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: levofloxacin / ace inhibitors attending: chief complaint: pea arrest during non- hip fracture repair major surgical or invasive procedure: none history of present illness: 70 yo m with hx of dilated ischemic cm with ef of 20%, who was in the or today for an elective repair of his left hip non- fx and he had hypotension and a pea arrest in the setting of anesthesia induction. after he was intubated he had a cvl placed and became hypotensive. he was given ivf and neo, then changed to epi. he then had a pea arrest for about 1 minute with compressions and was given epi bolus x 1 with a return of a pulse. he was continued on a epi gtt. he was then in afib with rvr hr in 120s. ep was called and then interogated his pacemaker, did a tee with no thrombus, and he was cardioverted with 100 j x 1, and then 200 j x 1 to a paced rhythm. he also had hypoxia with low saturations during the above event requiring fio2 of 100%. he had reported pleural effusions on his echo. the or team attempted to place a ct on the left, but were unable to due to adhesions. his inital abg post arrest was ph 7.07 pco2 78 po2 62. no cxr was done prior to transfer. pt was also given vecuronium x 1 in the or. pt was given 1500ml ivf total per anesthesia. of note he had many admissions over the last calendar year for difficult to control chf. his last admission was on at which time he had a cath with a angioplasty to his lcx and was started on plavix. ros, unable to complete due sedation. past medical history: 1. cardiac risk factors: (+)diabetes (+)dyslipidemia (+)hypertension 2. cardiac history: -dilated ischemic cardiomyopathy with ef 20% () with chronic dyspnea on exertion and peripheral edema -cabg: mi x3 with cabg (): svg-pl, svg-diagonal and lima-lad. most recent pci/catheterization . showed the following: patent lima-lad, svg-diag, svg-rpl. severe pulmonary hypertension. he had a ptca only of the mid cx with an apex otw 2.25x15 mm -pacing/icd: - atrial flutter episode with cardioversion - -v pcm/icd () 3. other past medical history: - ckd hypertension and diabetes - baseline cr 1.4 - retinopathy,neuropathy, and nephropathy from dm2 - orif left hip in with persistent nonunion of his subtrochanteric femur fracture. - history of substance abuse - history of pancreatitis - impotence - colonic polyps - gastroesophageal reflux disease (gerd) - left eye vitrectomy social history: used to be a cab driver, now retired. -tobacco history: 40-50 pack year history, quit 15 years ago -etoh: heavy use until -illicit drugs: previous heroin/cocaine use family history: mother and father died in 70's-80s of cancer. denies any family history of cardiac disease. no family history of early mi. physical exam: admission exam vs: afebrile, 94, 119/61, 16, 98% cmv 500 x 16, peep 5, fio2-100% general: sedated, unresponsive, intubated heent: ncat. sclera anicteric. left pupil slighly larger than right, both not resposive, conjunctiva were pink, mmm neck: supple with jvp at jaw, but pt is lying down, ij line on right cardiac: rrr, no m/r/g. no thrills, lifts. no s3 or s4. radial pulses 1+ bilaterally, doppler le pulses lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, some crackles bilaterally abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: cool extremites, venous stasis changes in les, scar on right leg, ulcers on 3rd and 4th toes, 2+ pitting edema to knees neruo: unresponsive (recent paralytic) pertinent results: labs at admission:' 06:19pm type-art temp-36.4 po2-158* pco2-33* ph-7.35 total co2-19* base xs--6 intubated-intubated 06:00pm urea n-51* creat-1.5* sodium-139 potassium-4.6 chloride-107 total co2-21* anion gap-16 06:00pm ck(cpk)-68 06:00pm ck-mb-9 ctropnt-0.14* 06:00pm calcium-8.2* phosphate-5.7* magnesium-2.2 04:21pm type-art temp-36.4 rates-/18 tidal vol-500 peep-8 o2-60 po2-202* pco2-31* ph-7.39 total co2-19* base xs--4 -assist/con intubated-intubated 04:21pm lactate-1.7 01:08pm type-art temp-35.9 rates-18/5 tidal vol-500 peep-8 o2-70 po2-125* pco2-33* ph-7.35 total co2-19* base xs--6 -assist/con