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: morphine attending: chief complaint: dyspnea major surgical or invasive procedure: left thoracotomy with left ventricular epicardial lead placement times 2 on history of present illness: mr. is a 71 year old man with cardiomyopathy and extensive cardiac history listed below. he has been seeing his cardiologist and lv mapping during which it was felt he might benefit from biventricular pacing. in addition, his current device is "low on battery." he has a baseline dyspnea with low level exersion but not at rest. past medical history: 1. mi/cad (cabg x2; lima-ramus, svg-ladm 28mm ce band in ) 2. chf (echo ef<20%) 3. pacer vvi dccv for wct 4. rf ablation for vtach 5. gout 6. htn 7. hypothyroidism 8. tia 9. recent bronchitis 10.paf social history: mr. lives at home with his wife. is retired. family history: non-contributory physical exam: pulse: 60 resp: 12 o2 sat: 100% ra b/p right artm 135/81 left arm 147/89 general: awake, alert, oriented skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally ; healed sternotomy scar; heart: rrr irregular murmur 3/6 systolic ejection murmur abdomen: soft non-distended non-tender + bowel sounds; extremities: warm , well-perfused no edema, no varicosities neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 1+ left: 1+ carotid bruit right: no left: no discharge vs: 98.6 hr: 66-83 vp bp: 117-155/70-90 sats: 100% ra general: 71 year-old male in no apparent distress heent: normocephalic card: rrr resp: clear breath sounds gi: benign extr: warm no edema incision: left axilla clean, dry intact neuro: awake,alert oriented. pertinent results: date/time: test type: tee (complete) left ventricle - septal wall thickness: *0.5 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *0.5 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *8.6 cm <= 5.6 cm left ventricle - ejection fraction: 15% to 20% >= 55% left atrium: moderate la enlargement. no spontaneous echo contrast or thrombus in the body of the laa. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: normal ra size. a catheter or pacing wire is seen in the ra. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness. severely dilated lv cavity. severely depressed lvef. lv dysnchrony is present. right ventricle: moderately dilated rv cavity. severe global rv free wall hypokinesis. aorta: normal ascending aorta diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets. no as. no ar. mitral valve: bioprosthetic mitral valve prosthesis (mvr). thickened mvr leaflets.. moderate mitral annular calcification. moderate thickening of mitral valve chordae. tricuspid valve: mildly thickened tricuspid valve leaflets. no ts. moderate tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. pericardium: no pericardial effusion. conclusions the left atrium is moderately dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity is severely dilated. overall left ventricular systolic function is severely depressed (lvef=15-20 %). left ventricular dysnchrony is present. the right ventricular cavity is moderately dilated with severe global free wall hypokinesis. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened . there is no aortic valve stenosis. no aortic regurgitation is seen. a bioprosthetic mitral valve prosthesis is present. the prosthetic mitral valve leaflets are thickened. there is moderate thickening of the mitral valve chordae. the tricuspid valve leaflets are mildly thickened. moderate tricuspid regurgitation is seen. there is no pericardial effusion. cxr: : findings: in comparison with the study of , there has been removal of the endotracheal and nasogastric tubes. the swan-ganz catheter also has been removed. continued enlargement of the cardiac silhouette without substantial vascular congestion. the monitoring leads are otherwise intact. there has been substantial clearing of the opacification in the region of the aberrant nasogastric tube. the left chest tube appears to have been removed. no evidence of pneumothorax. some subcutaneous gas is seen along the left lateral chest well. brief hospital course: on mr. a lead placement. please see the operative note for details. he tolerated the procedure well and was transferred in critical but stable condition to the surgical intensive care unit. he was extubated and his chest tubes were removed. he progressed well and was transferred to the step down floor. icd interrogated with normal device funtion. a 7 day course of antibiotics was started . he will follow-up in the device clinic in 1 week. his warfarin was restarted and he will follow-up with his pcp . as an outpatient for further coumadin management. physical therapy saw him and deemed him safe for home. by post-operative day 3 he was ready for discharge to home. all follow-up appointments were advised. medications on admission: allopurinol 300 mg tablet daily digoxin 125 mcg tablet 3x/week - m, wed, fri furosemide 20 mg prn (takes 1-2 times/week based on sob) levothyroxine 100 mcg q am lisinopril 5 mg tablet q pm toprol xl 50 mg tablet alternating with 25 mg daily simvastatin 40 mg daily warfarin 2.5 mg tablet daily - ld - followed by aspirin 81 mg tablet daily discharge medications: 1. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). 3. digoxin 125 mcg tablet sig: one (1) tablet po 3x/week (mo,we,fr). 4. levothyroxine 100 mcg tablet sig: one (1) tablet po qam (once a day (in the morning)). 5. lisinopril 5 mg tablet sig: one (1) tablet po at bedtime. 6. toprol xl 50 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po every other day alternate with 25 mg daily. 7. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 8. warfarin 2.5 mg tablet sig: one (1) tablet po once (once): inr goal 2.0-3.0. 9. furosemide 20 mg tablet sig: one (1) tablet po once a day. 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): take while taking narcotics. 11. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 12. hydromorphone 2 mg tablet sig: one (1) tablet po every hours as needed for pain. disp:*80 tablet(s)* refills:*0* 13. cephalexin 500 mg tablet sig: one (1) tablet po four times a day for 5 days. disp:*20 tablet(s)* refills:*0* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: mitral regurgitation coronary artery disease s/p anterior mi with lv aneurysm complete heart block s/p right sided ppm vt ablation icd () implant via left side with explant of right ppm ischemic cardiomyopathy and congestive heart failure (systolic) atrial flutter s/p ablation atrial fibrillation on coumadin gout embolic cva after boating accident psh cabg/mvr (annuloplasty) complicated by acute renal failure turp discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema discharge instructions: no showering for 1 week or until in device clinic. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 5 pounds, pulling or pushing with your left arm for 6 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** complete the 7 day antibiotic course. followup instructions: provider: clinic phone: date/time: 11:00 please call for an appointment in weeks surgeon: dr. cardiologist: dr. call for a follow-up appointment please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication atrial fibrillation goal inr 2.0-3.0 first draw: wednesday results to dr. . fax: provider: clinic phone: date/time: 11:00 please call for an appointment in weeks surgeon: dr. cardiologist: dr. call for a follow-up appointment please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication atrial fibrillation goal inr 2.0-3.0 first draw: wednesday results to dr. . fax: procedure: other electric countershock of heart insertion or replacement of epicardial lead [electrode] into epicardium diagnoses: anemia, unspecified congestive heart failure, unspecified unspecified acquired hypothyroidism gout, unspecified atrial fibrillation aortocoronary bypass status personal history of tobacco use paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease old myocardial infarction chronic systolic heart failure long-term (current) use of anticoagulants automatic implantable cardiac defibrillator in situ personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits 

Answer: The patient is high likely exposed to