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: rapid heartbeat and chest discomfort major surgical or invasive procedure: operation: 1. emergency redo sternotomy. 2. mini left anterior thoracotomy and drainage of pericardial fluid secondary to cardiac tamponade. 3. pericardial window. history of present illness: this 43 male is s/p bental procedure and maze on and was discharged to home on . he was doing well and had been put on amoxicillin for a question of a wound infection. he was sitting at the computer last pm and had a rapid heart rate and chest discomfort. he presented to the hospital ed and was in a flutter. he received iv lopressor and became hypotensive. he had an echo this morning which revealed a pericardial effusion and cardiac tamponade. his inr was 7.7. he was med-flighted to for further treatment. past medical history: hypertension hyperlipidemia morbid obesity non insulin dependent diabetes mellitus chronic atrial fibrillation obstructive sleep apnea hypothyroidism depression s/p laparoscopic cholecystectomy s/p tonsillectomy s/p bilateral carpal tunnel surgery s/p left foot surgery social history: lives with: wife occupation: tobacco: remote, quit 20 yrs ago etoh: denies use since yrs ago family history: non contributory physical exam: pulse: 120 a flutter resp: o2 sat: b/p 140/100 right: left: height: 72" weight: 145 kg general: skin: dry intact sternal wound healing well, sternum stable heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular 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: no left: no pertinent results: 04:25am blood wbc-6.1 rbc-2.77* hgb-8.4* hct-25.2* mcv-91 mch-30.2 mchc-33.3 rdw-13.8 plt ct-283 04:43am blood pt-18.7* inr(pt)-1.7* 04:25am blood pt-22.1* ptt-28.8 inr(pt)-2.1* 04:43am blood pt-32.2* inr(pt)-3.2* 08:41am blood pt-36.9* ptt-38.5* inr(pt)-3.8* 03:17am blood pt-26.9* ptt-27.5 inr(pt)-2.6* 05:36pm blood pt-22.9* ptt-31.3 inr(pt)-2.2* 04:08pm blood pt-24.2* ptt-32.0 inr(pt)-2.3* 02:13pm blood pt-31.1* ptt-33.2 inr(pt)-3.1* 01:00pm blood pt-31.5* ptt-33.9 inr(pt)-3.2* 04:43am blood glucose-96 urean-15 creat-0.6 na-137 k-3.6 cl-100 hco3-31 angap-10 04:43am blood k-4.3 echo due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). the aortic valve is not well seen. the mitral valve leaflets are mildly thickened. there is a small pericardial effusion. there are no echocardiographic signs of tamponade. impression: poor technical quality due to patient's body habitus. left ventricular function is probably normal, a focal wall motion abnormality cannot be fully excluded. the right ventricle is not well seen. no pathologic valvular abnormality seen. small pericardial effusion located near right atrium without evidence of tamponade. brief hospital course: the patient was taken to the operating room for surgical management of his pericardial effusion. he underwent a mediastinal exploration and pericardial window via sternotomy and small left thoracotomy. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. ***** was used for surgical antibiotic prophylaxis. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. he remained in atrial fibrillation and he was started on digoxin as well as amiodarone in addition to the atenolol. coumadin was resumed at low dose for goal inr . chest tubes were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 5, the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home in good condition with appropriate follow up instructions. medications on admission: amiodorone 200 mg po bid augmentin 1 po bid asa 81 mg po daily atenolol 50 mg po daily enalapril 10 mg po daily fluoxetine 20 mg po daily synthroid 75 mcg po daily metformin 500 mg po bid zantac 150 mg po bid coumadin 4 mg po daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 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 pain/fever. 5. zolpidem 5 mg tablet sig: two (2) tablet po hs (at bedtime). 6. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day): 200mg x 7 days then 200 mg daily until further instructed. disp:*60 tablet(s)* refills:*2* 7. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 8. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). 9. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 10. nasonex 50 mcg/actuation spray, non-aerosol sig: one (1) nasal (2 times a day). 11. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). 12. atenolol 50 mg tablet sig: 1.5 tablets po qpm (once a day (in the evening)). disp:*60 tablet(s)* refills:*2* 13. atenolol 50 mg tablet sig: two (2) tablet po qam (once a day (in the morning)). disp:*60 tablet(s)* refills:*2* 14. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 15. digoxin 250 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 16. warfarin 2 mg tablet sig: one (1) tablet po once a day: dose will change daily for goal inr . dr. to manage. disp:*30 tablet(s)* refills:*2* 17. outpatient lab work serial pt/inr dx: atrial fibrillation goal inr results to dr. (fax ) discharge disposition: home with service discharge diagnosis: pericardial effusion and cardiac tamponade s/p pericardial window this admission pmh: hypertension hyperlipidemia morbid obesity non insulin dependent diabetes mellitus chronic atrial fibrillation obstructive sleep apnea hypothyroidism depression discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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: provider: , md phone: date/time: 2:15 please call to schedule appointments primary care dr. , g. in weeks cardiologist dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** **dr. will resume management of coumadin/inr, confirmed with ** procedure: pericardiotomy diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism cardiac complications, not elsewhere classified atrial fibrillation other and unspecified hyperlipidemia cardiogenic shock morbid obesity long-term (current) use of anticoagulants acute pericarditis, unspecified cardiac tamponade 

Answer: The patient is high likely exposed to