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: history of present illness: the patient is a 67-year-old male patient with a history of diabetes mellitus and hypertension who presented with progressive shortness of breath. the patient states that he has had several weeks of upper respiratory tract infection symptoms - including a cough and runny nose - in addition to progressive shortness of breath that has been treated unsuccessfully with three courses of azithromycin over the winter. he subsequently developed orthopnea, paroxysmal nocturnal dyspnea, and edema and was evaluated by a cardiologist in in . at that time, the patient had an echocardiogram that showed an ejection fraction of 15 percent. the patient was subsequently evaluated by dr. who recommended a cardiac catheterization to rule out coronary artery disease. the patient presented for an elective cardiac catheterization today which was significant for no coronary artery disease, but there were elevated filling pressures. the patient was subsequently admitted to the coronary care unit service for swan-directed therapy. past medical history: type 2 diabetes mellitus. hypertension. allergies: no known drug allergies. medications on admission: 1. digoxin 0.125 mg by mouth once per day. 2. lasix 20 mg by mouth once per day. 3. lisinopril 10 mg by mouth once per day. 4. potassium chloride 10 meq by mouth every day. 5. toprol-xl 25 mg by mouth once per day. 6. glipizide 10 mg by mouth once per day. 7. metformin 500 mg by mouth in the morning and 1000 mg by mouth in the evening. 8. aspirin 325 mg by mouth once per day. social history: the patient is currently married and has one daughter. endorses a 16-pack-year history, but quit smoking. he reports only occasional alcohol use. family history: the patient's family history is significant for coronary artery disease, diabetes mellitus, crohn's disease, and abdominal aortic aneurysm. physical examination on presentation: the patient was afebrile, his blood pressure was 138/85, his heart rate was 113, his respiratory rate was 19, and 96 percent on room air. in general, a well-appearing male lying in bed at 45 degrees in no acute distress. head, eyes, ears, nose, and throat examination revealed the pupils were equal, round, and reactive to light. the extraocular movements were intact. the patient had dry mucous membranes. the oropharynx was clear. neck revealed jugular venous pressure was at the angle of the jaw. there was no thyromegaly. the lungs were clear to auscultation bilaterally. cardiovascular examination revealed the patient was tachycardic with a regular rhythm and s3 gallop. normal first and second heart sounds. there were no rubs. there was a holosystolic murmur at the left lower sternal border and at the apex. the abdomen was soft, nontender, and nondistended. there were normal active bowel sounds. extremities revealed the patient had an angio- seal present in his right groin. he had 2 plus dorsalis pedis and posterior tibial pulses bilaterally with no lower extremity edema. pertinent laboratory values on presentation: white blood cell count was 9, his hematocrit was 42, and his platelets were 258. sodium was 141, potassium was 4.5, chloride was 99, bicarbonate was 28, blood urea nitrogen was 25, creatinine was 1.2, and blood glucose was 130. aspartate aminotransferase was 14, his alanine-aminotransferase was 20, his alkaline phosphatase was 82, his total bilirubin was 1. his albumin was 4.2. his hemoglobin a1c was 7.7 percent. thyroid stimulating hormone was 1.5. cholesterol was 151, his triglycerides were 210, his high-density lipoprotein was 29, and his low-density lipoprotein was 80. pertinent radiology-imaging: an echocardiogram - in - revealed an ejection fraction of 15 percent, 3 to 4 plus mitral regurgitation and tricuspid regurgitation. cardiac catheterization - on - revealed no evidence of coronary artery disease other than a 70 percent stenosis and a very small diagonal branch. the patient's hemodynamics revealed an right atrial pressure of 15, a right ventricular pressure of 60/11, a pulmonary artery pressure of 60/35, and a pulmonary capillary wedge pressure of 35. cardiac output was 3.41. cardiac index was 1.57. an electrocardiogram revealed a normal sinus rhythm at 105 beats per minute, left axis deviation, borderline left ventricular hypertrophy, and several premature ventricular contractions. summary of hospital course: 1. congestive heart failure issues: the patient was admitted for a diagnostic cardiac catheterization given a new diagnosis of congestive heart failure. the patient's cardiac catheterization on admission was negative for coronary artery disease but was significant for elevated filling pressures. the patient was therefore admitted to the coronary care unit service for directed therapy of his congestive heart failure. the patient was initiated on a nesiritide drip which was titrated up for improved urine output. the patient diuresed effectively with natrecor and several boluses of intravenous lasix. the patient's fluid status improved dramatically after his first hospital day, and his swan-ganz catheter was discontinued. the patient was continued on nesiritide for three days until it was titrated down and off. the patient's lasix dose was increased prior to discharge. the patient was continued on an ace inhibitor and beta blocker, the doses of which were titrated up as tolerated by the patient's blood pressure and heart rate. the etiology of the patient's congestive heart failure was not entirely clear given his normal cardiac catheterization. the patient had a thyroid stimulating hormone drawn which was normal. given the patient's upper respiratory tract infection symptoms, it was possible that there was a viral etiology to the patient's heart failure; however, the patient also has a longstanding history of hypertension which may ultimately be the cause. 1. coronary artery disease issues: the patient had no evidence of coronary artery disease on cardiac catheterization. he was continued on a low dose of aspirin in addition to an ace inhibitor and beta blocker, the doses of which were titrated up as tolerated by his heart rate and blood pressure. the patient had no complaints of chest pain throughout his brief hospitalization. 1. diabetes mellitus issues: the patient's metformin was held on admission given the concern for lactic acidosis. the patient was continued on his glipizide and had relatively good control of his blood sugars throughout his hospitalization. the clinic was contact and consulted. they recommended continuing the present regimen with glipizide and believed that the patient's blood sugars would improve once he was discharged and exercising more. although they were happy to follow the patient as an outpatient, they noted that he had a good relationship with an endocrinologist who has been apparently treating the patient's diabetes for the last several years. condition on discharge: good. discharge status: the patient was discharged to home with close followup. discharge diagnoses: congestive heart failure/systolic dysfunction. moderate/severe mitral valve regurgitation and tricuspid valve regurgitation. type 2 diabetes mellitus. hypertension. medications on discharge: 1. aspirin 81 mg by mouth once per day. 2. digoxin 0.25 mg by mouth once per day. 3. glipizide 10 mg by mouth once per day. 4. lisinopril 30 mg by mouth once per day. 5. metoprolol succinate sustain release 75 mg by mouth once per day. 6. lasix 40 mg by mouth once per day. discharge follow up: the patient was encouraged to follow up with his primary care physician in one to two weeks. the patient was also encouraged to follow up with dr. in one to two weeks, or sooner if needed. the patient was encouraged to weigh himself every morning and to call a physician if his weight increased over three pounds. the patient was also instructed to adhere to a 2-gram sodium diet and to restrict his fluids to 1500 cc per day. , md procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters pulmonary artery wedge monitoring monitoring of cardiac output by other technique injection or infusion of nesiritide diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other chronic pulmonary heart diseases personal history of tobacco use systolic heart failure, unspecified tricuspid valve disorders, specified as nonrheumatic 

Answer: The patient is high likely exposed to