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: no known allergies / adverse drug reactions attending: chief complaint: abdominal pain major surgical or invasive procedure: : open repair of ruptured abdominal aortic aneurysm with 18 x 30 hemashield tube graft. : cardiac cath. thrombotic lad stent. pci with and poba within history of present illness: the patient is a 61-year-old male who originally presented to an outside hospital with complaint of increasing abdominal and back pain with ct scan performed at an outside hospital demonstrating an 8.2-cm ruptured infrarenal abdominal aortic aneurysm with retroperitoneal containment. he was transferred to emergently for emergent operative repair of ruptured aortic aneurysm. past medical history: cad s/p pci with 2 (',' @ ) htn hyperlipidemia disc compression right knee surgery adenoidectomy social history: tobacco: prior smoker, denies current use etoh: occasional ilicit: denies lives w/ wife in . no medical insurance at this time - pays cash for all doctors . family history: denies cad, aortic aneurysms physical exam: discharge: gen - wdwn obese male in nad, alert and oriented x 3 card - rrr, no m/r/g lungs - cta bilat abd - soft +bs, no m/t/o; midline incision c/d/i extremities - mild edema bilat groin - puncture sites c/d/i, no hematoma pertinent results: 09:20pm blood wbc-21.2*# rbc-4.21* hgb-12.2* hct-36.5* mcv-87 mch-29.0 mchc-33.4 rdw-15.3 plt ct-135* 02:05am blood wbc-14.4* rbc-4.08* hgb-12.2* hct-34.1* mcv-84 mch-29.8 mchc-35.6* rdw-15.7* plt ct-149* 05:41am blood hct-31.4* 10:48am blood wbc-11.8* rbc-4.00* hgb-11.6* hct-33.3* mcv-83 mch-29.0 mchc-34.9 rdw-15.9* plt ct-116* 03:27pm blood hct-30.8* 02:39am blood wbc-10.3 rbc-3.19* hgb-9.5* hct-26.3* mcv-82 mch-29.8 mchc-36.1* rdw-16.1* plt ct-87* 01:52pm blood hct-26.5* 09:05pm blood hgb-8.6* hct-24.2* 09:10am blood hct-24.9* 05:12pm blood hct-26.4* 01:39am blood wbc-6.6 rbc-3.15* hgb-9.0* hct-25.6* mcv-81* mch-28.7 mchc-35.2* rdw-16.6* plt ct-96* 05:58pm blood hct-29.8* 07:07pm blood wbc-2.4*# rbc-3.69* hgb-10.5* hct-31.2* mcv-85 mch-28.4 mchc-33.5 rdw-16.5* plt ct-125* 11:04pm blood wbc-7.6# rbc-3.25* hgb-9.8* hct-27.3* mcv-84 mch-30.3 mchc-36.1* rdw-16.2* plt ct-139* 01:24am blood hct-27.6* 03:59am blood wbc-7.3 rbc-3.27* hgb-9.6* hct-27.4* mcv-84 mch-29.4 mchc-35.2* rdw-16.9* plt ct-139* 08:14am blood hct-22.1* 02:40pm blood wbc-7.7 rbc-3.49* hgb-10.6* hct-29.7*# mcv-85 mch-30.3 mchc-35.6* rdw-16.2* plt ct-150 07:50pm blood hct-28.6* 12:46am blood hct-29.0* 03:30am blood wbc-7.0 rbc-3.26* hgb-10.0* hct-27.9* mcv-86 mch-30.5 mchc-35.7* rdw-16.4* plt ct-139* 02:12pm blood hgb-10.5* hct-30.4* 01:22am blood wbc-7.3 rbc-3.39* hgb-10.2* hct-29.6* mcv-87 mch-30.1 mchc-34.5 rdw-16.0* plt ct-177 02:35pm blood hgb-10.7* hct-31.3* 03:24am blood wbc-6.4 rbc-3.51* hgb-10.6* hct-30.8* mcv-88 mch-30.4 mchc-34.6 rdw-15.6* plt ct-191 03:21am blood wbc-6.5 rbc-3.78* hgb-10.9* hct-32.5* mcv-86 mch-28.7 mchc-33.5 rdw-15.3 plt ct-202 09:20pm blood glucose-224* urean-14 creat-1.0 na-140 k-5.4* cl-109* hco3-17* angap-19 02:05am blood glucose-232* urean-14 creat-1.1 na-131* k-5.4* cl-108 hco3-19* angap-9 02:39am blood glucose-124* urean-14 creat-1.1 na-136 k-4.2 cl-105 hco3-22 angap-13 01:52pm blood glucose-118* urean-16 creat-1.2 na-132* k-4.2 cl-104 hco3-21* angap-11 12:58am blood glucose-132* urean-18 creat-1.3* na-134 k-4.1 cl-103 hco3-25 angap-10 01:39am blood glucose-132* urean-25* creat-1.4* na-141 k-3.9 cl-104 hco3-29 angap-12 07:07pm blood glucose-157* urean-24* creat-1.4* na-144 k-3.8 cl-102 hco3-29 angap-17 11:04pm blood glucose-147* urean-24* creat-1.2 na-142 k-4.0 cl-103 hco3-28 angap-15 03:59am blood glucose-124* urean-25* creat-1.3* na-143 k-3.9 cl-103 hco3-30 angap-14 08:06am blood na-141 k-4.2 cl-102 07:50pm blood na-142 k-3.9 cl-103 03:30am blood glucose-120* urean-23* creat-1.3* na-143 k-4.0 cl-104 hco3-29 angap-14 02:12pm blood na-142 k-4.2 cl-102 01:22am blood glucose-106* urean-26* creat-1.4* na-142 k-3.8 cl-103 hco3-33* angap-10 09:50pm blood glucose-154* na-144 k-3.8 cl-104 03:24am blood glucose-125* urean-27* creat-1.2 na-143 k-3.9 cl-104 hco3-33* angap-10 03:21am blood glucose-126* urean-28* creat-1.3* na-143 k-4.0 cl-105 hco3-33* angap-9 09:20pm blood ck(cpk)-35* 02:05am blood alt-16 ast-17 alkphos-53 totbili-1.1 10:48am blood ck(cpk)-736* 07:07pm blood