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 an 81 year-old male with a history significant for coronary artery disease status post inferior myocardial infarction in , hypertension, congestive heart failure with an ejection fraction of 45% who was admitted to an outside hospital on when he presented with worsening shortness of breath and dyspnea. three days prior to his admission the patient was developing upper respiratory symptoms predominately scratchy throat and worsening cough that was productive of clear sputum. on the day of admission he was noted to be acutely worsening. he had to sit on the ground and wait for his son to arrive home to take him to the emergency room. on arrival to the outside hospital he noted no fevers, chills, nausea or vomiting. he denied any chest pain, orthopnea, paroxysmal nocturnal dyspnea. the only symptom he noted was worsening leg swelling. at the outside hospital the patient was found to be tachypneic with saturations at 88% on four liters nasal cannula, 100% on nonrebreather. diagnosed of congestive heart failure he was diuresed with lasix, started on aspirin and given morphine and nitroglycerin. the following day he worsened and repeat echocardiogram showed an ejection fraction down to 30% with new anteroapical hypokinesis. he was stabilized and transferred to coronary care unit for further care. on his second day of admission cardiothoracic surgery was asked to evaluate the patient. past medical history: 1. coronary artery disease status post myocardial infarction. 2. congestive heart failure with ejection fraction of 45%. 3. diabetes mellitus type ii diagnosed 10 years ago. 4. spinal stenosis. 5. hypertension. 6. hypercholesterolemia. 7. nephrolithiasis. 8. osteoarthritis. admission medications: 1. diamox 20 milligrams po q day. 2. motrin 800 milligrams po q day. 3. zantac 150 milligrams po bid. 4. zestril 5 milligrams po q day. 5. lipitor 10 milligrams po q day. 6. sublingual nitroglycerin prn. 7. glucovance 5/500 po bid. 8. imdur 60 milligrams po bid. 9. atenolol 25 milligrams po q day. 10. ecotrin 325 milligrams po q day. allergies: he has no known drug allergies. social history: he quit smoking in . he denies any etoh use. he is married and lives with his wife and son. was a pharmacist who retired in . physical examination: on admission his temperature is 100.0 f, heart rate 74, blood pressure 155/48, respiratory rate 22, 97% on nonrebreather mask. he is alert and oriented times 3, no acute distress. his pupils are equal, round and reactive to light. he has 7 cm jvp. he has bilateral rales one quarter up with bronchial breath sounds on the left base. he has regular rate and rhythm with no murmurs, rubs, or gallops. his abdomen is nontender, nondistended with normal sounds. he has ankle edema bilaterally. no cyanosis. he has 2+ pulses bilaterally. neurologically he is intact. laboratory data: on admission include white count 12.5, hematocrit 45, platelet count 172, 000. sodium 140, potassium 4.2, chloride 98, bicarbonate 22, bun 22, creatinine 1.1, glucose 249. cpk #1 was 95. cpk #2 was 109. cpk #3 was 120. ekg was normal sinus rhythm at 60, normal axis, qs in iii and avf. st elevations in v1 and v2. echocardiogram from showed ejection fraction of 30%, hypokinesis of anteroapical with marked hypokinesis of inferior wall. hospital course: the patient is admitted to the ccu. on hospital day one he underwent a cardiac catheterization which showed three vessel disease of the lad and 90% proximal lesion. the left circumflex and right coronary artery were occluded proximally. at that time he had an intra aortic balloon pump placed as well. troponin was measured during his admission; #1 was 10.7, 20.49 and #3 was 19%. the patient was stabilized and then on hospital day five the patient went to the operating room and underwent acute coronary artery bypass graft times three with a lima to the diagonal, saphenous vein graft to rca and saphenous vein graft to the lad. the patient tolerated the procedure well and left the operating room with drips of milrinone of 0.25 mics per kilograms per minute and levofloxacin 0.2 mics per kilograms per minute and transferred to the intensive care unit in stable condition, intra aortic balloon pump one to one with good augmentation on postoperative day one the patient was extubated. the intra aortic balloon pump was weaned 1 to 3 and then was weaned. on chest x-ray he was noted to have a left lower lobe consolidation and there was question of aspiration. he had speech and swallow evaluation which was positive for thin liquids and was placed on strict aspiration precautions. a nasogastric tube was placed due to the failed swallow study. he was started on promod with fiber to a goal of 70 cc an hour. on postoperative day three the patient was noted to go into rapid atrial fibrillation with stable blood pressure. he was given lopressor 5 milligrams times four with no affect. he was then loaded with amiodarone. he had a bradycardic response and was paced during this time. blood pressure remained stable though. on postoperative day four the patient underwent modified barium swallow study which showed moderate oropharyngeal swallow dysfunction, no frank aspiration but was significant for ................... he was then placed on strict aspirations per precautions and placed on thick liquids with slow advancement. he is continued on tube feeds. over the next few days the patient remained stable. he was afebrile. he was continued on beta-blocker, began a calcium channel blocker and was continued on amiodarone. he was on full thickened liquids and tube feeds. on postoperative day seven the patient was then transferred to the floor for the remainder of his recovery. his temperature is 98 f. his wires were discontinued. his foley catheter was discontinued. he received physical therapy. he is currently at a level v. orl evaluation evaluated his swallowing and noted that he should still be monitored and left on pureed and nectar thick liquids. his diet was advanced and calorie count was obtained which demonstrated that the patient was able to achieve his total caloric needs via po. his dobbhoff was removed. the patient now has been tolerating po diet without problem. on postoperative day nine the patient's laboratory was noted to have potassium of 6.1. he was treated with kayexalate, continuous insulin and an amp of d50, and a calcium gluconate. his potassium came down to 5.4 appropriately. renal consult was seen. the patient was placed on a renal diet which was low potassium. he was started on florinef as a mineral "replacement". the patient's latest potassium is 4.4. it was noted also the patient's blood sugars had been ranging anywhere from 81 to 300. was consulted and they made adjustments to his sliding scale and his hypoglycemic regimen. the patient is now stable and is now ready to go home, discharged on postoperative day 13. discharge diagnosis: 1. status post cabg times three. 2. atrial fibrillation. 3. dysphasia. 4. diabetes mellitus. 5. congestive heart failure. 6. hypercholesterolemia. discharge medications: 1. lopressor 25 milligrams po bid. 2. colace 100 milligrams po bid. 3. e-casa 325 milligrams po q day. 4. amiodarone 400 milligrams po q day. 5. norvasc 7.5 milligrams po q day. 6. combivent two puffs q six hours. 7. protonix 40 milligrams po q day. 8. glyburide 10 milligrams po bid. 9. lantus insulin 14 units q hs. 10. hydralazine 20 milligrams po qid. 11. lasix 20 milligrams po bid times seven days. 12. kcl 20 milliequivalents po q day times seven days. 13. humalog insulin sliding scale. 14. florinef 0.1 milligrams po q day. 15. tylenol #3 one to two po q every four hours prn. discharge condition: stable. discharge follow up: the patient will follow up with dr. in six weeks and call his primary care physician . in two to three weeks. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters parenteral infusion of concentrated nutritional substances (aorto)coronary bypass of two coronary arteries enteral infusion of concentrated nutritional substances implant of pulsation balloon removal of external heart assist system(s) or device(s) diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified atrial fibrillation other chronic pulmonary heart diseases hypopotassemia diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled heart failure, unspecified 

Answer: The patient is high likely exposed to