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: vf arrest major surgical or invasive procedure: cardiac catheterization with placement of intubation history of present illness: a 46 yom with pmh htn, hyperlipidemia presented is transfered to s/p vf arrest. according to the report, patient presented to ed clutching his chest, and collapsed in triage. cpr was initiated, initial rhythm was vf he was cardioverted and received epinephrine 1mg, atropine 1mg and lidocaine 250mg (100/50/150), and his rhythm converted to vt and then sinus tach. he was intubated and sedated and transfered to for evaluation for cooling protocol and cath. . on arrival to , he was taken for cardiac cath which showed 40% stenosis of the rca and an occluding thrombus in the left circumflex artery, which was stented with a des. after stenting, patient again had vf arrest, cpr was performed for 10 seconds and he was cardioverted into sinus rhythm and admitted bp: 102/60, hr:75 rr:20 soa2 100% on 100% fio2, assist control at 5 peep and vt 550 frequency of 20. . review of systems is not possible as patient is intubated and sedated. past medical history: past medical history: 1. cardiac risk factors: dyslipidemia, hypertension 2. cardiac history: - cabg: none - percutaneous coronary interventions: no prior - pacing/icd: none 3. other past medical history: - hypertension - hyperlipidemia - obesity social history: - employed in flower delivery - tobacco history: 20 pack year history, currently smoking 1-1.5 ppd - etoh: rarely, <1 drink/week - illicit drugs: wife denies family history: - mother: cad s/p stent at age 75 - father deceased cirrhosis, lung ca - brother alive and well - no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. . physical exam: on admission: vs: t:97.6 bp:117/73, hr:74 rr:20 sao2:100% on 100% fio2 general: middle aged overweight male intubated, eyes open to sternal rub. heent: ncat, pupils 3mm and poorly reactive to light. neck: jvp non elevated cardiac: normal s1, s2. regular rate/ rhythm. no mrg. no thrills, lifts. no s3 or s4. lungs: coarse transmitted inspiratory breath sounds, otherwise ctab, no crackles, wheezes or rhonchi. abdomen: overweight, soft, non distended, no hsm, bowel sounds hypoactive extremities: moving all extremities, no edema. right arterial line in place, at cath site, no erythemia, no eccyhmosis. dorsalis pedis/posterior tibial pulses 2+ bl neuro: 2+ patellar and achilles dtrs. squeezes and releases hands on command, follows command to wiggle toes bl. on discharge: same as above except: general: breathing spontaneously on ra, awake, alert and oriented, following commands. heent: perrl lungs: ctab abdomen: normoactive bs extremities: no arterial line in place neuro: follows all commands, interactive pertinent results: 05:40pm pt-13.6* ptt-94.9* inr(pt)-1.2* 05:40pm plt count-234 05:40pm wbc-32.6* rbc-4.31* hgb-13.6* hct-38.0* mcv-88 mch-31.5 mchc-35.7* rdw-13.5 05:40pm %hba1c-5.6 eag-114 05:40pm albumin-3.8 magnesium-2.0 05:40pm alt(sgpt)-47* ast(sgot)-41* tot bili-0.2 05:40pm estgfr-using this 05:40pm glucose-251* urea n-20 creat-1.0 sodium-138 potassium-4.1 chloride-107 total co2-21* anion gap-14 05:47pm freeca-1.11* 05:47pm hgb-14.3 calchct-43 o2 sat-97 05:47pm glucose-236* lactate-1.5 na+-136 k+-4.1 cl--105 05:47pm type-art rates-/16 tidal vol-550 po2-209* pco2-56* ph-7.24* total co2-25 base xs--4 -assist/con intubated-intubated 07:17pm pt-12.4 ptt-31.8 inr(pt)-1.0 07:17pm albumin-4.1 calcium-8.2* phosphate-2.8 magnesium-2.2 cholest-171 07:17pm ck-mb-33* mb indx-4.9 09:22pm urine bnzodzpn-pos barbitrt-neg opiates-neg cocaine-neg amphetmn-neg mthdone-neg echo : the left atrium is mildly dilated. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with basal to mid inferior and inferolateral hypokinesis. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. ef 45-50%. cxr (while intubated): endotracheal tube tip is at the upper clavicular level, approximately 6 cm above the carina. nasogastric tube extends into the stomach with the side port in the lower esophagus. respiratory motion somewhat degrades the image. there are atelectatic changes at the left base in the retrocardiac area, though no gross evidence of pneumonia or pulmonary vascular congestion. cath report: 1. selective coronary angiography of this right dominant system demonstrated 1 vessel coronary artery disease. the lmca and lad had no angiographically apparent flow-limiting disease. the lcx had total occlusion mid-vessel. the rca had 40% mid-vessel stenosis. 