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: no drug allergy information on file attending: chief complaint: syncope. major surgical or invasive procedure: cardiac catheterization icd placement () history of present illness: patient is a 57 y/o mandarin only woman with no significant pmhx who presents as a transfer from hospital for ventricular tachycardia with prolonged qt after presenting there originally for syncope. the patient was in her usual state of health until yesterday morning when she woke up and a general sensation of malaise, before getting on a bus tour from to that left yesterday morning. after exiting the bus in , she walked to her hotel and had a witnessed syncopal event where she fell forward and hit her head on a glass door. she was incontinent of urine, and regained conciousness after 2-3 minutes per the husband. there were no tonic-clonic movements witnessed. she does describe some palpitations and light-headedness prior to syncopizing. she denies recent chest pain, shortness of breath, fevers, chills, n/v/d, illnesses. she denies any past history of syncope. at hospital, she ws found to have brief runs of nsvt, then had a run of 15 seconds that broke spontaneously. an ekg there revealed av conduction delay, rbbb, inferior q waves and a prolonged qt (~750msec). she was loaded with amiodarone 150mg iv, then started on a drip at 1mg/min gtt. she also got magnesium 2gm iv. labs were notable for a k of 4.3, mg 2.4, ck 281, mb 1.7, trop neg, and negative head ct she was transferred to for further management. . on review of systems, she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema. past medical history: 1. cardiac risk factors: - diabetes, - dyslipidemia, - hypertension 2. cardiac history: possible myocarditis at 6 or 7 years old 3. other past medical history: osteoarthritis of left knee unknown thyroid surgery approximately 20 years ago social history: lives in with husband, originally from and works in nail salon -tobacco history: denies -etoh: denies -illicit drugs: denies family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. father passed at age 84 from old age. mother died at 80 from emphysema. no family history of sudden death, syncope. physical exam: general: wdwn female in nad. responds appropriately to questions. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. horizontal scar anterior neck at cricoid cartilage. neck: supple with jvp of 2 cm. no carotid bruits, no lad. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. 2/6 systolic murmur heard best at lower sternal border. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, on anterior exam abdomen: soft, ntnd. no hsm or tenderness. + bowel sounds extremities: no c/c/e. no femoral bruits. 2+ dp/pt pulses. right groin site c/d/i, no tenderness, no hematoma/bruising. pertinent results: labs: 06:25pm glucose-148* urea n-10 creat-0.8 sodium-138 potassium-4.4 chloride-104 total co2-26 anion gap-12 06:25pm alt(sgpt)-70* ast(sgot)-48* ld(ldh)-224 alk phos-63 tot bili-0.7 06:25pm albumin-4.4 calcium-8.4 phosphate-3.8 magnesium-2.8* 06:25pm tsh-0.82 06:25pm t4-6.1 06:25pm wbc-11.2* rbc-4.53 hgb-13.3 hct-38.6 mcv-85 mch-29.3 mchc-34.4 rdw-13.9 06:25pm plt count-213 06:25pm pt-12.3 ptt-24.6 inr(pt)-1.0 . tte: the left atrium is elongated. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). doppler parameters are most consistent with grade i (mild) left ventricular diastolic dysfunction. there is no left ventricular outflow obstruction at rest or with valsalva. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. 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 estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: no structural cardiac cause of syncope identified. preserved global and regional biventricular systolic function. no significant valvular abnormality seen. no resting or inducible outflow tract obstruction. . cardiac cath: 1. selective coronary angiography in this right dominant system demonstrated no angiographically apparent flow-limiting disease. the lmca was patent. the lad had 25% proximal stenosis and luminal irregularities to 20% in the mid-segment. there was a large d1 and the distal lad wrapped around the apex. in the lad there was slow flow consistent with microvascular dysfunction. the lcx had a proximal 20% stenosis. it supplied a modest very high om1 and a larger om2, as well as a large om3/lpl and an om4/lpl2. the was slightly slow pulsatile flow consistent with microvascular dysfunction. the rca had minimal luminal irregularities to 15% ther were multiple rpdas and the mid-distal septum was supplied by a large am. again, there was slightly slow pulsatile flow consistent with microvascular dysfunction. 