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: iodine attending: chief complaint: hortness of breath major surgical or invasive procedure: cardiac catheterization with bare metal stent to left circumflex artery history of present illness: 61 year old male with a history of hypercholesterolemia, cad s/p mi in s/p stent x3 (2 lad, 1 d2)with 2 separate caths, chf (ef 20-30%), and non-sustained vt s/p icd who presents with shortness of breath. patient reports that he has been feeling more sob for the past 2 weeks and this morning he was feeling fine and decided to go golfing. before starting he developed acute sob and some chest pressure. denied n/v but had some palpitations. his icd did not fire. on route to the ed he complained of some right arm pain which he reports is his anginal equivalent. denies orthopnea or pnd and says that he has been taking all of his medications but has not been following a low salt diet recently. of note his sbp was 106 this am and he says it is normally around 95. he reports no change in his weight and says that his dry weight is around 150 lbs. he denies any chest pain on exertion but says he is unable to walk more than 30 yards as he develops le pain. he had arterial dopplers of his le rest and exercise which were normal. he also reports that he has been having black stools for 2 weeks and occasional brigt red blood and pain on defecation when having hard bm. his last colonscopy was which showed grade 2 internal hemorrhoids otherwise normal colonoscopy to cecum. denies dysuria, nocturia, some increased urgency since being on lasix. denies fevers, chills,dizziness, cough, palps. in the ed he recieved lasix 80mg iv, morphine, nitro gtt, heparin gtt with bolus. he was put on bipap and was attempted to be weaned but sats dropped into 80's and was set to ccu for management of chf. past medical history: 1)anterior stemi : 2 stents to the lad, and had angioplasty x 2 (2 separate caths) as the diagonal restenosed within days after the first angioplasty. 2)bronchitis 3)hypercholesterolemia 4) chf - ef 20-30%, 1+mr, 2+tr, apical akinesis, hypokinesis of most of lv, mild symmetric left ventricular hypertrophy 5) s/p icd and pacer social history: married, lives with wife, works in maintenance for the court system but has not yet returned to work. smoked 1.5 ppd for 40 years, quit on last admission in . family history: paternal gm with mi age 54 paternal gf with mi age 58 father with mi age 58 uncle with mi age 46 physical exam: bp 108/73 hr 75 r 20 o2 sats 100% on bipap, 1400 cc out after lasix 80 mg ivx1 gen: nad, lying in bed breathing with bipap heent: perrl, jvp to angle of jaw neck: no carotid bruits lungs: bilateral crackles way up lung fields cv: rrr, nl s1/s2, no m/r/g abd: soft, nt/nd, normal bs extr: no c/c/e, dp 1+ bilat neuro: aaox3 guaiac: negative but difficult to get good specimen secondary to pain on exam pertinent results: 10:00am blood wbc-5.0 rbc-3.59* hgb-10.7* hct-34.1* mcv-95 mch-29.9 mchc-31.5 rdw-15.1 plt ct-328# 02:02am blood wbc-6.3 rbc-3.02* hgb-9.2* hct-27.0* mcv-89 mch-30.6 mchc-34.3 rdw-15.0 plt ct-269 06:05am blood wbc-4.3 rbc-3.43* hgb-10.4* hct-30.2* mcv-88 mch-30.5 mchc-34.6 rdw-15.8* plt ct-266 06:45am blood wbc-7.0 rbc-3.56* hgb-10.5* hct-32.6* mcv-92 mch-29.5 mchc-32.2 rdw-15.2 plt ct-252 06:35am blood wbc-5.8 rbc-3.39* hgb-10.0* hct-31.0* mcv-92 mch-29.6 mchc-32.3 rdw-15.0 plt ct-236 10:00am blood neuts-49.7* lymphs-36.8 monos-6.5 eos-6.0* baso-1.0 10:00am blood pt-19.5* ptt-30.2 inr(pt)-2.5 06:45am blood pt-15.8* ptt-48.9* inr(pt)-1.7 05:25pm blood plt ct-307 10:00am blood glucose-161* urean-17 creat-1.0 na-139 k-4.8 cl-102 hco3-22 angap-20 06:35am blood glucose-96 urean-13 creat-0.9 na-139 k-4.2 cl-104 hco3-26 angap-13 10:00am blood ck(cpk)-185* 04:08pm blood ck(cpk)-151 08:24pm blood ck(cpk)-137 02:02am blood ck(cpk)-108 01:01am blood ck(cpk)-401* 06:45am blood ck(cpk)-420* 03:49pm blood ck(cpk)-297* 06:35am blood ck(cpk)-127 10:00am blood ck-mb-5 10:00am blood ctropnt-<0.01 04:08pm blood ck-mb-6 ctropnt-0.01 08:24pm blood ck-mb-5 ctropnt-0.02* 02:02am blood ck-mb-4 ctropnt-0.02* 03:00pm blood ck-mb-2 ctropnt-<0.01 01:01am blood ck-mb-68* mb indx-17.0* ctropnt-1.30* 06:45am blood ck-mb-70* mb indx-16.7* ctropnt-2.38* 03:49pm blood ck-mb-38* mb indx-12.8* 06:35am blood ck-mb-11* mb indx-8.7* 10:00am blood calcium-9.7 phos-4.0 mg-1.9 04:08pm blood caltibc-384 ferritn-139 trf-295 10:00am blood digoxin-0.5* . cxr:findings: the heart is within normal limits in size. the mediastinal contours appear unremarkable. there is a left-sided pacemaker with single electrode in unchanged position. in comparison with , there is development of diffuse bilateral interstitial opacities and probable slight prominence of the upper zone pulmonary vasculature. in addition, there is increase in hazy opacity within the right lower lung. no pleural effusion and no pneumothorax. the osseous structures appear unchanged. impression: 1. interval development of pulmonary vascular congestion. 2. focal opacity in the right lower lung, suggestive of developing pneumonia. repeat radiography after treatment is recommended . cxr: comparison with the prior chest x-ray shows considerable improvement in the appearance of the failure over the past 24 hours with some residual changes in the right lung. there are no other significant alterations in the appearance of the chest. . cardiac catheterization: 1. selective coronary angiography revealed angiographic evidence of two vessel cad. the lmca was normal. the lad had good flow and all stents were patent. the d1 and d2 were patent. the lcx was chronically occluded. the rca had moderate disease with a 40% proximal lesion. 