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: lipitor / optiray 350 attending: chief complaint: atrial fibrillation major surgical or invasive procedure: d/c cardioversion history of present illness: mr. is a 67 year old male with past medical history significant for diabetes, htn, gerd, and recent pancreatectomy for necrotizing pancreatitis who presents with nausea, diaphoresis and new onset atrial fibrillation. the patient was in his usoh on the morning of admission when he came to the to have his percutaneous cholecystostomy tube removed. he returned to his rehabilitation facility ( rehab) without incident. shortly after being seen by the physician (dr. he began to experience nausea and diaphoresis, which he experiences fairly frequently since his pancreatectomy. he then had a 5minute episode of epigastric pain. this was a dull ache, that he had never felt before and that he distinguished as being lower down than the discomfort he experiences with reflux. the pain did not radiate and was not accompanied by subjective palpitations or light headedness. at this time the patient's physician had returned to the room and his heart rate was noted to be in the 162. per the nh notes an ekg demonstrated new st depressionsin v3-v5 with old twf in iii and avf and lvh. also noteworthy is that the physician at the nursing home documented the absence of cp, nausea, or diaphoresis. patient was sent to the via ambulance. per the ems record vital signs were hr 160-180, bp 100/70, ekg showed svt. given 6mg iv adenosine and 15mg iv cardizem. in the ed the patient's vital signs were hr 160 bp 88/46 rr20 and sa02 99% on ra. ekg showed afib with rvr. he was given dilt 20 iv and 120 po, fentanyl 25 iv x2, versed 1mg iv x2, amiodarone 150mg iv x1 and then 1mg/min gtt, and heparin gtt. dccv 50 joules unsuccessful and then 200 joules with resolution to nsr. cxr performed and cta deferred contrast allergy. past medical history: chronic pancreatitis - complicated by pseudocyst. s/p multiple ercp's with multiple sphyncterotomies. now s/p pancreatectomy in . diabetes - recent diagnosis. htn patient reports recent c.diff diagnosis - per daughter (a physician) he has been treated. esophagus copd h/o mrsa pneumonia melanoma s/p removal 15 years ago prostate ca - radical prostatectomy in social history: significant for the absence of current tobacco use (quit 30 years aog. there is no history of alcohol abuse - drinks beers/week. family history: father died of "heart disease" at age 51. mother died unexpectedly in an automobile accident physical exam: vs: t:97.7 bp:97/51 hr:77 rr:25 o2:1005 on ra gen: wdwn elderly male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp flat cv: pmi located in 5th intercostal space, midclavicular line. soft heart sounds. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. crackles bilaterally at the bases with right worse than left. abd: soft, ntnd. patient has beefy red 6 inch midline surgical scar that drained clear fluid. he also has a ruq dark purulent drainage tube lesion in the right upper quadrant presumed to be where the cholecystectomy drain was removed earlier today. 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+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: labs on admission: . 04:00pm wbc-10.5 rbc-3.32* hgb-8.9* hct-27.2* mcv-82 mch-26.8* mchc-32.8 rdw-18.0* 04:00pm ctropnt-0.02* 04:00pm ck(cpk)-13* 04:00pm glucose-110* urea n-10 creat-0.4* sodium-137 potassium-3.6 chloride-105 total co2-25 anion gap-11 11:50pm ptt-150* 11:50pm tsh-2.3 11:50pm ck-mb-notdone ctropnt-0.07* 11:50pm ck(cpk)-16* . echo: the left atrium is normal in size. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50-55%). