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: past medical history: 1. atrial fibrillation. 2. ventricular tachycardia, status post aicd placement. 3. hypertension. 4. copd. 5. systolic congestive heart failure with an ejection fraction of 25%. 6. dilated cardiomyopathy. 7. hypercholesterolemia. allergies: penicillin. admission medications: 1. amiodarone 200 mg once daily. 2. lipitor 10 mg once daily. 3. spironolactone 12.5 mg once daily. 4. lasix 40 mg alternating with 20 mg p.o. q.o.d. 5. carvedilol 6.25 mg p.o. b.i.d. 6. flomax 0.4 mg p.o. q.d. 7. diovan 80 mg p.o. q.d. 8. multivitamin. 9. colace. 10. aspirin 81 mg daily. social history: the patient is a former smoker, quit 25 years ago, rare alcohol use. the patient is a retired painter. family history: the patient's mother had a myocardial infarction at age 74. the patient's father had lung cancer at age 84. physical examination on admission: vital signs: temperature 98.3, heart rate 110, blood pressure 115/70, respiratory rate 20, oxygen saturation 98% on room air. general: the patient was in no acute distress. heent: the pupils were equal, round, and reactive to light. anicteric sclerae. supple neck. moist mucosal membranes. the extraocular muscles were intact. slight droop of the right eyelid and corner of the right mouth. there was 2-3 cm of jvd. cardiovascular: irregularly/irregular, tachycardia, faint systolic ejection murmur at the left lower sternal border, radiating to the apex. lungs: crackles at the bases, otherwise clear to auscultation. abdomen: soft, nontender, nondistended, obese. extremities: trace to 1+ peripheral edema. neurologic: cranial nerves ii through xii intact bilaterally, strength 5/5 in all four extremities proximally and distally, normal gait. no finger-to-nose dysmetria. negative romberg sign. biceps and quadriceps reflexes 2+ bilaterally. laboratory/radiologic data: white blood cell count 9.8, hematocrit 35.6, platelets 388,000. inr 1.2, ptt 29.2, sodium 141, potassium 3.9, bun 13, creatinine 1.0, glucose 106, calcium 8.7, magnesium 1.9. the ekg showed atrial fibrillation with rapid ventricular response, right bundle branch block, left axis deviation. eeg showed mildly abnormal eeg due to bifrontal slowing and then frequent right hemisphere or left frontal slowing suggesting multifocal subcortical abnormalities. however, there were no areas of persistent slowing and no epileptiform features. carotid studies showed minimal plaques with bilateral less than 40% carotid stenosis. serial cat scans of the head revealed stable appearance of the right subdural hematoma and right frontal craniotomy. hospital course: 1. left facial droop and weakness: the patient was admitted to the neurosurgical service and neurology consult was obtained. it was felt that the patient's symptoms were likely due to local irritation from the subdural hematoma and much less likely to be due to stroke. however, the patient subsequently underwent several echocardiograms. transesophageal echocardiogram revealed a definite thrombus in the left atrial appendage along with dilated right atrium and severe global left ventricular hypokinesis. therefore, it was felt that the patient's symptoms may be due to tias resulting from small emboli from his left atrial thrombus. the patient was transferred to the medicine service and seen by cardiology in consultation. it was felt that the patient will require anticoagulation for this left atrial thrombus in preparation for eventual cardioversion. however, due to his recent subdural hematomas and craniotomy there was concern that anticoagulation with an inr of result in a recrudescence of his subdural hematoma. after multiple serial cat scans, the neurosurgical service thought that it was safe to anticoagulate the patient to a goal inr of 1.5 to 1.8 with the hopes of increasing that inr goal to 2.0 within two to three weeks if the subdural hematomas remain stable on serial cat scans. the patient was started on coumadin on the day of discharge. his coumadin dose was 4 mg and his inr was 1.4. he will take 4 mg of coumadin on and 3 mg of coumadin on and will have his inr checked on monday, and have this result called into his cardiologist, dr. , who will adjust his coumadin dose. 2. atrial fibrillation: the patient on admission was in atrial fibrillation with a rapid ventricular response with a heart rate ranging from 90s to 150s. the patient had low systolic blood pressures with his rapid ventricular rate with systolic blood pressures in the mid 80s to mid 90s. an attempt was made to medically control his rapid ventricular rate; however, the patient did not respond to increased amiodarone, digoxin, and increased beta blockers. therefore, the electrophysiology service was consulted and the patient underwent an av junction ablation and his icd was reprogrammed to ddd. his digoxin was discontinued. he was continued on his daily amiodarone dose of 200 mg and he was switched from lopressor to carvedilol 3.125 mg p.o. b.i.d. the patient will follow-up with dr. in the device clinic. 3. congestive heart failure: the patient was maintained on a beta blocker, statin, spironolactone, lasix, and an angiotensin receptor blocker. he was instructed to weight himself daily and to call his primary care physician if his weight increased by more than 5 pounds as he would likely need extra lasix doses. he also was instructed to maintain a 2 gram sodium diet and to try to restrict his fluid intake to 1.5 to 2 liters per day. 4. aspiration pneumonia: during the hospital stay, the patient developed a mildly productive cough with right-sided pleuritic chest pain and was found to have a right lower lobe aspiration pneumonia on his chest x-ray. he was started on a seven day course of levaquin and clindamycin which he will complete as an outpatient. condition on discharge: stable. discharge status: to home with follow-up. discharge instructions: please have your inr checked on monday, , and have the results called in to dr. as he will need to adjust your coumadin dose to keep your inr at around 1.8. please follow-up with dr. , telephone number . please follow-up with dr. , , within one week of discharge. discharge diagnosis: 1. subdural hematoma. 2. left atrial thrombus. 3. atrial fibrillation with rapid ventricular response. 4. aspiration pneumonia. 5. congestive heart failure with an ejection fraction of 25%. discharge medications: 1. lipitor 10 mg daily. 2. lasix 20 mg alternating with 40 mg every other day. 3. amiodarone 200 mg q.d. 4. valsartan 40 mg p.o. daily. 5. coumadin 4 mg on and 3 mg on , have your inr checked on and have your dose adjusted by dr. on that day. 6. aspirin 81 mg daily. 7. carvedilol 3.125 mg p.o. b.i.d. 8. clindamycin 450 mg p.o. q.i.d. for five days. 9. levofloxacin 500 mg p.o. q.d. for five days. 10. spironolactone 12.5 mg p.o. daily. , m.d. dictated by: medquist36 procedure: diagnostic ultrasound of heart catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach other nonoperative measurements and examinations diagnoses: other primary cardiomyopathies congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation pneumonitis due to inhalation of food or vomitus subdural hemorrhage following injury without mention of open intracranial wound, with no loss of consciousness endocarditis, valve unspecified, unspecified cause other specified transient cerebral ischemias late effects of motor vehicle accident 

Answer: The patient is high likely exposed to