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: anterior mi major surgical or invasive procedure: cardiac cath on with placement of 3 stents mechanical ventilation history of present illness: 70 yo man with h/o end-stage copd (combivent inh 2 puffs xs/day & home 02 2lnc) w/ severe midsternal cp at 1 am. at osh, ekg was noted to have anterior st elevations (2 mm in v1-v4) and old poor r-wave progression. made pain-free with ntg and had resolution of st elevations. patient had recurrent symptoms and was transfered to for management. underwent left and right heart cath that showed 1vd with 80% proximal lad stenosis and 80% hazy proximal d1 stenosis. placement of 1 stent in d1 and 2 overlapping stents in the mid-lad. patient's course complicated by v-fib arrest during 1st of 2 stents placed in mid-lad. patient underwent cpr, defibrillation x 5, emergent intubation, and transient pressor support with dopamine past medical history: severe copd (fev1 = .5l; 19% of normal on ) h/o hyperplastic polyp h/o hypothyroid in the past social history: long tobacco history currently smokes 1 puff per day, no alcohol use, lives at home with wife, children, retired (used to work in investments) family history: non-contributory physical exam: bp 107/66, hr 82, rr 18 gen - thin elderly man in nad heent - ett in place, anicteric neck - no jvd chest - decreased bs throughout, mild exp wheezes, no rales cv - reg rate, distant heart sounds, sm abd - soft, nt/nd, +bs, no hsm ext - intact peripheral pulses, no edema pertinent results: ekg: rate 86 sinus rhythm. tall peaked p waves and rightward p wave axis. qs deflections in leads v1-v2 consistent with prior anteroseptal myocardial infarction. the t waves are now biphasic to inverted in leads v1-v3 and there are st segment depressions in leads ii, iii and avf and variation in the left precordial lead placement cardiac cath: 90%lad stenosis s/p drug eluting stent x2, 80% d1 stenosis s/p bare metal stent x1 w/ 30% residual stenosis; modest disease in rca, lcx. normal lmca, elevated right and left sided pressures (rv 41/18, ra mean 13, pa mean 32, pcwp mean 19). cxr: severe changes of emphysema, without evidence of pneumonia or congestive heart failure. asymmetric pleural thickening in the lung apices, right greater than left. echo: lvef>55%, trivial mitral regurgitation, pulmonary artery systolic hypertension tr gradient (+ ra = pasp): *30 to 35 mm hg (nl <= 25 mm hg) 12:54pm tsh-10* 12:54pm triglycer-53 hdl chol-62 chol/hdl-2.4 ldl(calc)-74 12:54pm alt(sgpt)-16 ast(sgot)-25 ld(ldh)-224 ck(cpk)-144 alk phos-45 tot bili-0.3 12:54pm ck-mb-6 ctropnt-<0.01 07:38pm ck-mb-17* mb indx-2.0 ctropnt-0.03* 07:38pm ck(cpk)-861* 12:54pm wbc-19.0* rbc-4.45* hgb-13.1* hct-40.5 mcv-91 mch-29.6 mchc-32.4 rdw-13.0 brief hospital course: impression: 70 yo with end stage copd, still smoking, who presents with acute anterior stemi. hospital course: 1. cad - taken to cath on arrival to where cath showed results above. he had de stent and pcta to prox lad and d1. cath c/b vfib arrest. patient was cardioverted x5, intubated, placed on pressors and taken to the ccu. his cardiac enzymes peaked around 24-36 hours after cardioversion. he was started on asa, plavix, lipitor, and lisinopril. a bblocker was not started given severe copd. his lipitor dose was decreased to 10mg qd given his persistent elevation in cks. he will need to have these followed up as an outpatient to ensure they normalize. given that his troponin remained <0.1 and his mbi never was positive, it was felt that he did not have a plaque rupture but subacute coronary stenosis. 2. copd - end stage, on home o2 and severely limited in adls. pt only taking combivent and theodur at home. he was extubated without event shortly after arrival to the ccu. his initial lab work did not show signs of chronic co2 retention. pulmonary was consulted to assist in optimization of his copd medication regimen. they recommended starting tiotropium and using atrovent for rescue therapy. albuterol use to be minimized given cad. he was felt to be a candidate for pulmonary rehab and will f/u with dr. . 3. chf - noted to have pcwp of 28 with elevated pap on right heart cath. he was diuresed with good results. no evidence of decompensated chf on exam. tte performed which showed ef 70% with no evidence of wma (poor windows given copd). 4. aspiration - initally felt to have aspiration pna given emergent intubation and he was started on levaquin and flagyl. as he remained afebrile with gradually decreasing wbc, his abx were d/c'd on hd#2. 5. deconditioning - given his mi and his poor pulmonary reserve, he was evaluated by pt and ot and felt to benefit from short term rehab. 6. follow up - patient has no pcp and was referred to to establish primary care. he will also f/u with dr. in pulmonary and dr. in cardiology. medications on admission: 1. theodur 300 2. combivent 3-4puffs qid 3. supplemental o2 at 2l nc discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po qd (once a day). tablet, delayed release (e.c.)(s) 2. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 3. levothyroxine sodium 25 mcg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 4. ipratropium bromide 18 mcg/actuation aerosol sig: four (4) puff inhalation qid (4 times a day). disp:*1 inh* refills:*2* 5. albuterol 90 mcg/actuation aerosol sig: 1-2 puffs inhalation q4h (every 4 hours) as needed. disp:*1 inh* refills:*0* 6. atorvastatin calcium 10 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 7. lisinopril 5 mg tablet sig: one (1) tablet po qd (once a day). disp:*30 tablet(s)* refills:*2* 8. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) inhalation once a day. disp:*30 capsules* refills:*2* discharge disposition: extended care facility: - discharge diagnosis: acute anterior myocardial infarction emphysema discharge condition: no chest pain. continues to have dyspnea requiring frequent inhalers, nebs, o2 @ 2lnc. not able to move very often due to sob. this is the patient's baseline. discharge instructions: please return to the emergency department if you experience any chest pain, severe shortness of breath. no heavy lifting for the next 2 weeks. you will be discharged on a number of medications. please take those medications as advised. an appointment has been made for you with your pulmonologist dr. on thursday, at 4pm. his office is located in 7. please call to make appointments with the following doctors: cardiology: drs. - please see within 2 weeks (). pulmonary: dr. for management of copd (). primary care: followup instructions: appointment made with pulmonologist dr. on thursday, at 4pm. patient advised to call and make appointments with the following physicians: cardiology: drs. in 2 weeks (). primary care: medical center () md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of non-drug-eluting coronary artery stent(s) injection or infusion of platelet inhibitor injection or infusion of platelet inhibitor insertion of endotracheal tube other electric countershock of heart cardiopulmonary resuscitation, not otherwise specified insertion of drug-eluting coronary artery stent(s) diagnoses: other iatrogenic hypotension subendocardial infarction, initial episode of care congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified pneumonitis due to inhalation of food or vomitus cardiac arrest cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure ventricular fibrillation mixed acid-base balance disorder 

Answer: The patient is high likely exposed to