alt-47* ast-61* ld(ldh)-301* ck(cpk)-319 alkphos-102 amylase-37 totbili-1.7* 03:59am blood alt-75* ast-227* ld(ldh)-518* alkphos-99 totbili-1.5 03:30am blood alt-60* ast-173* alkphos-86 totbili-1.6* 09:20pm blood ck-mb-3 ctropnt-<0.01 02:05am blood ck-mb-4 ctropnt-0.04* 10:48am blood ck-mb-7 ctropnt-<0.01 07:07pm blood ck-mb-6 ctropnt-0.12* 09:20pm blood calcium-8.5 phos-5.2*# mg-1.4* 02:05am blood albumin-2.4* calcium-8.0* phos-3.2# mg-2.4 02:39am blood calcium-8.5 phos-2.8 mg-1.8 01:52pm blood mg-2.1 01:39am blood calcium-9.2 phos-2.9 mg-2.1 07:07pm blood albumin-2.8* calcium-11.0* phos-4.7*# mg-2.4 iron-40* 03:59am blood calcium-9.4 phos-3.1# mg-2.4 08:06am blood mg-2.3 02:35pm blood mg-2.2 07:50pm blood calcium-9.3 mg-2.1 03:30am blood calcium-9.2 phos-2.5* mg-2.1 02:12pm blood mg-2.1 01:22am blood calcium-9.8 phos-2.9 mg-2.1 09:50pm blood mg-1.9 03:24am blood calcium-10.0 phos-3.1 mg-2.3 03:21am blood calcium-10.1 phos-3.5 mg-2.1 03:33pm urine color-yellow appear-cloudy sp -1.026 03:33pm urine blood-lg nitrite-neg protein-30 glucose-neg ketone-neg bilirub-neg urobiln-neg ph-5.5 leuks-sm 03:33pm urine rbc-105* wbc-0 bacteri-none yeast-none epi-0 9:20 pm mrsa screen source: nasal swab. **final report ** mrsa screen (final ): no mrsa isolated. 3:33 pm urine source: catheter. **final report ** urine culture (final ): no growth. 3:59 am blood culture source: line-art. **final report ** blood culture, routine (final ): staphylococcus, coagulase negative. isolated from only one set in the previous five days. sensitivities performed on request.. anaerobic bottle gram stain (final ): reported to and read back by , pa on at 0545. gram positive cocci in clusters. 5:14 am blood culture source: line-l antecub piv. **final report ** blood culture, routine (final ): no growth. 2:35 pm blood culture source: line-rij cordis #1. blood culture, routine (pending): 3:21 pm blood culture source: venipuncture. blood culture, routine (pending): echocardiography report , (complete) done at 7:47:15 pm final referring physician information , c , status: inpatient dob: age (years): 61 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: emergency tee request for cardiopulmonry arrrest in cvicu following post ruptured aaa surgery 3 days ago? a quick tee to rule out major reasons for cardiovascular arrest for done icd-9 codes: 410.91, 424.0 test information date/time: at 19:47 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2011aw01-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.4 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.4 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.5 cm <= 5.6 cm left ventricle - ejection fraction: 30% to 35% >= 55% aorta - ascending: 3.4 cm <= 3.4 cm aortic valve - peak velocity: 1.0 m/sec <= 2.0 m/sec aortic valve - lvot diam: 2.0 cm findings left atrium: dilated la. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. right atrium/interatrial septum: normal ra size. left ventricle: mild symmetric lvh with normal cavity size. moderate regional lv systolic dysfunction. moderately depressed lvef. right ventricle: mild global rv free wall hypokinesis. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. focal calcifications in ascending aorta. normal aortic arch diameter. focal calcifications in aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. no thoracic aortic dissection. aortic valve: mildly thickened aortic valve leaflets (3). no as. trace ar. mitral valve: mildly thickened mitral valve leaflets. mild to moderate (+) mr. tricuspid valve: normal tricuspid valve leaflets. mild tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was sedated for the tee. medications and dosages are listed above (see test information section). no tee related complications. resting tachycardia (hr>100bpm). the rhythm appears to be atrial flutter. results were personally regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is moderate regional left ventricular systolic dysfunction with akinesis of the anterior septum in the base, mid and apical segments. overall left ventricular systolic function is moderately depressed (lvef= 35 %). with mild global free wall hypokinesis. there are focal calcifications in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. no thoracic aortic dissection is seen. