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 vt arrest major surgical or invasive procedure: cardiac catheterization s/p minivision lad stent intubation r arterial line placement history of present illness: mr. is a 52 yo male with significant pmh significant for htn, smoking, who collapsed and hit his head at work this afternoon. the fall was witnessed by his collegue. there is no report of chest pain, sob, or any other symptoms prior to his fall. he was found to be breathing when he was found down. he was given 5 minutes of cpr with no respirations. paramedics arrived, he was found to be in vf (no strips available)and was shocked. he remained in a ventricular rhythm with a rate of 20, and then converted spontaneously to sinus rhythm. patient had agonal respirations at the time of the arrest. he was brought to where he was found to have posturing. the patient was given ativan, versed, and nitro and a ct of the head was done which suggested subdural hematoma vs. meningioma. ekg showed st elevations in 1, avl, v2-v6. the patient did not receive asa, heparin, or integrilin for concern for a possible intracranial bleed. he was transferred to for cardiac catheterization and closer monitoring. in the cath lab he was found to have occluded lad after d1 & s1 and 1 subbranch with long subtotal occlusion with collateral filling of distal vessel. minivision stent was placed into d2. hemodynamic parameters as follows: co 6.5, ci 3.3 and pcwp 23. past medical history: hypertension social history: the pt is a ceo/cpa in . he is an 80 pack year smoker, no alcohol. married, has 1 son. illicit drugs. family history: possible cad physical exam: vitals t 98.8 bp 137/89 ar 88 rr 20 02 sat 100% vent settings: ac fio2 0.5 tv 650 rr 20 peep 5 gen: pt sedated; not responsive to sternal rub or pain heent:perrla, ett in place lungs:course breath sounds heart:distant heart sounds abdomen: soft, nt/nd, +bs extremities: no edema, 2+ dp/pt pulses neuro:does not respond to pain stimuli pertinent results: laboratory results: 08:01pm hgb-12.5* calchct-38 o2 sat-98 08:01pm glucose-105 lactate-0.8 k+-3.4* 08:01pm type-art tidal vol-880 o2-100 po2-371* pco2-49* ph-7.26* total co2-23 base xs--5 aado2-305 req o2-56 intubated-intubated 09:08pm o2 sat-99 09:08pm type-art tidal vol-700 o2-100 po2-437* pco2-37 ph-7.35 total co2-21 base xs--4 aado2-251 req o2-48 intubated-intubated 10:34pm pt-13.1 ptt-36.7* inr(pt)-1.1 10:34pm plt count-330 10:34pm calcium-7.9* phosphate-2.3* magnesium-1.7 10:34pm ck-mb-35* mb indx-9.0* ctropnt-0.73* 10:34pm glucose-146* urea n-20 creat-1.0 sodium-140 potassium-4.7 chloride-110* total co2-22 anion gap-13 04:06pm ck 1048* 05:45am ck 1011*1 04:06pm ckmb 15* mbi 1.4 05:45am ckmb 17* mbi 1.7 . ekg: nl sinus rhythm, st elevations in 1, avl, v2-v6, reciprocal st depressions in iii, avf, t wave inversions laterally, lafb . relevant imaging: 1)cardiac catheterization (): 1. selective coronary angiography in this right dominant system revealed severe two vessel coronary artery disease. the lmca had diffuse mild disease. the lad was totally occluded after d1 and s1. the distal lad was a small diffusely disease vessel that filled via right to left collaterals. the first diagonal was severely diffusely disease. the second diagonal was a large vessel with a large subbranch with a long subtotal occlusion; this vessel filled distally via collaterals. the lcx had a 30% proximal and a 50% mid occlusion. 2. left ventriculography was deferred. 3. hemodynamics revealed elevated left and right sided filling presures. the lvedp was 23 mmhg. the rvedp was 16 mmhg. there was pulmonary artery hypertension. pulmonary artery pressure wa 41/21 mmhg with a mean of 30 mmhg. cardiac index was perserved at 3.25 l/min/m2. 2)c,t,l-spine ct (): no evidence of fracture or malalignment. 3)ct head (): there is a 5-mm hyperdensity along the right frontal falx of uncertain etiology. there is no evidence of hemorrhage, mass effect, shift of normally midline structures, hydrocephalus, or infarction. the density values of the brain parenchyma are within normal limits and the -white matter differentiation is preserved. the ventricles and sulci are normal in size. the surrounding osseous and soft tissue structures are unremarkable. the imaged portions of the paranasal sinuses are well-aerated. 4)mri/mra head (): study is limited due to patient motion artifact. however, the major vessels of the circle of appear patent. there do not appear to be any large areas of intracranial atherosclerotic disease. the right vertebral artery is dominant. there appears to be a fetal origin to the right posterior cerebral artery. brief hospital course: mr. is a 52 yo male with htn who is now s/p anterolateral stemi and vf arrest s/p lad stent, and s/p intubation. he was extubated following cardiac catheterization. he remained stable thereafter, but did have some residual short term memory deficits. 