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: history of present illness: the patient is a 42-year-old male with on significant past medical history but a family history of coronary artery disease who presented after cardiac arrest at work. the patient had been sitting in his office when he observed to have seizure like activity and then became apneic and unresponsive. the patient was cyanotic and was coded and found to be in ventricular fibrillation. he was defibrillated with 100 joules biphasic. he was then found to be in asystole which converted spontaneously to atrial fibrillation with a rapid ventricular rate of 150. patient was found to have a pulse and was started on lidocaine and lopressor. patient opened his eyes and was breathing. he was intubated. the patient was transferred to the intensive care unit at the outside hospital where he was found to be in atrial fibrillation in the 140s with nonspecific changes on his electrocardiogram. a stat echocardiogram was performed and showed an ejection fraction of 20% with global hypokinesis. patient was cardioverted at 100 joules and then given 150 mg of amiodarone and converted to sinus in the 70s. a repeat echocardiogram revealed global hypokinesis and an ejection fraction of 15%. chest x-ray done showed question of a right upper lobe density. patient was then transferred to for further evaluation and management. on arrival to the coronary care unit, the patient was able to open his eyes and nod to questions. he self extubated himself. on further interview, the patient revealed that he had been in his usual state of health although had noted indigestion the night before presentation. he had described vague sensation of chest pain before he developed this episode of unresponsiveness. of note, the patient had a pa catheter placed in the outside hospital intensive care unit which showed a central venous pressure of 23 and right ventricular pressure of 46/23, a pa pressure of 52/30 and a pulmonary capillary wedge pressure of 28. his cardiac output was 5.4. he had an svr of 1007. patient was transported on dobutamine. past medical history: no past medical history of medical illness. patient denied any history of coronary artery disease, diabetes, hypertension or hypercholesterolemia. allergies: no known drug allergies. medications: none at home. medications on transfer: the patient was on amiodarone 1 mg per minute, lopressor 12.5 mg per g tube b.i.d., propofol, aspirin, protonix and dobutamine. social history: the patient is married. he denies tobacco use. he notes occasional alcohol use. family history: positive for coronary artery disease in the early 50s. no history of sudden death. physical examination: patient had a pulse of 94. blood pressure of 113/69. respiratory rate of 15 and an oxygen saturation of 100% on pressure support ventilation of breathing at a rate of 15, taking volumes of 600 and 50% fio2. review of telemetry showed sinus in the 90s. on general exam, the patient was a fairly well-appearing intubated man in no apparent distress. head, eyes, ears, nose and throat examination revealed extraocular movements intact. pupils equal, round and reactive to light. moist mucous membranes. neck examination revealed no lymphadenopathy and jugular venous distention that was hard to assess. cardiac exam revealed regular rate and rhythm, normal s1, s2 and no murmurs, rubs or gallops. pulmonary exam revealed lungs were clear to auscultation bilaterally. abdominal exam revealed a belly that was soft, nontender, nondistended with normal bowel sounds. extremity exam revealed 1+ pitting edema. pertinent laboratory findings: the patient had a white blood cell count of 12.1 with a hematocrit of 44.9 and platelets of 265,000. his creatinine was 1.4. patient had an alt of 114 and an ast of 100. tsh was 2.79. initial ck was 106 with a troponin i of 0. electrocardiogram: normal sinus rhythm at 90, normal axis, left atrial enlargement, normal intervals and t wave flattening in iii and avl. outside hospital electrocardiograms revealed atrial fibrillation at 120 with normal axis and no st-t or q changes. another electrocardiogram from the outside hospital revealed normal sinus rhythm at 75, normal axis, , and t wave flattening in iii and avl. summary of hospital course: this 42-year-old man with family history of early coronary artery disease presented with ventricular fibrillation arrest. 