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: penicillins attending: chief complaint: s/p vt ablation major surgical or invasive procedure: ventricular tachycardia ablation history of present illness: mr. is a 78m with h/o cad s/p lad stenting , ischemia related cm (ef 20%), vt ablation in who was seen in ep device clinic today, found to have 43 episodes of vt noted on icd interrogation and who is now s/p vt ablation. of note, the patient has not been getting shocked, as vt has been slow and below the threshold for shocking. the patient tolerated the procedure without any trouble; was performed under mac anesthesia. was found to have anterior lv scar s/p substrate ablation. during the procedure he was given lasix 40 mg and another 20 mg prior to transfer to the unit. on arrival to the floor, the patient reports feeling well. his only complaint is having back pain secondary to lying flat on his back for a prolonged period of time. denies any chest pain, no shortness of , no abdominal pain. denies any new numbness or tingling. past medical history: past medical history: 1. cardiac risk factors: - diabetes, + dyslipidemia, + hypertension 2. cardiac history: -cabg: -percutaneous coronary interventions: s/p stent to lad , ptca of stent occlusion in 10/00, mi with ptca of stent occlusion in -pacing/icd: s/p aicd 3. other past medical history: - htn - cad s/p anterior wall mi in with vf arrest, s/p stent to lad , ptca of stent occlusion in 10/00, mi with ptca of stent occlusion in - hypercholesterolemia - glucose intolerance - lower back pain - h/o recurrent olecranon bursitis - insomnia - vitamin b12 deficiency - h/o acute diverticulitis - h/o colonic polyps - h/o prostate cancer - s/p radioactive seed implantation, on flomax and hormonal therapy, followed by dr. - h/o afib s/p electrocardioversion, on amio and warfarin - h/o peptic ulcer disease - h/o recurrent squamous and basal cell carcinoma of skin - h/o cataracts s/p extraction os in and od in - s/p splenectomy - removed when damaged during partial gastrectomy secondary to pud social history: remote tobacco history; quit 40+ yrs ago. widower, lives with daughter in . family history: mis in uncles in their 60s. physical exam: on admission vs: 97.5 126/74 60 100% on ra general: well appearing, pleasant gentleman, nad, lying comfortably in bed heent- ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck- supple with jvp to edge of mandible cardiac- rrr s1, s2, no murmurs/rubs/gallops appreciated lungs- anterior lung fields clear to auscultation b/l, good air movement, no wheezes/rhonchi/crackles noted abdomen- soft, nontender, nondistended, +bs extremities- warm, well perfused, no le edema note, 2+ dp pulses; b/l femoral sites with dressings clean/dry/intact, no tenderness to palpation, no hematoma appreciated, no bruits heard neuro: cn 2-12 grossly intact, muscle strength and sensation grossly intact throughout on discharge exam unchanged pertinent results: on admission 10:30pm glucose-101* urea n-21* creat-1.2 sodium-141 potassium-4.1 chloride-106 total co2-27 anion gap-12 10:30pm calcium-7.8* phosphate-3.1 magnesium-2.0 10:30pm wbc-11.8* rbc-3.56* hgb-12.0* hct-36.4* mcv-102* mch-33.7* mchc-33.0 rdw-13.9 11:39am plt count-269 11:39am pt-25.7* inr(pt)-2.5* on discharge 05:15am blood wbc-8.6 rbc-3.48* hgb-11.6* hct-35.2* mcv-101* mch-33.3* mchc-32.9 rdw-13.9 plt ct-205 05:15am blood plt ct-205 05:15am blood glucose-85 urean-20 creat-1.2 na-141 k-4.1 cl-108 hco3-25 angap-12 05:15am blood calcium-8.2* phos-3.4 mg-2.0 05:15am blood pt-28.4* ptt-40.6* inr(pt)-2.7* brief hospital course: mr. is 78m with h/o cad s/p lad stenting , ischemia related cm (ef 20%), vt ablation in who was seen in ep device clinic today, found to have 43 episodes of vt noted on icd interrogation and who is now s/p vt ablation. recurrent vt: the patient has history of recurrent vt and underwent a successful elective vt ablation during this admission with no complications. electrolytes remained stable and the patient had no significant events on tele after the procedure. atrial