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: codeine attending: chief complaint: lead was cut during procedure at osh major surgical or invasive procedure: pm replacement lead extraction/replacement history of present illness: patient is a 64yo male with pmhx significant for sick sinus syndrome and atrial fibrillation admitted for pacer lead/device extraction after lead was cut during procedure at osh. . briefly, patient reports that his ppm has not been acting correctly. part of the problem is that the battery life is decreasing faster than anticipated. in addition, he reports atrial rate has been increasing at times (up to 209). these events have been happening more recently. . he has also been experiencing worsening doe in recent months. he notices this especially when he is hunting and now cannot go as far from camp as he used to be able to due to concerns of fatigue and shortness of breath. he denies any chest pain or shortness of breath at rest. he does note that when he exerts himself he can feel the pacemaker increase his heart rate. . given these concerns, he presented to hospital last week for generator replacement due to eri. during the procedure, one of the leads was "cut through" and now the patient is pacing via his epicardial lead. he was transferred to for device/lead extraction scheduled for with dr. . . upon arrival to the floor, vitals signs were t- 97.9, hr- 63, bp- 116/84, rr- 18, sao2- 97% on ra. patient was comfortable and asymptomatic. . on review of systems, he reports history of tias (not on coumadin). he denies any prior history of stroke, 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 chest pain, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. he does report dyspnea on exertion. past medical history: 1. af/flutter s/p avn ablation (in ) s/p ddd pacemaker implantation 2. s/p implant of epicardial lv lead in 3. status post sternotomy and left thoracotomy for clot evacuation and mediastinal exploration. 4. status post reexploration of mediastinum. 5. atrial fibrillation. 6. migraine headaches. 7. lyme disease. 8. tachy-brady syndrome. 9. prior tia 1. cardiac risk factors: (-)diabetes, (+)dyslipidemia, (+)hypertension 2. cardiac history: -cabg: none -percutaneous coronary interventions: none -pacing/icd: av ablation in , ppm in social history: patient does report exposure during time in . he states that this could be -tobacco history: -etoh: -illicit drugs: family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: vs: t- 97.9, hr- 63, bp- 116/84, rr- 18, sao2- 97% on ra general: wdwn 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 of 6 cm. cardiac: regular rate and rhythm. no m/r/g. normal s1, s2. no s3 or s4. lungs: cta b/l. good respiratory effort- respirations were unlabored, no accessory muscle use. no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ dp 2+ pt 2+ left: carotid 2+ dp 2+ pt 2+ pertinent results: 05:03pm blood wbc-6.2# rbc-4.27* hgb-13.3* hct-40.0 mcv-94 mch-31.2 mchc-33.3 rdw-13.8 plt ct-276 05:03pm blood pt-12.7 ptt-24.1 inr(pt)-1.1 05:03pm blood glucose-88 urean-19 creat-0.9# na-139 k-4.3 cl-106 hco3-26 angap-11 05:03pm blood calcium-9.0 phos-3.1 mg-2.1 06:11am blood wbc-6.4 rbc-4.53* hgb-13.9* hct-41.6 mcv-92 mch-30.8 mchc-33.5 rdw-13.7 plt ct-279 06:11am blood pt-12.6 ptt-25.2 inr(pt)-1.1 06:11am blood glucose-97 urean-18 creat-0.9 na-140 k-4.1 cl-106 hco3-26 angap-12 06:11am blood calcium-9.4 phos-3.2 mg-2.2 brief hospital course: # rhythm: patient had been having on-going problems with his ppm for previous few months. last week, he was going to have the generator changed in is -v icd when the rv lead was cut at an osh. he is currently pacer dependent with 1 lead working and it was decided it would be best to perform a device exchange/lead extraction--re-implantation. he underwent this procedure on . he had one episode of hypotension sbp 80s during the procedure and was transferred to the ccu post-procedure for closer monitoring. in the ccu the patient's bp increased to his baseline of 90s-110s and he was transferred to the floor on in stable condition. he remained hemodynamically stable thereafter. . # headaches- patient has extensive history of complex migraines. he has also had multiple tias with no resulting neurologic deficits. he has been taking toradol for years whenever he feels an on-coming headache as this is concerning for a possible tia. he had no issues with headache during this admission. . # hyperlipidemia- his home simvastatin 20mg daily was continued medications on admission: 1. verapamil sr- 180mg daily 2. toprol xl- 50mg daily 3. clonazepam- 0.5mg po bid 4. simvastatin- 20mg po daily 5. epinephrine pen- as needed for bee stings 6. toradol prn for headaches discharge medications: 1. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 2. clonazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day). 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 4. verapamil 180 mg tablet sustained release sig: one (1) tablet sustained release po q24h (every 24 hours). 5. ketorolac 15 mg/ml solution sig: one (1) injection q6h (every 6 hours) as needed for migraine for 3 days. discharge disposition: home discharge diagnosis: primary diagnosis: pm replacement lead replacement secondary diagnosis: atrial fibrillation migraine headaches discharge condition: mental status:clear and coherent level of consciousness:alert and interactive activity status:ambulatory - independent discharge instructions: you were admitted to because you needed a pacemaker replacement and repositioning of your pacemaker lead. you underwent a procedure to replace these. your blood pressure was low during the precedure and you were transfered to the ccu for closer monitoring. your blood pressure stabilized while in the ccu and you were transfered to the floor in stable condition. medication changes: 1. please take cephalexin 500mg 4 times a day for the next 6 days. 2. no other changes were made to your medicatons. please continue taking your medications as precribed. followup instructions: provider: clinic phone: date/time: 10:00 procedure: replacement of any type pacemaker device with dual-chamber device replacement of transvenous atrial and/or ventricular lead(s) [electrode] diagnoses: other primary cardiomyopathies unspecified essential hypertension atrial fibrillation other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure hypotension, unspecified atrioventricular block, complete personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits mechanical complication due to cardiac pacemaker (electrode) other forms of migraine, without mention of intractable migraine without mention of status migrainosus other specified personal history presenting hazards to health 

Answer: The patient is high likely exposed to