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: penicillins / sulfa (sulfonamides) attending: chief complaint: transfer from for cardiac cath with intervention of left cx major surgical or invasive procedure: cardiac catheterization with stent placement history of present illness: 73 yo m with significant cad s/p cabg with redo in , dm, high grade av block s/p ddd pacer, and htn presented initially to with increasing sob and angina with minimal activity worsening x3 weeks requiring increasing amounts of sl ngt. initial cardiac enzymes negative. pt underwent cath on through left femoral artery which revealed 95% ungrafted om1 lesion, occluded left sided vein grafts, patent lima->lad, and patent left radial to rca. lv function severely depressed. . post cath he developed acute shortness of breath thought to be secondary to pulmonary edema. he was positive ~700 cc since admission on . his bp was elevated at 170/110 with a hr of 130. he received several doses of iv lasix with minimal urine output. abg revealed 7.09/77/108 on 100% nrb. he was intubated emergently around 4am. his creat increased from 1.0 to 1.4 post cath. he noted chills with an elevated wbc count of 17.9 with 5% bandemia. cxr revealed b/l pleural effusions, pulm edema, and probably lul infiltrate. he was given a dose of levofloxacin and vanco. blood cultures were drawn. he received ativan 5 mg iv x1 and then started on a ativan gtt at 1 mg/hr prior to transfer. he received iv morphine and 8 units of regular insulin for a fs 328. . upon arrival to the ccu he was intubated and sedated. he was moving all extremities. he was minimally responsive to verbal stimuli. . : hct 51.3, wbc 17.9, plt 263 na 140, k 4.5, cl 101, bicarb 24, bun 23, cr 1.4 abg 7.27/43/207 ac 600/18/5/100% ua negative tc 167, tg 193, hdl 53, ldl 75 past medical history: - cad s/p nstemi and cabg x2 with redo 3 months later, redo cabg x2 (totally occluded svg grafts with sig lad and rca dz - radial artery grafting to distal rca and lima to lad) - ischemic cardiomyopathy ef 15-20% - niddm - high grade av block s/p ddd pacer - hypothyroidism - hyperlipidemia - htn social history: per records from pt never smoked tob. lives at home with wife. family history: unknown. physical exam: tc 99.2 bp 123/79 hr 108 rr 16 sat 99% ac 590(550)/16/5/70% abg 7.43/45/126 propofol gtt . gen: intubated/sedated hennt: anicteric, perrl neck: unable to assess jvd cv: rrr, nl s1s2 lungs: anteriorly with basilar crackles abd: soft, nt/nd, +bs ext: no peripheral edema, palpable dp/pt pulses bilaterally neuro: moving all extremities pertinent results: admission labs: 142 103 22 ------------<176 4.1 29 1.4 estgfr: 50/60 (click for details) ck: 1643 mb: 106 mbi: 6.5 --> ck: 1504 mb: 77 mbi: 5.1 trop-t: 6.28 ca: 7.9 mg: 1.8 p: 3.5 alt: 34 ap: 48 tbili: 0.8 ast: 160 ldh: 506 dbili: 13.4 16.2>--<215 38.9 n:90.0 band:0 l:4.4 m:4.9 e:0.6 bas:0.1 anisocy: 1+ . cxr : an endotracheal tube is positioned 2.5 cm above the carina. a nasogastric tube descends below the diaphragm and is coiled, and possibly kinked in the stomach fundus. the cardiac silhouette is diffusely enlarged. there is severe bilateral pulmonary edema, with moderately large pleural effusions, right greater than left. retrocardiac opacification is likely related to volume loss. . ecg at : v-paced, rate 64, left axis . cardiac cath : patient intubated on arrival to cathlab. unable to access right groin (occluded sfa). initial angiography revealed 90% lesion in om branch. we planned to directly stent this lesion.heparin and integrilin was commenced prophylactically. a 6f xb 3.0 guide engaged the lca and provided adequate support. the lesion was crossed with a prowater wire resulting in no flow down vessel (indicating severe stenotic lesion). the lesion was then stented the a driver 3.0x12mm bare metal stent deployed to 14atm. good result with normal flow down vessel. patient's blood pressure dropped to 60 systolic at end of procedure but rose to 150 systolic with easing of propofol sedation. . echo : lvef <20%, 1+ mr, severe pulmonary artery systolic htn brief hospital course: this 73 year old man was admitted with acute pulmonary edema and rising cardiac enzymes. he was taken urgently to the cardiac cath lab where he was found to have 95% stenosis of om1 and had a bare metal stent placed with good effect. he was able to be easily extubated. he was maintained on aspirin, plavix, statin, metoprolol and lisinopril. he had a tte to assess valves and global systolic function which showed only global systolic depression with estimated ef >20%, consistent with previous echos and 1+ mr. was discharged to follow-up with his cardiologist in to futher consider difibrilator placement or anticoagulation for his low ef. medications on admission: - altace 2.5 mg daily - aspirin 81 mg daily - crestor 10 mg daily - lasix 40 - glipizide xl 10 - imdur 180 daily - isordil 20 prn - metformin 1000 - lopressor 50 daily - omeprazole 20 daily - plavix 75 daily - levothyroxine 0.75 daily - lipitor 20 daily - ?lisinopril 5 daily discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. disp:*60 tablet(s)* refills:*2* 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 7. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). 8. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for constipation. disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 10. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 12. toprol xl 100 mg tablet sustained release 24 hr sig: three (3) tablet sustained release 24 hr po once a day. disp:*90 tablet sustained release 24 hr(s)* refills:*2* 13. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 14. glipizide 10 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po twice a day. 15. lasix 40 mg tablet sig: one (1) tablet po twice a day. 16. imdur 30 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* discharge disposition: home discharge diagnosis: coronary artery disease, congestive heart failure, diabetes melitus type ii, hypertension. discharge condition: stable. discharge instructions: please take all medications as prescribed. please keep all follow-up appointments. if you experience chest pain, chest pressure, shortness of breath, nausea, vomitting, dizziness, lightheadedness, weight gain of > 3 pounds, swelling of your legs, or any symptoms that concern you, please notify your primary care doctor, dr. ( or return to the emergency department. . your medications have been changed as follows: you are on a lower dose of imdur (30mg daily), you are on an increased dose of metoprolol (300mg) and an increased dose of lipitor (80mg). additionally you should change from altace to lisinopril. all of these medication changes should be discussed with your doctors when follow-up with them. followup instructions: please follow-up with your primary care physician, . , (, within 2 weeks of discharge. . please follow-up with your cardiologist, dr. , ( within 2 weeks of discharge. at this visit you should discuss the potential for a defibrilator or anticoagulation with coumadin given your low ejection fraction (<20%). additionally you should discuss having a repeat echocardiogram in months to monitor for any improvement in your ejection fraction. 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 injection or infusion of platelet inhibitor insertion of endotracheal tube enteral infusion of concentrated nutritional substances 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 diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism cardiac pacemaker in situ 

Answer: The patient is high likely exposed to