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: gi bleed major surgical or invasive procedure: egd (esophogastroduodenoscopy) history of present illness: 80 yo m w/hz ischemic cardiomyopathy (ef 25-30%), cad (history of mi, 2 stents in fall/04), s/p aicd permanent pacemaker, cri, dm, who presented to osh on thursday after 2 aicd shocks. he reports episodes of dizziness, aicd shocks, and melenotic stools. he denies hematemesis, chest pain, shortness of breath, hematuria. he states that he may have taken a few ibuprofen a few days prior to admission, and he may have had some spicy food as well. at the osh, his k was noted to be 6.9, and hct was 25; he had several episodes of tarry, black stools as well at the osh. his hct further dropped to 22, and he received 3 u prbc without bump. egd was performed which showed ?dieulafoy's lesion in 2nd-3rd part of duodenum; this was clipped. he was transferred here at that time for further management. on presentation here, he denied any cp/sob/abdominal pain; he stated his stools had been tarry since starting iron supplementation. he was transfused 2 more u prbc here (hct 26.6->31.2), and his hct has remained stable. on interrogation of his aicd, it was found that he had been in v-tach (no events on tele since admission). currently, he is doing well, with no complaints, still with some melanotic stools. past medical history: 1. cad s/p mi x 4, most recently in where cath revealed 3vd; stents placed in prox lad and distal cx 2. ischemic cardiomyopathy; chf with ef 25% in , global hk, 2+ mr 3. s/p aicd placement in 3. copd/bronchitis 4. 5. htn 6. ugib on coumadin, anemia 7. niddm 8.mild renal insufficiency 9. asbestos exposure social history: lives with wife and 2 kids no tobacco, no etoh, no drugs family history: dm physical exam: vs: 97.6 142/60 85 18 95% ra gen: very pleasant male, sitting in bed, nad heent: perrl, eom grossly intact, op clear, mmm neck: no carotid bruits, no lad, no jvd appreciated cv: 2/6 sem heard at llsb, no r/g lungs: slight crackles at bases, s/w cta abd: soft, nt/nd, nabs, no masses extr: no c/c/e, pneumoboots in place, dp 2+ bilat neuro: grossly intact pertinent results: labs on admission: cxr: nad, no acute process ekg: with st depressions in i, ii, avl, v4-v6, interventricular conduction delay; st depressions new when compared to ekg from 10:44am blood wbc-9.3 rbc-2.98* hgb-9.0* hct-26.6* mcv-89 mch-30.2 mchc-33.8 rdw-15.4 plt ct-140* 10:44am blood pt-13.7* ptt-24.6 inr(pt)-1.2 10:44am blood glucose-206* urean-140* creat-2.2* na-144 k-3.9 cl-108 hco3-26 angap-14 10:44am blood ck(cpk)-69 10:44am blood calcium-8.2* phos-4.7*# mg-2.1 10:44am blood digoxin-0.9 brief hospital course: 1. gi bleed: egd at osh showed oozing dieulafoy lesion that was cauterized. he required 6 u at the osh and an additional 2 u in the icu. he required 1 additional unit while on the floor to keep his hematocrit over 30 (given his cad). on day before discharge, he had a repeat egd in the endoscopy suite which showed no source of bleeding. his hematocrit had been stable for 72 hours at time of discharge. h. pylori antibody was sent prior to discharge (?gastritis seen on egd). he was continued on a twice daily proton pump inhibitor and instructed not to take ibuprofen or eat spicy food. he will get his hematocrit checked weekly to ensure stability and will follow up 1 week after discharge with his pcp. 2. cardiac: cad: with elevated tnt's, likely in setting of demand. as per cardiology, the elevated troponins were likely secondary to the aicd having fired and his chronic renal insufficiency. he had no anginal symptoms while in-house. he was discharged on his asa, plavix (given stents), coreg, valsartan, digoxin, and pravachol. he will follow up with his cardiologist and pcp. : with aicd, s/p shocks for v-tach, likely in setting of hyperkalemia. he had some episodes of non-sustained v-tach on tele (asymptomatic). his electrolytes were strictly monitored and repleted as necessary. the hyperkalemia was likely in the setting of digoxin/diovan. he was instructed not to take potassium supplementation on discharge, and he will have his electrolytes checked regularly upon discharge. pump: ef=25%. he was restarted on his diovan and lasix when hemodynamically stable and remained clinically euvolemic. 