intubated-intubated 01:08pm lactate-1.7 11:48am type-art temp-35.7 tidal vol-500 peep-8 o2-80 po2-104 pco2-42 ph-7.26* total co2-20* base xs--7 aado2-424 req o2-73 -assist/con intubated-intubated 11:48am o2 sat-95 10:55am type-art temp-35.7 tidal vol-500 peep-5 o2-80 po2-76* pco2-53* ph-7.20* total co2-22 base xs--7 aado2-441 req o2-76 -assist/con intubated-intubated 10:55am lactate-2.4* 10:55am o2 sat-89 10:50am glucose-194* urea n-52* creat-1.4* sodium-138 potassium-4.2 chloride-107 total co2-22 anion gap-13 10:50am alt(sgpt)-17 ast(sgot)-26 ck(cpk)-74 alk phos-234* tot bili-1.5 10:50am ck-mb-8 ctropnt-0.05* 10:50am albumin-3.4* calcium-7.9* phosphate-6.0*# magnesium-2.2 10:50am wbc-8.6# rbc-5.92 hgb-11.8* hct-41.7 mcv-70* mch-19.9* mchc-28.2* rdw-19.4* 10:50am plt count-288 10:50am pt-21.8* ptt-29.8 inr(pt)-2.0* 08:52am type-art po2-94 pco2-55* ph-7.09* total co2-18* base xs--13 intubated-intubated vent-controlled 08:52am glucose-204* lactate-5.5* na+-136 k+-5.2 cl--104 08:52am freeca-1.16 08:44am type-art po2-62* pco2-78* ph-7.07* total co2-24 base xs--9 vent-controlled 08:44am glucose-159* lactate-3.7* na+-136 k+-5.3 cl--105 08:44am hgb-12.1* calchct-36 o2 sat-74 08:44am freeca-1.16 01:30pm glucose-81 01:30pm urea n-50* creat-1.4* sodium-139 potassium-4.3 chloride-104 total co2-26 anion gap-13 01:30pm estgfr-using this 01:30pm wbc-5.5 rbc-5.97# hgb-12.0* hct-40.4 mcv-68* mch-20.2*# mchc-29.7* rdw-19.6* 01:30pm plt count-280 01:30pm pt-20.7* inr(pt)-1.9* imaging studies: : the patient developed cardiac arrest after the induction of general anesthesia. the left atrium is markedly dilated. mild spontaneous echo contrast is seen in the body of the left atrium. no thrombus is seen in the body of the left atrium or left atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). the right atrium is dilated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is moderately dilated. there is severe regional left ventricular systolic dysfunction with mid and apical akinesis and moderate hypokinesis of the remaining segments. overall ef is about 10%. the right ventricular cavity is dilated with severe global free wall hypokinesis. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. moderate to severe (3+) mitral regurgitation is seen. moderate to severe tricuspid regurgitation is seen. the pulmonary artery is not well visualized. there is a trivial/physiologic pericardial effusion. dr. and were notified in person of the results in the operating room at the time of the study. impression: 1. gallbladder polyp or adherent non-shadowing stone, with biliary sludge. 2. echogenic liver, consistent with fatty infiltration. superimposed fibrosis and cirrhosis cannot be excluded. 3. moderate ascites. 4. appendix not visualized. 5. splenomegaly. paracentesis- ultrasound scans of the entire abdomen and pelvis revealed only trace ascites along the inferior medial edge of the liver. there is an insufficient amount of fluid for any paracentesis attempt even under real-time guidance. labs at discharge: brief hospital course: 70 yo m with hx of dialated ischemic cardiomyopathy with an ef of 20% who was admitted for an elective repair of a left nonunion subtrochanteric femur fracture who had hypotension and a pea arrest with induction of anesthesia. . # pea arrest/hypoxia: occured in setting of placing a central line. pt became hypotensive, may have had a vagal event. also may having been having hypoxia that could have contributed. abg on arrival to icu was 7.2/53/76 on fio2 80%. cxr with possible effusion on left and pulm edema. ip was consulted but did not recommend tapping the pleural fluid. he was weaned and extubated on and did not require further ventilatory support. . # cad: hx of recent angioplasty to lcx , was on plavix since. no reported recent cp. pt may have had demand ischemia due to hypotension/pea arrest and afib with rvr. his ce were trended but negative for acs and his lipitor/asa/metoprolol were restarted. . # chf: pt has a hx of dilated ischemic cardiomyopathy with an ef of 20%. cxr showed pulm edema. lasix gtt was stated