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: penicillins / actos / percocet / cephalosporins attending: chief complaint: s/p cardiac arrest major surgical or invasive procedure: none history of present illness: 60 yo m with cad, chf ef 20% s/p icd, iddm, recent admission for vt storm, who is transferred from osh s/p cardiac arrest. the history is passed down via multiple transitions of care, so it is somewhat limited. reportedly, the patient was found down at rehab. it is thought that he was down for 15-20 minutes. he was found pulseless, in asystole. he got 20-30 minutes of cpr en route to . intubation was attempted but was unsuccessful pre-hospital, so put the patient on cpap and transferred to . at , pulse was thready. gcs was 3. left tib i/o placed. intubated. on interrogation of the patient's icd, it appears that the patient had 3 episodes vtach and 4 episodes of nsvt between 9:23 p.m. and 9:28 p.m. today. the sequence of events after that is unclear, but after discussion with the ep fellow, it appears that the patient received atp and one shock before going into pea and then asystole. the patient was med flighted to , where initial vital signs were hr 80 bp 132/76 rr 23 sat 100% on pressure support with fio2 100%. abg was 7.38/45/270. cxr showed et tube 2.7 cm above the carina, severe cardiomegaly, pulmonary vascular congestion, and pulmonary edema, large right pleural effusion. ct head and neck showed no acute process (wet read). of note, the patient was recently admitted to the ccu from to for vt storm. he was treated with amiodarone and mexilitine and discharged to rehab. review of systems is unobtainable. past medical history: systolic heart failure with ef 20% s/p des to rca s/p icd implanted on other past medical history: diabetes type ii on insulin hypercholesterolemia peripheral neuropathy hypertriglyceridemia chronic systolic chf afib on coumadin dilated non-ischemic cardiomyopathy multinodule goitor likely due to amiodarone social history: -tobacco history: former smoker -etoh: no etoh is not married. family history: father died with rectal cancer mother has of colon ca, rheumatic valvular dz no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: vs: bp=99/74 hr=79 rr=17 o2 sat=96% general: intubated. sedated. rhythmically elevates shoulders. heent: sclera anicteric. pupils 2-3 mm and fixed. neck: in cervical collar. difficult to assess jvp secondary to cervical collar. cardiac: very difficult to auscultate secondary to loud, coarse breath sounds. rrr. no murmur, gallops, or rubs appreciated. lungs: diffusely course breath sounds. abdomen: soft, nt/nd. extremities: there is edema in all 4 extremities. radial and dp pulses are 1+. neuro: intubated. sedated. pupils fixed at 2-3 mm. not responsive to pain in any extremity. pertinent results: admission labs: 02:10am blood wbc-16.0* rbc-3.70* hgb-11.1* hct-32.6* mcv-88 mch-29.9 mchc-34.0 rdw-16.1* plt ct-161 02:10am blood wbc-16.0* rbc-3.70* hgb-11.1* hct-32.6* mcv-88 mch-29.9 mchc-34.0 rdw-16.1* plt ct-161 02:10am blood neuts-89* bands-1 lymphs-2* monos-7 eos-0 baso-0 atyps-0 metas-1* myelos-0 02:10am blood pt-23.9* ptt-34.3 inr(pt)-2.3* 02:10am blood glucose-212* urean-92* creat-2.2* na-121* k-4.0 cl-82* 02:10am blood alt-648* ast-558* alkphos-189* totbili-1.4 02:10am blood lipase-69* 02:10am blood ctropnt-0.09* 02:10am blood calcium-8.2* phos-4.9* mg-2.6 02:10am blood asa-neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg 02:17am blood type-art rates-/20 tidal v-512 peep-5 fio2-100 po2-270* pco2-45 ph-7.38 caltco2-28 base xs-1 aado2-418 req o2-71 intubat-intubated vent-spontaneou 02:17am blood glucose-202* lactate-2.1* na-121* k-4.1 cl-82* studies: ct head w/o contrast study date of 1:23 am impression: 1. no acute intracranial hemorrhage or mass effect. in particular, there is no intracranial hemorrhage. if there is continued clinical concern for parenchymal changes/acute infarction, mr can be considered if not ci; however, pt. has a pacemaker and hence, if there is continued clinical concern,a follwo up ct head can be considered to assess for short term stability. see details above. 2. minimal maxillary sinus disease. ct c-spine w/o contrast study date of 1:24 am impression: 1. no acute fracture or traumatic malalignment of the cervical spine. 2. multilevel severe degenerative changes throughout the cervical spine, resulting in mild-to-moderate spinal canal stenosis. note on attending review: a few linear lucencies are noted in proximity to the anterior osteophyte at the antero-inferior aspect of c5 and c6. while these may relate to orientation, subtle fractures associated with the osteophytes cannot be excluded. ( se 701b, im 37, 40) assessment of prevertebral soft tissue swelling is limited at c5/6 and c6/7 levels due to intubation. as the aptient cannot have mri due to apcemaker in-situ, consider follow up with pxr after spine consult to clear the spine and exclude fractures. chest (portable ap) study date of 1:29 am impression: 1. endotracheal tube terminating 2.7 cm above the carina. 2. severe cardiomegaly with severe pulmonary vascular congestion and pulmonary edema. 3. large right pleural effusion. 4. orogastric tube within the stomach. brief hospital course: 60yo m w/ cad, chf with an ef of 20%, s/p biv icd, dm, af on coumadin, recent admission for vt storm, now readmitted to ccu s/p cardiac arrest. . # neuroprotection s/p cardiac arrest: arrived with gcs of 3 and arctic sun protocol initiated. poor prognosis was discussed with aunt, . she was understanding of patient's clinical status and did not want escalation of care. code status was changed to dnr/dni. patient was rewarmed to better assess neurologic function. neurologic status continued to be poor and the patient was terminally extubated. . # rhythm: precipitant for event was vt -> pea -> asystole. a-v paced rhythm on admission. for anti-arrythmics, he was started on amiodarone drip + mexiletine. warfarin was continued for atrial fibrillation. . # blood pressures: metoprolol, lisinopril, spironolactone, and lasix all held in setting of hypotension/cardiogenic shock. medications on admission: bisacodyl 10 mg daily prn constipation senna 8.6 mg tablet sig: 1-2 tablets po bid prn constipation docusate sodium 100 mg gemfibrozil 600 mg atorvastatin 40 mg qhs metoprolol succinate 25 mg daily clopidogrel 75 mg daily cholecalciferol (vitamin d3) units daily multivitamin 1 tablet po daily spironolactone 25 mg daily mexiletine 150 mg po q12h amiodarone 200 mg po bid lantus 15 units at bedtime. humalog sliding scale furosemide 80 mg po bid famotidine 20 mg po q12h niaspan extended-release 500 mg po at bedtime aspirin 81 mg daily discharge medications: not applicable discharge disposition: expired discharge diagnosis: cardiac arrest discharge condition: expired discharge instructions: expired followup instructions: expired procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: other primary cardiomyopathies congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation paroxysmal ventricular tachycardia acute respiratory failure cardiac arrest chronic systolic heart failure long-term (current) use of anticoagulants ventricular fibrillation automatic implantable cardiac defibrillator in situ nontoxic multinodular goiter 

Answer: The patient is high likely exposed to