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: s/p cardiac arrest major surgical or invasive procedure: 1. intubation and extubation 2. cardiopulmonary resuscitation and defibrillation 3. central venous line placement 4. cardiac catheterization with stenting history of present illness: 71-year-old male with past medical history of stage iv prostate cancer with 2 syncopal episodes in the last 2 weeks who presents with cardiac arrest. . per report, the patient has been feeling lightheaded with standing and walking up stairs for "some time now (at least a couple of months)". the last two weeks he has had two syncopal episodes with 1 head strike. the patient called his physician and was told to drink a lot of water. he was started on bicalutamide approximately 1 month ago otherwise his medications are unchanged. starting today, the patient was shoveling snow/snowblowing when he developed chest discomfort. he stopped shoveling the snow with some relief. later the chest pain came back and was more severe. he did not report radiation, shortness of breath, palpitations, nausea, vomiting, diaphoresis, other pain to his family. at that time he call ems. . in the ambulance, per report from the cardiologist, initial rhythm strip showed normal sinus rhythm. the patient was given 1 sl nitroglycerin and soon after lost a pulse. he underwent cpr for pea arrest. . upon arrival to the ew, chest compressions were in progress. the patient was given epi x1. a rhythm check showed vfib rhythm and the patient was shocked. another cycle of chest compressions were given and the patient again was shocked with return of spontaneous circulation. as part of the resuscitation event the patient was intubated. upon awakening he self-extubated himself. he was then sedated and re-intubated. with sedation the patient developed hypotension with maps in 50s and levophed was intiated (through "sterilly" placed femoral tlc). . the patient continued to have stable arrhythmias post arrest. at times a wide complex tachycardia developed which cardiology evaluated and thought was secodnary to rate related right bundle branch block. at other times, atrial fibrillation/flutter rhythm with rapid ventricular response developed with diffuse st depressions. this was thought to be demand ischemia in response to a rapid rate. all ekg were evaluated by interventional cardiology attending and were not thought to be consistent with acute myocardial ischemia. . there was some concern for pulmonary embolus. due to this tte was done which by report showed mildly dilated ra and rv with normokinesis and normal left ventricular function. the patient had a ct torso with contrast which was negative for pulmonary embolus or other acute event. ct head was done which was negative for acute process as well although could not rule out mets. . overall, the patient was given 3.5l ns, aspirin and heparin gtt. his vitals on transfer were hr 88 and bp 137/75. he was admitted to micu for further management. . currently, the patient is heavily sedated and intubated. . ros: limited. per family. + non-productive cough x3 months, lightheadedness. - chest pain, palpitations, nausea, vomiting, diaphoresis, diarrhea, constipation, fevers, chills, abdominal pain, pnd, orthopnea or other problems. past medical history: stage iv prostate cancer s/p syncopal event 2 weeks ago left rotator cuff surgery right rotator cuff surgery inguinal hernia repair tonsillectomy social history: he lives at home with his wife. is retired, used to work in the television business as an engineer. drinks 1 cup coffee per day. -tobacco history: smoked pipe 1-2 per day, >35yrs ago, aged 28-33yo. -etoh: none -illicit drugs: none family history: estranged from family, unaware of their medical history. physical exam: admission physical exam: vs: temp: 96.4 bp: 100/65 hr: 83 rr: 17 o2sat: 100% gen: intubated, sedated, minimal response heent: perrl, 2 to 1+ pupils, intubated neck: no thyromegaly appreciated resp: coarse breath sounds bilateral, no crackles or wheeses cv: rr, nl rate, s1 and s2 wnl, no m/r/g abd: nd, +b/s, soft, nt, no masses or hepatosplenomegaly ext: warm, well perfused, no c/c/e skin: no rashes/no jaundice/no splinters neuro: sedated, minimal responsiveness . discharge physical examination: vs: tm 99.6 tc 98.3 bp 111/67 range (109-127)/(66-71) hr 67 range 67-72 rr=18 o2 sat= 97%ra general: pleasant wdwn male in nad. lying down in bed, appears comfortable. oriented x3. heent: ncat. sclera anicteric. perrl, eomi. neck: supple with jvp non-elevated. cardiac: rrr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. slight tenderness to palpation of chest wall. lungs: resp were unlabored, no accessory muscle use. very faint crackles at bases bilaterally, no wheezes abdomen: +bs, soft, ntnd. no hsm or tenderness. no abdominial bruits. extremities: no c/c/e. skin: no stasis dermatitis, ulcers, scars, or xanthomas. hair absent on lower extremities bilaterally pulses: right: dp 2+ left: dp 2+ pertinent results: 04:11am blood wbc-5.6 rbc-3.13* hgb-9.5* hct-26.9* mcv-86 mch-30.3 mchc-35.3* rdw-13.3 plt ct-146* 12:47pm blood wbc-8.0# rbc-3.14* hgb-9.7* hct-27.5* mcv-88 mch-30.8 mchc-35.1* rdw-13.1 plt ct-177 05:23am blood wbc-4.1 rbc-3.01* hgb-9.2* hct-26.4* mcv-87 mch-30.7 mchc-35.1* rdw-12.8 plt ct-176 07:00pm blood wbc-7.8 rbc-2.91* hgb-8.9* hct-25.5* mcv-88 mch-30.4 mchc-34.7 rdw-12.7 plt ct-208 02:40pm blood wbc-5.3 rbc-2.91* hgb-9.0* hct-25.4* mcv-87 mch-31.0 mchc-35.5* rdw-12.7 plt ct-229 04:11am blood neuts-67.6 lymphs-23.4 monos-7.3 eos-1.5 baso-0.2 07:00pm blood neuts-82.3* lymphs-13.2* monos-4.1 eos-0.2 baso-0.1 04:11am blood pt-12.5 ptt-24.3 inr(pt)-1.1 05:23am blood pt-12.9 ptt-42.7* inr(pt)-1.1 07:00pm blood pt-13.7* ptt-43.6* inr(pt)-1.2* 02:40pm blood pt-13.2 ptt-23.0 inr(pt)-1.1 02:40pm blood fibrino-290 05:23am blood ret aut-1.2 04:11am blood glucose-109* urean-11 creat-0.8 na-139 k-3.8 cl-108 hco3-26 angap-9 12:47pm blood glucose-118* urean-16 creat-0.8 na-136 k-3.5 cl-106 hco3-22 angap-12 05:23am blood glucose-154* urean-16 creat-0.8 na-139 k-3.9 cl-109* hco3-21* angap-13 07:00pm blood glucose-165* urean-20 creat-1.0 na-135 k-4.0 cl-104 hco3-23 angap-12 04:11am blood alt-111* ast-77* ld(ldh)-234 ck(cpk)-237 alkphos-68 totbili-0.3 05:23am blood alt-167* ast-150* ld(ldh)-273* ck(cpk)-654* alkphos-76 totbili-0.2 07:00pm blood alt-192* ast-166* ld(ldh)-286* ck(cpk)-349* alkphos-74 totbili-0.2 02:40pm blood lipase-28 04:11am blood ck-mb-14* mb indx-5.9 09:13pm blood ck-mb-21* mb indx-6.6* 12:47pm blood ck-mb-54* mb indx-10.4* ctropnt-1.05* 05:23am blood ck-mb-81* mb indx-12.4* ctropnt-1.19* 07:00pm blood ck-mb-40* mb indx-11.5* ctropnt-0.56* 02:40pm blood ctropnt-<0.01 04:11am blood calcium-7.9* phos-1.9* mg-2.1 12:47pm blood calcium-7.8* phos-2.6* mg-1.7 05:23am blood albumin-3.3* calcium-7.2* phos-2.2* mg-1.8 iron-50 07:00pm blood calcium-7.2* phos-2.8 mg-1.8 05:23am blood caltibc-341 vitb12-711 folate-17.0 hapto-63 ferritn-241 trf-262 07:00pm blood cortsol-20.7* 02:40pm blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 07:41pm blood lactate-1.4 03:18pm blood lactate-3.2* 02:47pm blood glucose-181* lactate-4.8* na-137 k-3.3* cl-106 calhco3-20* . discharge labs: na 139 k 3.9 cl 105 hco3 26 bun 15 cr 1.0 gluc 97 ca 8.2 mg 2.0 phos 2.1 mb 3 trop 0.84 alt 74 ast 42 ldh 271 tbili 0.4 . wbc 7.0 hgb 10.4 hct 30 plt 160 . micro: mrsa screen no mrsa isolated. blood culture blood culture, routine-pending inpatient blood culture blood culture, routine-pending inpatient urine urine culture-final: no growth. ct head : impression: 1. no intracranial hemorrhage or fractures. 2. nonspecific left parietal and basal ganglia hypodensities, likely related to chronic small vessel ischemic changes. if the patient has focal neurologic signs or suspicion for intracranial metastases, however, mr can be obtained. 