with goal -1l per day but stopped on as patient appeared euvolemic. given the low ef, afterload reduction was achieved with ace-i, bb and lasix gtt. on the day of discharge, he appeared euvolemic with cr at baseline and minimal crackles on exam without o2 requirement. . # rhythm: had afib with rvr post pea arrest, now s/p cardioversion and is v-paced. bp improved with cardioversion. had tee with no thrombus in or, and will need to be anticoagulated. pt has a hx of some compliance issues with coumadin per omr. his coumadin was continued with inr goal . he was also continued on his home dose of digoxin 0.125mg. . # chest pain: thought to be cpr, ce were flat, was on tylenol and given a dose of morphine however he became delirious with medication and further pain control was achieved with tylenol and toradol. he pain waxed and waned over the course of his admission but had essentially disappeared on discharge. . # abdominal pain: patient with increasing abdominal pain during his ccu stay with increased t-bili (although ast/alt nl). he underwent abdominal u/s on that revealed moderate ascites and biliary sludge. a paracentesis was attempted but not performed the small amount of ascitic fluid on repeat u/s. his pain decreased over the the course of his stay and was well controlled with tramadol and occasional toradol. on discharge he had only mild discomfort with no peritoneal signs. # diarrhea: patient had c-diff sent but was not positive. his bowel regimen was held and this symptom gradually improved during his hospitalization. # htn: bp was normotensive off pressors in the first 48hrs post pea arrest and treated thereafter with (valsartan) which was intermittently held for low sbp 80-90s. # uti: patient developed fevers with a positive u/a, he was treated with bactrim that was changed to cefpodoxime for total course of 7 days. . # hld: stable and chronic, he was continued on lipitor . # dmii: stable, pt maintained on nph 15 units with ssi with humalog . # crf: baseline cr is 1.2. pt was thought to be at risk for atn due to hypotension. his cr/uop were trended and cr returned close to baseline prior to discharge. . # depression/mental status: patient was continued on home ssri, he became agitated on morphine and require a dose of zydis 5mg. several family meetings were undertaken to better define his goals of care and personal wishes regarding end-of life issues and comfort care. medications on admission: -asa 81mg qday -atorvastatin 80mg qday -citalopram 20mg qday -plavix 75mg qday, last dose thursday -digoxin 125mcg qday -colace 100mg -gabapentin 300mg -hydralazine 10mg tid -nph and regular, 15 and ssi -metolazone 2.5mg qday -metoprolol succinate 200mg qday -sln prn -senna 8.6mg -spirololactone 25mg qday -torsemide 60mg qday -coumadin 4-6mg qday discharge medications: 1. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 2. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. gabapentin 400 mg capsule sig: one (1) capsule po q8h (every 8 hours). 7. nph insulin human recomb 100 unit/ml suspension sig: twelve (12) units subcutaneous twice a day: before breakfast and dinner. 8. insulin lispro 100 unit/ml solution sig: 1-12 units subcutaneous four times a day: before meals per sliding scale. 9. metoprolol succinate 50 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). 10. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tab sublingual every 5 minutes for total of 3 doses as needed for chest pain: hold sbp < 90. 11. senna 8.6 mg tablet sig: one (1) tablet po twice a day as needed for constipation. 12. torsemide 20 mg tablet sig: four (4) tablet po daily (daily). 13. warfarin 2 mg tablet sig: two (2) tablet po once daily at 4 pm. 14. outpatient lab work please check chem-7 and inr on saturday 15. valsartan 80 mg tablet sig: one (1) tablet po bid (2 times a day): hold sbp < 90. 16. naproxen 250 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. 17. multivitamin,tx-minerals tablet sig: one (1) tablet po daily (daily). 