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 / phenobarbital / sulfa (sulfonamides) / latex attending: chief complaint: shortness of breath and palpitations major surgical or invasive procedure: transesophageal echocardiogram history of present illness: ms is a 72 year-old female with pmh of dm, aortic stenosis, dchf, and new diagnosis of atrial fibrillation who was admitted from cardiology clinic for chf exacerbation and transferred to the ccu for atrial fibrillation with rvr. she initially experienced dyspnea with associated palpitations in . at that time she was noted to be tachycardic to the 140s, but with regular rhythm. she was later found to be in afib with rvr to the 160s and her dyspnea was attributed to her atrial fibrillation. she was started on coumadin and metoprolol. on she had a cxr showing pulmonary edema and was started on lasix. her creatinine rose on this to 1.3 from 0.7. she was seen in cardiology clinic today and was volume overloaded on exam and tachycardic (although in sinus rhythm) so she was sent to 3. on the floor she was initially feeling well. she developed atrial fibrillation with associated symptomatic hypotension (systolics in the 80's). she was treated with metoprolol 2.5 mg iv, however this was limited by hypotension so she was cardioverted with a shock. she was also given a loading dose of amidoarone iv and starting on an amiodarone drip. on arrival to the ccu she was normotensive, in sinus rhythm, without complaint. on review of systems, she reports feelings of anxiety associated with her palpiations. she reports significant doe and leg edema. she admits to feeling exhausted while on metoprolol. she also reports chronic pain in her hips. she denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, cough, hemoptysis, black stools or red stools. she denies recent fevers, chills or rigors. she denies exertional buttock or calf pain. all of the other review of systems were negative. on cardiac review of systems, she admitted to doe, dyspnea with her palpiations, and leg edema. she denied any pnd or orthopnea. past medical history: diabetes dyslipidemia hypertension aortic stenossis lbbb lvh diastolic chf hypothyroid traumatic brain injury social history: -tobacco history: quit in (smoked 2ppd x 10-15 years) -etoh: none -illicit drugs: none divorced, lives alone, 3 sons. writing a memoir of a life s/p traumatic brain injury family history: mother had multiple mis. no other heart disease, sudden death or dysrhythmia in other relatives. physical exam: vs: t= 98.2 bp= 96/68 hr= 97 rr= 22 o2 sat= 94% on 3lnc. general: 72 y/o f in nad. mood, affect appropriate. heent: ncat. sclera anicteric. perrl. pupils reactive. l pupil larger than r pupil (chronic change after pt's head injury). conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple. no significant jvd noted. cardiac: rrr, 3/6 systolic murmur loudest at the rusb. lungs: pt developed sob when trying to sit up; no respiratory distress when lying flat. lungs cta anteriorly. abdomen: soft, ntnd. no hsm or tenderness. bowel sounds present. extremities: 2+ pitting edema in the bilateral lower extremities. no calf pain noted. dp pulses palpated bilaterally. pertinent results: admission labs 07:19pm blood wbc-5.6 rbc-3.37* hgb-10.4* hct-32.1* mcv-95 mch-30.9 mchc-32.5 rdw-13.8 plt ct-276 07:19pm blood pt-42.9* ptt-32.6 inr(pt)-4.6* 07:19pm blood glucose-131* urean-44* creat-1.1 na-136 k-4.5 cl-101 hco3-25 angap-15 03:49am blood calcium-8.7 phos-4.1 mg-2.2 07:19pm blood tsh-0.39 07:19pm blood alt-84* ast-33 ld(ldh)-183 ck(cpk)-56 alkphos-74 totbili-0.4 cardiac biomarkers 07:19pm blood ck(cpk)-56 ck-mb-notdone ctropnt-<0.01 03:49am blood ck(cpk)-37 ck-mb-notdone ctropnt-<0.01 10:50pm blood ck(cpk)-32 ck-mb-notdone ctropnt-<0.01 05:00pm blood probnp-4717* cxr () - there has been no appreciable interval change. left infrahilar atelectasis and small bilateral pleural effusions persist. heart size is top normal. multiple right rib fractures are chronic. no pneumothorax. tee no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. right atrial appendage ejection velocity is good (>20 cm/s). no atrial septal defect is seen by 2d or color doppler. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. impression: no intracardiac thrombus seen. discharge labs 06:20am blood wbc-4.7 rbc-3.47* hgb-10.5* hct-32.1* mcv-93 mch-30.1 mchc-32.6 rdw-13.2 plt ct-185 06:40am blood pt-28.2* inr(pt)-2.8* 06:40am blood glucose-101* urean-23* creat-0.9 na-128* k-3.8 cl-89* hco3-31 angap-12 brief hospital course: summary 72 year-old female with pmhx of dm, aortic stenosis, dchf, and new diagnosis of atrial fibrillation who was admitted from cardiology clinic for chf exacerbation. on the floor, she went into afib with rvr, became hypotensive and was emergently cardioverted. she was transferred to the ccu, where another cardioversion was required. despite another cardioversion after an amiodarone load, she was discharged in atrial fibrillation at 96 bpm, though tolerating this rate well. by problem # atrial fibrillation - pt arrived on the floor and developed rvr with inability to sustain a normal blood pressure. she underwent cardioversion on the floor and then was transferred to the ccu for furhter monitoring. she was also started on amiodarone drip when she was on the floor, which was converted to a po amiodarone load while she was in the ccu. her tsh was checked on admission and was borderline low; her thyroid medications were held. she required - and was failed by - another cardioversion