3. moderate ethmoid sinusitis and pharyngeal secretions secondary to intubation. cta torso : impression: 1. no pulmonary embolus or acute traumatic injury. 2. diffuse atherosclerosis. echo: conclusions suboptimal image quality.the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded (in some views the id infero-lateral wall appears hypokinetic). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. 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. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. cxr : findings: endotracheal tube and nasogastric tube remain in standard position. cardiomediastinal contours are unchanged. minor atelectasis has developed at both lung bases. biapical scarring is difficult to compare to prior studies due to patient rotation. attention to this area on non-rotated standard pa and lateral chest radiograph prior to discharge would be helpful to ensure similar appearance to older radiographs. cardiac cath : to proximal ramus intermedius final report pending at time of discharge brief hospital course: hospital course: 71-year-old male with past medical history of stage iv prostate cancer with 2 syncopal episodes in the last 2 weeks who presented s/p cardiac arrest, likely acs. . active issues: #. s/p cardiac arrest: initial evaluation did not suggest stemi, pe, effusion, structural heart disease or infection. however, acs could have precipitated an arrhythmia. he was evaluated by post cardiac arrest team and decided not to be a cooling protocol candidate due to purposeful movements. ces were elevated and pt was started on full dose asa, heparin gtt. pt was also started on betablocker and later on a statin. pt was taken to cardiac cath where a was placed to proximal ramus intermedius. pt tolerated procedure well with no recurrence of chest pain. pt was then stable for transfer to cardiology floor. echo with good ef, no free wall abnormalities. he was started on metoprolol 12.5mg in the icu. ce's were cycled on the floors, and were downtrending. he remained chest pain free on the floors. he was discharged to continue asa 325mg daily and prasugrel 10mg daily for 12months. he was discharged on metoprolol succinate 25mg daily. high-dose atorvastatin was initially started. however, given ldl 55 prior to any statin treatment, he was switched to simvastatin 40mg daily. he will follow-up with dr. as an outpatient post-procedure. . #. hypotension: likely related to cardiac arrest. sedation for intubation likely contributed as well. pt initially received stress steroids. cortisol level was wnl. pt initially on levophed but was able to be weaned off more than 24hrs at time of transfer to floor. pt remained hemodynamically stable. . #. intubation: secondary to pea/vfib arrest. was successfully extubated am. currenlty satting well on ra prior to transfer to the cardiology floors. no complications. . #. transaminitis: possibly related to hypotension. no evidence of liver lesions on imaging. trending down prior to transfer to floors. continued to trend down on the day of discharge. . # atrial fibrillation: first episode, in setting of acute illness. chads2 score 0 (no chf, htn, <75yo, no dm or stroke). pt has been in sr the entirety of the admission. he was monitored on telemetry without events. he was continued on metoprolol as above. no anticoagulation was started given chads2 score of 0 and single instance in setting of cardiac arrest. . # pump: per tte , ef is 55-60%, without evidence of wma. however, comment made that could not rule-out wma completely. pt appeared euvolemic. . inactive issues: #. stage iv prostate cancer: no active issues. seen by dr. as an outpatient. he was started on bicalutamide approximately 1 month ago, which was held during this admission. pt was restarted on avodart & tamsulosin on discharge (initially held given in icu). dr. will resume lupron depot as outpatient. coumadin and were also held on discharge per dr. . he will follow-up with oncology, dr. , for further management. . # anemia: hct on initial presentation was 25. pt was not transfused during his icu course. hct has been stable without other s/s of bleeding. most likely secondary to known cancer. hemolysis labs negative. iron studies, b12, folate normal. hct stable at 30 on day of discharge. . # code: full, confirmed with patient and family . labs/studies pending at time of discharge: 1. final read of cardiac cath 2. blood cultures sent . follow-up: 1. pcp . 