18. ferrous gluconate 325 mg (37.5 mg iron) tablet sig: one (1) tablet po twice a day. 19. ascorbic acid 250 mg tablet, chewable sig: one (1) tablet, chewable po twice a day: give with fe. 20. tramadol 50 mg tablet sig: 0.5 tablet po q6h (every 6 hours) as needed for pain. 21. acetaminophen 500 mg tablet sig: 1-2 tablets po q 8h (every 8 hours). 22. cefpodoxime 100 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 3 days. discharge disposition: extended care facility: hospital for continuing medical care- discharge diagnosis: primary: - pea arrest with induction of anesthesia - acute on chronic systolic congestive heart failure: ef 10% - left subtrochanteric femur nonunion - diabetes mellitus - coronary artery disease - acute on chronic acute kidney injury - discharge condition: mental status: confused - sometimes. level of consciousness: alert and interactive. activity status: out of bed with assistance to chair or wheelchair. discharge instructions: you were admitted to the hospital for a right hip fracture repair. however during the induction of anesthesia, you had an arrest of your heart and low blood pressure. you required support of your blood pressure as well as diuresis to remove fluid from your lungs. you continued to have fluid buildup in your abdomen as well but this decreased with diuresis. your weight at discharge is 171 pounds, this is your dry weight and should given your underlying cardiac dysfunction, you underwent imaging studies to evaluate your heart muscle tissue to determine whether further intervention would be helpful. the results of the study showed that you would not benefit from further procedures or surgeries. your heart dysfunction will be treated medically going forward. it is important that you take your medications for your heart. some of your medications changed while you were in the hospital, please note that you should take the following when discharged: - stop taking spironolactone, metolazone, hydralazine and plavix - decrease atorvastatin to 40 mg - increase gabapentin to 400 mg three times a day - decrease nph to 12units twice daily, increase to home dose of 15 units as blood sugars tolerate - decrease metoprolol to 50 mg daily - increase torsemide to 80 mg daily - start naproxen for pain every 8 hours - start a multivitamin, iron and vitamin c - start tramadol for pain as needed please avoid salt and foods containing salt. weigh yourself every morning. if you gain more than 3 lbs in one day or 5 pounds in 3 days, you should take a dose of metolazone 2.5mg with your torsemide dose. if your weight does not decrease you should call dr. followup instructions: department: cardiac services when: tuesday at 2:30 pm with: , np building: sc clinical ctr campus: east best parking: garage procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified cardiopulmonary resuscitation, not otherwise specified diagnoses: acidosis esophageal reflux urinary tract infection, site not specified congestive heart failure, unspecified toxic encephalopathy cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes personal history of tobacco use depressive disorder, not elsewhere classified chronic kidney disease, unspecified ulcer of other part of foot other specified forms of chronic ischemic heart disease acute respiratory failure cardiac arrest long-term (current) use of insulin iron deficiency anemia, unspecified cardiac pacemaker in situ calculus of gallbladder without mention of cholecystitis, without mention of obstruction other chest pain other ascites personal history of noncompliance with medical treatment, presenting hazards to health diarrhea acute on chronic systolic heart failure surgical or other procedure not carried out because of contraindication nonunion of fracture delirium due to conditions classified elsewhere diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy venous (peripheral) insufficiency, unspecified personal history of colonic polyps impotence of organic origin other and unspecified general anesthetics causing adverse effects in therapeutic use late effect of fracture of lower extremities late effects of accidental fall 

Answer: The patient is high likely exposed to