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: plavix / roxicet attending: chief complaint: osh transfer for possible cath major surgical or invasive procedure: left heart catheterization with selective coronary angiography. ablation. history of present illness: 60m with cad s/p omnilink bare metal stent to mid-rca , ef 32%. presented this afternoon to after two episodes cp overnight (3:30am, 5am). took 1 sl ntg for each with resolution of his symptoms, and went to the er. in the er, vss: t 98.0f, bp 125/85 hr 77, rr 20, sao2 97% ra. he was given lopressor 2.5mg iv. initial osh labs were significant for ck 312(4), trop 0.01. hct 52.4, plt 319, inr 1.3 (on coumadin), k 3.9, gluc 106. transferred to by dr. for possible cardiac catheterization. . on arrival to , he stated that he has not had additional episodes of chest pain since this am. he usually has episodes about every 2 weeks but the episodes have been more frequent over the past week and has had three other episodes this past week. his chest pain awoke him from sleep at 3:30 and then 5:00 this am and he described the pain as radiating across his chest. he also had "the sweats" at the time and felt dizzy. each episode lasted 10 minutes and was relieved by ntg. . note: approx. 1 hour after arriving to the floor, he began to flip in and out of vt. his blood pressure was stable throughout the episode and he appeared to flip out with valsalva but immediately went back in. the episodes lasted 30 seconds to 1 mins. amio bolus and drip was started and the runs of vt stopped but he continued to have ectopy. he was asymptomatic throughout, although scared. . ros: no pnd, +/- orthopnea (doesn't like to sleep flat) but hasn't increased the number of pillows. no f/c/n/v. no abd pain/const/diarrhea. no dysuria. no cold sx. past medical history: cad: s/p mi chf: ef 32% on cath af s/p cv . inr 1.9, coumadin switched to 4mg mwf, 5mg other nights. hypertension hyperlipidemia osa (he denies, no snoring) bph s/p prostate resection h/o le superficial thrombophlebitis . psurgh: prostate resection double hernia repair social history: currently smokes 2.5 ppd x 24 yrs. denies etoh or illicit drug use. lives with wife and brother-in-law. now retired but last worked at the tree shop. lives a sedentary lifestyle. family history: father died of cirrhosis etoh. mom an who had chf. brother died of a brain aneurysm. physical exam: vitals: t: 95.5 p: 74 bp: 97/56 r: 15 sao2: 97% on 3l general: dishevelled; obese. awake, alert, nad. heent: nc/at, perrl, eomi without nystagmus, no scleral icterus noted, mmm, very poor dentition neck: supple, no jvd appreciated, no carotid bruits appreciated pulmonary: lungs cta bilaterally cardiac: irreg irreg, nl. s1s2, no m/r/g noted abdomen: obese, soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted. extremities: bilat le edema 1+ to mid shins, 2+ radial and dp pulses bilaterally. pt pulses non-palpable lymphatics: no cervical, supraclavicular lymphadenopathy noted. skin: no rashes or lesions noted. neurologic: -mental status: alert, oriented x 3. able to relate history without difficulty. -cranial nerves: ii-xii intact -strength 5/5 in upper and lower extremities bilaterally pertinent results: ekg: atrial fibrillation. left anterior fascicular block. poor r wave progression could be due to left anterior fascicular block but also consider old anterior wall myocardial infarction. t wave inversions in leads v4-v6 suggest myocardial ischemia. . cath: comments: 1. selective coronary angiography revealed a right dominant system with patent lmca, minimal disease in the lad and lcx vessels and widely patent rca stent with 30% lesion distal to the stent. 2. left ventriculography showed a moderatedly depressed ejection fraction of 37% with global hypokinesis. 