2. limited resting hemodynamics revealed normal systemic arterial pressures. left ventricular end diastolic pressure was mildly elevated at 24 mmhg. there was no aortic stenosis on pullback from the lv to the aorta. inpatient labs: 07:17pm blood %hba1c-5.6 eag-114 03:37am blood triglyc-146 hdl-44 chol/hd-3.7 ldlcalc-88 07:17pm blood tsh-1.6 05:47pm blood type-art rates-/16 tidal v-550 po2-209* pco2-56* ph-7.24* caltco2-25 base xs--4 -assist/con intubat-intubated 01:31pm blood type-art po2-94 pco2-38 ph-7.40 caltco2-24 base xs-0 intubat-intubated 03:47am blood lactate-0.8 05:40pm blood alt-47* ast-41* totbili-0.2 07:17pm blood alt-49* ast-53* ld(ldh)-221 ck(cpk)-674* alkphos-71 totbili-0.3 07:17pm blood ck-mb-33* mb indx-4.9 03:37am blood ck(cpk)-* 03:37am blood ck-mb-125* mb indx-6.4* ctropnt-1.13* 01:18pm blood ck(cpk)-2692* 01:18pm blood ck-mb-104* mb indx-3.9 ctropnt-1.06* 04:30am blood ck(cpk)-* 04:30am blood ck-mb-31* mb indx-1.6 ctropnt-0.94* discharge labs: 08:45am blood wbc-11.5* rbc-4.42* hgb-14.0 hct-38.5* mcv-87 mch-31.6 mchc-36.2* rdw-13.4 plt ct-234 04:30am blood pt-12.8 ptt-25.7 inr(pt)-1.1 08:45am blood glucose-132* urean-17 creat-1.0 na-138 k-4.2 cl-103 hco3-24 angap-15 08:45am blood calcium-9.3 phos-3.7 mg-2.1 urine: 09:22pm urine color-yellow appear-cloudy sp ->=1.035 09:22pm urine blood-lg nitrite-neg protein-25 glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.0 leuks-neg 09:22pm urine rbc-* wbc-0-2 bacteri-few yeast-none epi-0 09:22pm urine amorphx-many caoxalx-few 09:22pm urine bnzodzp-pos barbitr-neg opiates-neg cocaine-neg amphetm-neg mthdone-neg brief hospital course: 46 yom with hypertension/hyperlipidemia admitted s/p ventricular fibrillation arrest with cath showing 40% stenosis rca, and des to l circ and second arrest on cardiac cath table with successful resuscitation. . # ventricular fibrillation arrest: related to poor perfusion of myocardium. s/p successful resuscitation and des (see below). second episode of vf in the cath lab was likely related to reperfusion injury. urine tox negative. remained in sinus throughout rest of admission. started on amiodarone load at osh, not continued at time of discharge. . # coronaries:patient was found to have 1v disease and is s/p des to lcx and cath showed 40% stenosis of rca. initially placed on prasugrel 10 mg daily post-cath and transitioned to clopidogrel 75mg daily at time of discharge for minimum 12 months. asa 325 was started and continued at discharge. atorvastatin 80mg was started and transitioned to simvastatin 80mg at discharge. integrillin drip initially on post-cath, stopped per protocol. metoprolol succinate was titrated up to 75mg daily. pt. was recommended for outpt. cardiac rehab. . # pump: lvef unknown from previous, post-cath tte showed mild regional left ventricular systolic dysfunction with basal to mid inferior and inferolateral hypokinesis and lvef 45-50%. management as above. . # ventilation: patient intubated at admission for airway protection, abg showed respiratory acidosis. will adjust vent settings to increase ventillation frequency to 20 and decrease fio2 to 60%. patient received on fentanyl and versed, transition to propofol, and successfully extubated without complication. ng tube to suction while intubated. . # transitional issues: 1. pt was found to have flat/depressed affect throughout admission but pt's wife reports this as baseline. consider f/u with pcp : depressive sx. 2. pt was recommended for cardiac rehab. he was instructed to call pcp on weekday to schedule appt. and to seek out local cardiologist from pcp . medications on admission: lipitor 10mg daily simvastatin 20mg daily metoprolol xl 25mg daily discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*31 tablet(s)* refills:*2* 2. metoprolol succinate 50 mg tablet sustained release 24 hr sig: 1.5 tablet sustained release 24 hrs po once a day. disp:*45 tablet sustained release 24 hr(s)* refills:*2* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*31 tablet(s)* refills:*11* 4. simvastatin 80 mg tablet sig: one (1) tablet po once a day. disp:*31 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1. st elevation myocardial infarction 2. cardiac arrest discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , you were admitted to our hospital after you were transferred from the in order to undergo cardiac catherization. you had a major heart attack. you had stents placed in the arteries that supply blood to the heart. your heart also went into a dangerous rhythm and stopped temporarily. you were temporarily on a ventilator to help you breathe. you were able to breathe on your own and had no further chest pain. . some of your medications were changed during this admission: start aspirin 325mg daily indefinitely start clopidogrel (plavix) 75mg daily for at least one year increase simvastatin to 80mg daily increase metoprolol succinate (toprol xl) to 75mg daily . only your cardiologist can tell you to stop taking aspirin or plavix (clopidogrel). you must take these medications every day to prevent another heart attack. . you will need outpatient cardiac rehab. dr. discussed this with you. followup instructions: you should call dr. office at on monday to schedule an appointment with him within the next 1-2 weeks and also ask him to refer you to a local cardiologist who you should make an appointment with within the next 2 weeks as well. . you should go to cardiac rehab as you discussed with dr. . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization insertion of endotracheal tube cardiopulmonary resuscitation, not otherwise specified cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: acidosis coronary atherosclerosis of native coronary artery unspecified essential hypertension other and unspecified hyperlipidemia ventricular fibrillation acute myocardial infarction of unspecified site, initial episode of care 

Answer: The patient is high likely exposed to