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: pericardial effusion major surgical or invasive procedure: pericardiocentesis with pericardial drain placement history of present illness: patient is a 62 y/o male with pmhx cad s/p mi in ', vt with aicd placement, ischemic cardiomyopathy ef 30%, hyperlipidemia, htn who presents s/p pericardiocentesis with pericardial drain. the patient was recently treated at for an nstemi and question of lv thrombus. he had a cardiac catheterization which showed three vessel disease and a suspected subtotally occluded d1 and /or hazy mild lesion in the proximal-mid lcx at om2 as the target lesion for his nstemi. however, he had no lesion appealing for pci and was treated medically. an echo during the admission was not able to rule out an lv thrombus. it was decided not to anticoagulate the patient for the questionable thrombus as the risks outweighed the benefits and he was to have a repeat echo with definity to further assess the thrombus. he presented to his cardiologist's office for the echocardiogram. it showed a pericardial effusion and echo signs of tamponade. he had a pulsus of , and was sent to for drainage. 600cc of blood fluid was drained and patient was sent to ccu for monitoring. . on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. s/he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. currently, the patient feels well with no chest pain, shortness of breath, dizziness, light-headedness. past medical history: - cad s/p mi in ', s/p cardiac cath with no stent - h/o vt s/p aicd placement x2 - h/o ischemic cardiomyopathy with ef 30% - dyslipidemia - hypertension social history: - works in a courier company - quit smoking 20 years ago, prior pack year smoking history - occasional etoh - denies illicit drug use family history: - father with mi @ 70 - paternal uncles died of heart disease physical exam: general: wdwn male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with low jvp cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. +bowel sounds extremities: no c/c/e. no femoral bruits. pericardial drain with some serosanguinous leak, 2+ dp/pt pulses pertinent results: 05:58pm blood wbc-9.0 rbc-4.29* hgb-12.5* hct-38.1* mcv-89 mch-29.1 mchc-32.9 rdw-13.4 plt ct-401# 04:16am blood wbc-8.7 rbc-4.40* hgb-13.0* hct-38.6* mcv-88 mch-29.5 mchc-33.6 rdw-13.5 plt ct-423 05:58pm blood neuts-72.6* lymphs-18.1 monos-7.6 eos-1.4 baso-0.3 05:58pm blood pt-13.0 ptt-26.0 inr(pt)-1.1 04:16am blood pt-14.7* inr(pt)-1.3* 05:58pm blood glucose-102* urean-14 creat-0.9 na-136 k-5.3* cl-101 hco3-27 angap-13 04:16am blood glucose-110* urean-14 creat-0.9 na-136 k-4.4 cl-103 hco3-25 angap-12 05:58pm blood calcium-8.8 phos-2.5* mg-2.3 04:16am blood calcium-8.8 phos-2.6* mg-2.2 ...... micro 8:01 pm pericardial fluid. gram stain (final ): no polymorphonuclear leukocytes seen. no microorganisms seen. fluid culture (preliminary): no growth. anaerobic culture (preliminary): pending acid fast smear (final ): no acid fast bacilli seen on direct smear. acid fast culture (preliminary): pending fungal culture (preliminary): no fungus isolated. . 7:31 pm pericardial fluid. fluid culture in bottles (preliminary): no growth. . 07:30pm other body fluid wbc-9375* hct,fl-8.0* polys-14* lymphs-75* monos-11* 07:30pm other body fluid totprot-5.1 glucose-77 ld(ldh)-1838 amylase-46 albumin-3.0 . reports cardiac cath study date of brief history: 62 y/o male who was transferred from out-patient facility with moderate-large pericardial effusion with early echocardiographic features of temponade. indications for catheterization: pericardial effusion with early pericardial temponade procedure: pericardiocentesis: was performed via the subxyphoid approach, using an 18 gauge thin-wall needle, a guide wire, and a drainage catheter. hemodynamics results body surface area: m2 hemoglobin: gms % technical factors: total time (lidocaine to test complete) = 35 minutes. arterial time = fluoro time = 0.5 minutes. irp dose = 21 mgy. contrast injected: non-ionic low osmolar (isovue, optiray...), vol ml premedications: midazolam 1 mg iv fentanyl 50 mcg iv anesthesia: 1% lidocaine subq. cardiac cath supplies used: - , pericardiosentisis set - allegiance, custom sterile pack - merit, left heart kit comments: pericardiocentesis performed via subcostal approach. 600 cc serosanguinous fluid removed. initial pericardial pressure 15 mm and 0 mm of hg atthe end of the procedure. repeat echo showed no residual fluid. drain left in place. fluid sent for studies. final diagnosis: 1. 