3. limited hemodynamic assessment showed normal systemic aortic pressure and lvedp. . tte: impression: regional left ventricular systolic dysfunction with ef 30-35% and moderate to severe regional left ventricular systolic dysfunction with septal, anterior, and inferior hypokinesis. moderate symmetric lvh with mildly dilated lv cavity. elevated lv filling pressure. mild mitral regurgitation. . tee: the left atrium is mildly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. lv systolic function appears depressed. regional left ventricular dysfunction is present with basal-to-mid inferior hypokinesis. there are simple atheroma in the aortic arch and the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. impression: no left atrial or left atrial appendage thrombus. mild mitral regurgitation. compared with the report of the prior tee study (images reviewed) of , trace aortic regurgitation is now seen. . cxr: an endotracheal tube is positioned 5 cm above the carina. there is a new dense air space consolidation involving the left lower lung zone. fullness in bilateral hila is concerning for underlying adenopathy. the right lung is clear. the surrounding soft tissues are unchanged. impression: 1. endotracheal tube in good position at the thoracic inlet. 2. new left lower lung dense airspace consolidation, concerning for pneumonia. follow-up status post treatment to exclude an underlying mass lesion. . cxr: since , trachea has been extubated. lung volumes are normal. lungs are now clear. previous opacification in the left upper lobe is due to atelectasis. mild cardiomegaly is longstanding, probably unchanged since . no pleural effusion. . labs: 09:32pm blood wbc-10.1 rbc-5.28 hgb-16.3 hct-47.7 mcv-91 mch-30.8 mchc-34.1 rdw-13.2 plt ct-300 08:00am blood wbc-9.8 rbc-4.54* hgb-14.5 hct-41.5 mcv-91 mch-31.9 mchc-34.9 rdw-13.2 plt ct-244 09:32pm blood pt-14.7* ptt-25.5 inr(pt)-1.3* 08:00am blood pt-14.5* ptt-86.5* inr(pt)-1.3* 09:32pm blood glucose-136* urean-14 creat-1.0 na-139 k-3.9 cl-106 hco3-22 angap-15 08:00am blood glucose-142* urean-11 creat-1.0 na-139 k-3.9 cl-104 hco3-26 angap-13 08:00am blood calcium-9.5 phos-3.1 mg-2.2 . cardiac enzymes: 09:32pm blood ck(cpk)-233* 01:48am blood ck(cpk)-187* 01:45am blood ck(cpk)-154 05:44am blood ck(cpk)-139 09:32pm blood ck-mb-4 ctropnt-<0.01 01:48am blood ck-mb-4 ctropnt-<0.01 01:45am blood ck-mb-3 05:44am blood ck-mb-3 brief hospital course: mr. is a 60 year old male with a history of cad, ischemic cardiomyopathy (ef 37% 07/05), htn, afib who presented with chest pain concerning for unstable angina. while being admitted to the floor, he had several episodes of asymptomatic sustained ventricular tachycardia and was transferred to ccu care. . #) cardiac: rhythm: a) sustained asymptomatic vt: monomorphic vt with an uncertain etiology but ddx included significant structural heart disease (eg, coronary heart disease with prior myocardial infarction, dilated cardiomyopathy, or hypertrophic cardiomyopathy). patient describes several episodes of cp with dizziness leading up to hospitalization, and of note, his lisinopril was recently discontinued secondary to dizziness and what was thought to be hypotension. concern that this could have been episodes of arrythmias as well. . most likely the etiology is from ischemic scar with ectopic foci. he was initially loaded with amiodarone which broke the rhythm and then maintained on a lidocaine drip (shorter half-life to allow for ep studies). he was taken to the cath lab and found to have mild cad with a patent stent. he was next scheduled for an ep study and possible ablation of ectopic foci. during lidocaine wean the patient continued to have self limited episodes of asymptomatic vt. during the ep study, vt of two morphologies were triggered, originating in the left coronary cusp and right mid-septum. there was successful ablation of the vt originating in the left coronary cusp. there was no inducible vt at the termination of the procedure. the patient was administered amiodarone. during the procedure, the patient needed to be intubated due to agitation/thrashing. he was extubated in the morning after the procedure without complication. . b) afib: he was on coumadin as outpatient for afib although he was subtherapeutic on admission. he was maintained on a heparin gtt to allow for procedures while in house. before his ep study, a tte was preformed and was negative for a clot. he was on diltiazem at home for rate control. this was held