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: penicillins attending: chief complaint: chest pain, mechanical fall, cardiopulmonary arrest. major surgical or invasive procedure: 1) endotracheal intubation. 2) gj tube placement history of present illness: 85 yo m with h/o parkinson's, hypercholesterolemia, htn, now admitted to ccu s/p arrest. per wife, pt woke her up on morning of admission stating that he had been having chest pain, had already taken 6 ntg tablets, but the pain was still present. she states he was also c/o sob. she called ems and the pt was given 162mg aspirin and transported to the ed and was cp free on arrival. cxr showed pulmonary edema and he was given 40mg iv lasix. ecg showed st depressions in v4-v6 but old ecg read from had called the same (actual ecg not able to be obtained). wife gave history that he had sustained several falls recently, the last being 2 days pta when he had tripped over a wire. he was unable to get up and his wife called ems who helped him stand up but he stated he did not want to go to the hospital at that time. she states he had been feeling well since then, eating well with no complaints. . in the ed he was sent for a head ct and before this study was performed he was found unresponsive. pacer pads were placed and he was agonal with a hr of 36. was given 1mg iv epinephrine and rate increased to 164. he was intubated and a r femoral central line was placed. a foley was placed and revealed 50cc urine. he was given 10mg iv lopressor, 25mg po lopressor, and another 80mg iv lasix. another ecg was checked and showed resolution of st depressions in v4-6 and cardiology was called. he was then started on a heparin gtt and given plavix 600mg and sinemet 25/100 via ngt. he was given 2mg ativan iv for sedation and transferred to the ccu. . past medical history: parkinson hypercholesterol htn social history: lives with wife at home. has one grown son who lives in . recently was at the for rehab s/p hospitalization for appendectomy. retured home after 2 week stay, has been doing well per wife. without a cane, although has been considering getting one given recent falls. nurse comes to help at home. no tobacco, no etoh or drugs. retired engineer. . family history: non-contributory physical exam: t 97.2 p 84 bp 114/51 r 15 o2 100 intubated ac tv 600 rr 14 peep 5 fio2 50% gen: intubated, sedated. neck: jvp to 6 cm, no bruit lungs: anteriorly diffusely rhonchorous heart: rr s1s2 no mmru abd: flat, nt, nd, no bowel sounds heard extremities: + pitting edema greater on r, dp pulses not palpable. neurol: some spontaneous movement of extremities. some response to voice. responds to pain. reflexes nl in ue, dampened upgoing toes bilaterally. . pertinent results: admission labs: ph 7.36 pco2 43 po2 325 hco3 25 basexs -1 . na 147 cl 110 bun 25 glu 117 agap=15 k 3.8 hco3 26 cr 1.5 . ck: 58 mb: notdone trop-*t*: 0.18 . ptt: 25.2 inr: 1.2 . wbc 8.0 hct 27.8 plts 349 n:81.6 l:13.6 m:4.5 e:0.3 bas:0 . labs on discharge: sodium: 140; potassium: 4.2; cl: 102; bicarb: 25; bun 59; cr: 1.9; glu: 123 ca: 9.2; mg: 2.3; ph: 5.6; wbc: 10.9; hct: 34.1; plt: 349; mcv: 82 . other labs: : iron 18; tibc: 127; vit b12: 704; folat 10.8; ferritin 286 ____________________________________ imaging: ekg: at code nsr, st depressions in i avl, v2-v6, elevation in v1. after code st depressions appear to resolve, as does the elevation in v1 . cxr: 1. endotracheal tube in a standard position. 2. continued moderate congestive heart failure. 3. bibasilar opacities, which could represent asymmetric pulmonary edema, atelectasis, or possible aspiration. . echo: the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is moderate regional left ventricular systolic dysfunction with near akinesis of the apex and hypokinesis of the disal half of the inferolateral wall. tissue velocity imaging e/e' is elevated (>15) suggesting increased left ventricular filling pressure (pcwp>18mmhg). right ventricular chamber size is normal. there is focal hypokinesis of the mid-apical free wall. