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: initially presented to for atrial flutter ablation. transferred to icu for hypotension. major surgical or invasive procedure: ep mapping history of present illness: 61 yo male with cad s/p inferior and anteroseptal mi ' s/p 3v cabg (lima to lad, svg to om, svg to dm) and avr (bovine) in , chf (ef40%, mod pulm htn, apical aneurysm), htn, af dx'd and failed cv on sotalol and amio, s/p ddd pm for post-cv bradycardia. presented to hospital with hypotension and atrial fibrillation -> aflutter. amio started and dig there and cv . converted to aflutter . had vt/vf in setting of k 6.6 and transferred to . course: tee/cv , pacer dddr 70 with mode-switch, dig stopped. got 3 doses coumadin (last ), and inr up to 5.1 , wbc climbing with lymphopenia. waiting for inr to come down (received 3 doses coumadin after amio started and inr went to 21) before flutter ablation. over the past several days, bp noted to be trending down. hypotensive d/t ??infxn. transferred to micu service for mgt of hypotension. past medical history: 1. cad -coronary artery disease status post inferior and anteroseptal mi in -status post three vessel cabg(lima to lad, svg to om, svg to dm) and avr (bovine) in . -ett mibi on 8 min mod- (7mets)57% pmhr-severe fixed defect dital inf wall and septum 2. chf 3. hypertension. 4. hypercholesterolemia. 5. hypothyroidism. 6. melanoma on left shoulder in . 7. erectile dysfunction. 8. history of erythema nodosum. 9. community acquired pneumonia in . 10.light chain multiple myeloma. 12. multifactorial renal failure. 13. dm 14. light chain nephropathy/proteinuria. 15. restless leg syndrome. 16. hypercholesterolemia. 17. hypocalcemia. social history: the patient is divorced and lives alone in , in the berkshires. he has two children. he was working in produce at a market but had to stop a week prior to admission because of shortness of breath and edema. he smoked one cigar per day for 30 years. he denies alcohol use. family history: the patient's father had coronary artery disease and was an alcoholic. the patient's mother had diabetes mellitus and coronary artery disease. the patient's sister has coronary artery disease and atrial fibrillation. physical exam: t96.7 bp110/72 p76 97%ra gen-very pleasant heent-anicteric, no conjunctival pallor, no nasal findings, no oral findings, neck supple, no lad, infroorbital ecchymoses on right eye, laceration on left forehead. cvs-nl s1/s2, no s3/s4, 2/6 sem at usb, no pedal edema, dp 1+ bilaterally, jvp 7cm. resp-ctab, no wheezes, no crackles gi-nl bs, no tenderness neuro-a+o x 3, move all 4 limbs pertinent results: 03:40am glucose-120* urea n-43* creat-4.8* sodium-140 potassium-4.9 chloride-104 total co2-23 anion gap-18 03:40am calcium-8.5 phosphate-6.3*# magnesium-1.8 03:40am digoxin-1.2 03:40am wbc-16.9*# rbc-4.28*# hgb-13.5*# hct-41.1# mcv-96 mch-31.5 mchc-32.8 rdw-16.4* 03:40am plt count-169# 03:40am pt-12.7 ptt-26.4 inr(pt)-1.0 06:35am blood wbc-10.6 rbc-4.15* hgb-13.2* hct-40.4 mcv-97 mch-31.9 mchc-32.7 rdw-16.2* plt ct-166 08:20am blood wbc-10.5 rbc-4.23* hgb-13.6* hct-40.4 mcv-96 mch-32.1* mchc-33.7 rdw-16.1* plt ct-162 06:10am blood wbc-12.1* rbc-4.31* hgb-13.8* hct-41.0 mcv-95 mch-32.0 mchc-33.7 rdw-16.2* plt ct-170 04:00am blood wbc-16.7* rbc-4.50* hgb-14.2 hct-42.1 mcv-94 mch-31.6 mchc-33.9 rdw-16.2* plt ct-190 09:21am blood wbc-17.0* rbc-4.49* hgb-14.2 hct-42.6 mcv-95 mch-31.6 mchc-33.3 rdw-16.3* plt ct-191 06:20am blood wbc-12.7* rbc-4.24* hgb-13.4* hct-41.0 mcv-97 mch-31.5 mchc-32.6 rdw-15.9* plt ct-169 06:35am blood wbc-16.7* rbc-4.35* hgb-13.6* hct-41.4 mcv-95 mch-31.3 