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: chest pain major surgical or invasive procedure: cardiac catheterization x 2 intra-aortic balloon pump insertion history of present illness: pt is a 87 yo greek speaking male with pmhx significant for cad s/p mi w/ pacemaker in , pvd, and cva admitted fot cardiac catheterization after presenting to hospital w/ chest pain. history provided largely by patient's son who acted as translator. son noticed that his father had used nine nitroglycerin tablets since the . pt apparently had used nitroglycerin tablets for a 24 hour period between . he states father was complaining of pressure in his chest typical of past heart attack symptoms. he also experienced some tingling in his lips. pt reports experiencing the pressure while at rest but did not report any heart palpitations, shortness of breath, or sweating. per son, his father has had some increased swelling in his legs since . son states that the father has complied with medications but ate liberally during the holiday. after hearing that his father was having chest symptoms, son brought patient to hospital. past medical history: cad mi ' s/p pacemaker & ' pvd b/l carotid endarterectomy b/l fem- bypass graft cva iliac stent x 4 on right, x 2 on left social history: patient lives with wife. has 40 pack year history of smoking and quit 15 years ago. he does not drink alcohol. family history: father - mi mother - cancer, possibly gastric brother - cad physical exam: gen: lying in bed, comfortable, nad heent: dry mucous membranes, perrl, eomi neck: supple, jvp 8 cm cv: rrr s1 s2, 3/6 sem @ llsb lungs: cta b/l abdomen: soft nt nt +bs ext: leg brace on right, 1 + edema, groin c/d/i neuro: l eyelid droop, moving all four extremities pertinent results: ecg - sinus rhythm, ventricular paced rhythm . cardiac catheterizaton - 1. selective coronary angiography revealed a left-dominant system with severe left main and 3-vessel coronary disease. the lmca had a 90% ulcerated ostial lesion and a 60% distal lesion. the lad had moderate diffuse disease throughout and an occluded large first diagonal branch which fills via left-left collaterals. the lcx is a dominant vessel with an 80% stenosis in the proximal om1 branch. the rca is nondominant small vessel and subtotally occluded in the proximal portion. 2. limited venography of the ivc revealed a small saccular dilation of the superior ivc just proximal to right atrium. 3. resting hemodynamics revealed elevated right-sided filling pressures and markedly elevated left-sided filling pressures (mean ra 12 mmhg and mean pcw 34 mmhg with somewhat prominent v-waves to 47 mmhg). the pa pressure is moderately elevated (mean pa 44 mmhg). the cardiac index is low-normal at 2.1 l/min/m2. 3. supravalvular aortography revealed 1+ aortic regurgitation. limited peripheral angiography of the left iliac system revealed a widely patent proximal iliac stent and mild-moderate diffuse disease distal to the stent. 4. due to severe left main disease and ongoing chest discomfort, a 7 french 30 cc intra-aortic balloon pump was inserted. balloon inflation timing was optimized for diastolic augmentation and systolic unloading. tte - the left atrium is elongated. a left-to-right shunt across the interatrial septum is seen at rest consistent with the presence of an atrial septal defect. there is left ventricular hypertrophy with thinned inferolateral wall. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly depressed. resting regional wall motion abnormalities include inferolateral akinesis and anterolateral hypokinesis. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets are moderately thickened. there is mild to moderate aortic valve stenosis. mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is mild pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. cardiac catheterization - 1. resting hemodynamics revealed mildly elevated filling pressures with low c.i. 2. iabp was adjusted and mean bp was 80, unloaded systolic bp was 105, augmented diastolic bp was 122. 3. selective coronary angiography revealed of this left dominant system revealed a 90% thrombotic, ulcerated lm stenosis, a 70% distal lm stenosis, a 90% ostial lad stenosis, a 100% d1 steonosis, a diffuse up to 50% lcx stenosis and a 80% ostial om1 stenosis. the rca was not filmed. 4. successful stenting of the ostial lm with a 3.5x8mm cypher to 4.5 (see ptca comments). 5. successful stenting of the distal lm/ostial lad with a 3.5x23mm cypher des (overlapping with the ostial lm stent) postdilated to 4.5 (see ptca comments). 6. successful rescue /baloon ptca of the ostial lcx with a 2.5x9mm nc ranger at 14 atms (see ptca comments). 