2. hemodynamic evaluation revealed elevated filling pressures with mean pcwp of 21mm hg. there was borderline pulmonary hypertension with mean pressure of 27mmhg. the cardiac output and index were preserved. 3. a saturation run revealed a step up from svc of 59% to pa of 66%. the patient is known to have an asd. formal shunt fraction calculation was not done as no arterial sat was drawn. 4. successful pci of the cto lcx with three overlapping minivision stents (2.5 x 23 mm, 2.5 x 28 mm, and 2.0 x 28 mm). brief hospital course: 61 yo male with h/o cad s/p mi in s/p stent x3 (2 lad, 1 d2), chf (ef 20-30%), and non-sustained vt s/p icd who presents with acute shortness of breath and chest pressure . 1. chf: patient has ef of 20-30% on echo from and had been non-compliant with his diet. chest x-ray revealed decompensated heart failure. in the ed he required bipap and was attempted to be weaned but dropped his sats to the 80's. he was started on heparin drip, nitro drip, morphine and given lasix 80 mg iv. cxr revealed decompensated heart failure. he was diuresed and his oxygen requirement decreased significantly by the second hospital day with improvement on chest x-ray. he was ruled out for mi with enzymes and was continued on his and bb and given iv lasix for diuresis. hi coumadin was held given that he was planned to go to cath. he was transferred from the ccu to the floor where he remained stable on room air. however given his pain on admission and the degree of his cad, he was taken to cardiac catheterization. his coumadin was held during this time and was the restarted after catheterization his inr was 1.5 at discharge and will be monitored closely as an outpatient with a goal of . 2. cad: patient is s/p stents x3 in now presenting with shortness of breath and his anginal equivalent. cath showed chronic occlusion of the left circumflex-om and 3 overlapping minivision stents were placed. after the catheterization he had only mild chest discomfort but his enzymes ruled him in for mi. this was felt to be secondary to ischemia from instrumentation of left circumflex. the patient soon was pain free, satting well. his aspirin, statin, plavix, bb and were all continued and he was restarted on coumadin as above for his apical akinesis. 3. gi: patient reports having melena x 2 weeks. his colonoscopy showed internal hemorrhoids 2/. he was started on a ppi and his stools were guaiac negative. he will follow up for an outpatient colonoscopy and egd. 4. hypercholesterolemia: continued on statin. . 5. anemia: patient's baseline hct 30. given his recent melena his hct was closely monitored and iron studies were checked. his hct remained stable and his iron studies were within normal limits except for a low iron. he was started on ferrous sulfate for iron deficiency anemia. - medications on admission: medications on admission: aspirin 325 mg qd lipitor 80 mg po qd plavix 75 mg qd digoxin 0.125 mg qd coreg 3.125 mg qd aldactone 12.5 mg qd cozaar 25 mg qd lasix 10 mg qd coumadin 5mg 6 days, 2.5 mg sunday albuteral inh ipratropium inh . discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). 4. carvedilol 3.125 mg tablet sig: one (1) tablet po once a day. 5. spironolactone 25 mg tablet sig: 0.5 tablet po daily (daily). 6. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 7. warfarin sodium 5 mg tablet sig: one (1) tablet po hs (at bedtime). 8. losartan potassium 25 mg tablet sig: one (1) tablet po daily (daily). 9. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. lasix 20 mg tablet sig: 0.5 tablet po once a day. 11. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q6h (every 6 hours) as needed. 12. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). discharge disposition: home discharge diagnosis: 1. decompensated chf 2. coronary artery disease s/p stent to lcx discharge condition: chest pain free, no shortness of breath, afebrile discharge instructions: if you have any chest pain, shortness of breath, palpitations, abdominal pain or any other concerning symtoms you should call your doctor or go to the mergency room. you should weight yourself every day. if your weight increases by more than 3 lbs you should call your doctor. your should restrict your fluid intake to 1.5 liters and maintain a low sodium diet (2 grams). check your blood pressure every morning and if your systolic blood pressure is <90, do not take the coreg and call your cardiologist. take coumadin 5 mg each night until you have your inr checked next week (the inr on day of discharge was 1.6) followup instructions: please make an appointment to follow up with dr. in weeks, (. you should make an appointment with your primary doctor in weeks. you should discuss having a colonoscopy as you were found to have an iron deficiency anemia. continue you have you inr checked at . you should have it checked sometime next week. dr. will follow up the results. procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor non-invasive mechanical ventilation transfusion of packed cells automatic implantable cardioverter/defibrillator (aicd) check diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension other pulmonary insufficiency, not elsewhere classified chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified percutaneous transluminal coronary angioplasty status other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia old myocardial infarction long-term (current) use of anticoagulants iron deficiency anemia, unspecified cardiac pacemaker in situ acute myocardial infarction of unspecified site, initial episode of care combined systolic and diastolic heart failure, unspecified examination of participant in clinical trial fitting and adjustment of automatic implantable cardiac defibrillator encounter for therapeutic drug monitoring 

Answer: The patient is high likely exposed to