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: chest pain major surgical or invasive procedure: cardiac catheterization history of present illness: this is a 79yo m with history of hypertension, hyperlipidemia, pvd who presented with 5/10 nonradiating burning chest pain in midchest that started at 3 am on the morning of admision. he denies nausea/vomitting/ diaphoresis / dizziness/palpitation. the pain did not wake him up from sleep and he noticed it while he was waking up to get to the bathroom. the pain was not relieved by mylanta/tums. at baseline, he could only walk a few hundred feet because of claudication. this has not changed recently. he did not notice any leg swelling/weight change. patient went to hospital where he had st depression in v4-v6 and noted to have crackles on exam. chest pain was relieved by 2slntg. patient geiven lasix. trop noted to be 9.37 at osh(0-0.5) with mb 65.1. iv heparin was started. he was then transferred to . patient is chest pain free on iv heparin and integrillin past medical history: 1. cad??silent mi in the past 2. copd 3. paroxysmal afib 4. hypercholesterolemia 5. bilateral cea about 20y ago 6. pvd s/p angioplasty lle about 10y ago 7. neck ca s/p xrt 7y ago social history: denies tobacco/etoh family history: mi in father at 65yo physical exam: t97.5 bp 90-110/50-60 p68 94% on ra gen-very pleasant elderly gentleman, comfortable in no pain/distress heent-anicteric, oral mucosa moist, neck supple cvs-regular hs, no murmur, faint heart sound, no pedal edema, no jvd, carotid bruit on right ext-femoral pulse 2+ bilaterally, no bruit, dp 1+ bilaterally(diffuicult to find) resp-mild bibasilar crackles -nl bs, nt/nd neuro-a+ox3, move all 4 limbs symmetrically, no facial asymmetry pertinent results: ecg-irregular rate, wandering atrial pacemaker, normal axis and interval, st depression in v2-v6 i, ii cxr -bilateral hazy opacities c/w chf 09:55am ptt-113.3* 07:05am blood wbc-8.7 rbc-3.75* hgb-11.1* hct-32.1* mcv-86 mch-29.5 mchc-34.5 rdw-16.3* plt ct-321 07:05am blood plt ct-321 07:05am blood glucose-97 urean-87* creat-3.8* na-130* k-3.0* cl-87* hco3-36* angap-10 07:25am blood ld(ldh)-273* 05:36am blood alt-18 ast-23 ld(ldh)-322* alkphos-68 totbili-0.5 03:59pm blood ck-mb-23* mb indx-12.9* ctropnt-4.82* 05:27am blood ck-mb-36* mb indx-13.7* ctropnt-5.10* 01:36pm blood ck-mb-98* mb indx-18.5* ctropnt-3.84* 07:05am blood calcium-8.5 phos-4.4 mg-2.2 01:56pm blood caltibc-270 vitb12-229* folate-19.2 ferritn-71 trf-208 06:30am blood triglyc-68 hdl-46 chol/hd-2.6 ldlcalc-59 01:56pm blood tsh-1.4 brief hospital course: patient had a nstemi on admission. over the weekend, the decision had been to watch him since he was chest pain free and his cr was rising. however, he eventually developed chest pain, his troponin peaked at 5.10 with very ischemic looking ecg. he was initially put on integrillin and heparin. however, his renal function continues to worsen and the integrillin was then switched to reapro. he subsequently passed large liquid black stool. the reapro and heparin was thus discontinued. the renal function continues to worsen and he also developed flash pulmonary edema with acute respiratory distress. he was then transferred to the ccu and aggressively diuresed with natrecor and achieved a net loss of 3.2l. the flash pulmoary edema was thought to be caused by his evolving mi. his ef was known to be 35%. he was then transferred to the floor. his oxygen saturation did not improve despite aggressive diuresis with natrecor and lasix drip. his cxr showed moderate to large bilateral pleural effusion. bilateral thoracentesis was performed and he had a therapeutic tap about 2l on the right and 1.4 l on the left. pleural fluid was consistent with transudative effusion. his respiratory status improved dramatically since then. his diuretic regimen was gradually switched to iv and then to oral medication. he will be discharged on oral lasix 20 . there is no plan for cardiac catheterization at this moment. will be managed medically with aspirin, metoprolol xl, simvastatin and nitroglycerin. patient also has a history of paroxysmal atrial fibrillation. he was on digoxin, diltiazem and coumadin as outpatient. however,coumadin was discontinued because of his gi bleed. diltiazem and digoxin were discontinued because of the frequent 4s pauses seen on telemetry. on discharge,he was in sinus rhythm on metoprolol and amiodarone 400 . digoxin was not restarted due to his renal failure. he will have to have a gi workup before coumadin could be restarted. gi workup will have to be arranged as outpatient. meanwhile, he would continue on ppi. he had recieved a total of 3 units of pack red cells while he was actively bleeding and since then his hematocrit had been stable. he was also started on iron pills. once his egd/colonoscopy has been done, he should be restarted on coumadin for stroke prevention (afib) with a goal inr of . his creatinine peaked at 4.1, likely due to decreased perfusion from worsening chf in the setting of mi. renal u/s showed no hydronephrosis or stone. there was also no cast in urine to suggest atn. the creatinine gradually drifted down with resolution of his chf status he will be discharged to rehabilitation with close follow up. medications on admission: zocor 20 qhs terazosin 2mg oi qhs allopurinol 100 albuterol 2 puffs qid digoxin 0.125 po qd diltiazem 240 qd hctz 12.5 qam coumadin 5 qd nkda discharge medications: 1. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 2. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 3. nitroglycerin 0.3 mg tablet, sublingual sig: one (1) tablet, sublingual sublingual prn (as needed). 4. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed. 5. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed. 6. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 7. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). 8. ipratropium bromide 0.02 % solution sig: 1-2 puffs inhalation q6h (every 6 hours) as needed for sob. 9. amiodarone hcl 200 mg tablet sig: one (1) tablet po twice a day: please give 200 mg for two weeks and then change to 200 mg once daily as his maintenance dose. 10. trazodone hcl 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 11. metoprolol succinate 25 mg tablet sustained release 24hr sig: 0.5 tablet sustained release 24hr po daily (daily). 12. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day). 13. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po tid (3 times a day). tablet(s) 14. lisinopril 5 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: discharge diagnosis: nstemi acute on chronic renal failure gi bleed congestive heart failure pneumonia discharge condition: good discharge instructions: please follow-up with your primary care doctor in weeks. dr. , . fax once you have had your colonoscopy and upper endoscopy, you should be restarted on coumadin if it is safe to do so. please check with your primary care doctor prior to restarting this medication. dr. , gastroenterology (, will call your rehab and your primary care doctor the follow-up endoscopy and colonoscopy. please follow-up with your nephrologist and cardiologist as scheduled. followup instructions: provider: , .d., ph.d.: medical specialties phone: date/time: 2:30 please follow-up with your primary care doctor in weeks. provider: , m.d. where: cardiac services phone: date/time: 1:00 outpatient egd/colonoscopy to be scheduled. dr. , gastroenterology (, will call your rehab and your primary care doctor the follow-up endoscopy and colonoscopy. procedure: injection or infusion of platelet inhibitor thoracentesis transfusion of packed cells injection or infusion of nesiritide diagnoses: other primary cardiomyopathies acidosis abnormal coagulation profile subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery mitral valve disorders unspecified pleural effusion urinary tract infection, site not specified congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation systolic heart failure, unspecified alkalosis cardiogenic shock unspecified disorder of kidney and ureter long-term (current) use of anticoagulants 

Answer: The patient is high likely exposed to