7. abdominal aortography revealed patent celiac and mesenteric arteries with no evidence of thronbotic/embolic occlusion of the major branches. the ostium of the celiac artery had a 60% stenosis. tte - 1. there is severe symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is a generalized dyssynchronous motion and mild global left ventricular hypokinesis. overall left ventricular systolic function is mildly depressed. 2. the aortic valve leaflets (3) are mildly thickened. mild to moderate (+) aortic regurgitation is seen. 3. the mitral valve leaflets are mildly thickened. there is moderate thickening of the mitral valve chordae. mild (1+) mitral regurgitation is seen. 4. there is a small, echo dense, pericardial effusion. 5. compared with the findings of the prior study of , there has been no significant change. 09:30pm type-mix 09:30pm o2 sat-68 09:26pm type-art po2-99 pco2-38 ph-7.48* total co2-29 base xs-4 09:26pm o2 sat-98 05:50pm glucose-165* urea n-51* creat-1.1 sodium-141 potassium-3.7 chloride-101 total co2-27 anion gap-17 05:50pm albumin-3.6 cholest-113 05:50pm triglycer-149 hdl chol-24 chol/hdl-4.7 ldl(calc)-59 05:50pm wbc-8.7 rbc-4.06* hgb-12.8* hct-37.1* mcv-92 mch-31.6 mchc-34.6 rdw-13.7 05:50pm neuts-72.2* lymphs-19.3 monos-7.3 eos-0.9 basos-0.3 05:50pm plt count-165 05:50pm pt-14.6* ptt-41.4* inr(pt)-1.3 05:23pm type-art o2 flow-4 po2-55* pco2-39 ph-7.44 total co2-27 base xs-1 comments-nasal brief hospital course: the patient was initially taken to the cath lab where he was found to have a 90% lmca occlusion and an 80% lcx occlusion. he was transferred to the ccu with an iabp given a pcwp pf 34 in the cath lab. an lmca stent was planned for later in the hospitalization. in the interim he was maintained on aspirin, lipitor, heparin, and plavix. pm the patient complained of vague abdominal. he was also noted to have a drop in cardiac index from 1.9 -> 1.5. dobutamine was then started. ~ 6 am on the patient was noted to have a drop in bp. as a result, dopamine and levophed were initiated. he was noted to be barely arousable with an abg 7.26/49/99/26. pt also found to be diaphoretic with a pa02 of 80-84% and was intubated. the patient developed arf with a cr rise from 1.1 - > 1.9 as well as a lactate of 5.4 this was all deemed to be from hyperperfusion from cardiogenic shock with a possible component of septic shock due to an abdominal source. a conversation was then held with the patient's son regarding possible heroic pci of the lcma lesion in order to improve the patient's hemodynamics. though this procedure was high risk it was explained to the son that this was his father's options were limited. the son wished to pursue with the intervention. the patient was brought to the cath lab where he had stents placed in his lm & lad with dilation of his lcx. upon return from the cath lab the patient had a persistentent lactic acidosis with a lactate of 7.4. his abdomen was also tense and distended with minimal bowel sounds. he was started on broad spectrum abx. during pm, pt's hct dropped from 33 to 22 and he was noted to have developed a right thigh hematoma at the cath site. heparin drip was stopped, pt was transfused prbcs and pressure was applied to groin with eventual hemostasis. repeat hct was 32 post-transfusion. the patient remained pressor dependent and required liberal infusion of ivf to maintain his bp. he also began third spacing fluid and dropping o2 sats on increased vent settings. his lactate reached as high as 12.8 and repeat abg's showed pa02's consistently in the 50's. at this point the patient's son was called to discuss the patient's grim prognosis. the son elected to have his father made care only with ceasing of all heroic measures. at this point, pressors, fluids, abx were all stopped. the patients ventilator settings were decreased and he was given fentanyl boluses for pain. within two hours the patient went into asystole and expired. medications on admission: asa 81 mg daily plavix 75 mg daily hydrocodone 500 mg one tab q 6/prn diclofenac 50 mg daily norvasc 5 mg daily lopressor 75 mg lipitor 40 mg daily zestril 10 mg daily oxybutynin 2.5 mg tid omeprazole 20 mg daily imdur 60 mg daily lasix 40 mg q am kcl 20 mg q am discharge medications: na discharge disposition: expired discharge diagnosis: cardipulmonary failure discharge condition: expired discharge instructions: na followup instructions: na procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization coronary arteriography using two catheters parenteral infusion of concentrated nutritional substances coronary arteriography using a single catheter insertion of endotracheal tube injection or infusion of thrombolytic agent aortography implant of pulsation balloon insertion of drug-eluting coronary artery stent(s) infusion of vasopressor agent diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified septicemia severe sepsis hematoma complicating a procedure aortic valve disorders cardiac arrest cardiogenic shock 

Answer: The patient is high likely exposed to