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild 1+) mitral regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is a small-moderate circumferential pericardial effusion most prominent anterior to the right ventricle (1.3cm) without evidence for hemodynamic compromise. echocardiographic signs of tamponade may be absent in the presence of elevated right sided pressures. . impression: regional left ventricular systolic dysfunction c/w cad. mild aortic stenosis. mild-moderate pericardial effusion. pulmonary artery systolic hypertension. . cardiac cath: 1. selective coronary angiography showed a right dominant system with three vessel disease. the lmca was without flow limiting stenoses angiographically. the lad was diffusely diseased and had a 60% stenosis at d1. d1 had an ostial 80% stenosis. the lcx was diffusely diseased with a proximal 70-80% stenosis. om1 had a 70% stenosis. the rca was the dominant vessel, diffusely diseased witha proximal 70-80% stenosis. 2. limited resting hemodynamics showed mild pulmonary hypertension (pa mean 27 mmhg). the right and left sided filling pressures were mildly elevated (lvedp 17 mmhg, rvedp 12 mmhg). the cardiac output was preserved (co 6.6 l/min, ci 3.4 l/min/m2). there was a peak-to-peak gradient of 7 mmhg across the aortic valve upon pull back of the catheter from the left ventricle into the aorta. final diagnosis: 1. three vessel coronary artery disease. 2. mild left and right ventricular diastolic dysfunction. 3. mild pulmonary hypertension. . perc g/j tube check study date of 7:33 am reliminary report: 14 french gastrojejunostomy catheter was placed with tip in the jejunum. feedings can commence in 24 hours which would be at approximately 6 p.m. on . the ng tube should be kept in situ until noon on , and should be placed to suction. the patient has a hiatus hernia with gastroesophageal reflux and therefore a gastrojejunostomy catheter was placed. brief hospital course: briefly, this is a 85 year-old man with history significant for p.d., htn who presented on with chest pain. per ccu, patient was taken to the ed where cxr showed pulmonary edema. he was given lasix. ecg showed lateral st depressions. he had also had several falls recently, so in ed taken for head ct. in the rads suite, found unresponsive and bradycardic. he was given epi (hr>>160s) and intubated. he was also started on heparin gtt and loaded with plavix for concern of acs. subsequently, he was taken for cath which showed 3 vd. no intervention was performed and pt was deemed a poor surgical candidate for cabg, so decision was to medically manage his cad. his arrest for felt secondary to hypoxia from chf +/- aspiration pneumonia. he was started on levo/flagyl (vanco for brief period) and diuresed. extubated on . he has had several episodes of acute pulmonary edema since then that have responded to lasix, and several episodes of angina that respond to nitrates. his current issue is dysphagia after extubation. he failed swallow studies and had a ngt for feeding and meds. while he was awaiting for his peg placement he was off plavix for one week. . the following issues were addressed after transfer to floor: 1) recent chest pain. patient with cardiac catheterization showing 3 vessal coronary artery disease, not cabg candidate, being medically managed. patient was maintained on aspirin, zocor, ace, and bb, and later while waiting for his peg he was on iv metoprolol. plavix was held while patient was awaiting peg placement and re-started after gj placed (asa also restarted). patient remained hemodynamically stable on the floor. patient had eposides of chest pain. all of these episodes were relieved with sl nitro and revealled no significant changes on ekg, or cardiac enzyme elevations. . 2) congesitve heart failure/edema initially, patient was diuresed gently with lasix 100mg po bid, and later lasix 50 mg iv bid. patient with depressed ef on recent echo, and measurements consistent with diastolic dysfunction. he was managed with imdur and metoprolol initially, and while waiting for peg he was on hydralazine 10 iv q6h and metoprolol 5 mg iv q6h. after gj tube placed, he was restarted on meds through the gj such as ace, isosorbide ., lasix, and metoprolol. . 3) dysphagia: patient was evaluated by the speech and swallow team after extubation, and was found to be at high risk for aspiration events; he failed 3 speech and swallow evaluations. peg was recommended for feeding. given recent administration, peg tube placement was delayed until plavix cleared system. g/j tube (instead of peg) was placed on . patient will have follow-up with speech and swallow to determine duration that tube will be in place. 