows characteristic rheumatic deformity. the tricuspid valve leaflets are mildly thickened. the pulmonary artery systolic pressure could not be determined. there is a small pericardial effusion without echocardiographic evidence of tamponade. brief hospital course: 78 year old female with atrial fibrillation s/p pulmonary vein isolation procedure c/b post-procedural hypotension and hematocrit drop. . # acute anemia - hct dropped from 32 to 26 but this was in the context of 4l ivf during the procedure. there were no overt signs of bleeding at the sheath site, and no hemoptysis or desaturations to suggest pulmonary hemorrhage. received 2 u prbc and hct trended up to 35 prior to d/c. ct abdomen pelvis ruled out rp bleed. . # hypotension - resolved after dropping briefly post-procedure. required transient peripheral dopamine. echo confirmed no tamponade or acute pathology. sepsis less likely given patient afebrile, without leukocytosis. . # atrial fibrillation - remained in nsr post procedure. inr reversed for bleed post-procedure. d/cd on coumadin with plan to anticoagulate for 3 months post procedure. . # hypothyroidism - continued levothyroxine . # osteoporosis - continue ca+d, bisphosphonate . # code: -- full, confirmed with patient . # communication: -- husband mr. at medications on admission: cardizem 120mg daily coumadin 4mg 3 days per week, 6mg 4 days per week fosamax 70mg weekly on sat flecainide 100mg cosupt 1 gtt ou alphagan 1 gtt ou travatin 1 gtt ou qpm levothyroxine 50mcg daily mvi daily calcium with d 600mg iron 325mg daily discharge medications: 1. diltiazem hcl 120 mg capsule, sustained release sig: one (1) capsule, sustained release po daily (daily). 2. flecainide 50 mg tablet sig: two (2) tablet po q12h (every 12 hours). 3. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po bid (2 times a day). 6. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po bid (2 times a day). 7. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 8. warfarin 2 mg tablet sig: two (2) tablet po 3x/week (mo,we,fr). 9. warfarin 2 mg tablet sig: three (3) tablet po 4x/week (,tu,th,sa). 10. alendronate 70 mg tablet sig: one (1) tablet po qsat (every saturday). 11. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 12. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 13. travoprost 0.004 % drops sig: one (1) ophthalmic qpm (once a day (in the evening)). discharge disposition: home discharge diagnosis: hypotension discharge condition: good discharge instructions: you were admitted for elective pulmonary vein isolation procedure on . after the procedure, you were noted to be hypotensive to low sbp 70s. you required brief monitoring in the icu to ensure that you were not bleeding or otherwise unstable. you were discharged in good condition. followup instructions: please follow-up with dr. within two weeks of discharge. procedure: other electric countershock of heart catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping diagnoses: other iatrogenic hypotension acute posthemorrhagic anemia unspecified acquired hypothyroidism atrial fibrillation atrial flutter osteoporosis, unspecified postinflammatory pulmonary fibrosis cardiac rhythm regulators causing adverse effects in therapeutic use mitral valve stenosis and aortic valve insufficiency 

Answer: The patient is high likely exposed to