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: heparin agents attending: chief complaint: vt storm, hypotension major surgical or invasive procedure: icd/pacemaker interrogation av nodal ablation history of present illness: this is a 53yom w/h/o cad s/p mi c/b ischemic cm w/ppm placement for ef 10-15% in , recently had lv lead placement who is txed from osh for vt/vf storm s/p 14 appropriate shocks. he initially presented earlier today w/icd firing x 2 at 12:20am and then at 2:40 am per medical records. he presented to the osh where he was found to be in vt. . at , bp initially 92/61 w/initial o2 sat 9%2lnc, dropped to 88/68 sat 99%5lnc after episode of vfib. amio iv load and drip were started at 340am which terminated vfib, he had repeat episode at 0805am and another amio bolus was administered at 9:50am. mag was repleted. cardiac enzymes were negative x 1 at osh . in our ed, he arrived in vt, he was shocked 100 joules then 150 joules for vt c/b bp in 50s/20s and pt w/ dizzyness. vt persisted and he was started on lido iv; he was sedated and intubated and started on dopamine gtt. neo was started and dopa d/ed after cardiology input. . upon arrival to the ccu, he is on neo and dobutamine. his bp is in the 90's/70s. he is v-paced in nsr. ep was consulted and interrogated his icd which revealed 14 appropriate shocks for vt/vf. past medical history: cad, s/p ami in failed streptokinase thearpy ->salvage angioplasty of proximally occluded lad c/b dissecton of left main and cardiac arrest-> emergent 2v cabg surgery w/svgs to lad and lcx-om cath (no interventions per patient) chf (ef 10-15% in ) dry weight ~135 lbs afib severe mr icd (for ef 10-15%) , implantation of lv lead and changed icd to biv icd . cardiac risk factors: + diabetes, + dyslipidemia, - hypertension . cardiac history: cabg, in anatomy as follows: svg-lad, svg lcx . percutaneous coronary intervention, in ' anatomy as follows: angioplasty of lad as above, no stents . pacemaker/icd placed in social history: social history is significant for the absence of current tobacco use. there is no history of alcohol abuse. family history: there is no family history of premature coronary artery disease or sudden death. physical exam: heent: jvd 3cm above clavicle heart: rrr, no mrg lungs: crackles to midlung bilaterally abd: soft, nt, nd, bs+ ext: 3+ pitting edema of lower extremities, 1+ of upper extremities. 2+ pedal pulses. neuro: a/ox3 pertinent results: cxr since yesterday, bilateral pleural effusion with associated atelectasis slightly decreased. cardiomegaly is unchanged. there is no residual vascular congestion. icd is in unchanged position. head ct w/o contrast 1. no acute intracranial abnormality. 2. small low-attenuation lesion, superficially located in the right frontovertex cortex; while this may represent focal encephalomalacia related to a past ischemic event, a "cortical dimple" associated with underlying focal cortical dysplasia may also have this appearance. cardiac cath 1. one vessel coronary artery disease. 2. patent svg to lad with 90% stenosis distal to touch down. 3. elevated left and right sided filling pressures. 4. normal cardiac index. 5. pulmonary hypertension related to hypoxic vasoconstriction and v/q mismatch 11:20am blood wbc-7.7 rbc-3.64* hgb-11.6* hct-35.0* mcv-96 mch-31.8 mchc-33.1 rdw-13.5 plt ct-127* 07:40am blood wbc-8.1 rbc-3.45* hgb-10.9* hct-32.9* mcv-95 mch-31.4 mchc-33.0 rdw-15.4 plt ct-253 05:29am blood neuts-93.8* bands-0 lymphs-2.8* monos-3.4 eos-0.1 baso-0.1 06:13am blood neuts-81.8* lymphs-12.7* monos-3.1 eos-2.1 baso-0.3 06:13am blood hypochr-1+ anisocy-2+ poiklo-1+ macrocy-2+ microcy-normal polychr-2+ ovalocy-1+ 11:20am blood pt-32.3* ptt-45.2* inr(pt)-3.3* 07:40am blood pt-16.1* ptt-40.2* inr(pt)-1.4* 11:20am blood glucose-297* urean-34* creat-1.8* na-134 k-4.5 cl-103 hco3-21* angap-15 07:40am blood glucose-92 urean-17 creat-1.4* na-138 k-4.6 cl-100 hco3-29 angap-14 08:39pm blood alt-47* ast-63* ld(ldh)-232 alkphos-19* totbili-1.0 07:40am blood alt-143* ast-56* ld(ldh)-394* alkphos-74 totbili-0.8 11:20am blood ctropnt-0.03* 04:26pm blood ck-mb-5 ctropnt-0.07* 12:02am blood ck-mb-6 ctropnt-0.10* 04:13am blood ck-mb-notdone ctropnt-0.06* 04:26pm blood calcium-7.3* phos-2.4* mg-2.3 07:40am blood calcium-8.8 phos-3.4 mg-1.7 03:45am blood vitb12-1140* folate-10.4 06:13am blood hapto-169 06:13am blood tsh-7.3* 06:13am blood t4-8.3 