1. cardiovascular: the patient presented with no personal cardiac risk factors but a history of early coronary artery disease in his family. the etiologies for his ventricular fibrillation arrest included an acute coronary syndrome secondary to drug use such as cocaine, although, the patient denied ever using drugs. also, cardiomyopathy, hypertrophic obstructive cardiomyopathy and primary arrhythmia were in the differential. from a coronary artery disease standpoint, the patient had history of familial coronary artery disease, but no other risk factors. his electrocardiogram post cardioversion was quite unremarkable and did not suggest structural heart disease, however, the patient did undergo coronary catheterization which revealed elevated left-sided pressures but clean coronary arteries. the patient was maintained on an aspirin and beta-blocker while he was being evaluated for heart disease. he ruled out for myocardial infarction. from a myocardium standpoint, the patient had globally depressed ejection fraction at the outside hospital initially requiring inotropic support for cardiogenic shock. differential for this included acute coronary syndrome, myocarditis, idiopathic dilated cardiomyopathy. it was thought that the patient's depressed ejection fraction may have been secondary to multiple defibrillations. dopamine was easily weaned off and the patient was diuresed to lower his left-sided filling pressures with a goal pad of less than 18. patient was initially heparinized for a decreased ejection fraction. he was started on an ace inhibitor. patient was also given a beta-blocker. a repeat echocardiogram was performed to reevaluate the patient's function. this revealed a decreased systolic function globally. patient had enlarged left atrium, 1+ mitral regurgitation, 1+ tricuspid regurgitation, an ejection fraction of 30%. cardiac catheterization revealed normal coronaries, elevated right and left-sided pressures, right atrium pressure of 17, pa systolic of 49, pulmonary capillary wedge of 31, left ventricular end-diastolic pressure of 35 and cardiac output of 7.5. from a conduction standpoint, the patient had an episode of ventricular arrest, then atrial fibrillation with rapid ventricular response, status post cardioversion. there is no family history of sudden death. patient was followed by electrophysiology who elected having the patient have a icd placed. patient underwent icd placement without difficulty. patient subsequently reverted to atrial fibrillation with rapid ventricular response. he was initially responsive to a diltiazem drip. he subsequently reverted back to atrial fibrillation after a brief period of time in sinus rhythm. patient underwent cardioversion times three with brief conversions to normal sinus rhythm but then recurrence of atrial fibrillation. when the patient was having his aicd placed in the electrophysiology laboratory, he was internally cardioverted twice with recurrence of his atrial fibrillation. he was loaded on amiodarone 400 mg po q.i.d. and will eventually finish his load as an outpatient with an aim of outpatient cardioversion in the near future. he will need pulmonary function tests checked as an outpatient. the patient was initially heparinized and then transitioned to coumadin. he remained difficult to rate control and was continued on lopressor, as well as started on digoxin for better rate control. he will follow-up with dr. as an outpatient for inr checks and for continued management of his dilated cardiomyopathy. 2. renal: the patient presented with prerenal azotemia, which resolved while in hospital. 3. gastrointestinal: the patient initially presented with an ast and alt elevations. hepatitis serologies were sent off at the outside hospital. review of these results revealed negative serologies for hepatitis a, hepatitis b and hepatitis c. repeat of the patient's lfts on the day of discharge showed no abnormal. condition at discharge: good. discharge status: the patient was discharged with follow-up appointments with dr. , on , at 4:30 p.m. at which point he will have his inr checked. patient will also have follow-up in the device clinic on , at 12:30 p.m. discharge medications: 1. metoprolol 12.5 mg po b.i.d. 2. zofran 8 mg po b.i.d. prn nausea for four days. 3. digoxin 0.125 mg po q.d. 4. protonix 40 mg po q.d. 5. warfarin 5 mg po q.d. 6. amiodarone 400 mg po q.i.d. for two days, then 400 mg po b.i.d. for two weeks, then 400 mg po q.d. discharge diagnoses: 1. cardiac arrest secondary to ventricular fibrillation, status post aicd placement. 2. atrial fibrillation with rapid ventricular response. 3. dilated cardiomyopathy. 4. acute renal failure. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters catheter based invasive electrophysiologic testing implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] diagnoses: other primary cardiomyopathies acute kidney failure, unspecified atrial fibrillation cardiac arrest cardiogenic shock ventricular fibrillation family history of ischemic heart disease 

Answer: The patient is high likely exposed to