3. dm - he was covered with ssi while in-house with good glycemic control and was discharged on his outpatient dose of amaryl. 4. dispo: he was discharged to follow up with his pcp 1 week after discharge. he will get weekly hematocrits, electrolytes, and creatinine checked initially to ensure these are stable. medications on admission: medications on transfer: nitropaste advair novolog ss digoxin 0.125 coreg 6.25 prtonix 40 mg iv plus outpatient: plavix asa hytrin amaryl feso4 keq nkda discharge medications: 1. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). disp:*60 disk with device(s)* refills:*2* 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 3. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. zolpidem tartrate 5 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*2* 5. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. lorazepam 1 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 7. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q12h (every 12 hours). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 9. allopurinol 100 mg tablet sig: one (1) tablet po every other day (every other day). disp:*15 tablet(s)* refills:*2* 10. pravastatin sodium 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. furosemide 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. amaryl 1 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 13. hytrin 5 mg capsule sig: one (1) capsule po at bedtime. disp:*30 capsule(s)* refills:*2* 14. valsartan 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 15. outpatient lab work complete blood count, electrolytes (sodium, potassium, chloride, bicarbonate, bun, creatinine, glucose) q week starting on . fax to , attention pat (office of dr. ) discharge disposition: home discharge diagnosis: primary diagnoses: 1. upper gi bleed from dieulafoy lesion 2. hyperkalemia 3. coronary artery disease secondary diagnoses: 1. gout 2. anemia 3. congestive heart failure discharge condition: good discharge instructions: 1. weigh yourself every morning, md if weight > 3 lbs. he may need to adjust your lasix dosage if you find that you are gaining weight and retaining fluid. adhere to 2 gm sodium diet. 2. please take all your medications exactly as described in the medications section. we made the following changes to your medication regimen. - we stopped your potassium supplementation. do not take this medication until you follow up with your pcp. we changed the dosage of your allopurinol to 100 mg every other day - we stopped your nitroglycerin patch. do not use this until you follow up with your pcp. we started pravachol, 20 mg daily, a medication for your cholesterol. if you start to experience muscle aches/pains, please stop taking this medication and call your pcp we added protonix 40 mg twice daily. it is very important that you take this medication to prevent future symptoms of gi bleeding 2. please avoid spicy food and medications such as advil or motrin. these medications contain ibuprofen and could cause recurrence of your gi bleeding. 3. please follow up with your pcp as described below. 4. please call your doctor if you are experiencing chest pain, shortness of breath, fever, chills, weight gain as described above, or with any other concerns. followup instructions: 1. please follow up with dr. () on at 10am. 2. you should get labs drawn on monday, (hematocrit, electrolytes including potassium, creatinine), and these results should be faxed to your pcp (fax # , attn pat). you should get weekly labs initially to ensure that your blood count is stable given your recent gi bleeding and that your potassium is stable on your lasix/diovan dosage. 3. when you follow up with your pcp, should consider increasing the dosage of your coreg and pravachol to minimize your cardiac risk. 4. you should also follow up with your cardiologist for monitoring of your aicd. the timing of this can be discussed with your pcp md, procedure: other endoscopy of small intestine diagnoses: hyperpotassemia coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified gout, unspecified percutaneous transluminal coronary angioplasty status other specified forms of chronic ischemic heart disease unspecified disorder of kidney and ureter automatic implantable cardiac defibrillator in situ dieulafoy lesion (hemorrhagic) of stomach and duodenum 

Answer: The patient is high likely exposed to