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 a 54-year-old gentleman with a history of deep venous thrombosis and pulmonary embolism in , history of hypertension, and atrial fibrillation who presented to the emergency department with extreme dyspnea on exertion and weakness. he had been recently hospitalized on to for bleeding complications secondary to his liver biopsy. as well, he was hospitalized on to for dyspnea and recurrent deep venous thrombosis/pulmonary embolism. the first admission in was notable for a diagnosis of multiple pulmonary emboli diagnosed by computed tomography angiogram. an hypercoagulable workup was done, and anticoagulation with a heparin drip and warfarin were started. his dyspnea improved, and he was discharged to home. an incidental finding on computed tomography scan was found (i.e., a hepatic nodule) during this hospitalization, and further imaging was worrisome for a malignant lesion, and a biopsy was arranged. his anticoagulation was held for his biopsy on . he suffered a hematocrit drop from 38 to 28, and a hepatic subcapsular hematoma after this biopsy and presented again to the hospital on with right scapular and shoulder pain. on , he underwent an hepatic artery branch embolization. an inferior vena cava was not placed at that time. his anticoagulation was restarted on , and he was subsequently discharged to home on with enoxaparin and warfarin. according to the patient's wife, at the time of the current admission, mr. began to feel very fatigued within one to two days after his discharge. three to four prior to admission, his dyspnea worsened with not being able to climb one flight of steps on the morning of admission. he could not even walk six feet without feeling extremely short of breath and fatigued. he denied any chest pain, palpitations, fevers, chills, headache, twitching, or paresthesias. in the emergency department, the patient was obtunded and diaphoretic with an oxygen saturation of 90% and had a systolic blood pressure in the 70s (requiring pressor initiation). he then became bradycardic with his heart rate in the 40s and thready peripheral pulses with increased hypoxia. he became nonresponsive. he was intubated on the second attempt. he never lost a pulse. his systolic blood pressures remained in the 70s. his oxygen saturation was very difficult to follow. atropine and epinephrine were administered with improvement in his heart rate and his systolic blood pressure to the 80s by doppler. a bedside echocardiogram showed very depressed left ventricular function with no blood in the pericardium. a triple lumen catheter in the right femoral vein was placed urgently, and a dopamine drip was continued, and the patient was transferred to the cardiac catheterization laboratory. physical examination on presentation: physical examination revealed temperature was 95, heart rate was 116 and irregular (on pressors as mentioned), blood pressure was 100/50, and oxygen saturation was in the 80s on synchronized intermittent mandatory ventilation of 700 x 16 with 100 fio2. his weight was 116 kilograms. in general, he was intubated and sedated with occasional twitching in the left lower extremity. his sclerae were anicteric. there were no conjunctival hemorrhages. no jugular venous distention was appreciated in this obese gentleman with a thick neck. the lung sounds were coarse bilaterally without wheezing or crackles. heart examination revealed tachycardic. the abdomen was obese with decreased bowel sounds. there were no ecchymoses over his abdomen or groin. extremities were cool and clammy. there were no petechia or ecchymoses noted. neurologic examination was limited secondary to sedation. his toes were upgoing bilaterally, on sedation. pertinent laboratory values on presentation: laboratories on admission were notable for a white blood cell count of 8,000, hematocrit was 35.7, and platelets were 185. his inr was 1.6 and partial thromboplastin time was 25, and prothrombin time was 15.3. creatinine was 1.5. troponin was less than 0.3. liver function tests were normal. there was no prothrombin mutation noted on previous testing. homocystine was 13.7. arterial blood gas in the emergency department was 7.24/49/62 while intubated on the fio2 of 100%. his lactate was 3.9. anticardiolipin immunoglobulin m was 27 and immunoglobulin g was 6.5. factor v level 105. pertinent radiology/imaging: electrocardiogram revealed sinus tachycardia with a rate of 120. intervals were otherwise normal. he had poor r wave progression. no st changes. hospital course by issue/system: the patient was brought to the cardiac catheterization laboratory and a right heart catheterization revealed a pulmonary artery pressure of 49/17, right ventricular pressure was 49/15, and a wedge pressure was 28, with minimal flow of the left lower lobe of his lung, and some filling to the left upper lobe. coronary angiography revealed no significant disease of a left-dominant system. he had mild left main disease with a 50% left anterior descending artery lesion and minimal luminal irregularities. because of the patient's previous history of pulmonary emboli in the past, a surgical embolectomy was not a favorable option. percutaneous embolectomy also seemed not feasible technically. after considerable debate, thrombolysis was started with alteplase on the day of admission 100 mg intravenously dosed over two hours. he was subsequently transferred to the medical intensive care unit with a right femoral triple lumen catheter and a right femoral artery sheath in place. the remainder of his hospital course will be dictated by problem/issues. 1. pulmonary embolism issues: the patient's oxygen saturation rose dramatically within the first hour of thrombolytic therapy. he was subsequently extubated on hospital day two. an inferior vena cava filter was placed on through the previous venous access obtained on the day of admission. the patient's goal inr was 3 to 3.5. the patient remained on a heparin drip until his inr was therapeutic. 2. atrial fibrillation/atrial flutter issues: during his hospitalization, the patient was in atrial flutter and continued to have shortness of breath and signs of congestive heart failure which were difficult to differentiate from his known right heart failure in the setting of previous pulmonary emboli. he subsequently underwent cardioversion on which was successful in converting the patient to a normal sinus rhythm. 3. renal insufficiency issues: the patient had renal insufficiency during his hospital stay which continued to improve with renal dosing of medications. discharge diagnoses: (discharge diagnoses included) 1. pulmonary embolism; presenting as cardiogenic shock. 2. atrial fibrillation/atrial flutter. 3. renal insufficiency. medications on discharge: (discharge medications included) 1. amiodarone 600 mg p.o. q.d. 2. atenolol 50 mg p.o. q.d. 3. isosorbide dinitrate 20 mg p.o. t.i.d. 4. hydralazine 50 mg p.o. q.i.d. 5. coumadin 7.5 mg p.o. q.d. (for a goal inr at the time of discharge of 3 to 3.5). discharge instructions/followup: 1. follow-up appointments were made for the patient to see his primary care physician (dr. as well as his cardiologist (dr. . 2. he was to follow up in the as well for continued inr monitoring. , m.d. dictated by: medquist36 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours coronary arteriography using two catheters insertion of endotracheal tube interruption of the vena cava other electric countershock of heart injection or infusion of thrombolytic agent angiocardiography of right heart structures right heart cardiac catheterization diagnoses: congestive heart failure, unspecified atrial flutter hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure unspecified sleep apnea other pulmonary embolism and infarction disturbances of sulphur-bearing amino-acid metabolism 

Answer: The patient is high likely exposed to