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: s/p fall, hypotension, critical as major surgical or invasive procedure: r ij, aterial line placement, intubation history of present illness: 87yo m with hx of severe as (last mean gradient 50 mmhg, area 0.6 cm2 in ), htn, pvd is transferred from after having found supine on the floor. his neighbor called ems who found him down on the floor. pt states he tripped and fell. at , afebrile, sbp 70s, head ct was negative, received 4l ns and neosynephrine gtt started. also, ecg had ecg had st elevation in v2 st depression in v5, v6, lvh with trop 39, and only heparin gtt was started and transferred to further managment for nstemi and hypotension. called the to confirmed that he only received heparin gtt and no asa or statin. . ed course here at : vs afebrile, 88, 75/40, rr22, 94% on oxygen not documented. received 3 more l ns and continued on neosynephrine. pt had melenatic stools with guaiac positive stools. ng lavage was not performed. pt received 2 units of blood in the ed. . pt denies any chest pain, shortness of breath, lightheadedness, palpitations prior to the fall. currently, pt has no complaints other than r shoulder pain with blood cuff inflation. he does states that he's been feeling weak and not ambulatory. denies hematochezia/melena. . allergies: nkda past medical history: past medical history: pvd htn lvh critical as s/p hernia repair in ' . cardiac risk factors: - diabetes, - dyslipidemia, + hypertension as as above . cardiac history: none . percutaneous coronary intervention: none . pacemaker/icd: none . other past history: as above social history: per ems report, pt looked grossly dehydrated when first evaluated the patient when found on the floor. pt was alert and to communicate with ems although unable to communicate. the house was unkept, unsanitary, and in desrepari. his sole caretaker is 50yo mentally disabled sone. neighbor expressed concern for mr. condition on scene at his residence and called the hospital for his son's inability to take care at home alone. . social history is significant for the absence of current tobacco use. + past tobacco use 50 years ago, smoked for 20 years 1 ppd. there is no history of alcohol abuse. there is no family history of premature coronary artery disease or sudden death. . on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. family history: there is no family history of premature coronary artery disease or sudden death. physical exam: blood pressure was 76/38 mm hg at 30 degree angle. pulse was 92 beats/min and regular, respiratory rate was 20 breaths/min. weight 138 lbs. generally the patient was well developed, malnourished and well groomed. the patient was oriented to person, and . . there was no xanthalesma and conjunctiva were pale and dry oral mucosa. the neck was supple with jvp not visible. the carotid waveform was flat. there was no thyromegaly. the were no chest wall deformities, scoliosis or kyphosis. the respirations were not labored and there were no use of accessory muscles. the lungs were coarse with expiratory rhonchi diffusely. . palpation of the heart revealed the pmi to be located in the 5th intercostal space, mid clavicular line. heart was difficult to auscultate due to rhonchi but normal s1 and somewhat diminished s2 with ii/vi systolic ejection murmur. . the abdominal aorta was not enlarged by palpation. there was no hepatosplenomegaly or tenderness. the abdomen was soft nontender and nondistended. the extremities were cool. there were no abdominal, femoral or carotid bruits. inspection and/or palpation of skin and subcutaneous tissue showed very dry skin. . pulses: right: carotid 1+ femoral barely palpable popliteal dp not palpable pt not palpable left: carotid 1+ femoral barely palpable popliteal not palpable dp dopplerable pt not palpable pertinent results: 12:34pm blood wbc-19.1* rbc-3.45* hgb-11.0* hct-34.9* mcv-101* mch-31.8 mchc-31.5 rdw-15.7* plt ct-335 01:11am blood wbc-19.9* rbc-4.19* hgb-13.3* hct-40.0 mcv-96 mch-31.8 mchc-33.2 rdw-16.1* plt ct-269 12:34pm blood neuts-93.0* bands-0 lymphs-4.6* monos-2.2 eos-0 baso-0.2 01:11am blood plt ct-269 01:11am blood pt-18.5* ptt-46.7* inr(pt)-1.7* 08:50am blood glucose-159* urean-87* creat-2.4* na-139 k-5.0 cl-105 hco3-17* angap-22* 01:11am blood glucose-57* urean-81* creat-2.5* na-138 k-5.7* cl-110* hco3-11* angap-23* 08:50am blood ck(cpk)-1498* 12:34pm blood alt-175* ast-567* ld(ldh)-1585* ck(cpk)-2063* alkphos-154* totbili-0.7 04:57pm blood ck(cpk)-2588* 01:11am blood ck(cpk)-2411* 08:50am blood ck-mb-166* mb indx-11.1* 08:50am blood ctropnt-5.39* 12:34pm blood ck-mb-280* mb indx-13.6* ctropnt-5.77* 04:57pm blood ck-mb-380* mb indx-14.7* ctropnt-6.92* 01:11am blood ck-mb-344* mb indx-14.3* ctropnt-9.57* 08:50am blood calcium-8.0* phos-5.8* mg-2.2 01:11am blood calcium-7.8* phos-7.7*# mg-2.6 12:34pm blood vitb12-1313* folate-12.7 12:34pm blood cortsol-53.9* 02:52pm blood type-art po2-99 pco2-29* ph-7.24* caltco2-13* base xs--13 intubat-not intuba 07:10pm blood type-art po2-81* pco2-31* ph-7.32* caltco2-17* base xs--8 11:36pm blood type-art po2-88 pco2-51* ph-7.06* caltco2-15* base xs--16 12:20am blood type-art rates-/20 tidal v-500 peep-5 fio2-100 po2-300* pco2-34* ph-7.13* caltco2-12* base xs--17 aado2-381 req o2-67 -assist/con intubat-intubated 02:02am blood type-art fio2-50 po2-133* pco2-25* ph-7.16* caltco2-9* base xs--18 intubat-intubated 11:36pm blood lactate-5.7* na-139 k-5.5* cl-114* 09:07am blood lactate-7.7* k-5.2 . cxr perihilar interstitial abnormality with upper lobe predominance suggests pulmonary edema with patient in trendelenburg position. heart is normal size. smaller bilateral pleural effusions may be present. there is either a calcification projecting over the descending thoracic aorta or an intraaortic balloon pump. a followup study has been ordered but is not available as yet and should clarify this finding. brief hospital course: patient is a 87yo m with severe as, transferred from osh s/p mechanical fall, found to have nstemi in the setting of ugib. he was agressively volume recussitated hypovolemic shock and neosynephrine was used for hypotension. pt did have postive ng lavage with coffee ground ememsis. his nstemi appeared to be due to ugib with hypotension resulting in demand ischemia. because of this, anticoagulants were not given. . we had great difficulty placing an arterial line and then placing a central line. within 12 hours of admission, he became acutely short of breath and after confirming his wishes, he was intubated. over the next several hours he became progressively more hypotensive, requiring 3 pressors. cpr was not indicated at that point poor prognosis and he passed away within 24 hours of admission. . autopsy was requested by the family based on patient wishes. medications on admission: current medications: at home quinapril 20mg qday klor cor 10meq qday atenolol 50mg qday hctz 25mg qday . meds on transfer: neosynephrine ivf discharge medications: n/a discharge disposition: expired discharge diagnosis: expired discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified insertion of endotracheal tube arterial catheterization transfusion of packed cells diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension acute kidney failure, unspecified unspecified protein-calorie malnutrition aortic valve disorders peripheral vascular disease, unspecified other shock without mention of trauma hemorrhage of gastrointestinal tract, unspecified dehydration 

Answer: The patient is high likely exposed to