600 cc serosanguinous pericardial fluid removed with relief of temponade . tte 1600 there is severe regional left ventricular systolic dysfunction with akinesis of the apex, apical segments, mid anterior, anteroseptal and lateral walls. a moderate sized thrombus is seen in the apex of the left ventricle.there is a small to moderate sized pericardial effusion. the effusion appears circumferential. there is brief right atrial diastolic collapse. compared with the prior study (images reviewed) of , there is now a small to moderate pericardial effusion. there is no clear-cut evidence of tamponade but both appear more compressed than on prior study. there appears to be a moderate sized thrombus in the left ventricular apex (may have been present on prior but not seen as clearly as on current study). . tte 1658 there is severe regional left ventricular systolic dysfunction with akinesis of the apex, apical segments, mid anterior, anteroseptal and lateral walls. right ventricular chamber size and free wall motion are normal. the mitral valve leaflets are mildly thickened. there is a trivial/physiologic pericardial effusion. compared with the prior study (images reviewed) of , the pericardial fluid has been largely removed. a trivial amount of fluid near the right atrium remains. brief hospital course: 62 y/o male with pmhx cad s/p mi in ' and recent discharge for nstemi on , vt s/p aicd placement who presents s/p pericardiocentesis with drain placement after routine echo at cardiologist office showed effusion with echo tamponade. currently stable. . # pericardial effusion - s/p pericardiocentesis with drain placement. follow-up echo post-procedure showed trivial/physiologic pericardial effusion. pericardial fluid studies showed wbc 9375, protein 5.1, glucose 77, ldh 1838, amylase 46, albumin 3.0; and cytology is still pending. drain pulled. patient discharged with plan to have repeat echo as outpatient and f/u with cardiology. . # hypertension - normotensive on admission. patient had been having cough so switched his ace-i to . continued home dose of atenolol. . # coronaries: s/p nstemi with discharge on . ekg on admission showed no st-t wave changes. continued home doses of aspirin, atenolol, and atorvastatin. changed lisinopril to losartan. . # pump: recent cath on showed evidence of mild to moderate chronic diastolic heart failure as well as chronic systolic heart failure, ef 20-25%. no clinical signs of heart failure during admission. continued statin, , atenolol . # hyperlipidemia - recent lipid panel showed total cholesterol of 164, ldl 85, hdl 61. continued atorvastatin - can consider increase to 20mg as outpatient as not at goal of less than 70. medications on admission: 1. lisinopril 10mg po daily 2. aspirin 325mg po daily 3. atenolol 25mg po daily 4. atorvastatin 10mg po daily 5. nitroglycerinsl 0.4mg discharge medications: 1. losartan 25 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 2. aspirin 325 mg tablet sig: one (1) tablet po once a day. 3. atenolol 25 mg tablet sig: one (1) tablet po once a day. 4. atorvastatin 10 mg tablet sig: one (1) tablet po once a day. 5. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) sublingual prn as needed for chest pain: if you need more than two pills to relieve your pain, you should call an ambulance as this could be a sign of a heart attack. discharge disposition: home discharge diagnosis: primary: cardiac tamponade secondary: coronary artery disease, hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: dear mr. , it was a pleasure taking care of you during your hospitalization. you were admitted because of fluid that was seen around your heart during an echocardiogram. this fluid was putting pressure on the heart, causing it to not squeeze normally. we removed the fluid from the heart and put a catheter in to drain any remaining fluid. the output from the drain was minimal so we were able to pull the catheter. you need to have another echocardiogram next week to see if any fluid has reaccumulated. because of the chronic cough you've had, we discontinued your lisinopril as that can be a side effect. we started a medication called losartan which also lowers your blood pressure without the cough as a side effect. . we stopped one medication: lisinopril - you should stop taking this medication. . we started one medication: losartan 25mg by mouth one time daily . we did not make any other changes to your medications. . please follow-up with your cardiologst, dr. , to have the echo and for a check-up. the office will call you on monday to schedule your appt with dr. and your echo to rule out pericardial effusion. if you do not hear from them, please call (. followup instructions: dr. recommended follow up in the next 2 weeks with echo performed in the morning before your appt. md, procedure: pericardiocentesis diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia old myocardial infarction automatic implantable cardiac defibrillator in situ subendocardial infarction, subsequent episode of care cardiac tamponade postmyocardial infarction syndrome 

Answer: The patient is high likely exposed to