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: ibuprofen / procainamide / sotalol / amiodarone attending: chief complaint: syncope major surgical or invasive procedure: endotracheal intubation. femoral central venous line placement. femoral arterial line placement. history of present illness: mr. is a 70-year-old man with dyslipidemia, hypertension, diabetes, overweight, coronary artery disease, atrial fibrillation, copd, presenting after cardiorespiratory arrest at home. . mr felt unwell yesterday, short of breath and out of sorts. this resolved somewhat, but today he again became even more short of breath before collapsing at home. his daughter was at home with him and began chest compressions after calling 911. aed pads were placed on him en route and it his rhythm was shocked, purportedly while in vf, although we cannot confirm. he then became asystolic, given epinephrine, atropine, defibrillated again twice, given amiodarone and intubated in the field. went to , by which time he was in sinus rhythm with normal blood pressure. significant labs from that admission include d-dimer in 2400s. cooling commenced and he was transferred to for further management. . upon arrival in the ed his hr was noted to be in the 80s, blood pressure in 140s/80s. oxygen saturation was 98%. he was having irregular myoclonic jerks in the ed. cooling was continued and he was sent to the cath. lab. in the cath. lab. his right dominant system revealed some diffuse, non-flow-limiting disease, that did not warrant intervention (see summary of cath findings below). . he was transferred to the ccu, already intubated and sedated. vital signs on arrival were 94.8 f, 117 bpm, 142/85 mmhg, rr 21 and 100% o2 saturation (ventilated on cmv, 22 x 500, peep 5, fio2 100%). . review of systems was not possible. past medical history: 1. cardiac risk factors: + diabetes, + dyslipidemia, + hypertension 2. cardiac history: -cabg: none. -percutaneous coronary interventions: today. -pacing/icd: none. 3. other past medical history: a) coronary artery disease, per mrs. , possible past mi without intervention. b) dyslipidemia c) diabetes d) obesity e) hypertension f) atrial fibrillation, for about one year, unclear if persistent g) depression h) osteoarthritis, knee i) abdominal aortic aneurysm, purportedly 3.3 cm j) copd k) bph l) cholelithiasis m) disc displacement, l2-3 . surgery a) shoulder, unclear type b) tonsilectomy social history: -tobacco history: 120 pack/years, quit . -etoh: rare - 1 in 6 mo. retired, spends time at home watching tv etc. activities limited by osteoarthritis of knee. family history: unknown physical exam: vs: 94.8 f, 117 bpm, 142/85 mmhg, rr 21 and 100% o2 saturation (ventilated on cmv, 22 x 500, peep 5, fio2 100%). general: overweight man with myoclonus every 10 to 20 seconds involving limbs, primarily. gcs 3. looks stated age. heent: ncat. sclera anicteric. pupils fixed in mid-position. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple, jvp not evaluated - patient flat. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: intubated with mechanical ventilation, occasional overbreaths of vent initially. bilateral air entry. no loud adventitious sounds anteriorly, laterally. abdomen: soft, ntnd. no hsm or tenderness. no abdominial bruits. extremities: no c/c/e. no femoral bruits. neurologic: myoclonus every 10 to 20 seconds involving limbs, primarily. gcs 3. comatose. no purposive movements. myoclonus only. no withdrawal to very firm nail-bed pressure. no brainstem or spinal reflexes (no doll's eyes, blink to threat, spontaneous eye movement, even during fundoscopy, no blink to glabella tap, no pout, jaw jerk, biceps, brachioradialis, knee, ankle or plantar reflexes bilaterally. tone flacid. bulk normal. myoclonus present in all limbs, but strength could not be assessed. skin: no stasis dermatitis, ulcers, scars, or xanthomas. trophic changes evident at feet/ankles. pertinent results: cardiac cath comments: 1. coronary angiography in this right-dominant system demonstrated two-vessel disease. the lmca was short and had no angiographically apparent stenosis. the lad had minimal disease. the lcx had serial stenoses, with the distal lesion appearing ulcerated but without significant stenosis. the ramus intermedius had mild disease. the rca was chronically occluded proximally and filled via left-to-right collaterals. 2. limited resting hemodynamics revealed normal systemic arterial blood pressure. final diagnosis: 1. two-vessel coronary artery disease. . cta chest impression: 1. no pulmonary embolus. 2. moderate cardiomegaly including left/right heart. 3. moderate interstitial fluid edema. 4. extensive bilateral lower lobe atelectasis/near lobar collapse. . head ct impression: no acute intracranial hemorrhage. extensive periventricular white matter hypodensities which may represent sequelae of chronic small vessel ischemic disease; however, given patient's history, infarct cannot be excluded. note added in attending review: as above, there is no intracranial hemorrhage. allowing for the evidence of severe sequelae of chronic microvascular infarction, there is no finding to suggest acute vascular territorial infarction. there is disproportionate 3rd and lateral ventriculomegaly, which may represent central atrophy. . eeg impression: this is an abnormal video eeg study due to severe suppression of the background. this findings is consistent with a severe anoxic-ischemic encephalopathy. note is made of rhythmic muscle artifact extending from the bitemporal to bifrontal regions as detailed above but without apparent eleptiform activity. there was no evidence of electrographic seizures in this recording. compared to prior 24 hours, this study is unchanged. brief hospital course: after completing the cooling protocol in the ccu, attempts were made to wean the patient's sedation. when this was done, persistent myoclonic jerking was noted without any improvement in mental status, requiring re-sedation and, at times, even paralysis to maintain synchrony with the ventilator. neurology followed the patient throughout his hospital course and, based on the findings of early myoclonus and a markedly abnormal eeg, felt that his chance for a meaningful neurologic recovery was minimal. in light of this, the patient's family changed his goals of care to be comfort only. he was extubated and expired shortly thereafter. . of note, the patient did develop a fever one day prior to death and a cxr was suspicion for vap. empiric broad spectrum antibiotics were started, but stopped when the patient became cmo. medications on admission: unknown discharge medications: none discharge disposition: expired discharge diagnosis: anoxic brain injury s/p cardiac arrest discharge condition: . discharge instructions: . followup instructions: . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours coronary arteriography using two catheters left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute and subacute necrosis of liver chronic airway obstruction, not elsewhere classified atrial fibrillation hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) pulmonary collapse other and unspecified hyperlipidemia cardiac arrest anoxic brain damage long-term (current) use of insulin ventricular fibrillation encounter for palliative care obesity, unspecified myoclonus coma 

Answer: The patient is high likely exposed to