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: history of present illness: this is an 83-year-old russian speaking male with a history of coronary artery disease, status post myocardial infarction in and congestive heart failure who was admitted approximately two weeks prior to his admission for changes in mental status and lethargy. at that time, he was found to have a calcium of 14.9 and treated with pamidronate, calcitonin, lasix and intravenous fluids. he subsequently had a polymorphic ventricular tachycardia arrest on . at that time, he was resuscitated, intubated and transferred to the ccu where he was quickly extubated and seen by eps who thought the patient had a long qt syndrome and metabolic process versus ischemia. at the time, they recommended amiodarone. the patient was later found to have hyperparathyroidism and was treated with improvement in mental status and sent to on . however, on , the patient's electrocardiogram showed st depressions in leads v2 and v3. for this reason, the patient was sent to the emergency room to be ruled out for myocardial infarction or ischemia. at the time of admission, the patient denied chest pain, although he complained of a constant throat tightness with atypical symptoms. past medical history: 1. coronary artery disease, status post myocardial infarction in 2. congestive heart failure 3. hypertension 4. polymorphic ventricular tachycardia arrest 5. liver mass 6. hyperparathyroidism 7. chronic renal insufficiency admission medications: 1. lisinopril 15 mg po bid 2. ciprofloxacin 250 mg po bid 3. heparin subcutaneous 4. prilosec 20 mg po qd 5. enteric coated aspirin 225 mg po qd 6. lopressor 12.5 mg po bid 7. vancomycin social history: sixty plus pack year smoker, denies alcohol use. family history: noncontributory admission physical examination: vital signs: he was with a stable blood pressure in the 130s/60s, heart rate in the 70s, respiratory rate in the 18 to 20 range and 100% on room air. neck: no jugular venous distention. he had bilateral carotid bruits. cardiac: s1, s2, regular rate and rhythm, no murmurs, rubs or gallops. chest: clear to auscultation bilaterally. abdomen: soft, nontender, nondistended. extremities: without any evidence of edema. admission laboratories: hematocrit of 33, platelet count 221. chem-7 with a bun of 27, creatinine of 1.4, troponin of 1.1, cpk of 88, calcium of 8.9. imaging: his electrocardiogram on the 18th showed a normal sinus rhythm with a normal axis and q-waves in 2, 3 and avf. assessment: at this time, it was felt that this was an 83-year-old male with a history cardiac disease and electrocardiogram changes plus troponin which would be consistent with infarction in the inferior wall of his myocardium. the patient refused cardiac catheterization at the time of admission and was treated with aspirin, heparin, lopressor and lisinopril. the patient's cks were cycled. of note, the patient did have an elevated troponin of 14.3 on during his ventricular tachycardia arrest. hospital course: the patient was admitted. he was treated with aspirin, lopressor, lisinopril and his cks were cycled. attempts were made to obtain a consent for cardiac catheterization, however, the family repeatedly refused to give consent until when the patient finally underwent a cardiac catheterization that demonstrated the following: left main and three vessel disease in the right dominant system. the left main was calcified and had 90% ostial stenosis. the lad had a 70% proximal stenosis. the d1 had moderate diffuse disease. the circumflex was totally occluded proximally with left to left collaterals. the rca was totally occluded proximally with left to right collaterals. the ejection fraction was calculated to be 44% with severe anterior lateral hypokinesis. the patient did well post catheterization and at this point, cardiothoracic surgery was consulted for potential coronary revascularization. post catheterization, the patient was restarted on the heparin on which he had been maintained throughout the hospital admission and coronary artery bypass grafting was planned for . at the time, the patient was in stable condition. he had an uneventful next couple of days and was stable with a heart rate in the 60s and blood pressure in the 120s to 140s/60s to 80s and was awaiting coronary artery bypass graft which was finally performed on by dr. . he had the following: left ventricular aneurysmectomy, as well as a left internal mammary artery to diagonal, saphenous vein graft to lad, saphenous vein graft to om and saphenous vein graft to pda. the