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: amiodarone attending: chief complaint: dizziness major surgical or invasive procedure: pacemaker placement history of present illness: 84 year old male with history of a fib, cad who presents with dizziness of one day duration. patient reported feeling dizzy to vna nurse who found him to be hypotensive 90/50 and bradycardic 40s. patient describes palpitations and weakness. patient has history of dizziness - however only positional where today was at rest. he had mild chest discomfort in ed which resolved with no intervention. patient denies shortness of breath, nausea. describes baseline lower extremity edema, denies orthopnea and pnd. otherwise patient feels his usual state of health. denies recent fever or chills. . in the ed, initial vitals were 97.5, bp 107/43, hr 37-44, rr 18, sao2 100% ra. bp stable from 109-143. per report hr ranged from 30-50. patient asymptomatic. did not require atropine. . of note he saw his cardiologist dr. on who decreased his atenolol from 50 to 25 secondary to bradycardia. patient was admitted through , with chest discomfort, peripheral edema, and dyspnea and was found to be in atrial fibrillation with a slow response (42 bpm). he was monitored on telemetry where asymptomatic pauses of seconds were noted. when his atenolol was discontinued, his heart rate apparently intermittently increased to greater than 100 bpm and he was therefore started on a lower dose of atenolol. . on review of systems, 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 dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: chf (lvef 60%) pna colon ca (colonoscopy ) status post hemicolectomy atrial fibrillation s/p cardioversion x 2 hypertension mitral regurgitation lung nodules (left) noted on ct. hx of recurrent epididymitis rx'd with cipro, recurrent on l w/ pseudomonas uti's, followed by urology h/o indirect right inguinal hernia, pt declined surgery h/o pelvic fracture after mva 30 years ago social history: retired businessman. lives with his wife in his daughter's house. grandchildren living with them as well. smoked 20pack year, but quit 30 years ago. admits to one serving of alcohol (shot of vodka) daily. denies ivdu. family history: nc physical exam: on discharge: tm 98.1 bp 108-134/50-76 hr 44-64, r 16-20, 94-98% on ra-2l gen: lying comfortably in bed, nad heent: mmm, jvp at 5 cm cv: rrr, no mrg lungs: cta b abd: soft, nt, nd,+bs ext: wwp, no cce. pertinent results: 06:00am blood wbc-5.3 rbc-3.73* hgb-12.5* hct-39.1* mcv-105* mch-33.6* mchc-32.0 rdw-13.0 plt ct-161 06:00am blood pt-20.4* ptt-31.2 inr(pt)-1.9* 06:00am blood glucose-113* urean-18 creat-1.1 na-138 k-4.0 cl-104 hco3-28 angap-10 07:20am blood ck-mb-notdone ctropnt-<0.01 03:26am blood ck-mb-notdone ctropnt-<0.01 03:25pm blood ck-mb-5 ctropnt-<0.01 06:00am blood calcium-8.8 phos-2.9 mg-2.2 03:26am blood tsh-2.9 cxr two views of the chest are compared to the prior study from . a left subclavian pacer is present with single lead in the right ventricle. the lungs are clear. the cardiomediastinal silhouette is unremarkable. there is minimal atelectasis at the right lung base. the heart is enlarged. brief hospital course: 84 year old male with a fib, cad who presented with "dizziness" and bradycardia, s/p pacemaker placement. . # rhythm: atrial fibrillation with intraventricular conduction delay. patient bradycardiac ranging from 30-50 on admission, now with pacemaker in place. tsh normal. his atenolol was restarted at 25 mg for control of his afib. he will need a total of 3 days of keflex on discharge (course to be completed end of day on ). he was also discharged on warfarin and will require f/u in , as well as ep f/u one week post-discharge. . # coronaries: chest pain fleeting and resolved without intervention. troponins negative to date. he was continued on asa on discharge. . # pump: known diastolic chronic congestive heart failure. no sob or signs of fluid overload on exam while in the hospital. ace, statin, bblocker were continued as pressures would tolerate while in-patient, he was then discharged on all three medications. . # hypertension: discharged on atenolol and lasix. amlodipine held as pressures were wnl without amlodipine, however could re-start on f/u if pressures can tolerate. . # dyslipidemia: simvastatin was continued as an inpatient and on discharge. . # bph: proscar and doxazosin were held for low bps, but restarted on discharge when pressures were stable. . code: full. medications on admission: amlodipine 5 mg a day atenolol 50 mg a day, doxazosin 4 mg daily proscar 5 mg a day fluticasone two puffs twice a day furosemide 40 mg a day gabapentin 600 mg at bedtime lidocaine patch lisinopril 40 mg a day patanol eyedrops simvastatin 40 mg a day warfarin as prescribed, acetaminophen as needed aspirin 81 mg vitamin b12 1000 mg a day. discharge medications: 1. outpatient lab work please check inr on tuesday and call results to the clinic at 2. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 3. gabapentin 600 mg tablet sig: one (1) tablet po at bedtime. 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical daily (daily). 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 8. cyanocobalamin 100 mcg tablet sig: one (1) tablet po daily (daily). 9. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 3 days. disp:*12 capsule(s)* refills:*0* 10. warfarin 5 mg tablet sig: one (1) tablet po qsun,tues,thurs,sat (). 11. warfarin 2.5 mg tablet sig: one (1) tablet po qmon,wed,fri (). 12. atenolol 25 mg tablet sig: one (1) tablet po daily (daily). 13. doxazosin 4 mg tablet sig: one (1) tablet po once a day. 14. proscar 5 mg tablet sig: one (1) tablet po once a day. 15. lasix 40 mg tablet sig: one (1) tablet po once a day. 16. lisinopril 40 mg tablet sig: one (1) tablet po once a day. discharge disposition: home with service facility: , discharge diagnosis: bradycardia coronary artery disease chronic diastolic congestive heart failure discharge condition: good, ambulating. discharge instructions: you were admitted for a slow heart rate and had a pacemaker placed. take all your medications as directed and attend your follow-up appointments. . medications: stop: amlodipine - your blood pressure was well controlled during your hospital stay without this medication. follow-up your blood pressure with your primary care doctor/cardiologist and re-start if needed. new: antibiotics for 3 days following pacemaker. continue: all other medications as directed by your cardiologist. . follow-up: cardiology: provider: , md phone: date/time: 11:40 primary care: provider: , m.d. date/time: 10:10 . device clinic: friday on clinical center, . please call on for the time of the appt. . lab work: please check inr on tuesday and call results to the clinic at . a script has been printed for you. . weigh yourself every morning, md if weight goes up more than 3 lbs. adhere to 2 gm sodium diet. . call your doctor or present to the ed if you are dizzy, have episodes of blacking out, experience chest pain, shortness of breath or any other concerning symptoms. followup instructions: cardiology: provider: , md phone: date/time: 11:40 primary care: provider: , m.d. date/time: 10:10 . device clinic: friday on clinical center, . please call on for the time of the appt. . lab work: please check inr on tuesday and call results to the clinic at . a script has been printed for you. procedure: initial insertion of transvenous lead [electrode] into ventricle initial insertion of single-chamber device, not specified as rate responsive artificial pacemaker rate check diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation other and unspecified hyperlipidemia personal history of malignant neoplasm of large intestine sinoatrial node dysfunction chronic diastolic heart failure 

Answer: The patient is high likely exposed to