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: codeine / ace inhibitors attending: chief complaint: cardiac arrest major surgical or invasive procedure: endotracheal intubation history of present illness: hpi: 72 yo m with pmh of cad and h/o cabg, chf (ef 55% in ), hx of as/ai, ckd (baseline cr 1.6), copd and atrial fibrillation (on coumadin) here for push enteroscopy/ colonoscopy for evaluation of gi bleed. procedure today went smoothly and was notable for multiple small avms s/p thermal ablation. patient received ~1100cc of ns during the procedure and propafol sedation. while in the recover area, he was getting ready to go home 2 hrs post procedure, when he developed productive cough and later respiratory distress. at that time he was given 40mg lasix, 4mg zofran, 25mg demerol (for shaking) and 5mg lopressor for tachycardia, rate 120s. a code blue was called and he was intubated and transiently lost a pulse. one round of cpr was performed with 1 mg of epinephrine. intubation was notable for bloody secretions at this time. he also had a tachyarrhythmia to the epinephrine which lasted only a short time. he never lost a pulse again and he maintained his blood pressure and was transferred to the icu for further care. past medical history: (history taken from records patient had with him from ) -cad s/p cabg in ' -chf diastolic with valvular abnormalities: mild-moderate ai; as, mean gradiet >16; trace mr- other notes say moderate to severe mr; mod tr -atrial fibrillation on coumadin -sick sinus syndrome -htn -hyperlipidemia -thoracic aortic aneurysm 5.2 cm -myelodysplastic syndrome- transfusion dependent -copd- fev1 47% -iron deficiency anemia -barrett's esophagus -angiodysplasia social history: married. pediatrician who was of a medical school. family history: nc physical exam: vs: t 99.3 bp 97/46 hr 97 rr 26 with o2 sat 100% on ps 8/5 fio2 40% gen: nad intubated and sedated heent: small pupils but reactive to light and symmetric. mmm lungs: crackles bilaterally throughout lung fields cv: very distant heart sounds, but sounds regular. can not appreciate murmur at this time abd: +bs, soft, obese, non-tender ext: 2+ edema on lle with scar from vein graft and trace to 1+ on rle (chronic per old notes) pertinent results: 01:51pm wbc-3.5* rbc-4.26* hgb-10.6* hct-35.4* mcv-83 mch-24.8* mchc-29.8* rdw-15.5 01:51pm neuts-69 bands-11* lymphs-14* monos-3 eos-3 basos-0 atyps-0 metas-0 myelos-0 01:51pm hypochrom-normal anisocyt-1+ poikilocy-occasional macrocyt-occasional microcyt-occasional polychrom-occasional ovalocyt-occasional burr-occasional 01:51pm plt count-137* 01:51pm pt-14.9* ptt-23.3 inr(pt)-1.3* 01:51pm glucose-155* urea n-21* creat-1.6* sodium-140 potassium-4.3 chloride-106 total co2-26 anion gap-12 01:51pm ck(cpk)-54 01:51pm ck-mb-4 ctropnt-<0.01 02:59pm type-art po2-108* pco2-49* ph-7.35 total co2-28 base xs-0 02:59pm lactate-1.9 05:37pm urine rbc-93* wbc-4 bacteria-few yeast-none epi-<1 05:37pm urine blood-sm nitrite-neg protein-tr glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 05:37pm urine color-yellow appear-hazy sp -1.010 08:53pm hct-31.7* 08:53pm urea n-24* creat-2.0* potassium-4.4 08:53pm magnesium-2.1 04:17am blood ck(cpk)-613* 04:17am blood ck-mb-6 ctropnt-0.02* 06:34pm blood ck(cpk)-567* 06:34pm blood ck-mb-4 ctropnt-0.01 05:09am blood wbc-5.3 rbc-3.79* hgb-9.5* hct-30.2* mcv-80* mch-25.1* mchc-31.5 rdw-14.4 plt ct-112* 05:09am blood plt ct-112* 05:09am blood pt-14.5* ptt-30.0 inr(pt)-1.3* 05:09am blood glucose-110* urean-35* creat-2.5* na-135 k-4.5 cl-101 hco3-27 angap-12 2pm cr 2.4 . cxr as compared to the previous radiograph, the retrocardiac atelectasis has slightly increased. the left-sided parenchymal opacity is unchanged in extent, the pre-existing air bronchograms are less appreciable than before. the extent of interstitial fluid accumulation at the right lung base seems to increase, as expressed by subtle thickening of the peribronchial interstitium. minimal left-sided pleural effusion, no newly occurred focal parenchymal opacities. the size of the cardiac silhouette is unchanged. . tte results measurements normal range left atrium - long axis dimension: *4.8 cm <= 4.0 cm left atrium - four chamber length: *8.0 cm <= 5.2 cm left atrium - peak pulm vein s: 0.7 m/s right atrium - four chamber length: *7.2 cm <= 5.0 cm left ventricle - septal wall thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.4 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.0 cm <= 5.6 cm left ventricle - systolic dimension: 3.5 cm left ventricle - fractional shortening: 0.30 >= 0.29 left ventricle - ejection fraction: 50% >= 55% left ventricle - lateral peak e': 0.10 m/s > 0.08 m/s left ventricle - septal peak e': *0.07 m/s > 0.08 m/s left ventricle - ratio e/e': 12 < 15 aorta - sinus level: 3.6 cm <= 3.6 cm aorta - ascending: *4.1 cm <= 3.4 cm aortic valve - peak velocity: *3.0 m/sec <= 2.0 m/sec aortic valve - peak gradient: *37 mm hg < 20 mm hg aortic valve - mean gradient: 24 mm hg mitral valve - e wave: 1.0 m/sec mitral valve - e wave deceleration time: 210 ms 140-250 ms tr gradient (+ ra = pasp): 23 mm hg <= 25 mm hg pulmonic valve - peak velocity: 1.3 m/sec <= 1.5 m/sec findings pt intubated on vent. left atrium: marked la enlargement. right atrium/interatrial septum: markedly dilated ra. left ventricle: mild symmetric lvh. normal lv cavity size. low normal lvef. no resting lvot gradient. no vsd. right ventricle: normal rv wall thickness. normal rv chamber size. rv function depressed. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. moderately dilated ascending aorta. focal calcifications in ascending aorta. aortic valve: moderately thickened aortic valve leaflets. mild as (aova 1.2-1.9cm2). mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. mild thickening of mitral valve chordae. calcified tips of papillary muscles. no ms. trivial mr. tricuspid valve: normal tricuspid valve leaflets. normal tricuspid valve supporting structures. no ts. mild to moderate +] tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. normal main pa. no doppler evidence for pda pericardium: no pericardial effusion. . general comments: suboptimal image quality - poor echo windows. suboptimal image quality - poor parasternal views. suboptimal image quality - poor apical views. suboptimal image quality - poor subcostal views. suboptimal image quality - ventilator. conclusions the left atrium is markedly dilated. the right atrium is markedly dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50-55%). there is no ventricular septal defect. right ventricular chamber size is normal. with significantly depressed free wall contractility. the ascending aorta is moderately dilated. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis (area 1.2-1.9cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. . leni findings: -scale and doppler son of bilateral common femoral, superficial femoral, and popliteal veins were performed. there was normal compressibility, flow, and augmentation. impression: no evidence of dvt. . cxr single supine radiograph of the chest, bedside: there is interval worsening of the diffuse left lung airspace opacity with new areas of opacification in the right mid and lower lobes. there is a small left pleural effusion. the right costophrenic angle is excluded from the field of view however there is no gross right pleural effusion. the cardiomediastinal silhouette is unchanged. endotracheal tube is terminating 4 cm above the carina. ng tube is extending below the diaphragm and out of the field of view. impression: interval worsening of the diffuse airspace opacity indicating worsening pulmonary edema. . cxr mild-to-moderate cardiomegaly is stable. a small pleural effusion is stable. unilateral airspace disease in the left lung has started to regress. the right lung is clear. no right pleural effusion is seen. multiple large sternotomy wires are noted with no complications. impression: 1. slowly regressing unilateral airspace disease in the left lung. 2. stable small left pleural effusion and mild-to-moderate cardiomegaly. . brief hospital course: 72 yo m with pmh of cad s/p cabg, atrial fibrillation, diastolic dysfunction, copd here for evaluation of gi bleed who developed respiratory distress requiring intubation along with cardiac arrest following enteroscopy. . # acute respiratory failure: pt underwent an enteroscopy and colonoscopy for recurrent gi bleeding, following the procedure the patient developed acute respiratory distress requiring intubation. cxr consistent with pulmonary edema with possible aspiration. the patient required intubation overnight, respiratory status quickly improved following diuresis. he was extubated on and was sating well on room air. the patient received one dose of vancomycin and cefepime after spiking a fever following intubation with a question of aspiration on cxr. vanc/cefepime was tapered to levaquin on . antibiotics were discontined on as pt became afebrile and was without evidence of infiltrate on cxr. the etiology of his event is unclear. was felt likely to have had pulmonary edema in the setting of receiving ~1.5l ivf during the procedure. precipitant for episode is unclear, possibly tachycardia causing flash pulm edema, preload falling following sedation from procedure. he had no witnessed aspiration event. cardiac enzymes negative for ami. pe considered as the pt had evidence of new rv dysfunction of tte. he was unable to undergo cta given arf. leni negative for evidence of dvt. . # cardiac arrest - immediately following the patient's intubation he was found to have lost a pulse and code blue was called. he received cpr and was given epinephrine. the patient regained a pulse. upon arrival of the icu team the patient was in afib w/ rvr with a palpable pulse. he had a brief run of vt with pulse and stable bp which broke within seconds without intervention. he remained with a stable bp and pulse and was transferred to the icu. the patient has no further events on telemetry. he was weaned from mechanical ventilation as above. ce were negative. a tte was performed which demonstrated slightly reduced ef of 55% but new rv dysfunction from prior tte. the inciting event for arrest is