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. the tricuspid valve leaflets are mildly thickened. there is a trivial/physiologic pericardial effusion. compared with the prior study (images reviewed) of , left ventricular systolic function is now slightly less vigorous. . labs on discharge: 09:00am blood wbc-10.4 rbc-3.42* hgb-9.1* hct-28.4* mcv-83 mch-26.6* mchc-32.0 rdw-18.4* plt ct-685* 09:00am blood glucose-121* urean-8 creat-0.5 na-138 k-3.8 cl-108 hco3-24 angap-10 09:00am blood ck-mb-notdone ctropnt-0.05* 09:00am blood albumin-2.4* calcium-8.6 phos-3.4 mg-1.8 cholest-pnd brief hospital course: the patient was admitted to the ccu after d/c cardioversion converted him to sinus rhythym. anticoagulation was begun with heparin iv. he will be discharged on a heparin drip and not started on warfarin given possible future surgical procedures. he remained in sinus rhythym with stable blood pressures. an echo revealed low-normal ef. surgery saw the patient who agreed with a discahrge back to rehab with surgery follow up. his primary outpatient cardiologist was called a patient history of "fast heart rate" in the past. a message was left and the patient was encouraged to schedule a follow up appointment with this cardiologist on discharge. he has close follow up with surgery and care at rehab. medications on admission: 1. acetaminophen 325 mg po q4-6h:prn fever 2. docusate sodium (liquid) 100 mg po bid 3. ferrous sulfate 325 mg po daily 4. heparin 5000 unit sc tid 5. insulin sc (per insulin flowsheet) sliding scale 6. lactase *nf* 3,000 unit oral dialy 7. lactulose 30 ml po q8h:prn 8. metoclopramide 10 mg po qidachs 9. metoprolol 25 mg po bid 10. morphine sulfate 2 mg iv q4h:prn 11. multivitamins 1 cap po daily 12. sodium chloride 2 gm po daily 13. zolpidem tartrate 5 mg po hs discharge medications: 1. acetaminophen 325 mg tablet : one (1) tablet po q4-6h (every 4 to 6 hours) as needed for fever. 2. metoclopramide 10 mg tablet : one (1) tablet po qidachs (4 times a day (before meals and at bedtime)). 3. sodium chloride 1 g tablet : two (2) tablet po daily (daily). 4. hexavitamin tablet : one (1) cap po daily (daily). 5. lactulose 10 g/15 ml syrup : thirty (30) ml po q8h (every 8 hours) as needed. 6. zolpidem 5 mg tablet : one (1) tablet po hs (at bedtime). 7. amylase-lipase-protease 20,000-4,500- 25,000 unit capsule, delayed release(e.c.) : two (2) cap po tid w/meals (3 times a day with meals). 8. ferrous sulfate 325 (65) mg tablet : one (1) tablet po bid (2 times a day). 9. docusate sodium 50 mg/5 ml liquid : one (1) po bid (2 times a day) as needed. 10. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 11. metoprolol tartrate 50 mg tablet : one (1) tablet po bid (2 times a day). 12. insulin regular human 100 unit/ml solution : 2-10 units injection asdir (as directed): per provided sliding scale. 13. heparin (porcine) in d5w 25,000 unit/250 ml parenteral solution : 1000 (1000) units intravenous per hour: adjust infusion per sliding scale. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: atrial fibrillation with rapid ventricular response . chronic pancreatitis - s/p pancreatectomy in . diabetes - recent diagnosis. htn patient reports recent c.diff diagnosis - treated esophagus copd h/o mrsa pneumonia melanoma s/p removal 15 years ago prostate ca - radical prostatectomy in discharge condition: stable discharge instructions: please take all medications as prescribed. please attend all follow up appointments. you were admitted because of atrial fibrillation with a rapid ventricular response. you were succesfully cardioverted. you will need to take blood thinning medications for some time. you will be taking lovenox. you will not be started on warfarin as there may be more surgical interventions in the future. you will need to discuss with your surgeons when it will be ok to start coumadin. followup instructions: provider: , md phone: date/time: 9:30 . it is recommended that you contact your cardiologist dr. in @ to set up a follow up appointment following the discharge from rehab. . procedure: other electric countershock of heart diagnoses: esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified atrial fibrillation 

Answer: The patient is high likely exposed to