fibrillation: the patient has history of atrial fibrillation, on atenolol and amiodarone. his amiodarone was continued during hospitalization. ptt on discharge was therpeutic (2.7). he was sent home on his home coumadin regimen (3mg mon and fri and 2mg all other days). cad: the patient has cad s/p lad stenting in , which was later complicated by instent thrombosis and vf arrest. currently asymptomatic, denying any chest pain or shortness of breath. atenolol, lovastatin, and aspirin were continued during hospitalization. ischemic related cm: most recent echo with ef 20% with moderate lv cavity dilation with severe regional lv systolic dysfunction c/w multivessel cad. the patient was given furosemide 40 mg during the procedure, and another 20 mg prior to transfer to the ccu. patient remained euvolemic during hospitalization. he was discharged on home furosemide dose. no changes were made to the patient's medication during hospitalization. he is scheduled to fu with dr and in device clinic friday, . he can have his inr checked at that time. medications on admission: preadmission medications listed are correct and complete. information was obtained from patient. 1. aspirin 81 mg po daily 2. atenolol 25 mg po daily 3. amiodarone 200 mg po daily 4. furosemide 20 mg po daily 5. lisinopril 20 mg po daily 6. atorvastatin 20 mg po daily 7. warfarin 2 mg po daily16 currently taking 3mg on /friday, 2mg all other days. 8. nitroglycerin sl 0.4 mg sl prn chest pain 9. trazodone 50 mg po hs:prn insomnia 10. cyanocobalamin 50 mcg po every other day 11. ascorbic acid 1000 mg po daily discharge medications: 1. amiodarone 200 mg po daily 2. aspirin 81 mg po daily 3. atenolol 25 mg po daily 4. furosemide 20 mg po daily 5. lisinopril 20 mg po daily 6. ascorbic acid 1000 mg po daily 7. cyanocobalamin 50 mcg po every other day 8. nitroglycerin sl 0.4 mg sl prn chest pain 9. trazodone 50 mg po hs:prn insomnia 10. atorvastatin 20 mg po daily 11. warfarin 2 mg po daily16 currently taking 3mg on /friday, 2mg all other days. discharge disposition: home discharge diagnosis: primary diagnosis ventricular tachycardia s/p ablation secondary diagnosis atrial fibrillation systolic congestive heart disease discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you were admitted to the hospital because when you were evaluated by your cardiologist it was noted that you were having a concerning arrhythmia called ventricular tachycardia. you were taken to the electrophysiology lab and had an ablation to prevent this arrythmia from returning. there is no guarantee that this rhythm will not return. you tolerated the procedure well and discharged the following day. you should follow up with dr. and at the device clinic on friday . you should get in touch with ms , dr. secretary, for more details. you have had episodes of low blood pressure while you were in the hospital. please do not take you lisinopril this evening. you can restart all of your medications tomorrow. please call your doctor if you begin to feel dizzy or lightheaded. please continue to weigh yourself every morning, call your cardiologist if your weight goes up more than 3 lbs. no changes have been made to your daily medications. followup instructions: you should follow up with dr. and at the device clinic on friday . you should get in touch with ms , dr. secretary, for more details. department: cardiac services when: wednesday at 9:00 am with: device clinic building: sc clinical ctr campus: east best parking: garage department: cardiac services when: wednesday at 9:40 am with: , md building: sc clinical ctr campus: east best parking: garage md procedure: catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation personal history of malignant neoplasm of prostate percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia personal history of other malignant neoplasm of skin old myocardial infarction chronic systolic heart failure long-term (current) use of anticoagulants personal history of colonic polyps personal history of peptic ulcer disease 

Answer: The patient is high likely exposed to