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: increased edema, orthopnea, decreased urine output major surgical or invasive procedure: cvl history of present illness: 73 yo m w/ a pmh of dilated cardiomyopathy (ef <20%) s/p icd placement , afib on coumadin, htn, cri (baseline cr 2.3), hyperlipidemia and asthma, recently admitted from to for decompensated chf with acute on chronic renal failure. he responded well to dopamine gtt, dobutamine gtt and lasix boluses. . most recently patient was having full body muscle aches, and as per dr , both his statin and hctz were stopped. the wife called today to report that the patient had been oliguric over the past few days, had gained 9 lbs from his dry weight of 176, had increased leg swelling, and was also confused. . patient went to an osh where labs revealed bun:94 & cr:6.2 . medications upon discharge included: bumetanide 2mg tid, aldactone 25 qd, amiodarone 200 qd, lisinopril 5 qd, warfarin 5 mg qd, pravastatin 20 qd . of note, patient was recently admitted in for evaluation of chronic dyssynchronization therapy and also required aggressive diuresis with lasix gtt and afterloadreduction. past medical history: # dilated cardiomyopathy - ef <20% # atrial fibrillation - controlled on amiodarone # cri - baseline cr 2.4 # htn # asthma # gerd # hyperlipidemia social history: lives on with his second wife. 5 children from a previous marriage. is retired x 14 yrs, but used to work in sales for /. no tobacco currently, but smoked 15 pack years. quit in . was a heavy drinker in the past - used to drink 6 drinks/day x 29 years. no etoh in last 7-8 years. used to exercise and participated in cardiac rehab but has not been able to do so since before . family history: + for htn and diabetes; no heart disease/strokes physical exam: blood pressure was 89/63 mm hg while seated. pulse was 61 beats/min and regular, respiratory rate was 14 breaths/min. wt: 85kg generally the patient was well developed, well nourished and well groomed. the patient was oriented to person, place and time. the patient's mood and affect were not inappropriate. . there was no xanthalesma and conjunctiva were pink with no pallor or cyanosis of the oral mucosa. the neck was supple with jvp of 10 cm. the carotid waveform was normal. there was no thyromegaly. the were no chest wall deformities, scoliosis or kyphosis. the respirations were not labored and there were no use of accessory muscles. the lungs were clear to ascultation bilaterally with normal breath sounds and no adventitial sounds or rubs. . palpation of the heart revealed the pmi to be located in the 5th intercostal space, mid clavicular line. there were no thrills, lifts or palpable s4. there was an s3. the heart sounds revealed a normal s1 and the s2 was normal. there were no rubs, murmurs, clicks or gallops. . the abdominal aorta was not enlarged by palpation. there was pulsitile hepatomegaly. there was no splenomegaly or tenderness. the abdomen was soft nontender and mildly distended. the extremities had no pallor, cyanosis, or clubbing. there was pitting edema bilaterally extending to the midshin. there were no abdominal, femoral or carotid bruits. inspection and/or palpation of skin and subcutaneous tissue showed no stasis dermatitis, ulcers, scars, or xanthomas. . pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 09:00pm blood wbc-6.3 rbc-3.37* hgb-12.0* hct-33.5* mcv-100* mch-35.8* mchc-35.9* rdw-13.3 plt ct-273 05:20am blood wbc-5.2 rbc-3.39* hgb-11.9* hct-33.6* mcv-99* mch-35.2* mchc-35.5* rdw-12.8 plt ct-300 09:00pm blood pt-32.6* ptt-44.4* inr(pt)-3.5* 05:20am blood pt-33.2* ptt-39.3* inr(pt)-3.6* 02:52pm blood pt-35.3* ptt-40.8* inr(pt)-3.9* 09:00pm blood glucose-83 urean-96* creat-6.1*# na-128* k-4.1 cl-91* hco3-24 angap-17 09:00pm blood alt-11 ast-19 ld(ldh)-230 ck(cpk)-64 alkphos-167* totbili-0.7 09:00pm blood albumin-3.8 calcium-8.9 phos-4.5 mg-2.9* 10:33 . cxr: impression: improved appearance with less right pleural fluid. no radiographic evidence of worsening chf.pm blood lactate-1.8 . echo : the left atrium is moderately dilated. the estimated right atrial pressure is 16-20 mmhg. there is severe symmetric left ventricular hypertrophy. overall left ventricular systolic function is severely depressed. the right ventricular free wall is hypertrophied. the right ventricular cavity is dilated. there is severe global right ventricular free wall hypokinesis. the aortic valve leaflets (3) are mildly thickened. