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: ace inhibitors / diovan / zetia / dicloxacillin attending: chief complaint: sob, le edema major surgical or invasive procedure: attempted vt ablation, right heart cath history of present illness: pt is a 63 yom w/ cad(s/p cabg), chf(ef 10-15%), paf, mr who presented to osh( hosp) on with sob. he has been hospitalized multiple times over the last few months. most recently when he presented to osh with sob, found to be in chf. has had persistent pleural effusions, the right was tapped at that time. he was then discharged home on chf regimen. he then returned on qwith worsening sob and increased le edema. does not weigh himself at home daily so unclear of weight gain. states he has been taking his meds as instructed. states that he normally gets sob in the morning after taking his metoprolol. denies any chest pain, palpitations. no orthopnea, pnd. has also recently had mild cough and sputum prodution but denies fevers, chills. . at he was found to be in heart failure as well as having a rll pna. he was given lasix, vanco, zosyn. also had runs of vt into the 150's, so was temporarily started on lidocaine gtt. his icd did not fire during this episode. was also on heparin gtt but that was stopped as well. he was then transferred to for possible cath on monday and further diuresis. . ros: no ha, visual changes, hearnig problems. nausea, vomiting, diarrhea, abd pain, melena, brbpr. no hematuria, dysuria. no numbness, weakness. otherwise negative on detailed review. past medical history: - ischemic dilated cardiomyopathy ef 10-15%(s/p icd) - cad s/p cabg ', last cath w/ patent lima-lad but diffusely diseased svg to pda, s/p stenting of svg. - valvular disease- mr, tr - paf - pvd- s/p bypass - pulm htn - htn - hyperlipidemia - thoracicaa/aaa- 4-5cm - peripheral neuropathy - h/o tia - copd - gerd - anxiety and schizoaffective d/o - ckd- creatinine 1.5 social history: prior 3 ppd smoker, still smokes occasionally. history of etoh abuse,now sober for >5yrs. he is divorced and lives with his girlfriend. family history: father had premature cad. mother died of stroke at yound age. no sudden cardiac death. physical exam: t 97.3 bp 123/65 hr 84 rr 18 o2sats 98% ra wt 81.7kg gen: frail, cachectic gentleman, speaking in complete sentences, comfortable, nad heent: perrl, eomi, mmm, anicteric, conjuctiva pale neck: + jvd to the ears, no lad lungs: decreased breath sounds throughout, no obvious crackles heart: distant heart sounds, +s3, 2/6 sem at apex abd: soft, mildly distended, + sacral edema, + bs, unable to palpate liver ext: 3+ pitting edema in le feet->thigh, 2+ femoral, no bruits. unable to palpate dp/pt due to edema neuro: a&o times 3, grossly intact pertinent results: admit labs 09:39pm blood wbc-5.7 rbc-3.63* hgb-9.5* hct-30.1* mcv-83 mch-26.2*# mchc-31.6 rdw-17.7* plt ct-192 pt-18.5* ptt-29.8 inr(pt)-1.7* glucose-137* urean-19 creat-1.5* na-139 k-4.2 cl-100 hco3-29 angap-14 calcium-9.1 phos-3.5 mg-2.1 tsh-3.1 free t4-1.7 . cxr- bilateral pleural effusions, right greater than left. no signs for overt pulmonary edema or definite consolidation. brief hospital course: 63 yo m w/ ischemic cardiomyopathy ef 10-15%, 3+ mr, cad who presents with chf and rll pna. . # chf- he responded well to iv lasix at 40 . he was ultimately changed to lasix 80 po bid. we also continued beta blocker and spironolactone. he should restrict his fluid and check his weight daily at home # cad- known cad s/p cabg w/ patent lima to lad and svg to pda from previous cath. no chest pain. he ruled out at outside hospital. no ecg changes. we continued asa, plavix, statin . # rhythm/paf- he had episodes of vt on interrogation. he had an attempted vt ablation complicated by cardiac arrest, requiring intubatetion and brief ccu stay. he recvered well from that and was extubated 30 hours later. we ultimately decided on just continuing amiodarone at higher dose. he has an icd. . # vavular disease(mr/tr)- 3+ mr. treated as heart failure as above. medications on admission: oxycontin 20mg tid, plavix 75mg qday, aspirin 81mg qday, amiodarone 100mg qday, metoprolol 12.5mg qday, lasix 40mg qday, advair, spiriva, coumadin 5mg qday, hydralazine 10mg tid, albuterol, simvastatin 80mg qday discharge medications: 1. oxycodone 5 mg tablet sig: four (4) tablet po tid (3 times a day). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 4. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*1 tablet(s)* refills:*2* 5. metoprolol succinate 25 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*1 tablet sustained release 24hr(s)* refills:*2* 6. furosemide 80 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 8. warfarin 5 mg tablet sig: one (1) tablet po hs (at bedtime). 9. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). discharge disposition: home with service facility: vna discharge diagnosis: ischemic dilated cardiomyopathy ef 10-15%(s/p icd) - cad s/p cabg ', last cath w/ patent lima-lad but diffusely diseased svg to pda, s/p stenting of svg. - valvular disease- mr, tr - paf - pvd- s/p bypass - pulm htn - htn - hyperlipidemia - thoracicaa/aaa- 4-5cm - peripheral neuropathy - h/o tia - copd - gerd - anxiety and schizoaffective d/o - ckd- creatinine 1.5 discharge condition: good discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction: 1500 have your blood drawn to check your inr on monday as usual. you will be contact by your regular provider if any change in your coumadin dose is necessary. take all medications as prescribed. do not take hydralazine anymore. followup instructions: call your primary care physician to schedule follow-up appointment within 1-2 weeks. provider: , md phone: date/time: 9:20 provider: clinic phone: date/time: 12:30 provider: , md phone: date/time: 1:00 procedure: other electric countershock of heart catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach pulmonary artery wedge monitoring cardiac mapping cardiopulmonary resuscitation, not otherwise specified diagnoses: pneumonia, organism unspecified other primary cardiomyopathies esophageal reflux mitral valve disorders congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation aortocoronary bypass status other chronic pulmonary heart diseases peripheral vascular disease, unspecified chronic kidney disease, unspecified other specified forms of chronic ischemic heart disease cardiac arrest automatic implantable cardiac defibrillator in situ diseases of tricuspid valve acute on chronic combined systolic and diastolic heart failure schizoaffective disorder, unspecified 

Answer: The patient is high likely exposed to