2. oncology, dr. 3. interventional cardiology, dr. medications on admission: at home: bicalutamide 50 mg po daily dutasteride 0.5 mg po daily leuprolide depot tamsulosin 0.4 mg po daily - recently taking every other day warfarin 1mg po daily estrogen discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. prasugrel 10 mg tablet sig: one (1) tablet po daily (daily) as needed for cad: s/p prox ramus . disp:*30 tablet(s)* refills:*2* 3. metoprolol succinate 25 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* 4. avodart 0.5 mg capsule sig: one (1) capsule po once a day. 5. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po every other day. 6. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) sublingual at the onset of chest pain: take 1 at the onset of chest pain, may repeat after 5mins if continued pain. disp:*30 tablet* refills:*2* 7. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: 1. cardiac arrest 2. coronary artery disease, s/ 3. elevated liver enzymes 4. hypotension 5. anemia secondary diagnoses: 1. prostate cancer 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 this admission. you were admitted to the hospital for cardiac arrest. your heart was in a very fast, dangerous rhythm which required cpr and cardiac resuscitation. you underwent cardiac catheterization with placement of one stent. you also had a ct scan to check for blood clots in the lungs, which was normal. . medication changes: - start aspirin 325 mg daily - start prasugrel 10 mg daily - start metoprolol succinate 25mg daily - start simvastatin 40mg by mouth daily - start nitroglycerin sublingual 0.4mg tablet at the onset of chest pain, may repeat after 5 mins if continued pain ***this medication can cause low blood pressure. if you have to take this, sit down. if the pain does not resolve, call 911 immediately. do not take this with any erectile dysfunction medications as this can cause an unsafe drop in blood pressure. - stop - stop coumadin 1mg daily - stop bicalutamide 50mg daily ***please discuss with dr. when these can/will be restarted. . ***it is very important that you do not discontinue aspirin or prasugrel for any reason. . ***we have not continued coumadin or during this admission. please discuss with dr. when this should be restarted. . please seek medical attention for chest pain, shortness of breath, or any concerning symptoms. followup instructions: please follow-up with the below appointments: we were unable to schedule an appointment with your pcp at the time of discharge. please follow-up with dr. , your pcp, . please call dr. office on monday to schedule a follow-up appointment in the next 3-4weeks, at (. department: radiology when: thursday at 9:00 am with: cat scan building: campus: east best parking: garage department: hematology/oncology when: thursday at 9:00 am with: , md building: sc clinical ctr campus: east best parking: garage md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified coronary arteriography using two catheters left heart cardiac catheterization insertion of endotracheal tube cardiopulmonary resuscitation, not otherwise specified 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: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery atrial fibrillation acute respiratory failure cardiac arrest malignant neoplasm of prostate ventricular fibrillation anemia in neoplastic disease 

Answer: The patient is high likely exposed to