1)stemi: the patient had evidence of an anterolateral stemi and subsequent vfib arrest. he was taken to the cath lab where he was found to have occluded lad after d1 & s1 and 1 subbranch with long subtotal occlusion with collateral filling of distal vessel. a minivision stent was placed into the mid-lad. the patient was maintained on asa 325 mg, lipitor 80mg, plavix 75mg daily x 1 month, lisinopril 10 mg qd, and metoprolol titrated to 50mg tid. the patient was made a follow up appointment with dr. , cardiologist. 2)pump: the patient had an echo 2 days after pci and vf arrest which showed an ef~ 30% with an akinetic apex. although the pcwp 23 on cardiac cath, the patient was diuresed during his hospitalization and was euvolemic on exam by time of discharge. given the akinetic apex found on echo and increased risk of clot formation, the patient was started on a heparin drip as a bridge to coumadin. upon discharge the patient's inr was 1.4. he was discharged on lovenox sq and coumadin. he was told to have his inr checked on friday and have the results faxed to dr. office. 3)rhythm: the patient is s/p vfib arrest secondary to an anterolateral stemi. he stayed in normal sinus rhythm throughout his hospitalization. his metoprolol was titrated up to 50mg tid. 4)fall: the patient is s/p posterior head trauma prior to the vf arrest. head ct head showed a 5-mm hyperdense focus along anterior falx. differential included meningioma vs. bleed. this focus was thought to be stable after the patient was therapuetic on heparin. neurosurgery was involved throughout and recommended follow-up in weeks with an outpatient ct and appointment with dr. . ct of the c- t- and l-spine ruled out fracture. 5)short term memory: the patient's stm deficit was thought to be secondary to anoxic brain injury from poor perfusion during the vfib arrest. it was stable to slightly improved by the time of discharge. both neurology and psychiatry were consulted. they recommended follow up in the clinic for further testing. a follow up appointment was made with dr. for this purpose. 6)leukocytosis: the patient's leukocytosis was attributed to the recent stemi. the patient was clinically asymptomatic and over the course of the hospitalization. ua and cxr were negative for uti and pna respectively. the leukocytosis slowly improved and was wnl by discharge. medications on admission: none discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 5. warfarin 2.5 mg tablet sig: three (3) tablet po hs (at bedtime). disp:*90 tablet(s)* refills:*2* 6. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. lovenox 80 mg/0.8 ml syringe sig: one (1) injection subcutaneous twice a day for 3 days. disp:*6 injections* refills:*0* 8. outpatient lab work please check pt, ptt, inr please call in results to dr. ( fax (. discharge disposition: home with service facility: visiting nurse discharge diagnosis: primary diagnosis: st elevation mi with stent placement v-fib arrest new systolic dysfunction (ef 30%) with apical akinesis meningioma . secondary diagnosis: hypertension discharge condition: safe for discharge home. discharge instructions: 1. please continue to take your lovenox as instructed for three additional days. . 2. please have your coumadin level (inr) checked on friday and the results sent to dr. office phone(. . 3. please take all medications as prescribed. most importantly, you must take your aspirin and plavix every day. please do not miss . failure to take these medications can result in stent closure which could be life threatening. . 4. if you develop any chest pain, shortness of breath, lightheadedness or dizziness, or any other concerning symptoms, please contact your doctor or report to the nearest er. followup instructions: 1. please contact dr. office (cardiologist) to follow up phone: date/time: 3:20. please have your coumadin level checked this friday at his office. . 2. please contact dr. , md, phd: date/time: 1:00 clinic. . 3. please follow up with dr. from neurosurgery in weeks with a head ct. please call to make these arrangements after discharge. . 4. previously scheduled appointments: provider: , m.d. phone: date/time: 12:00 md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of endotracheal tube arterial catheterization angiocardiography of right heart structures cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension acute myocardial infarction of anterolateral wall, initial episode of care paroxysmal ventricular tachycardia cardiac arrest anoxic brain damage benign neoplasm of cerebral meninges ventricular fibrillation 

Answer: The patient is high likely exposed to