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: vf arrest major surgical or invasive procedure: head and chest ct scan , cardiac catheterization three vessel coronary artery bypass grafting utilizing the left internal mammary to left anterior descending; vein grafts to posterior descending artery and obtuse marginal. history of present illness: mr. is a pleasant 55 year old male with hypertension, elevated cholesterol and smoking history who was lifting a harp into the car when he started breathing heavy and collapsed. wife started cpr immediately. paramedics initial rhythm was ventricular fibrillation. he was shocked multiple times and intubated in the field, and transferred to . ecg with wide complex tachycardia at rate of ~140. he was treated with amiodarone and lidocaine, and subsequently med flighted to . while in the ed, found to be in atrial flutter at 150 with 2:1 block and bp 170/110. cxr revealed chf. he was admitted to the ccu, intubated and sedated. past medical history: hypertension, hypercholesterolemia, subclinical hyperthyroidism, s/p appendectomy, s/p testicular surgery, s/p deviated septum social history: active pipe smoker for >30 years. denies excessive etoh. he is married and works as a chemist. he denies ivda and recreational drugs. family history: mother had mi at age 72, s/p cabg. father died of osteosarcoma. physical exam: vitals in ccu t100.8 hr 154, bp154/114, intubated gen: middle aged male intubated in bed unresponsive to commands heent: perrl, mmm, jvp not assessed as pt intubated and lying flat. chest: vented breath sounds, clear anteriorly cvr: tachycardic, regular, nl s1, s2, +s4 abdomen: soft, obese, nontender, +bs ext: 2+ femoral pulses, 1+ pt pulses bilaterally. neuro: pt intubated, pupilary reflexes intact pertinent results: 04:20pm blood wbc-14.0* rbc-4.81 hgb-14.5 hct-42.9 mcv-89 mch-30.2 mchc-33.9 rdw-14.4 plt ct-515* 05:10am blood wbc-11.4* rbc-2.94* hgb-9.1* hct-25.5* mcv-87 mch-30.8 mchc-35.6* rdw-13.9 plt ct-525* 06:55am blood neuts-56 bands-7* lymphs-23 monos-8 eos-4 baso-0 atyps-0 metas-0 myelos-2* 05:10am blood plt ct-525* 04:20pm blood pt-11.9 inr(pt)-0.9 04:20pm blood plt ct-515* 05:10am blood glucose-97 urean-17 creat-1.0 na-136 k-4.7 cl-102 hco3-25 angap-14 04:20pm blood glucose-131* urean-16 creat-1.0 na-138 k-4.9 cl-103 hco3-20* angap-20 04:20pm blood alt-56* ast-21 ld(ldh)-271* alkphos-113 totbili-0.2 10:50am blood ck-mb-4 ctropnt-0.17* 10:40am blood albumin-3.9 calcium-9.5 phos-3.7 mg-1.9 02:00pm blood vitb12-613 04:20pm blood %hba1c-5.6 -done -done 02:00pm blood triglyc-187* hdl-35 chol/hd-3.6 ldlcalc-53 06:03pm blood -neg ethanol-neg acetmnp-neg bnzodzp-neg barbitr-neg tricycl-neg brief hospital course: on admission to the ccu, an was notable for a dilated left ventricle and severely depressed lvef of around 20%. chest and head ct scans were also obtained. the chest scan revealed diffuse ground glass opacities and bilateral lower lobe air space disease. there was no evidence of pulmonary embolism. the head scan was remarkable for two foci of low attenuation, one within the right subcortical temporal lobe white matter, and one within the right medial temporal lobe. both of these may represent areas of lacunar infarction. he was concomitantly noted to have a leukocytosis and spiked a fever to 102.0. he was empirically started on broad spectrum antibiotics. pan cultures remained negative. he also experienced a transient decline in renal function with creatinine peaking to 2.4. within days, his renal function normalized and his hypoxia/acidosis improved. he maintained stable hemodynamics and was eventually extubated on hospital day two. no further ventricular arrhythmias were noted on telemetry and he remained pain free. his ck-mb and troponin peaked to 70 and 1.5 respectively. on , cardiac catheterization revealed severe three vessel coronary artery disease in a right dominant system. the left main demonstrated mild diffuse disease. the lad had a 70% stenosis after the 1st diagonal. the d1 was totally occluded and filled via left to left collaterals. the lcx demonstrates a 40% proximal lesion along with a totally occluded om2 that