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: naproxen / sulfa (sulfonamides) / doxycycline attending: chief complaint: ventricular tachycardia major surgical or invasive procedure: ventricular tachycardia ablation procedure and dual chamber icd(defibrillator) implantation. history of present illness: this is a 63 year old pakistani male with hx type iddm, htn, remote 70 pack year smoking history, cad s/p mi and 4v cabg in 99, s/p cath and stent in anatomy unknown, who presented to an osh with palpitations. pt reports that approximately 1 month ago, while in , he noted palpitations. he went to see a pcp at that point, who told him that his hr was "slow." he decreased his lopressor dose at that time, and his palpitations temporarily resolved. . he then reports that 1 week ago, he began to have worsening shortness of breath, orthopnea, and le edema. his dyspnea was mostly on exertion, and he reports becoming windy after "several step." this is far from his baseline exercise tolerance, which is "several blocks of walking." he went to see his pcp at this time 1 week ago and his lasix dose was increased with improvement of his symptoms. . 1 day prior to admission, at around 2 pm, he began to have palpitations. he reports that these palpitations are similar to the palpitations that he had previously 1 month ago. he also notes that he began to have shortness of breath and also reports feeling weak, tired, lightheaded and felt as though a "curtain was going down in his field of vision." he denies loc, chest pain, fever, chills, cough. . at the osh, he was found to have ekg c/w ventricular tachycardia and was started on an amiodarone drip 150 mg bolus amio over 20 mins followed by 1 mg/min gtt. he was then given lidocaine bolus with 2 mg/min which reportedly resulted in breaking his vt for 2 minutes, he was then given magnesium sulfate x 3 boluses followed by a 20mg/min gtt which resulted in sinus rhythm with runs of vt. his palpitations resolved at 8pm yesterday. . events / history of presenting illness: . 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. past medical history: cardiac risk factors: diabetes, hypertension . adenosquamous carcinoma s/p ??left upper lobe lobectomy . rll lung nodule stable since . pvd s/p left le bypass graft done in in . cri baseline cr 2.3 social history: social history is significant for the absence of current tobacco use. remote tobacco use, ppd x 35 years, last cigarette 10 years ago. there is no history of alcohol abuse. family history: there is no family history of premature coronary artery disease or sudden death. brother died of pophyria. father mi at age 60s, died of porphyria. physical exam: vs: afebrile, bp 129/99 , hr 94 , 12 rr , o2 98% on 2l gen: wdwn middle aged male mildly diaphoretic, no resp distress oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 8cm cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. decreased breath sounds on right lower base, bibasilar crackles. 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 medical decision making pertinent results: ekg demonstrated paroxysmal ventricular tachycardia, rad . telemetry demonstrated: paroxysmal ventricular tachycardia at hr 100s . 2d-echocardiogram performed in demonstrated: 40-45% mild lv enlargement and area of focal akinesis in inferior wall and lv apex brief hospital course: 63 yo male with cad s/p 4v cabg in and sytolic hf, ef now 25-30% who presents with a paroxysmal ventricular tachycardia. . 1. ventricular tachycardia: he has a ventricular arrhythmia with underlying structural heart disease, cad with ef 25-30%. focused vt was ablated and on ep testing, he was also found to have inducible vt. there were no events on tele between the ablation and the icd placement. on he had a echo which showed lvef 30% and increased wedge pressure. he had an icd placed on . it was interrogated by ep. he remained hemodynamically stable, and without evidence of end organ ischemia. patient had lidocaine gtt and amiodarone gtt. pt continued on home beta blocker. tsh is normal. home lasix was held, to re-evaluate with pcp 2. acute systolic heart failure: appeared mildly fluid overloaded admission, resolved with prn lasix. , likely compounded by his tachycardia. on echo here, he was found to have sytolic dysfunction with ef 25-30%, which is reduced from his previous ef of 40-45% in . chf at this time may be due to ischemia or secondary to arrythmia. took of standing home lasix dose, because pt euvolemic after several prn doses. cardiac markers negative for mi, but trace positive, probably due to demand ischemia. . 3. cad: cont asa, statin, bb. . 4. ckd: acute on chronic renal failure on admission. cr 2.8 on admission, 2.3 at baseline. ckd likely secondary to dmii and htn. acute kd likely pre-renal secondary to poor renal perfusion in the setting of frequent vts. normalized to baseline by discharge. . 5. leukocytosis: no localizing symptoms. he is without cough, dysuria, fever. urinalysis, cx-ray, blood cxs all negative. . 6. dm: glargine 40, iss, fsg qid. prn glargine. medications on admission: atrovent asa 81 flovent 2 puffs glargine 40 daily lispro 4 before meals lasix 60 lopressor 50 norvasc 5 pravachol 40 ranitidine 150 avapro-->discontinued at osh discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 4. pravastatin 80 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* 5. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 6. ipratropium bromide 17 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 7. insulin lispro 100 unit/ml solution sig: four (4) units subcutaneous qac. 8. insulin glargine 100 unit/ml solution sig: forty (40) units subcutaneous qam. 9. keflex 500 mg capsule sig: one (1) capsule po four times a day for 1 days. disp:*4 capsule(s)* refills:*0* 10. avapro 150 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: primary diagnoses: ventricular tachycardia sinus bradycardia acute renal failure congestive heart failure hypermagnesemia . secondary diagnoses: diabetes mellitus htn chronic renal insufficiency discharge condition: stable, ambulating discharge instructions: you were diagnosed with a ventricular tachycardia. you underwent an ablation procedure and subsequent icd(defibrillator) and pacemaker placement without complications. . please follow up with device clinic as indicated below. . please take all medications as prescribed. you will have to take antibiotics for 1 more day as prescribed. . please take note that we increased your pravastatin to 80mg because of your elevated cholesterol levels. also note that your lasix and norvasc have been discontinued. . please return to the hospital or see your pcp if you have any chest pain, shortness of breath, fever or pain in the insertion site of your icd/pacemaker. followup instructions: device clinic phone: date/time: 2:30 . we have scheduled an appointment for you with your cardiologist, dr. () tues, at 3pm. . please follow-up with your primary care physician in the next 7-10 days. you had an abnormal finding on your chest x-ray for which you should follow with him. please call dr. at . procedure: catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] cardiac mapping diagnoses: congestive heart failure, unspecified acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified personal history of malignant neoplasm of bronchus and lung aortocoronary bypass status peripheral vascular disease, unspecified chronic kidney disease, unspecified paroxysmal ventricular tachycardia other specified cardiac dysrhythmias old myocardial infarction acute on chronic systolic heart failure diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to