t3-60* free t4-1.8* 08:39pm blood cortsol-20.6* 05:45pm blood hbsag-negative hbsab-negative hbcab-negative hav ab-negative igm hbc-negative igm hav-negative 05:45pm blood psa-5.7* 12:49pm blood hiv ab-negative 06:30am blood vanco-20.6* 05:55am blood digoxin-1.0 11:20am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg brief hospital course: this is a 53yo male with past medical history of coronary artery disease with ischemic cardiomyopathy status post pacemaker placement with recent lv lead placement , who was transferred from outside hospital for vt/vf storm and presented in shock. . problem: # shock: cardiogenic in the setting of vt/vf vs. distributive. presented to our ed w/hypotensions and started on pressors, was weaned off vent and pressors and transferred to floor where he had another episode of vt w/ hypotension and was intubated and transferred back to ccu where he was completely weaned off at time of discharge. no source of infection at this time. he has very poor pump function at baseline (ef of percent), arrhythmia. . # arrhythmia: v-tach/afib w/rvr -- icd in place, vt/vf storm upon presentation, received 14 appropriate shocks over 24 hours. he was shocked externally x 2 in our ed. pt. had 3 separate episodes of vt, the first requiring a shock (200j) along with a bolus of lidocaine and restarting of the lidocaine drip which converted him back to nsr. the second episode of vt resulted in another bolus of lidocaine, intubation due to altered mentation and hypotension, and ep reconfiguring his pacemaker to act at a lower heart rate. he was started on an amiodarone and lodocaine drip and required pressors to maintain blood pressure. his pressors were weaned off and the lidocaine was also weaned off. he remained on an amiodarone drip. he then went into v-tach again and required a shock to go back into sinus rhythm. he was again started on a lidocaine drip and remained on the amiodarone drip. the patient then remained arrhythmia free for a few days, at which point the patient was successfully extubated. his amiodarone drip was discontinued due to elevations in liver enzymes, and the patient was summarily sent to the floor. on the floor, the patient had one instance where he was shocked inappropriately for afib, and then subsequently developed afib with rvr, whereupon he was placed on digoxin. he then developed vt again and was given lidocaine and developed several minutes of tonic/clonic seizures. his rhythm was converted with shock and neuro was consulted for his siezure and said to avoid lidocaine. . # cad/ischemia: s/p cabg; cardiac enzymes have been negative and ekg is relatively unchanged from baseline. unclear etiology of cardiac disease. placed on aspirin and statin. . # left iliopsoas bleed: s/p ecmo catheter placement on thursday . pt recieved total of 4 units of blood for unsable hct; hct has been rising since, and has been stable at low 30's. . # chf: severe ischemic cm ef 10-15%, h/o arrest, severe mr. currently, appears to be euvolemic/hypovolemic. is on heart transplant list since . due to hit positive test, the patient had a serotonin reactive assay done in order to clear him for surgery. the test returned back negative -- however, it was unclear if this meant that he was never hit positive or if he simply was not currently hit positive. in either event, the sugery (lv aneurysmectomy with possible heart transplant) was planned -- however, the patient had an inr in the low 2.0's, and it was decided that the patient could not have surgery unless his inr was decreased to 1.0 to 1.2. despite daily vitamin k both iv and po, and the discontinuing of amiodarone to eliminate a possible source of injury to his liver, the patient remained with an inr between 1.4 to 1.6. as a result, it was decided to push his surgery back a few weeks and allow the patient to go to rehab in the interim. . # renal failure: in the setting of hypotension, shock; unknown baseline cr. likely from hypoperfusion from shock due to heart failure. patient was autodiuresing fairly well throughout his stay, cr. came down to baseline at hospital of 1.3-1.4 prior to discharge. . #seizure: pt. had episode of tonic clonic seizure after recieving lidocaine and this did not recurr after lidocaine was d/c'd. per neuro pt. did not recieve any more lidocaine and had a noncontrast head ct to evaluate for a possible nidus for seizure activity which showed a right frontovertex cortex lesion possibly representing a "cortical dimple". radiology recommended a dedicated mri to evaluate further, but pt. has ppm. neuro did not recommend prophylactic antiepileptic as thought that seizure likely due to hypoxia or lidocaine. medications on admission: coumadin lisinopril 10mg daily asa 81 mg daily zocor 20 mg daily spironolactone 12.5mg daily fenofibrate 500 daily lasix 20mg daily digoxin 0.125 mg daily discharge medications: 1. mexiletine 200 mg capsule sig: one (1) capsule po q8h (every 8 hours). disp:*90 capsule(s)* refills:*1* 2. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 3. guaifenesin 100 mg/5 ml syrup sig: 5-10 mls po q6h (every 6 hours) as needed for cough. 4. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. ipratropium bromide 0.02 % solution sig: one (1) inhalation q6h (every 6 hours). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. carvedilol 12.5 mg tablet sig: two (2) tablet po bid (2 times a day). 9. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). 10. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 11. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). discharge disposition: extended care facility: & rehab center - discharge diagnosis: primary: acute on chronic congestive heart failure ventricular tachycardia atrial fibrillation with rapid ventricular response secondary: coronary artery disease severe mitral regurgitation discharge condition: stable, ambulating, eating, drinking, voiding, and having bowel movements with no complaints. discharge instructions: you were admitted for having an acute onset of an arrhythmia called ventricular tachycardia that was not being adequately taken care of by your pacemaker/internal defibrillator. as a result, you came here where you had many runs of this arrhythmia. the doctors in the pacemaker attempted to alter your device so that it would prevent you from both being shocked inappropriately and from having problems from arrhythmias. you had to be intubated several times for these arrhythmias/shocks. also, a surgery to help correct the defects in your heart, called an aneurysmectomy, was scheduled, along with a possible transplant, but had to be postponed because some of the coagulation levels in your blood were too high. the surgery is now scheduled in a few weeks. in the meantime, please attend both of your appointments, one with dr. , and the other with dr. . please reschedule your appointment with dr. due to it now being on the same day with dr. . additionally, please weigh yourself every morning, md if weight > 3 lbs and adhere to 2 gm sodium diet. followup instructions: 1. dr. , monday, :00 am 2. provider: . phone: date/time: 9:00 procedure: venous catheterization, not elsewhere classified continuous invasive mechanical ventilation for 96 consecutive hours or more combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of endotracheal tube excision or destruction of other lesion or tissue of heart, endovascular approach excision or destruction of other lesion or tissue of heart, endovascular approach suture of vein cardiac mapping transfusion of packed cells suture of artery transfusion of other serum extracorporeal membrane oxygenation [ecmo] artificial pacemaker rate check diagnoses: abnormal coagulation profile coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute and subacute necrosis of liver iron deficiency anemia secondary to blood loss (chronic) coronary atherosclerosis of autologous vein bypass graft hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation other convulsions accidental puncture or laceration during a procedure, not elsewhere classified chronic kidney disease, unspecified paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia acute respiratory failure atrioventricular block, complete methicillin susceptible staphylococcus aureus in conditions classified elsewhere and of unspecified site cardiogenic shock mechanical complication of automatic implantable cardiac defibrillator old myocardial infarction long-term (current) use of anticoagulants ventricular fibrillation cardiac pacemaker in situ surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation awaiting organ transplant status acute on chronic systolic heart failure other alteration of consciousness accidental cut, puncture, perforation or hemorrhage during surgical operation 

Answer: The patient is high likely exposed to