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. the left ventricular inflow pattern suggests a restrictive filling abnormality, with elevated left atrial pressure. moderate tricuspid regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is a trivial/physiologic pericardial effusion. compared with the prior study (images reviewed) of , left ventricular systolic function appears more depressed. brief hospital course: patient is a 73m with complex cardiac history admitted with decompensated chf. he was treated aggressively with diuresis and pressure support. however, his cardiac function continued to deteriorate during his stay. he expired on at 1700. . 1) congestive heart failure: presented with similar syndrome to the previous admission. he was started on dobutamine and dopamine for improved diuresis and blood pressure support. however his blood pressure continued to be low and phenylephrine/milranone was added. this did not improve his bp significantly and dobutamine was restarted. throughout that night the pressors were titrated but bps remained low until norepinephrine was started. after this bp improved as well as urine output. pt was diuresing well with small doses of levophed and high doses of dobutamine. on 0.38 mcg/kg/min levo and 10mcg/kg/min dobutamine, pt with pap 50/23, co 4.5, ci 2.16, svr 960. levophed was weaned off and he was continued on dobutamine. neosynephrine was started in addition to dobutamine and vasopressin was added. his cardiac function continued to deteriorate despite aggressive pressor support. additionally his urine output declined despite diuretics. . 2) cad: patient with negative biomarkers and ekg changes not suggestive of ischemia. enzymes not suggestive of ischemia, and troponin t is difficult to interpret in setting of cri. held his statin in setting of recent myopathy but continued aspirin. . 3) rhythm: patient with known afib on rate control with amiodarone. warfarin initially discontinued as inr elevated. 10mg po and 10mg sq vitamin k (on ) and ffp given in the setting of peri-procedure (fem line and right heart cath). subtherapeutic inr on , heparin drip started, but discontinued after cath b/o groin bleed and bloody sputum. pt was also continued on amio. . 4) arf/cri: baseline cr is 2.3, thought to be due to hypertensive nephropathy. patient was oliguric. renal was following but did not see an acute indication for dialysis. his kidney function continued to worsen due to hypoperfusion from poor forward flow. . 5) asthma - continued spiriva and albuterol . 6) gerd: continued h2blocker and ppi . 7) fen: low salt diet, no signs of peripheral edema/pulmonary edema, but with signs of chf exacerbation (renal failure and elevated r and l sided pressures on cath). . 8) code status: dnr/dni . 9) the patient expired on at 1700 surrounded by his family. he was given morphine and ativan for comfort and relief of respiratory distress. medications on admission: pravastatin 20 mg qd tiotropium bromide qd albuterol q6h prn amiodarone 200 mg qd docusate sodium 100 mg prn senna 8.6 mg prn aspirin 81 mg qd lisinopril 5 mg qd sevelamer 800 mg tid bumetanide 2 mg tid ranitidine hcl 150 mg qd warfarin 5 mg qd spironolactone 25 mg qd discharge medications: none discharge disposition: expired discharge diagnosis: congestive heart failure discharge condition: expired discharge instructions: congestive heart failure followup instructions: expired procedure: right heart cardiac catheterization transfusion of other serum infusion of vasopressor agent diagnoses: other primary cardiomyopathies anemia of other chronic disease diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified atrial fibrillation asthma, unspecified type, unspecified other chronic pulmonary heart diseases hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia long-term (current) use of anticoagulants automatic implantable cardiac defibrillator in situ acute on chronic combined systolic and diastolic heart failure 

Answer: The patient is high likely exposed to