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: imdur attending: chief complaint: shortness of breath major surgical or invasive procedure: less than 24 hour intubation in the medical intensive care unit. history of present illness: 64 f w/ hx cabg (lima-lad, svg-rca, jump svg-ri-om occluded), occasional angina, dm, htn, hypercholesterolemia p/w sob x days culminating in calling ems tonight . on arrival, patient was hypoxemic (unclear to what degree), hypertensive to sbp 200, agitated and was intubated in ambulance. in ed, found to have rms intubation, pulled back w/ atypical ett position, but normal pressures on vent and good blood gas. cxr reveals chf. bp 200/140also w/ metabolic acidosis and dka on labs. insulin gtt started. afebrile. given levoquin in ed. past medical history: cad, s/p cabg (lima-lad, svg-rca, and svg to ri to om1) now occluded. persantine mibi showed ef 46% with severe reversible defects of inferolateral walls (worse than ) htn hypercholesterolemia dm recently diagosed in setting of dka s/p hemithyroidectomy social history: smoked 1 ppdx 20 years, quit 10 years ago; denies etoh/illicits, lives with husband family history: nc physical exam: af 100 151/83 14 98% ac 500x15, peep 10 and fi 0.5 gen: int/sedated heent: eomi, perrl cv: tachy, regular, no nrg resp: crackles b abd: distended, tympanic, hypactive bs, not tense ext: 2+ pitting edema to knees neuro/psych: downgoing toes pertinent results: 07:59pm glucose-143* urea n-8 creat-1.0 sodium-146* potassium-4.3 chloride-108 total co2-22 anion gap-20 07:59pm calcium-9.2 phosphate-3.5 magnesium-2.8* 07:59pm ptt-42.8* 05:16pm type-art temp-36.5 rates-/35 o2-95 po2-55* pco2-40 ph-7.40 total co2-26 base xs-0 aado2-599 req o2-96 intubated-not intuba vent-spontaneou comments-high n 05:16pm lactate-3.0* 05:16pm o2 sat-87 03:19pm glucose-183* urea n-8 creat-1.0 sodium-145 potassium-4.5 chloride-111* total co2-21* anion gap-18 03:19pm ck-mb-14* ctropnt-0.07* 03:19pm calcium-8.7 phosphate-3.6 magnesium-1.8 07:45am glucose-74 urea n-9 creat-0.9 sodium-147* potassium-3.8 chloride-110* total co2-24 anion gap-17 07:45am ck(cpk)-335* 07:45am ck-mb-12* mb indx-3.6 ctropnt-0.08* 07:45am calcium-8.5 phosphate-2.7# magnesium-1.8 07:45am wbc-5.2 rbc-3.53* hgb-10.0* hct-31.9* mcv-91 mch-28.4 mchc-31.4 rdw-16.1* 07:45am plt count-299 07:45am pt-12.4 ptt-20.1* inr(pt)-1.1 05:54am urine color-straw appear-clear sp -1.004 05:54am urine blood-mod nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 05:54am urine rbc-* wbc- bacteria-occ yeast-none epi-0-2 04:24am type-art rates-14/0 tidal vol-500 peep-10 o2-60 po2-112* pco2-42 ph-7.36 total co2-25 base xs--1 -assist/con intubated-intubated 04:19am comments-green top 04:19am glucose-171* k+-2.6* 03:57am glucose-189* urea n-10 creat-0.9 sodium-146* potassium-2.6* chloride-112* total co2-18* anion gap-19 02:20am urine color-yellow appear-hazy sp -1.018 02:20am urine blood-lg nitrite-neg protein-500 glucose-250 ketone-tr bilirubin-neg urobilngn-1 ph-6.0 leuk-neg 02:20am urine rbc-21-50* wbc-21-50* bacteria-mod yeast-none epi- trans epi- renal epi- 02:20am urine hyaline-0-2 02:05am lactate-5.1* 01:33am type-art rates-14/ tidal vol-500 peep-8 o2-60 po2-71* pco2-41 ph-7.28* total co2-20* base xs--6 -assist/con intubated-intubated 12:30am glucose-324* urea n-10 creat-1.2* sodium-140 potassium-3.1* chloride-103 total co2-15* anion gap-25* 12:30am estgfr-using this 12:30am ck(cpk)-179*, ctropnt-0.04*, ck-mb-5 probnp-7201* 12:30am calcium-9.5 phosphate-6.4*# magnesium-2.0 12:30am wbc-7.6# rbc-3.97* hgb-11.4* hct-38.4 mcv-97# mch-28.7 mchc-29.7*# rdw-15.8* 12:30am neuts-40* bands-1 lymphs-49* monos-7 eos-3 basos-0 atyps-0 metas-0 myelos-0 nuc rbcs-1* 12:30am plt smr-normal plt count-368# 12:30am pt-12.5 ptt-24.7 inr(pt)-1.1 . 2d-echocardiogram performed on demonstrated: conclusions: ef 30-35% the left atrium is elongated. left ventricular wall thicknesses and cavity size are normal. left ventricular wall thicknesses are normal. overall left ventricular systolic function is moderately depressed with global hypokinesis. tissue doppler imaging suggests an increased left ventricular filling pressure (pcwp>18mmhg). there is no ventricular septal defect. there is mild global right ventricular free wall hypokinesis. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. moderate (2+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is at least mild pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. . admission cxr impression: 1) right mainstem bronchus intubation; this has been corrected on the subsequent chest radiograph. 