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: patient recorded as having no known allergies to drugs attending: chief complaint: s/p vfib arrest major surgical or invasive procedure: cardiac catheterization history of present illness: 62 year-old male with history of htn and hyperlipidemia who presents from osh after vfib arrest. he presented to yesterday evening with 10/10 chest and epigastric pain and bilateral arm discomfort. he was admitted to the floor for serial cardiac enzymes and ekgs. at 4:30 am he developed vfib arrest x 3 minutes, shocked x 1 @ 120j, and intubated. ekg reportedly showed evidence of imi. he received lovenox, integrillin bolus, ?plavix. . in the cath lab he was found to have diffuse mild cad with severe single vessel disease. he underwent bms to om. . review of systems is unable to be obtained due to patient being intubated. per his family, he had only 1 day of symptoms, nou cough/fever/chills, no pleurisy. per osh records, he was given influenza vaccine, refused pneumovax. past medical history: htn hyperlipidemia basal cell carcinoma . cardiac risk factors: dyslipidemia, hypertension social history: social history is significant for the absence of current tobacco use. he quit smoking 30 years ago. he drinks 3 glasses of wine with dinner. he works as a cfo of a paper company. family history: non-contributory physical exam: vs: af, bp 138/78, hr 53, o2 100% on ac: 600/12/1.0/5 gen: wn middle aged male sedated, intubated in nad. heent: sclera anicteric. perrl but constricted. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp unappreciable at 30 degrees. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. chest: no chest wall deformities, scoliosis or kyphosis. respirations were unlabored, no accessory muscle use. clear anteriorly. abd: obese, soft, nt/nd, no hsm or tenderness. no abdominial masses. ext: no edema. right groin with arterial sheath in place. no hematoma appreciated. skin: no stasis dermatitis, ulcers, or xanthomas. pulses: right: carotid 2+; 2+ dp, 2+ pt : carotid 2+; femoral 2+; 2+ dp, 2+ pt pertinent results: radiology final report chest (portable ap) 10:46 am chest (portable ap) reason: eval for tube placement medical condition: 62 year old man s/p inf mi and vfib arrest now intubated. reason for this examination: eval for tube placement history: cardiac surgery with intubation. findings: no previous images. endotracheal tube tip lies about 4 cm above the carina. nasogastric tube extends to the distal stomach. the cardiac silhouette is at the upper limits of normal in size. no evidence of vascular congestion, pleural effusion, or acute pneumonia at this time. sinus rhythm. st-t wave flattening in leads i and avl. biphasic to inverted t waves in leads v5-v6. these findings are consistent with lateral ischemic process. no previous tracing available for comparison. followup and clinical correlation are suggested. read by: , intervals axes rate pr qrs qt/qtc p qrs t 70 176 100 434/451 56 -15 74 cardiac catheterization: comments: 1. selective coronary angiography of this right dominant system revealed single vessel coronary artery disease. the lmca was without angiographically apparent disease. the lad had a diffuse disease with a mid vessel 30% lesion. the lcx had a thrombotic, 90% occluded high om1. the rca was a small, non-dominant vessel with no angiographically apparent flow-limiting stenoses. 2. limited resting hemodynamics revealed mild systemic arterial hypertension of 141/83 mm hg. 3. successful stenting of the thrombotic om1 with 3.0 x 23 mm driver bare metal stent with no residual stenosis (see ptca comments for detail). final diagnosis: 1. single vessel coronary artery disease. 2. acute inferior myocardial infarction, managed by acute ptca of om1 vessel. 3. successful stenting of the om1 with bare metal stent. . cardiac echo (post-cath) the left atrium is elongated. the right atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild regional left ventricular systolic dysfunction with distal septal and apical hypokinesis (?distal lad distribution). the remaining segments contract normally (lvef = 50-55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic arch is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. there is an anterior space which most likely represents a fat pad. brief hospital course: patient was admitted to the ccu for management s/p bms to om1 on admission. . #cad: patient was monitored on telemetry in the ccu and was without significant ectopy. impression was for v. fib arrest in the setting of ischemia, and further work-up for icd was deferred. patient was maintained on beta-blocker, aspirin, plavix while in the ccu. ace was titrated up without difficulty. echo demonstrated a low normal ef (50-55%) with distal and septal hypokinesis but without other focal wall motion abnormalities. . #htn: bp was controlled post-mi with ace and beta-blocker. patient reported a history of hypertension requiring multiple agents to control bp. during hospital stay, patient's bp was controlled with above. . #pulm: patient was intubated on arrival to ccu. abg demonstrated good respiratory status and patient's sedation was weaned. underlying mental status was intact, and patient was extubated w/o difficulty. rapidly weaned to nasal cannula, and later room air without difficulty. . #depression: patient was restarted on at home medications. . remainder of hospital stay was uneventful. medications on admission: triamterene 25 mg atenolol 100 mg quinapril 40 mg qday amlodipine 10 mg qday lovastatin 20 mg qday naltrexone 50 mg prn discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. hexavitamin tablet sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 6. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 7. quinapril 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 8. outpatient physical therapy cardiac rehabilitation discharge disposition: home discharge diagnosis: acute coronary syndrome ventricular fibrillation . hypertension dyslipidemia discharge condition: good. discharge instructions: you were admitted to an outside hospital for evaluation of bilateral arm pain. while in the hospital you suffered a heart attack (or acute cronary syndrome) that likely caused your heart to go into an abnormal heart rhythm known as ventricular fibrillation. you were then transferred to this hospital where a stent was placed into one of your coronary arteries to reestablish blood flow to the heart. an echocardiogram after this procedure demonstrated that you have mildly reduced function of your heart. . upon leaving the hospital, please take all medications as directed, and follow-up as directed. if you experience any chest pain or shortness of breath please do not hesitate to contact your doctor or return to the emergency department. . it is recommended that you have an mri/mra of your renal arteries after leaving the hospital to evaluate for any reduction in blood supply to your kidneys that may have contributed to your high blood pressure. . the following changes have been made to your medications: 1. aspirin 325mg daily (you must take this every day as prescribed) 2. plavix 75mg daily (you must take this every day as prescribed) 3. atorvastatin 40mg daily 4. quinapril 40mg daily . please discontinue your amlodipine, and triamterene for the next several weeks and discuss resuming these medications with your cardiologist and primary doctor. please continue to take citalopram as prescribed upon leaving the hospital. . activity: please refrain from heavy lifting or vigorous physical activity until evaluated by your cardiologist. followup instructions: cardiology: it is very important that you see a cardiologist upon leaving the hospital. you have expressed your desire to be seen by a cardiologist near to your home. we recommend dr. at in ma, (. please call for an appointment. . primary care: please call your primary care doctor, dr. (, for an appointment in the next 1-2 weeks. we recommend an mri as an outpatient for evaluation of your renal arteries if you have not had this or a similar study performed before. . please follow-up with dr. , a neurologist who specializes in patients who have sustained v. fib arrest. please call his office for an appointment in weeks at the following number: . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters left heart cardiac catheterization cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension unspecified acquired hypothyroidism personal history of tobacco use other and unspecified hyperlipidemia cardiac arrest long-term (current) use of other medications acute myocardial infarction of other inferior wall, initial episode of care long-term (current) use of anticoagulants obesity, unspecified diastolic heart failure, unspecified long-term (current) use of aspirin 

Answer: The patient is high likely exposed to