filled via left to left collaterals. the rca demonstrated a 70% proximal lesion along with a total occlusion of the distal vessel that filled via left to right collaterals. repeat again showed moderately to severely depressed left ventricular systolic function of approximately 30-35%. resting regional wall motion abnormalities included inferior/inferolateral akinesis/hypokinesis and distal septal and apical hypokinesis. there was only mild mitral regurgitation and mild aortic insufficiency. he was referred to dr. for cabg when he was medically ready to go to the or. he remained in the ccu prior to his surgery initially and then was transferred to the floor. his rising wbcs was an issue that prevented him from going to the or earlier. there was a question of an aspiration pna and he completed abx. blood and urine cultures were negative. heparin turned off several days before surgery. he underwent cabg x3 on . he was seen on by the ep service for evaluation for possible icd. it was determined he could see dr. in one month as an outpatient. swan and chest tubes were removed on pod #1. he was extubated and was alert and oriented. he remained on an amiodarone loading drip and the neo drip was weaned off on pod #2. he was transferred to the floor in the afternoon. on the floor he developed a rash on his rue where the bp cuff had been. he was given benadryl and lidex cream and had a dermatology consult. he remained in sr and the amiodarone was dced. his leukocytosis was improving and he had no evidence of active infection. ibuprofen had been started for a pericardial rub, but this was stopped the next day when his creatinine rose to 1.6. this decreased to 1.0 the next day. he had a small hematoma at the left thigh. flomax was started for complaints of difficulty urinating. diuresis and beta blockade continued and he was cleared for discharge to home with vna on . t 99.0 hr 80 sr 120/88 rr 16 sat 95% ra medications on admission: hctz 25 qd, lisinoprril 20 qd, lipitor 20 , 81 qd, viagra prn discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 1 weeks. disp:*14 tablet(s)* refills:*0* 2. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 1 weeks. disp:*28 capsule, sustained release(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. aspirin 81 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* 5. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4-6h (every 4 to 6 hours) as needed. disp:*50 tablet(s)* refills:*0* 8. tramadol 50 mg tablet sig: one (1) tablet po q4-6h (every 4 to 6 hours) as needed. disp:*30 tablet(s)* refills:*0* 9. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: tba discharge diagnosis: cad htn hypercholesterolemia s/p vfib arrest s/p cabg x3 discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. 2) report any fever greater then 100.5. 3) report any weight gain greater then 2 pounds in 24 hours or 5 pounds in one week. 4) take lasix as directed with potassium and stop in one week. 5) no lifting more then 10 pounds for 10 weeks. 6) no creams, lotions or powders to wounds until they have healed. steristrips will fall off on there own. if have not fallen off in 2 weeks from discharge, please remove. 7) call with any questions or concerns. followup instructions: provider: phone: date/time: 1:00 provider: , m.d. phone: date/time: 3:00 provider: , . follow-up appointment should be in 1 month provider: appointment should be in 2 weeks provider: appointment should be in 2 weeks procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnostic ultrasound of heart insertion of endotracheal tube other electric countershock of heart arterial catheterization infusion of vasopressor agent diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified unspecified essential hypertension pulmonary collapse paroxysmal ventricular tachycardia other and unspecified hyperlipidemia acute respiratory failure pneumonitis due to inhalation of food or vomitus obesity, unspecified acute myocardial infarction of unspecified site, initial episode of care mixed acid-base balance disorder contact dermatitis and other eczema due to other chemical products 

Answer: The patient is high likely exposed to