4) anemia: patient was guaiac negative, iron studies consistent with mixed iron deficiency/chronic anemia picture. patient was managed with ferrous gluconate. hematocrit remained stable. . 5) parkinson's disease: continued sinemet. . 6) f/e/n: patient was administered tpn via dobhoff. patient had pulled out ng tube twice while in ccu and again while on the floor. placement was re-attempted but patient refused, finding it very uncomfortable. per discussion with patient and attending, it was decided that essential medications would be administed through peripheral iv, and ppn was given in interim while awaiting peg. tube feeds began once gj in place, per nutrition recs. one episode of diarrhea () occurred, which is likely due to tube feeds. if continues, pt. should have c. difficle checked, as he was on abx. . 7) pneumonia: completed 7 day course of levo/flagyl. . 8) ppx: pt. on sc heparin and ppi. bowel regimen started as well. . 9) full code . 10) dispo: medications on admission: 1. isosorbide 30mg qam 2. hctz 12.5mg qam 3. lisinopril 40mg qam 4. asa 81mg qam 5. felodipine 10mg qam 6. lopressor 25mg 7. plavix 75mg qam 8. sinemet carbidopa-levodopa 25-100 mg one tablet tid 9. k-dur 20meq 10. zocor 10mg qhs discharge medications: 1. acetaminophen 325 mg tablet sig: 1-2 tablets po q 4-6 hrs prn as needed: prn pain, fever. through gj tube. 2. polyvinyl alcohol-povidone 1.4-0.6 % dropperette sig: drops ophthalmic prn (as needed). 3. lansoprazole 30 mg susp,delayed release for recon sig: one (1) po daily (daily): through gj tube. 4. aspirin 325 mg tablet sig: one (1) tablet po daily (daily): through gj tube. 5. isosorbide dinitrate 20 mg tablet sig: two (2) tablet po tid (3 times a day): please put through gj tube and dose at 8:00 a, 12:00 p, and 16:00 pm (for a nitrate free interval). hold for sbp < 90. 6. furosemide 40 mg tablet sig: 2.5 tablets po bid (2 times a day): through gj tube. 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po twice a day: through gj tube. please hold for hr < 50 and/or sbp < 90. 8. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily): through gj tube. 9. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily): through gj tube, please hold for sbp < 95. 10. carbidopa-levodopa 25-100 mg tablet sig: one (1) tablet po tid (3 times a day): through gj tube please. 11. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily): through gj tube please. 12. senna 8.8 mg/5 ml syrup sig: five (5) ml po bid prn as needed: prn constipation. 13. calcium carbonate 500 mg/5 ml suspension sig: one (1) po tid w/meals (3 times a day with meals): through gj please. 14. docusate sodium 100 mg tablet sig: one (1) tablet po twice a day: through gj please. 15. ferrous gluconate 300 mg tablet sig: one (1) tablet po once a day: through gj tube. discharge disposition: extended care facility: - discharge diagnosis: 1) hypoxic respiratory failure 2) congestive heart failure 3) failed speech and swallow evaluation 4) parkinson's disease 5) hypertension 6) coronary artery disease 7) pneumonia discharge condition: stable, afebrile discharge instructions: 1. take all medications as prescribed. a number of changes have been made to your regimen 2. make all follow-up appointments 3. if you develop chest pain, fevers, chills, nausea, vomiting, or any other concerning signs/symptoms, contact your healthcare provider or report to the emergency department followup instructions: please follow-up with dr. in days procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified combined right and left heart cardiac catheterization coronary arteriography using two catheters parenteral infusion of concentrated nutritional substances insertion of endotracheal tube enteral infusion of concentrated nutritional substances percutaneous [endoscopic] gastrojejunostomy diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension paralysis agitans acute respiratory failure pneumonitis due to inhalation of food or vomitus iron deficiency anemia, unspecified hyperosmolality and/or hypernatremia 

Answer: The patient is high likely exposed to