mchc-32.8 rdw-16.1* plt ct-180 08:20am blood wbc-15.0* rbc-4.09* hgb-13.3* hct-39.0* mcv-95 mch-32.4* mchc-34.0 rdw-16.1* plt ct-173 07:25am blood wbc-11.5* rbc-3.07* hgb-9.7*# hct-29.6* mcv-97 mch-31.6 mchc-32.8 rdw-16.1* plt ct-145* 11:06am blood wbc-9.6 rbc-2.88* hgb-8.8* hct-28.2* mcv-98 mch-30.6 mchc-31.3 rdw-16.0* plt ct-155 02:15pm blood wbc-16.4*# rbc-3.47* hgb-10.8* hct-33.5* mcv-96 mch-31.1 mchc-32.3 rdw-15.8* plt ct-189 12:14am blood wbc-16.4* rbc-2.85* hgb-9.1* hct-26.8* mcv-94 mch-32.0 mchc-34.0 rdw-15.9* plt ct-193 04:00am blood neuts-95.0* bands-0 lymphs-1.9* monos-3.0 eos-0.1 baso-0 11:06am blood pt-17.1* ptt-37.2* inr(pt)-1.8 02:45pm blood pt-29.1* ptt-43.1* inr(pt)-5.3 09:40am blood pt-37.5* inr(pt)-8.9 02:45pm blood fibrino-329 d-dimer-995* 03:40am blood glucose-120* urean-43* creat-4.8* na-140 k-4.9 cl-104 hco3-23 angap-18 06:35am blood glucose-99 urean-61* creat-5.9*# na-138 k-5.3* cl-102 hco3-21* angap-20 08:20am blood glucose-119* urean-49* creat-5.2* na-138 k-5.0 cl-101 hco3-26 angap-16 06:10am blood glucose-152* urean-62* creat-6.3*# na-136 k-5.3* cl-99 hco3-22 angap-20 04:00am blood urean-79* creat-7.1* na-137 k-5.6* cl-98 hco3-19* angap-26* 09:21am blood glucose-132* urean-86* creat-7.4* na-137 k-6.1* cl-98 hco3-19* angap-26* 09:21am blood glucose-132* urean-86* creat-7.4* na-137 k-6.1* cl-98 hco3-19* angap-26* 06:20am blood glucose-107* urean-62* creat-5.8*# na-139 k-5.6* cl-101 hco3-23 angap-21* 06:35am blood glucose-105 urean-86* creat-6.9*# na-138 k-6.0* cl-98 hco3-24 angap-22* 08:20am blood glucose-102 urean-85* creat-7.1* na-137 k-6.1* cl-97 hco3-25 angap-21* 07:25am blood glucose-111* urean-90* creat-4.9*# na-138 k-5.7* cl-102 hco3-23 angap-19 11:06am blood glucose-171* urean-66* creat-3.2*# na-141 k-3.7 cl-114* hco3-19* angap-12 07:55pm blood creat-5.3*# k-6.2* 12:14am blood glucose-207* urean-116* creat-5.5* na-137 k-6.4* cl-100 hco3-23 angap-20 09:21am blood alt-16 ast-28 alkphos-99 totbili-0.2 11:06am blood ld(ldh)-243 ck(cpk)-43 05:33pm blood ck(cpk)-72 09:32pm blood ck(cpk)-66 11:02pm blood ld(ldh)-402* totbili-0.2 12:14am blood alt-20 ast-26 11:06am blood ck-mb-notdone ctropnt-0.49* 05:33pm blood ck-mb-notdone ctropnt-0.81* 09:32pm blood ck-mb-notdone ctropnt-0.87* 03:40am blood calcium-8.5 phos-6.3*# mg-1.8 06:35am blood mg-2.1 08:20am blood mg-1.9 06:10am blood mg-2.6 04:00am blood mg-2.7* 09:21am blood albumin-3.0* calcium-10.3* phos-7.9*# mg-3.3* 06:20am blood calcium-8.5 phos-5.6*# mg-2.4 06:35am blood calcium-9.4 phos-7.2*# mg-2.9* 08:20am blood phos-7.2* mg-2.7* 07:25am blood calcium-8.2* phos-5.1*# mg-2.2 11:06am blood calcium-4.8* phos-3.1# mg-1.5* 02:15pm blood calcium-8.6 12:14am blood calcium-8.2* phos-6.5*# mg-3.1* 11:02pm blood hapto-241* 05:33pm blood tsh-6.4* 05:33pm blood t3-26* free t4-0.6* 04:00am blood pth-43 11:02pm blood cortsol-29.3* 09:32pm blood cortsol-25.5* 07:55pm blood cortsol-22.9* 03:40am blood digoxin-1.2 12:29am blood type-art po2-175* pco2-39 ph-7.38 calhco3-24 base xs--1 intubat-not intuba 08:04pm blood type-art po2-125* pco2-45 ph-7.34* calhco3-25 base xs--1 intubat-not intuba 06:16pm blood type- ph-7.31* 11:10am blood lactate-2.1* 06:16pm blood lactate-1.8 08:04pm blood lactate-1.3 12:29am blood glucose-208* lactate-1.4 k-6.0* 06:16pm blood freeca-1.14 08:04pm blood freeca-1.12 12:29am blood freeca-1.07* on transfer to the icu: ekg: atrial paced rhythm right bundle branch block inferior infarct, age indeterminate anterior myocardial infarct, age indeterminate diffuse st-t wave abnormalities - cannot exclude in part ischemia cxr: worsening left retrocardiac opacity with adjacent moderate sized pleural effusion. pneumonia cannot be excluded. ct abd/pelvis: 1. no evidence of retroperitoneal hematoma. 