before transfer back to the floor for a third cardioversion, before which she developed florid pulmonary edema. thereafter, she had an improving fluid status and stable blood pressure. she was discharged on amiodarone 400 for one month with 0.125 mg digoxin, she will then transition to once daily amiodarone # acute on chronic systolic heart failure - likely related to pt's atrial fibrillation. on admission, she was started on a lasix gtt for diuresis. this was ultimately transitioned to a po lasix regimen. her ef on tee was 30-35. # acute renal failure - prior to admission, the patient had a bump in her creatinine in the setting of starting lasix. it was thought that this could be pre-renal in the setting of diuresis versus to poor forward flow in the setting of her atrial fibrillation. her creatinine was already improving at time time of her admission, and it continued to improve during her hospital course. diuresis was continued as above. # diabetes - she is on metformin at home, which was initially held acute renal failure. she was placed on an iss. metformin was restarted when creatinine improved. # hypothyroidism - the patient was not entirely clear on her home dose. as above, tsh was borderline low on admission, and thyroid meds were held during her ccu course. she was counselled against taking any unregulated thyroid supplements. her correct thyroid dose must be determined out patient # dyslipidemia - continue atorvastatin . # hypertension - lisinopril was held on admission acute renal failure. she was slightly hypotensive during her hospital course, accordingly, her ace was held on discharge. medications on admission: coumadin 5 simvastatin 10 mg a day, metformin 1000 mg b.i.d. lisinopril 20 mg daily thyroid hormone (?) 32.5 mg multivitamin, glucosamine chondroitin, multiple other herbal remedies glucobalance, primeve, digest, calcigard, ultra potency, cytozyme-pan, quercetin, nature thyroid, coenzyme q10, dhea, adhs, phosp medications on transfer metoprolol tartrate 12.5 mg po/ng metoprolol tartrate 2.5 mg iv once mr1 multivitamins 1 tab po/ng daily glucagon 1 mg im q15min:prn hypoglycemia protocol dextrose 50% 12.5 gm iv prn hypoglycemia protocol insulin sc (per insulin flowsheet) sliding scale lorazepam 0.25 mg po/ng q8h:prn anxiety, insomnia simvastatin 10 mg po/ng daily warfarin 5 mg po/ng daily16 furosemide 10 mg iv once furosemide 5-12.5 mg/hr iv drip infusion hatidylserine, hydro-zyme, epa/dha, cognizin, cal apatite with boron, lipo. discharge medications: 1. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 2. multivitamin tablet sig: one (1) tablet po daily (daily). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain or fever. 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 6. amiodarone 200 mg tablet sig: two (2) tablet po twice a day: take this dose for one month. your cardiologist will adjust it thereafter. disp:*120 tablet(s)* refills:*0* 7. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). 8. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. warfarin 1 mg tablet sig: one (1) tablet po once daily at 4 pm. disp:*30 tablet(s)* refills:*2* 10. levothyroxine 75 mcg tablet sig: 0.5 tablet po once a day. 11. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home with service facility: vna discharge diagnosis: atrial fibrillation acute systolic heart failure diabetes discharge condition: mental status: clear and coherent level of consciousness: alert and interactive activity status: ambulatory - independent discharge instructions: you were admitted from clinic with fluid overload. this was found to be related to an abnormal heart rhythm termed 'atrial fibrillation'. in this rhythm, your heart could not pump blood very well, your blood pressure fell and fluid backed up in your lungs. you required electrical cardioversions and a stay in the icu. we started new medicines designed to control your rhythm that took a long time to take effect. you were discharged to work on your continued rehabillitation. new medicines 1) amiodarone - a heart rhythm medicine 2) digoxin - a heart rhythm medicine hold these medicines 1) lisinopril - your blood pressure has been lower this admission and your kidney function has been in flux. have your blood pressure and kidney function checked by your pcp prior to restarting this medication 2) thyroid supplements - do not take thyroid supplements. discuss the dose of your thyroid replacement with your pcp. new doses 1) coumadin - take 1 mg daily. your dose is subject to change and will be guided by 'inr' values. . weigh yourself every morning, md if weight goes up more than 3 lbs. followup instructions: follow up with coumadin clinic on wednesday. . md: dr. specialty: internal medicine-primary care date/ time: 2:30pm location: , ma phone number: appointment #2 md: dr. specialty: cardiology date/ time: 11:40am location: building , ma phone number: special instructions for patient: you are also placed on a waitlist for an earlier appointment. procedure: diagnostic ultrasound of heart other electric countershock of heart other electric countershock of heart other electric countershock of heart diagnoses: congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation acute on chronic diastolic heart failure aortic valve disorders chronic kidney disease, unspecified other and unspecified hyperlipidemia hypotension, unspecified other left bundle branch block long-term (current) use of anticoagulants hypoxemia personal history of traumatic brain injury 

Answer: The patient is high likely exposed to