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: shortness of breath, vf arrest major surgical or invasive procedure: cardiac catheterization with drug eluting stent to svg to rca history of present illness: this is an 89 year-old male with a history of cad s/p cabg () s/p pci , hypertension, hyperlipidemia who presented to our ed from . patient reports progressive shortness of breath yesterday evening beginning at 8pm. he notes that his shortness of breath has been worsening over past several months - denies acute event last night. no chest pain. he did have some abdominal pain which he believe is c/w prior episodes of mi. he was taken to er with symptoms. ekg at showed st depressions in lateral leads. he was started on heparin gtt, given , and beta blocker. he was transferred to for intervention however in ambulance had vf arrest. he received 2 shocks with return to sinus rhythm. . on arrival to the ed, the patient was taken immediately to cath lab where he was found to have severe 3v disease with patent but diseased svg to rca and patent lima. a des was placed in the svg to rca successfully. pcw 25. . on arrival to the ccu the patient is comfortable with no complaints. he arrives on a nonrebreather. he is given 40mg iv lasix x 1. he reports that at baseline he has been progressively short of breath with exertion. he swims daily for 30 minutes and is able to ambulate around his house, but further exertion causes extreme dyspnea. past medical history: cad s/p cabg , s/p pci with taxus stent x 2 to svg to pda hyperlipidemia gerd glaucoma hypertension social history: occupation: none. drugs: none. tobacco: none. quit 60 years ago. alcohol: 1 drink daily family history: nc physical exam: vs bp 158/73, hr 74, o2sat 91% on nrb gen: wdwn elderly male in nad. oriented x3. mood, affect appropriate. pleasant and conversant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp to angle of the jaw. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g - although difficult to assess rhonchorous breath sounds. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. diffuse rhonchi throughout, rales 1/2way up bilaterally. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no c/c/e. no femoral bruits. small r sided hematoma, nonexpanding. dressing c/d/i. skin: no stasis dermatitis, ulcers, scars, or xanthomas. . pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp trace pt trace left: carotid 2+ femoral 2+ popliteal 2+ dp trace pt trace pertinent results: 10:35pm blood wbc-11.6* rbc-4.80 hgb-14.6 hct-42.8 mcv-89 mch-30.4 mchc-34.1 rdw-14.6 plt ct-257 10:35pm blood neuts-74.8* lymphs-18.8 monos-4.0 eos-2.4 baso-0.1 10:35pm blood pt-13.9* ptt-66.6* inr(pt)-1.2* 10:35pm blood glucose-184* urean-21* creat-1.4* na-140 k-3.5 cl-102 hco3-27 angap-15 05:10am blood glucose-98 urean-21* creat-1.4* na-136 k-4.3 cl-96 hco3-35* angap-9 10:35pm blood ck(cpk)-55 04:24am blood ck(cpk)-316* 12:58pm blood ck(cpk)-341* 06:01am blood ck(cpk)-240* 03:17am blood ck(cpk)-170 05:10am blood ck(cpk)-125 10:35pm blood ctropnt-<0.01 04:24am blood ck-mb-41* mb indx-13.0* ctropnt-0.66* 12:58pm blood ck-mb-32* mb indx-9.4* ctropnt-1.14* 06:01am blood ck-mb-8 ctropnt-0.82* 03:17am blood ck-mb-4 ctropnt-0.89* 05:10am blood ck-mb-3 ctropnt-1.26* 10:35pm blood calcium-9.0 phos-2.5* mg-2.0 10:05am blood %hba1c-pnd 03:17am blood triglyc-124 hdl-33 chol/hd-3.6 ldlcalc-61 12:51am blood lactate-1.6 . ekg - sinus rhythm. baseline artifact makes the limb leads difficult to interpret. non-specific intraventricular conduction delay. poor r wave progression. there appears to be a q wave in lead iii. lateral st segment depressions suggest myocardial ischemia. no previous tracing available for comparison. . cardiac catherization (prelim) - comments: 1. coronary angiography of this right dominant system revealed native three vessel coronary artery disease. the lmca had diffuse 50-60% stenoses. the lad had an origin 70-80% lesion and was diffusely diseased, with competitive flow seen from the lima to a diagonal. the lcx had proximal serial 80% lesions and an om branch was calcified with a 90% proximal stenosis. the rca was totally occluded proximally. 2. arterial conduit angiography demonstrated a svg-rpda which had a 95% proximal stenosis. the lima-lad was patent. there appeared to be two svg grafts to the left system which were occluded at the origin. 3. resting hemodynamics revealed elevated right and left sided filling pressures (rvedp 16 mm hg, pcwp mean 30 mm hg, respectively). there was moderate pulmonary arterial hypertension (pasp 54 mm hg). the systemic arterial blood pressure was moderately elevated (sbp 170 mm hg). the cardiac index was mildly depressed at 2.17 l/min/m2. the systemic and pulmonary vascular resistances were mildly elevated at 1778 dynes-sec/cm5 and 142 dynes-sec/cm5, respectively. 4. successful ptca and stenting of the svg-pda with a 3.5x16 taxus stent. fianl angiography revealed no residual stenosis, no angiographically apparent dissection and timi iii flow (see ptca comments). . final diagnosis: 1. three vessel coronary artery disease. 2. biventricular diastolic dysfunction. 3. moderate pulmonary hypertension. 4. mildly depressed cardiac index. 5. successful stenting of the svg-rpda. . chest x-ray portable - impression: findings consistent with chf. . echo - the left atrium is markedly dilated. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50%) secondary to severe hypokinesis of the inferior wall (rest of left ventricle contracts normally). there is no ventricular septal defect. right ventricular chamber size is normal with borderline normal free wall function. the aortic root is moderately dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. trivial mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. brief hospital course: 89 year old male with cad s/p cabg mult pcis who presents from after vf arrest found to have occlusion of svg-pda s/p . . #. nstemi: s/p vf arrest successfully resuscitated. patient with severe 3vd. had des placed to svg to rca. patient treated for nstemi with increase in outpatient statin medication. ck peaked at 341 and tnt peaked 1.14 on . patient had cardiac echo which demosntrated severe hypokinesis of the inferior wall consistent with rca infarct. patient started on and continued on high dose aspirin. patient treated beta blocker in house. lipid profile checked on admission demonstrated cholest 119, triglyc 124, hdl 33, ldlcalc 61. hga1c pending on discharge. patient on telemetry with some ectopy post nstemi which improved. patient initially on nitro drip for blood pressure control which was weaned off after 24 hours post event. pt evaluated patient and cleared for home with physical therapy. . #. acute systolic heart failure: hemodynamics on cath show elevated pcwp. on exam, patient initiatially have elvated jvp with diffuse rales. echo on admission demonstrates left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50%) secondary to severe hypokinesis of the inferior wall (rest of left ventricle contracts normally). patient had excellent diuresis to iv lasix and was diuresed over 7 liters of fluid in the ccu. chest x-ray on admission consistent with systolic heart failure. patient was continued on aspirin, statin, beta blocker. given low normal lvef added low dose lisinopril 5mg po daily, patient was discharged on 10mg po daily of lisinopril. as patient previously on , discontinued prior to discharge. patient will require outpatient uptitration of ace inhibitor as tolerated with goal 40 mg po daily. after aggressive diuresis patient was saturating well on ra with home cpap at night. patient still with significant signs of fluid overload on exam and was discharged on furosemide 80 mg po daily. . #. vf arrest now resolved: now in sinus rhythm, s/p vf arrest in ambulance following episode of sob. patient with nsvt on telemetry. patient had electrolytes aggressively repleted in the ccu. . # hyperlipidemia - admission lipids as above. patient was continued on statin, change to high dose as above. ldl at goal so will only need 6 months of high dose statin after nstemi and then can be titrated down to previous outpatient dose. . # hypertension - patient hypertensive on admission with blood pressures greater than 170s systolic requiring a nitroglycerin drip. patient was started on beta blocker metoprolol tartrate and was titrated up. patient was started on lisinopril which was increased to 10 mg po daily on discharge. was discontinued as patient's was transitioned to ace inhibitor instead. blood pressure was 120s systolic on discharge. . # glaucoma/ blepharitis - continue eye drops per home regimen. started patient on home erythromycin as per the son. . #. fen: patient was on regular cardiac, low na diet . #. access: pivs . #. ppx: ppi, heparin subq, bowel regimen . #. code: full code medications on admission: atenolol 75mg daily imdur 60mg daily cozaar 50mg daily nifedipine 90mg daily furosemide 40mg daily 75mg daily omeprazole 20mg prn simvastatin 10mg daily aspirin 325mg daily multivitamin daily travoprost 1 drop daily tylenol prn discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*3* 3. 75 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 5. multivitamin tablet sig: one (1) tablet po daily (daily). 6. isosorbide mononitrate 60 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 7. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 8. erythromycin 5 mg/g ointment sig: one (1) dose ophthalmic qhs (once a day (at bedtime)). 9. atenolol 50 mg tablet sig: 1.5 tablets po daily (daily). 10. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*3* 11. furosemide 80 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*3* 12. furosemide 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 13. lisinopril 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 14. outpatient lab work pleae check chem-7 on friday , fax results to dr. : 15. simvastatin 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 16. simvastatin 80 mg tablet sig: one (1) tablet po once a day. disp:*90 tablet(s)* refills:*3* discharge disposition: home with service facility: caritas home care discharge diagnosis: primary: non st elevation myocardial infarction. acute on chronic diastolic congestive heart failure: ef 50% . secondary: coronary artery disease hypertension hyperlipidemia discharge condition: stable. discharge instructions: you had a heart attack on the inferior side of your heart. a cardiac catheterization showed blockages in your coronary arteries, one of which was opened with a drug eluting stent. you will need to take every day for one year, do not miss s or stop taking unless dr. tells your to. your heart function is a little weaker than it was previously. you may have some fluid retention and notice swelling in your legs or trouble breathing when you go up and down stairs. weigh yourself every morning, md if weight > 3 lbs in 1 day of 6 pounds in 3 days. if you think you are retaining fluids, please talk to dr. . new medicines: 1. : to keep the stent open 2. lisinopril:to lower your blood pressure. 3. furosemide: to prevent fluid buildup 4. atorvastatin: to lower your cholesterol stop taking your nifedipine and cozaar. the simvastatin has been replaced by atorvastatin. . adhere to 2 gm sodium diet . please call if you have any questions about this discharge or your medicines. followup instructions: primary care and cardiology: , w. date/time: friday at 4:00pm. procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor right heart cardiac catheterization 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 esophageal reflux congestive heart failure, unspecified unspecified essential hypertension coronary atherosclerosis of autologous vein bypass graft unspecified glaucoma other and unspecified hyperlipidemia other specified cardiac dysrhythmias acute on chronic systolic heart failure long-term (current) use of aspirin blepharitis, unspecified 

Answer: The patient is high likely exposed to