unclear at this time. the patient should undergo further ischemic workup upon discharge. he was continued on aspirin. bb held given a history of sss and bradycardia. . #. acute on chronic diastolic chf - tte demonstrated stable ef 55% with mild as (aova 1.2-1.9cm2). the patient was diuresed as above. he is on at home however this was held as pt developed arf. . #. acute on chronic renal failure: following his arrest the patient was found to have a cr of 1.6. he was given a single dose of iv lasix for acute respiratory decompensation and diuresed 1l. his cr bumped to 2.0 then to a peak to 2.7. further diuresis was held and cr trended down to 2.4 prior to discharge. urine electrolytes were sent and furea was 21% consistent with prerenal etiology. cozaar was held. the patient will follow up with pcp for further monitoring. . # history of chronic gi bleed: the patient presented for colonoscopy and enteroscopy to evaluate gi bleeding. he was found to have avms throughout gi tract. he also had a gastric polyps removed and underwent avm cauderizations. he had no evidence of bleeding during his hospitalization. . # cad s/p cabg: ce negative for new ami. he was restarted on aspirin and imdur. given unclear etiology of arrest and new rv dysfunction the patient should undergo further ischemic workup as outpatient. . # atrial fibrillation: pt well rate controlled without intervention. he was off coumadin given gi procedure but this was restarted on day of discharge. no bb added given history of sss. . # aaa: stable per osh records stable at 5.3cm. . # myelodysplastic syndrome: transfusion dependent. hct stable currently. medications on admission: -glimepiride (amaril) 1mg daily -doxazosin 6 mg qhs -pepcid 20 qhs -combivent 2 puffs -imdur 90mg -losartan 100mg daily -lovastatin 60 qhs -prilosec 20mg daily -coumadin 5mg daily except friday 2.5 mg daily (holding for gi procedure) -asa 81mg daily (holding for gi procedure) -colace 100mg qhs discharge medications: 1. lovastatin 60 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 2. doxazosin 4 mg tablet sig: 1.5 tablets po hs (at bedtime). 3. famotidine 20 mg tablet sig: one (1) tablet po once a day. 4. combivent 18-103 mcg/actuation aerosol sig: two (2) inhalation twice a day. 5. colace 100 mg capsule sig: one (1) capsule po once a day. 6. multivitamin capsule sig: one (1) capsule po once a day. 7. glimepiride 1 mg tablet sig: one (1) tablet po once a day. 8. imdur 30 mg tablet sustained release 24 hr sig: as directed tablet sustained release 24 hr po three times a day: take 60mg in the morning and the evening and 30mg in the afternoon. 9. aspirin 81 mg tablet sig: one (1) tablet po once a day. 10. coumadin 5 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: primary: 1. cardiac arrest 2. respiratory failure 3. pulmonary edema 4. acute on chronic renal failure discharge condition: clinically improved, ambulating without assistance, afebrile, sating well on room air discharge instructions: you were admitted after suffering a cardiac arrest and respiratory failure following your endoscopy procedure. you were briefly intubated for excess fluid in your lungs. you had an echo which showed new right ventricular dysfunction. your cardiac enzymes have been negative. you should follow up with your outpatient cardiologist for further workup of possible ischemic heart disease. your outpatient cardiologist dr. has been contact about your hospital stay and your should follow up with him next week for further management. . you should continue to hold your medication cozaar until your creatinine is rechecked by your pcp next week. . you should restart your coumadin at your home dose. . the remainder of your medications have not changed. . please return if you experience any signs of bleeding. you should also return if you develop chest pain, shortness of breath or fever. followup instructions: please follow up with your primary care physician . on monday or tuesday of next week. please call to make an appointment. md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnostic ultrasound of heart insertion of endotracheal tube insertion of other (naso-)gastric tube esophagogastroduodenoscopy [egd] with closed biopsy endoscopic destruction of other lesion or tissue of large intestine cardiopulmonary resuscitation, not otherwise specified endoscopic excision or destruction of lesion or tissue of stomach diagnoses: unspecified pleural effusion congestive heart failure, unspecified acute kidney failure, unspecified thoracic aneurysm without mention of rupture chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation acute on chronic diastolic heart failure coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status aortic valve disorders chronic kidney disease, unspecified myelodysplastic syndrome, unspecified other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure cardiac arrest iron deficiency anemia, unspecified angiodysplasia of intestine with hemorrhage accidents occurring in residential institution barrett's esophagus benign neoplasm of stomach 

Answer: The patient is high likely exposed to