2) complete opacification of the left hemithorax with volume loss from collapse due to the malpositioned endotracheal tube. 3) evidence of congestive heart failure/volume overload with a moderate right pleural effusion. brief hospital course: this is a 64 y/o with chf, hx cabg (lima-lad, svg-rca, jump svg-ri-om occluded), dm, htn, hypercholesterolemia, presented with hypertensive urgency, pulmonary edema, s/p intubation and successful extubation, as well as metabolic acidosis, likely dka versus lactic acidosis . micu course significant for rapid extubation in < 24 hours with diuresis. patient's blood pressure was controlled with ace-i, hctz and metoprolol. . 1. cardiac: patient with history of cad including cabg, most stents occluded, presented with progressive dyspnea, pulmonary edema and dka. her troponins were slightly elevated on admission, likely secondary to demand from chf exacerbation and pulmonary edema. she was evaluated by cardiology in the unit who recommended medical management including optimization of her blood pressure medications. she remained chest pain free and shortness of breath much improved after diuresis. she was maintained on asa, bb, ace-i, statin and plavix, and her blood pressure medications were titrated upwards as tolerated. lvef depressed to 30%, likely in setting of acute pulm edema versus new onset chf from acute event. she was started on lasix for improved diuresis and was weaned off oxygen prior to discahrge. repeat cxr showed improvement of pulmonary edema. . 2. respiratory failure: now resolved, likely secondary to pulmonary edema. acute episodes of shortness of breath may have been secondary to elevated bp, dka, difficult to tell what was inciting factor. not likely to be secondary to acute ischemic event, as above. repeat cxr showed improvement of pulmonary edema. she was weaned off oxygen. . 3. dm: , hb a1c 16.5%. dka on admission, gap has now closed. following during hospital course, recs appreciated. . 4. dispo: in good condition to home, ambulating without an oxygen requirement medications on admission: aspirin 325 mg tablet sig: one (1) tablet po daily (daily). metoclopramide 5 mg tablet sig: one (1) tablet po four times a day. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). atorvastatin 80 mg tablet sig: one (1) tablet po once a day. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) allopurinol 100 mg tablet sig: two (2) tablet po once a day. lisinopril 10 mg tablet sig: one (1) tablet po once a day. humalog 100 unit/ml solution sig: 0-16 units subcutaneous qac/hs: per sliding scale. disp:*qs 1 month* refills:*2* lantus 100 unit/ml solution sig: thirty three (33) units subcutaneous at bedtime. disp:*qs 1 month* refills:*2* discharge medications: 1. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 2. metoprolol tartrate 50 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 3. furosemide 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 4. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 5. levothyroxine 100 mcg tablet sig: one (1) tablet po daily (daily). 6. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 7. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 8. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. insulin glargine 100 unit/ml solution sig: twenty (20) units subcutaneous at bedtime. disp:*qs qs* refills:*2* 10. humalog 100 unit/ml solution sig: per sliding scale units subcutaneous qachs: please find attached sliding scale with your discharge paperwork. . disp:*qs qs* refills:*2* 11. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. ezetimibe 10 mg tablet sig: one (1) tablet po once a day. discharge disposition: home discharge diagnosis: hypertensive emergency pulmonary edema diabetic ketoacidosis discharge condition: vital signs stable. no shortness of breath or chest pain. no peripheral edema. discharge instructions: please return to the hospital if you feel short of breath, have chest pain, or have blood sugars over 400. if you have vision changes, headahces or blood in your urine you should return to the hospital. . please follow up with your primary care doctor's appointment and all of your other appointments. . please take all of your medications as prescribed. if we have given you a prescription for a medication that you were already on, then the dose may be different. for example we are giving you a prescription for metoprolol tartrate 50mg twice a day. this is a greater dose than you were taking when you came in. please dispose of your old prescription and start on the new one. followup instructions: provider: , md phone: date/time: 9:00 provider: (c4) tcc radiology phone: date/time: 2:30 provider: , md phone: date/time: 3:30 procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension aortocoronary bypass status acute respiratory failure long-term (current) use of insulin diabetes with ketoacidosis, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to