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: patient recorded as having no known allergies to drugs attending: chief complaint: shortness of breath x 1 month major surgical or invasive procedure: cypher stent to left main coronary artery, taxus stent to proximal lad with 2 overlapping bare metal stents to mid and proximal lad on history of present illness: the patient is an 84 year old ex-smoker (2 ppd x 40 years) with a history of cad s/p cabg (svg->rca, lad) in , chf ef 20%, hypertension post aaa repair, and cri who presented to hospital on with the chief complaint of shortness of breath and dyspnea on exertion x 1 month. the patient complained of no chest pain, nausea, vomiting, or diaphoresis. nor did he complain of any jaw pain, left arm, epigastric or back pain. he had noted increased lower extremity edema x 5 weeks and a 10 pound weight gain in the past 1 month but denied any orthopnea. he noted decreased exercise tolerance with difficulty climbing one flight of stairs in his house which is different than his baseline where he has no difficulty with one flight. at home, he states he had been compliant with his home medications. he was taking lasix x 3 days alternating with hctz for 4 days. he states he has adhered to a low salt diet at home. at , he was found to have a bnp of 3280, ck-mb 18 and a troponin of 9.18 with pulmonary edema on cxr and twvi in i, ii, iii and v3-v6. his sbp was 119/61 with a pulse of 73. he had an echo which showed an ef of 20% with mild mr with moderate pah. his apex and mid-distal septal wall and mid-distal inferior walls were akinetic and the anterior wall was akinetic. trace ar with mild dilatation of the ascending aorta. pap 45 mm hg with dilated, hypocontractile rv. he also underwent a vq scan with low probability for pe and a negative leni of the rle. the patient was transferred for cath on on heparin gtt, atenolol 50 mg qd, aspirin 81 mg, kcl 20 meq and lasix 40 mg iv bid. his cath was significant for: : lmca 80% ostial lad 80% ostial, 95% proximal, 70% mid occlusion lcx one major om patent rca 100% ostial svg single proximal aortic anastomosis aortic calcification with bifurcating graft to rca occluded and limb to lad with two serial "ugly" thrombotic lesions lima - not utilized during surgery small vessel lvedp 44 mm hg pa 52/22 co 4.59 ci 2.20 ra 10 rvedp 15 in the cath lab, the patient received integrillin, 40 mg iv lasix, plavix, and 1/2ns. past medical history: cad s/p cabg at nedh (svg->distal rca, lad) htn aaa repair hl cri (baseline creatinine unknown; 1.5 at ) bilateral total hip replacement (left twice, right once) s/p cholecystectomy social history: quit smoking 28 years ago, smoked 2 ppd x 44 years. denies etoh. multiple tattoos. he is married and lives with his wife. has 4 children. family history: noncontributory. physical exam: tc=98.2 p=59 bp=112/74 rr=25 99%o2 on ra gen- nad, aox3, mildly obese male heent - 10 cm jvd, perla, eomi, mmm heart - grade soft ii/vi holosystolic murmur best heard at apex, regular rate and rhythm lungs - ctab anteriorly abdomen - soft, nt, nd + bs, no hepatosplenomegaly/bruits ext - right groin no hematoma, +1 femoral pulse with no bruit, +1 d. pedis, +1 pitting edema to knees bilaterally pertinent results: 08:38pm glucose-183* urea n-45* creat-1.6* sodium-136 potassium-3.8 chloride-89* total co2-39* anion gap-12 08:38pm ck(cpk)-115 08:38pm ck-mb-5 ctropnt-3.06* 08:38pm calcium-7.7* phosphate-4.6* magnesium-1.7 08:38pm wbc-11.1* rbc-4.00* hgb-12.1* hct-35.6* mcv-89 mch-30.1 mchc-33.9 rdw-14.7 08:38pm plt count-192 08:38pm pt-14.0* ptt-30.9 inr(pt)-1.2 04:16pm ck(cpk)-102 04:16pm ck-mb-5 ctropnt-2.95* 03:44pm type-art o2 flow-2 po2-62* pco2-60* ph-7.45 total co2-43* base xs-14 intubated-not intuba comments-nasal 03:44pm glucose-133* k+-3.5 03:44pm o2 sat-92 brief hospital course: the patient is an 84 year old male with a history of cad s/p cabg (svg->rca, lad), chf ef 20%, htn s/p aaa repair, significant tobacco history and hl, and chronic renal insufficiency (baseline cr unknown) who presented on with nstemi with peak troponin of 9.18 now s/p cath with des to lad and lmca the patient was continued on aspirin, plavix 75 mg x 9 months post pci, integrillin 18 hours post cath, and simvastatin 40 mg. his atenolol 50 mg qd was changed to lopressor 50 mg tid with good effect. the patient's bp remained well-controlled on lopressor 50 mg tid. an ace would be beneficial for cardiac remodeling, however, given his rising creatinine, an ace was not initiated at this time. patient has history of chf with ef of 20%.the patient appeared overloaded on presentation. he is not on an ace. we gave him another 40 mg iv lasix x 1 on transfer to the ccu, he received 40 mg iv lasix in the cath lab and was transferred from on lasix 40 mg iv bid. he takes lasix 40 mg qd x 3 days (per patient) and hctz 50 mg x 4 days (per patient) at home for the past 2 weeks. he diuresed well to lasix 80 mg iv and then stablized on lasix 40 mg qd. his baseline creatinine is unknown, it was 1.6 (1.5 at osh)on presentation. it rose to 2.2 with aggressive diuresis. he was doing well post cardiac catheterization until the early morning of . he suddenly went into ventricular fibrillation. code was called and was fully ran. he was defibrillated 10 times with no restoration of regular pulse. patient was intubated. he also recieved epinephrine, atropine, magnesium and calcium when central access was established. echocardiogram was performed at the bedside and no pericardial effusion was found. the code was ran for about 30 minutes. family member and the attending were called. family member denied post mortem. discharge disposition: home discharge diagnosis: non-st elevation myocardial infarction congestive heart failure chronic renal insufficiency discharge condition: passed away procedure: insertion of non-drug-eluting coronary artery stent(s) injection or infusion of platelet inhibitor transfusion of packed cells cardiopulmonary resuscitation, not otherwise specified insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute kidney failure, unspecified coronary atherosclerosis of autologous vein bypass graft other chronic pulmonary heart diseases hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease cardiac arrest unspecified disorder of kidney and ureter ventricular fibrillation 

Answer: The patient is high likely exposed to