2. standing in the subcutaneous tissues and small amount of free fluid noted in the presacral space consistent with edema. 3. moderate-sized bilateral pleural effusion with associated atelectasis. brief hospital course: 61 yo m with mm, esrd, cad s/p v-tach arrest, chf, a-fib/flutter, awaiting inr to trend down for elective ablation, when he subsequently became increasingly hypotensive and confused/disoriented, so he was transferred to the icu for further management of ?sepsis vs.adrenal insufficiency. he was under the care of the icu team for only several hours before he went into v-fib arrest, coded and was not able to be resuscitated. 1)hypotension: likely sepsis vs adrenal insufficiency. bcxs/fungal cx were sent in light of the recent steroid use. vanc and cefepime (for gram neg coverage) were started empirically. as line infection was of high likelihood, the plan was to d/c hd line when possible. he was started on iv stress dose steroids q8hrs empirically and cortisol stim test was sent. pressors were initiated with neo and levophed to maintain map>60, and ivf boluses were given as needed. he was transfused to hct >30 and h/h chakcs proceeded q6hours. ct was negative for retroperitoneal bleed. 2) renal: he was hd dependent and had been dialyzed the day prior to transfer to the icu. 3) cor: he was on asa and a statin, bp meds were held given hypotension. on transfer to the icu, ekg showed possible new ischemia and cardiac markers trended upwards. however, in the setting of his renal insuffuciency, level of elevation was not clear. his potassium level was slowly creeping up. kayexalate was given and k followed. prior to his subsequent k level at 6.4 and the third set of markers coming back, mr.n went into v-fib arrest. code was called and cpr initiated. despite 30 minutes resus efforts, mr.n was not able to be revived, code was stopped and he was pronounced. his family was notified and they declined autopsy. medications on admission: 1. toprol-xl 50 mg po qd. 2. trazodone 100 mg po qd. 3. isosorbide mononitrate 30 mg er qd. 4. sinemet 10/100 mg qhs, prn, restless leg syndrome. 5. lipitor 20 mg qd. 6. synthroid 175 mcg qd. 7. wellbutrin 100 mg . 8. aspirin 81 mg qd. 9. glargine 20 units qhs. 10. humalog sliding scale. 11. calcium carbonate 500 mg tid. 12. pamidronate 30 mg times one. 13. zantac 300 mg qhs. 14. amiodarone 200mg 15. digoxin 0.125 qd 16. prednisone 50 on taper 17. clonasepam 2mg qhs 17. thalidomide 400 18. calcium acetate 1334 discharge medications: none discharge disposition: home with service discharge diagnosis: 1. deceased 2. hyperkalemia 3. atrial flutter 4. coronary artery disease post mi and cabg 5. chf 6. hypotension. 7. hypothyroidism. 8.light chain multiple myeloma. 9.renal failure requiring hemodialysis 10. dm discharge condition: deceased discharge instructions: none--deceased followup instructions: none-deceased procedure: diagnostic ultrasound of heart insertion of endotracheal tube hemodialysis other electric countershock of heart other electric countershock of heart arterial catheterization cardiopulmonary resuscitation, not otherwise specified cardiopulmonary resuscitation, not otherwise specified diagnoses: hyperpotassemia congestive heart failure, unspecified atrial fibrillation aortocoronary bypass status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease heart valve replaced by other means hypotension, unspecified cardiac arrest multiple myeloma, without mention of having achieved remission 

Answer: The patient is high likely exposed to