2. limited resting hemodynamics revealed mild-moderate left ventricular diastolic dysfunction was an lvedp of 19 mmhg. there was moderate systemic systolic arterial hypertension with an sbp of 162 mmhg. 3. left ventriculography revealed a calculated lved of 55-65% with mild global hypokinesis, worse in the anterobasal segment. there was 2+ mitral regurgitation. final diagnosis: 1. no angiographically apparent flow-limiting coronary artery disease; however, there was atherosclerosis and diffuse slow flow consistent with microvascular dysfunction. 2. mild to moderate left ventricular diastolic dysfunction. 3. moderate systemic systolic arterial hypertension. 4. mild global hypokinesis with calculated lvef of 55-65% brief hospital course: 57 year old female with no sig pmhx who presents as transfer from hospital with syncope found to have ventricular tachycardia. s/p cardiac cath at . . # rhythm: patient with no pmhx who had sudden loc with rapid spontaneous return of conciousness with no intervention. has long qt on ekg (750 ms) as well as sinus bradycardia. at osh had sinus bradycardia, then pvc and started with torsades de pointes (tdt). she received magnesium and 150 mg iv amiodarone. the diff dx considered included ischemic cad, structural disease, electrical abnormalities with long qt sydromes, hypothyroidism. had cath with patent coronary arteries. she was on no medications. her thyroid function test were within normal range. her echo did not show structural abnormalities. amiodarone was stopped initially was started on metoprolol 25 mg tid (to decrease chances of pvcs on tw and torsades). she also was started on spironolactone to raise her potassium. she had no more episodes on telemetry and underwent ppm/icd placement without complications (). she was discharged home with pcp and cardiology follow up in . . # coronaries: s/p cardiac cath today with clean coronaries as per the report in the previous section on pertinent results. has q waves in ii, iii, avf, v4-v6 cannot rule out prior inferior/lateral mi. her ce were negative. . # pump: no known history of heart failure. clinically not in heart failure, no crackles, no lower extremity edema, no elevated jvd. normal echocardiogram. . # elevated liver enzymes - patient had elevated liver enzymes at osh. had hepatitis panel drawn and were pending last time we checked. will need to follow up hepatitis panel from hospital - . her ast 70, alt 48, ap 63, tuberculosis 0.7. . # thyroid surgery - unknown what surgery was for. patient not on thyriod replacement. euthyroid. medications on admission: unknown painkiller for her osteoarthritis - has not taken for greater than 1 week denies otc, herbal, prescription meds discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain for 5 days. disp:*20 tablet(s)* refills:*0* 2. spironolactone 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 4. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 2 days. disp:*8 capsule(s)* refills:*0* discharge disposition: home discharge diagnosis: ventricular tachycardia syncope discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear ms. , it was a pleasure to take care of you at hospital in . you were admitted to hospital after fainting and found to have an irregular heart beat and given medication to help your heart return to normal rhythm. you were transferred to for further management of this problem. at you underwent a study to evaluate the vessels of your heart called a cardiac catheterization procedure. it showed that you did not have a recent heart attack and that your blood vessels on your heart are not the reason for your fainting spell. you were taken for placement of an icd device which will prevent your heart from entering that arrhythmia that caused you to faint. this will need to be followed by a cardiologist in ny where you live. the wound will need to be evaluated by your pcp/dr. next week at your appointment scheduled below. . the following changes have been made to your medications: * you were started on a medication called spironolactone to increase your potassium and keep it in the high side to prevent your arrhytmia. you will need to take one tab (25 mg ) twice a day. * you will need to take a beta-blocker to prevent your arrhythmia. it is called toprol-xl 50 mg daily. * we will give you a medication for pain control. your pain should imrpove within a few days () * given your recent procedure you will need antibiotics for 2 days: cephalexin 500 mg capsule you cannot lift anything heavier than 10 pounds or lift your arm above your shoulder given yoru recent icd placement. followup instructions: dr. wednesday at 3:00pm for wound check. you will also need a cardiologist and/or electrophysiologist. procedure: coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] diagnoses: unspecified acquired hypothyroidism paroxysmal ventricular tachycardia right bundle branch block other abnormal blood chemistry osteoarthrosis, unspecified whether generalized or localized, lower leg nonspecific abnormal electrocardiogram [ecg] [ekg] 

Answer: The patient is high likely exposed to