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. there is no pericardial effusion. the icu physician and vascular fellow were notified in person of the results impression: severe hypokinesis of the anterior septum suggestive of acute mi. no pericardial effusion. no evidence of pe. no evidence of thoracic aortic dissection.valve findings do not explain sudden cardiac arrest. echocardiography report , portable tte (complete) done at 2:41:03 pm final referring physician information , c , status: inpatient dob: age (years): 61 m hgt (in): 71 bp (mm hg): 110/54 wgt (lb): 302 hr (bpm): 91 bsa (m2): 2.51 m2 indication: congestive heart failure. coronary artery disease. left ventricular function. myocardial infarction. vf arrest. icd-9 codes: 428.0, 410.91, 414.8, 424.0 test information date/time: at 14:41 interpret md: , md test type: portable tte (complete) son: , rdcs doppler: full doppler and color doppler test location: west sicu/ctic/vicu contrast: none tech quality: adequate tape #: 2011w000-0:00 machine: vivid q-1 echocardiographic measurements results measurements normal range left atrium - long axis dimension: 4.0 cm <= 4.0 cm left atrium - four chamber length: 5.0 cm <= 5.2 cm right atrium - four chamber length: 4.8 cm <= 5.0 cm left ventricle - septal wall thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.5 cm <= 5.6 cm left ventricle - ejection fraction: 40% >= 55% left ventricle - lateral peak e': 0.09 m/s > 0.08 m/s left ventricle - septal peak e': 0.11 m/s > 0.08 m/s left ventricle - ratio e/e': 9 < 15 aorta - sinus level: *3.8 cm <= 3.6 cm aorta - ascending: *4.0 cm <= 3.4 cm aortic valve - peak velocity: 1.0 m/sec <= 2.0 m/sec aortic valve - lvot diam: 2.5 cm mitral valve - e wave: 0.9 m/sec mitral valve - a wave: 0.8 m/sec mitral valve - e/a ratio: 1.13 mitral valve - e wave deceleration time: 200 ms 140-250 ms tr gradient (+ ra = pasp): *30 mm hg <= 25 mm hg findings this study was compared to the prior study of . left atrium: normal la and ra cavity sizes. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. left ventricle: normal lv wall thickness and cavity size. mild-moderate regional lv systolic dysfunction. apical lv aneurysm. no lv mass/thrombus. right ventricle: normal rv chamber size. focal apical hypokinesis of rv free wall. aorta: mildy dilated aortic root. mildly dilated ascending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. mild pa systolic hypertension. pericardium: no pericardial effusion. general comments: suboptimal image quality - poor subcostal views. suboptimal image quality - poor suprasternal views. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions the left atrium and right atrium are normal in cavity size. left ventricular wall thicknesses and cavity size are normal. there is mild to moderate regional left ventricular systolic dysfunction with akinesis of the distal half of the anterior septum and anterior walls, distal septum and apex. the apex is mildly aneurysmal. the remaining segments contract normally (lvef = 40 %). no masses or thrombi are seen in the left ventricle. right ventricular chamber size is normal. with focal hypokinesis of the apical free wall. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. impression: normal left ventricular cavity size with regional systolic dysfunction c/w cad (mid lad distribution). pulmonary artery systolic hypertension. compared with the prior study (images reviewed) of , the regional left ventricular systolic dysfunction is new and c/w interim ischemia/infarction. clinical implications: based on aha endocarditis prophylaxis recommendations, the echo findings indicate prophylaxis is not recommended. clinical decisions regarding the need for prophylaxis should be based on clinical and echocardiographic data. brief hospital course: mr. is a 61m transferred to the from an osh on for aaa rupture, taken to the or immediately and underwent open repair of ruptured abdominal aortic aneurysm with 18 x 30 hemashield tube graft. intraoperatively, there were brief periods of hypotension which required intermittent phenylephrine boluses. at the end of the surgery, he was transferred to the cvicu on minimal inotropic support. his immediate post operative course was uneventful, though he did develop brbpr on . this was not accompanied by any hemodynamic instability or change in hematocrit. flex sig was done by gen and showed no transmural ischemia but did