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: penicillins attending: chief complaint: cardiac arrest major surgical or invasive procedure: cardiac catheterization with drug eluting stents x2 to left circumflex artery history of present illness: 51 yo male with unknown past medical history presents with chest pain. yesterday morning, patient was carrying luggage upstairs to start his army reserve weekend, when he developed sudden onset of chest pain that radiated to his upper back and both shoulders, associated with diaphoresis. the pain resolved within a few minutes with rest. the pain came and went thoughout the day, lasting a few minutes at a time. when he went to bed the pain returned, and he could not sleep. no nausea/vomiting, no shortness of breath. he called ems where was given asa 162mg, supplemental oxygen and transported to . . on arrival as , his vs were t 98.0, hr 62, bp 177/106, rr 10, spo2 100% on ra. ecg per rport demonstrated nsr, rate 70, with st elevations in avf and twi/st depressions in v1-v2. labs demonstrated a troponin of 0.08, ck of 500. cxr showed no evidence of pneumothorax, normal mediastinum. cta chest revealed no evidence of pe. his chest pain recurred several times in the ed, and was initially responsive to sl ntg and later was started on ntg gtt. he was given lovenox 90mg sq, started aggrastat 0.4mg/kg and given plavix 600mg and transferred to for urgent cardiac catheterization. on arrival he was taken directly to the cath lab. on taking consent for the procedure, the patient became unresponsive. he was founf to be in ventricular fibrillation and defibrillation was performed immediately. during his catherterization, he went into v fib several times requiring defribillation. he was given a bolus of lidocaine and started on a lidocaine drip at 2mg/kg/min. he was intubated and placed on a ventilator and sedated with propofol. two drug eluting stents were placed in the circumflex. . of note, patient's wife notes that he has been using 5 hour energy drink and tylenol pm for enegy and sleep, repsectively daily for the last month. . on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding, 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 dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: 1. cardiac risk factors: (-) diabetes (+) dyslipidemia (+) "pre" hypertension - per army reserve physical 2. cardiac history: -cabg: none -percutaneous coronary interventions: none -pacing/icd: none 3. other past medical history: none social history: works as nurse at a rehab for the night shift. he is in the army reserve. his wife reports that he has a poor diet, heavy in saturated fats. "he has bacon and eggs every day and he cooks with bacon grease" -tobacco history: none -etoh: none -illicit drugs: none family history: brother with mi in 50s, mother with mi in 40s. physical exam: admission physical exam: vs: t=97.8 bp=104/76 hr=95 rr=20 o2 sat=98/ ac 550/20/100/5 general: intubated, sedated heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 6 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: femoral 2+ dp 1+ pt 1+ left: femoral 2+ dp 1+ pt 1+ discharge physical exam: gen: nad, sitting up in bed heent: nc/at, no visible jvd cv: s1, s2, regularly irregular rhythm resp: cta bilaterally abd: soft, non-tender, bs+ extr: no edema extremeties: groin pulses: radial/pedal pulses 2+ pertinent results: admission labs: 09:21am type-art rates-/16 tidal vol-500 peep-5 o2-100 po2-78* pco2-54* ph-7.24* total co2-24 base xs--4 aado2-600 req o2-96 -assist/con intubated-intubated 09:21am glucose-148* lactate-1.6 na+-135 k+-3.7 cl--102 09:21am hgb-15.5 calchct-47 o2 sat-93 01:23pm pt-14.6* ptt-45.5* inr(pt)-1.3* 01:23pm wbc-13.3* rbc-5.08 hgb-16.2 hct-45.6 mcv-90 mch-31.8 mchc-35.4* rdw-13.6 01:23pm neuts-83.9* lymphs-12.6* monos-2.8 eos-0.2 basos-0.6 01:23pm calcium-9.1 phosphate-1.1* magnesium-2.7* 01:23pm ck-mb-17* mb indx-0.7 ctropnt-0.16* 01:23pm glucose-130* urea n-16 creat-1.1 sodium-136 potassium-4.6 chloride-104 total co2-24 anion gap-13 09:18pm ck-mb-27* mb indx-0.6 09:18pm ck(cpk)-4728* . cardiac catheterization : diagnosis: 1. one vessel coronary artery disease. 2. elevated left- and right-sided filling pressures. 3. acute inferior myocardial infarction complicated by vf. 4. successful export thrombectomy and pci of lcx with des x2. 5. successful rfa angioseal. . echo : the left atrium and right atrium are normal in cavity size. the estimated right atrial pressure is 0-5 mmhg. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic arch and descending thoracic aorta are mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are structurally normal. mild mitral regurgitation is seen. the pulmonary artery systolic pressure could not be quantified. there is no pericardial effusion. impression: mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. mild mitral regurgitation with normal valve morphology. dilated thoracic aorta. . discharge labs: 07:45am blood wbc-8.6 rbc-5.52 hgb-17.6 hct-49.0 mcv-89 mch-31.8 mchc-35.8* rdw-13.9 plt ct-237 07:45am blood glucose-95 urean-16 creat-1.1 na-140 k-4.2 cl-103 hco3-29 angap-12 07:45am blood ck(cpk)-2783* 07:35am blood ck(cpk)-3087* 04:03am blood ck(cpk)-4030* 07:45am blood ck-mb-5 04:03am blood ck-mb-20* mb indx-0.5 07:45am blood calcium-9.4 phos-3.3 mg-2.1 10:58am blood %hba1c-5.8 eag-120 brief hospital course: 56 year old male presented with chest pain, found to have inferolateral stemi with thrombus in the left circumflex, complicated by vf arrest in the cath lab. the patient received 2 drug-eluting stents to his his left circumflex artery. . # stemi s/p des to left circumflex. patient has significant risk factors: hyperlipidemia, family history for coronary disease. medical management included atorvastatin 80mg po daily, asa 325mg po daily, clopidogrel 75mg po daily, metoprolol 25 mg po bid. cardiac markers peaked on . echocardiogram showed ef 55% and mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. patient encouraged to have cardiac rehab. patient will need to get stress test in 1 month. recommended that patient continue plavix indefinitely and to continue to have aggressive statin therapy, given strong family history. . # history of ventricular fibrillation: defibrillation was performed immediately in the cath lab, and patient was responsive, so he did not receive hypothermia therapy. he has been stable with no further vf following lidocaine therapy for 24 hours. appeared to have wandering atrial pacer with at least three p wave morphologies. had frequent pacs with bigeminy but not tachycardic. medications on admission: lipitor 10 mg daily niacin 500 mg daily aspirin 81 mg daily vit d 1000iu daily mvi one daily discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*11* 4. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) tablet sublingual take 5 min apart for total of 2 tabs only as needed for chest pain. disp:*25 tablets* refills:*0* 5. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* 6. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: st elevation myocardial infarction hyperlipidemia discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: you had a heart attack and a ventricular fibrillation arrest because of the ischemia. a cardiac catheterization was performed and a 99% blockage was found in your left circumflex artery. this was fixed with 2 drug eluting stents. you were intubated during the arrest and were on lidocaine iv in the ccu. since the catheterization, you have done very well, but will need to follow with your new cardiologist in about 1 month. you will need to take plavix and a full dose 325 mg aspirin every day for at least one year. do not miss or stop taking plavix unless your cardiologist says it is ok. this it to prevent the stent from clotting off and giving you another heart attack. medication changes: 1. increase your lipitor to 80 mg daily. this is to intensively lower your cholesterol and the decrease inflammation. 2. increase the aspirin to 325 mg daily for at least one month and possibly longer. 3. start taking plavix to keep the stent open. 4. start taking metoprolol xl to lower your blood pressure and heart rate and decrease the chances of another heart attack. 5. nitroglycerin to take if you have chest pain at home. take up to 2 tablets under your tongue 5 min apart. call 911 if chest pain is not gone after 2 tablets. call dr. if you have any chest pain at all. 6. start taking lisinopril to lower your blood pressure and help your heart recover from the heart attack. followup instructions: . name: ,sadig m. md address: , , phone: appointment: thursday 4:45pm . heart institute , fax: phone: . you will need to have a stress test and we strongly recommend that you go to cardiac rehabilitation after you are cleared by your cardiologist. . procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of endotracheal tube insertion of drug-eluting coronary artery stent(s) transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel procedure on vessel bifurcation diagnoses: coronary atherosclerosis of native coronary artery atrial fibrillation other and unspecified hyperlipidemia acute myocardial infarction of other inferior wall, initial episode of care ventricular fibrillation chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to