cardiopulmonary bypass time was 76 minutes with a crossclamp time of 62 minutes. the last cardiac output prior to transfer to the cardiothoracic intensive care unit was 4.0 liters per minute. the patient was transferred to the cardiothoracic intensive care unit where he required some neo-synephrine for blood pressure support. however, he was quickly weaned from both pressors and his sedation and extubated on the 30th and on the 31st, began complaining of chest pain. he had, on physical exam, a rapid pulse of approximately 100 and a blood pressure of 162/72. heart: difficult to hear, secondary to his breath sounds, but he did have a definitive rub that was easily auscultatable. an electrocardiogram obtained on the 31st showed diffuse st elevations in all leads, as well as t-wave depression in leads v4 through v6, 1 and avl. a cardiology consult was obtained, as well as a bed side echocardiogram which showed inferior posterior akinesis was old and anterior wall motion that was preserved with an ejection fraction of 35% to 40%. cardiology consult at this point felt that this was consistent with pericarditis and he was started on indomethacin, as well as some diuresis with lasix. he was transferred to the floor with his chest tubes out and doing well when he developed an irregularly irregular rhythm on postoperative day #3. he was found to be in atrial fibrillation and a discussion with eps occurred between cardiothoracic surgery and it was felt that he would benefit from being studied and having an automated implantable cardiac defibrillator placed given his history of ventricular tachycardia arrest. he was not treated with procainamide or amiodarone. instead, he was anticoagulated and rate controlled with lopressor. at this time, it was felt the patient merited an implantable defibrillator and several discussions took place over the next couple of days with the wife and daughter of the patient who felt that the patient, who was otherwise very stable, was took weak to undergo the procedure. they were frequently preventing the patient from receiving physical therapy, from being mobilized from ambulating and they did not consent for eps to study the patient or place av fibrillator until . on , the patient was taken to the where an internal cardiac defibrillator was placed. the patient tolerated the procedure without complication and had the pacer interrogated. the eps fellow came by to see the patient post procedure frequently to assure the family that the patient was stable post procedure and ready for discharge. the patient had laboratory values checked on the 7th which were significant for a white count of 8.2, hematocrit 31.7, platelets 261 with a bun of 38 and a creatinine of 1.9. otherwise, his chemistries were normal. his ionized calcium throughout the admission had remained within normal limits. the patient was stable from discharge. at this point he was, on physical exam, in a regular rhythm. he was making good urine output with 700 cc per day. he was clear to auscultation bilaterally. regular rate and rhythm with a well healed sternotomy incision, as were his vein harvest sites and he awaited placement until , at which time a rehabilitation bed was found. he was discharged on with the following medications: 1. colace 100 mg po bid 2. zantac 150 mg po qd 3. aspirin 81 mg po qd 4. indocin 25 mg po tid with food 5. lopressor 25 mg po bid 6. zestril 10 mg po qd 7. tylenol 650 mg po q 4 to 6 hours prn 8. albuterol/atrovent nebulizers prn 9. lasix 20 mg po bid 10. potassium chloride 20 milliequivalents po bid discharge diagnoses: 1. coronary artery disease, status post myocardial infarction 2. polymorphic ventricular tachycardia arrest 3. hyperparathyroidism 4. chronic renal insufficiency 5. status post coronary artery bypass graft x4 on 6. status post aicd placement on of diet: regular discharge instructions: follow up with eps, as well as cardiothoracic surgery. call to schedule an appointment. dr., w. 02-229 dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization catheter based invasive electrophysiologic testing implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] other operations on heart and pericardium diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery cirrhosis of liver without mention of alcohol chronic hepatitis c without mention of hepatic coma cardiac complications, not elsewhere classified atrial fibrillation occlusion and stenosis of carotid artery without mention of cerebral infarction old myocardial infarction ventricular fibrillation 

Answer: The patient is high likely exposed to