in house given his low blood pressures (80-120 systolic) and controlled rates in the 70's (was continued on metoprolol). . ischemia: known cad from cath in with bare metal stent to rca. he was originally referred for catheterization and on his cath showed lad min dz, lcx min dz, rca widely patent, 30% lesion distal to stent. he was continued on aspirin, metoprolol and a statin. . pump: lvef now 37% with regional hypokinesis based on tte. he was euvolemic during admission. he was continued on his metoprolol. he was not restarted on his acei (lisinopril) as it was recently held secondary to his lightheadedness which was attributed to hypotension (but may have been arrhythmia associated). can consider reinstating acei if sbp can tolerate. . #) prophylaxis: ppi, heparin gtt, bowel regimen . #) smoking cessation: nicotine patch and counseling done . #) fen: heart healthy diet; low sodium. replete electrolytes prn . #) access: pivs . #) code status: full medications on admission: all: roxicet? rash (patient unsure, states his allergy is to plavix- stopped ~1week after starting rash on arms, itchy, no edema) . meds: aspirin 325 mg po qd plavix 75 mg po qd (denies taking and says he has an allergy which causes a skin rash) diltiazem 120 mg po qd coumadin 4 mg mwf, 5mg all other nights. toprol xl 25 mg po qd crestor 10 mg po qd mucinex note: lisinopril recently d/c'ed low bp. gemfibrozil d/c'ed ck increase and good lipids. crestor dose cut to 10mg po qd discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. rosuvastatin 5 mg tablet sig: two (2) tablet po daily (daily). 3. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed. disp:*qs * refills:*0* 4. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 1 weeks. disp:*28 tablet(s)* refills:*0* 5. amiodarone 200 mg tablet sig: two (2) tablet po once a day. disp:*60 tablet(s)* refills:*2* 6. outpatient lab work inr check. also check chem 10, lfts, tsh, pfts please foward results to pcp , . please also forward results to dr. , ( 7. toprol xl 100 mg tablet sustained release 24hr sig: one and a half tablet sustained release 24hr po once a day. disp:*45 tablet sustained release 24hr(s)* refills:*2* 8. warfarin 1 mg tablet sig: three (3) tablet po once a day: continue to have your inr level checked. disp:*90 tablet(s)* refills:*2* 9. spironolactone 25 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: ventricular tachycardia. . coronary artery disease, atrial fibrilation, hypertension, hyperlipidemia, benign prostatic hypertrophy. discharge condition: good, ambulatory, respiratory status stable discharge instructions: please take all medications as prescribed. please stop taking diltiazem. your toprol xl dose has been increased to 150mg by mouth once daily. you will also be taking a new medication called amiodarone. take 400mg by mouth twice daily for one week, then take amiodarone 200mg by mouth once daily. . please keep all follow-up appointments. please notify your primary care doctor, dr. , (, or return to the emergency room if you have chest pain, shortness of breath, nausea, vomitting, palpitations, light headedness, fainting, or any other symptoms that concern you. . continue to eat a low sodium low fat diet. continue to refrain from smoking. . please follow the instructions given to you about your " of hearts" heart monitor. followup instructions: please follow-up with dr. on , at 10:30 am. please call ( if questions regarding this appointment. it is very important to have your labs tested at this visit especially your inr for the coumadin dose. . please follow-up with dr. on at 1:40pm. please call ( if questions regarding this appointment. . please continue to have your inr (coumadin) level checked regularly. you should go to (where you usually have your inr checked) in the next 1-3 days. phone procedure: angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter diagnostic ultrasound of heart catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach cardiac mapping diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery intermediate coronary syndrome congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to