demonstrate mucosal ischemia at 20 cm. the pt was started on cipro/flagyl for bowel ischemia. the pt remained intubated until pod #4 around noon-1pm, extubation was difficult likely hypervolemia and he was aggressively diuresed. . of note, in the setting of aaa rupture, aspirin and plavix were held. . the pt was comfortable and hemodynamically stable until around 655pm when he was talking to family entered afib and then vfib arrested. a code blue was called and the pt received chest compressions, three rounds of electrical cardioversion (200-300-300), 2 doses of epinephrine. he went from vfib into torsades into afib and was intubated. amio gtt was started. tee was performed by anesthesia and showed dyskinesis of the anteroseptum. ecg showed ste in avr, v1 with st depressions in the lateral percordial leads and inferiorly. he was taken emergently for catheterization and given integrillin x2, plavix 600mg and was started on a heparin gtt. cath showed instent thrombosis of the lad stent. balloon inflation was used to recannulate the stent and the proximal edge of the stent was covered with a 3mm promus. swan was placed for invasive monitoring, with pcwp 25 and mixed venous o2 62%. . in the cvicu the pt had sbps in the 80s-90s and was tachycardic to the 110s-130s with atrial fibrillation. he received a synchronized shock at 200j and converted to normal sinus with sbps stable in the 90s. he remained intubated and sedated on fentanyl/propofol, and continued on amio, asa, plavix. ccu course: the patient had vfib arrest the evening of ~ 7 pm. a code blue was called. the patient received chest compressions, 3 rounds of electrical cardioversion, and 2 doses of epi. he went from vfib into torsades and then atrial fibrillation. tee was performed and showed dyskinesis of the anteroseptum. ekg showed ste in avr, with diffuse st depressions. he was taken emergently to the cath lab, where r radial catheterization was performed. heparin gtt, integrillin, and plavix 600 mg were started (asa and plavix had been held in the setting of aaa rupture). cath showed instent thrombosis of the lad - ballon angioplasty was performed and a des was placed proximally. swan was placed for invasive monitoring with pcwp of 25 nad mixed venous sat of 62%. 2u prbcs were transfused on am for a hct drop to 22.1 overnight. cardiology recommended transient amiodarone gtt x ~ 24 hrs, continuation of asa 325 mg, plavix 75 mg per day, prasugrel 10 mg per day, atorvastatin 80 mg per day. on , patient's care returned to the vascular team. repeat echo demonstrated mild to moderate regional left ventricular systolic dysfunction with akinesis of the distal half of the anterior septum and anterior walls, distal septum and apex and an ef of 40%, consistent with the territory of infarction. he had a 5-beat run of nsvt that was treated with potassium repletion and increase in beta-blockade. patient remained intubated after his code until extubaion on . he was diuresed on a lasix gtt and amiodarone gtt was discontinued for po amiodarone. on patient passed his bedside swallow evaluation and was started on a clear diet, which he tolerated. he remained in the cvicu until when he was stable to transfer to the stepdown vicu. cardiology continued to follow him and titrated his medications apporpiately. he was out of bed and worked with physical therapy on multiple occasions. he ambulated independently and did stairs without difficulty. his diet was advanced and he tolerated a regular diet without problems. nutritionist saw him and felt he had appropriate intake. on he was completely stable and had finished his amio load. he was deemed stable for discharge home. he has appointments to follow up with his cardiologist dr. in a week and will be seeing a new pcp, . within the next 2 weeks. he will return to see dr. in weeks. medications on admission: simvastatin ?, asa 325, plavix 150', metoprolol discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. prasugrel 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*80 tablet(s)* refills:*2* 4. captopril 12.5 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for wheeze. 7. ipratropium bromide 17 mcg/actuation hfa aerosol inhaler sig: 1-2 puffs inhalation q4h (every 4 hours) as needed for wheeze. 8. metronidazole 500 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 12 days. disp:*36 tablet(s)* refills:*0* 9. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 12 days. disp:*24 tablet(s)* refills:*0* 10. amiodarone 400 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: - ruptured infrarenal abdominal aortic aneurysm - thrombosed lad stent causing vfib arrest discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: division of vascular and endovascular surgery abdominal aortic aneurysm (aaa) surgery discharge instructions what to expect when you go home: 1. it is normal to feel weak and tired, this will last for weeks ?????? you should get up out of bed every day and gradually increase your activity each day ?????? you may walk and you may go up and down stairs ?????? increase your activities as you can tolerate- do not do too much right away! 2. it is normal to have incisional and leg swelling: ?????? wear loose fitting pants/clothing (this will be less irritating to incision) ?????? elevate your legs above the level of your heart (use pillows or a recliner) every 2-3 hours throughout the day and at night ?????? avoid prolonged periods of standing or sitting without your legs elevated 3. it is normal to have a decreased appetite, your appetite will return with time ?????? you will probably lose your taste for food and lose some weight ?????? eat small frequent meals ?????? it is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? to avoid constipation: eat a high fiber diet and use stool softener while taking pain medication what activities you can and cannot do: ?????? no driving until post-op visit and you are no longer taking pain medications ?????? you should get up every day, get dressed and walk, gradually increasing your activity ?????? you may up and down stairs, go outside and/or ride in a car ?????? increase your activities as you can tolerate- do not do too much right away! ?????? no heavy lifting, pushing or pulling (greater than 5 pounds) until your post op visit ?????? you may shower (let the soapy water run over incision, rinse and pat dry) ?????? your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing over the area that is draining, as needed ?????? take all the medications you were taking before surgery, unless otherwise directed ?????? take one full strength (325mg) enteric coated aspirin daily, unless otherwise directed ?????? call and schedule an appointment to be seen in 2 weeks for staple/suture removal what to report to office: ?????? redness that extends away from your incision ?????? a sudden increase in pain that is not controlled with pain medication ?????? a sudden change in the ability to move or use your leg or the ability to feel your leg ?????? temperature greater than 101.5f for 24 hours ?????? bleeding from incision ?????? new or increased drainage from incision or white, yellow or green drainage from incisions you also had thrombosis of your coronary stent and had a new drug eluding stent placed. you have been placed on a new medicine called prasugrel and should not stop this medication under any circumstances unless cleared by your cardiologist. followup instructions: please call dr. office for follow up in 4 weeks dr. (cardiology) 4:15pm medical dr. will be your new pcp. nurse will review your hospital paperwork and call you with an appointment. if you do not hear from her in the next 2 days, please call to follow up. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours coronary arteriography using two catheters injection or infusion of platelet inhibitor diagnostic ultrasound of heart insertion of endotracheal tube other electric countershock of heart flexible sigmoidoscopy resection of vessel with replacement, aorta, abdominal insertion of drug-eluting coronary artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified unspecified essential hypertension acute posthemorrhagic anemia cardiac complications, not elsewhere classified atrial fibrillation atrial flutter paroxysmal ventricular tachycardia other and unspecified hyperlipidemia acute respiratory failure blood in stool other complications due to other cardiac device, implant, and graft ventricular fibrillation obesity, unspecified abdominal aneurysm without mention of rupture unspecified vascular insufficiency of intestine body mass index 40.0-44.9, adult acute coronary occlusion without myocardial infarction 

Answer: The patient is high likely exposed to