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: penicillins / tylenol / lipitor attending: chief complaint: falls and hypotension major surgical or invasive procedure: right internal jugular central venous catheter placement history of present illness: f with chf, cad, dm2, as, pafib presents after 2 falls in 24 hours. does not remember circumstances of fall this am. alert, neuro intact. . according to her family--she lives in a duplex above her eldest daughter--she has become progressively weaker over the past 6 months or so and recently can only walk ~10 feet with walker, limited by sob. the night before admission, her daughter found her slumped out of a chair, and the morning of admission, she fell while trying to get out of bed and used her lifeline. she has ho history of falls. pt does not recall events leading up to either fall, saying only "i guess i'm showing my age." daughter says pt was normal when she found her, no incontinence, spasms, or altered sensorium. of note, pt reportedly says she hopes she'll die almost daily. . last week, she gained almost 5 lbs in 5 days; on tuesday, her pcp told her to increase her dose of lasix from 60mg daily to 80mg daily. . in ed, sbp 80s with pulse 50s, got 2l ivf and 1 unit prbcs, sbp still marginal, so placed rij. sbp up to 110s by the time placement cxr was read, so did not start pressors. no infectious source apparent; hypotension thought volume status and severe as. sats 96% on 3l nc after receiving volume. past medical history: 1. htn 2. chf: (ef= 30% by tte) 3. severe as, aortic valve area 0.6cm2 4. 3+mr, 2+ tr 5. cad- single vessel disease, s/p drug eluting stent to lad . 6. type 2 dm 7. hyperlipidemia 8. s/p tah/bso 9. s/p appendectomy 10. multinodular goiter- diagnosed 11. paroxysmal atrial fib 12.chronic lower extremity edema 13.chronic renal insufficiency: basline cr 1.5-1.7 social history: lives alone in a apartment (daughter lives downstairs). no etoh or tobacco. family history: na physical exam: 95.0 130/96 63 23 99% 4l nc gen: frail elderly woman sitting upright, aaox2 heent: nc/at but ttp over l parietal bone, perrl, eomi neck: jvp 12-14cm but difficult to asses rij chest: fine crackles l base > r cv: iv/vi high-pitched late systolic m, absent s2 abd: firm, nontender. nabs. guaiac negative. ext: massive ankle edema/3+ but with only mod pitting skin: ecchymoses on r wrist and l arm neuro: cn ii-xii intact pertinent results: 09:26am wbc-4.3 rbc-2.77*# hgb-9.0*# hct-25.4* mcv-92 mch-32.5* mchc-35.4* rdw-15.4 09:26am neuts-65 bands-0 lymphs-22 monos-10 eos-3 basos-0 atyps-0 metas-0 myelos-0 09:26am plt count-209 09:26am ck(cpk)-85 09:26am ck-mb-notdone ctropnt-0.07* 09:26am glucose-119* urea n-73* creat-2.0* sodium-127* potassium-4.5 chloride-91* total co2-26 anion gap-15 10:34am lactate-0.6 12:19pm urine color-yellow appear-clear sp -1.010 12:19pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 09:46pm digoxin-1.3 cxr: single portable upright chest radiograph is reviewed and compared to . cardiomediastinal silhouette is unchanged, with continued evidence of mild pulmonary vascular engorgement and perihilar haziness, as well as unchanged small bilateral pleural effusions. there is worsening atelectasis at the right base. left basilar atelectasis is unchanged. impression: unchanged mild congestive heart failure, and small bilateral pleural effusions, with slightly worse atelectasis at the right base. ekg: sinus bradycardia. occasional atrial premature beats. left axis deviation. intraventricular conduction defect. compared to tracing of there is no significant diagnostic change. renal ultrasound: there are bilateral pleural effusions. the right kidney measures 10.5 cm in length. the left kidney measures 8.6 cm in length. there is no hydronephrosis or nephrolithiasis. no renal mass or apparent renal fluid collections are seen. brief hospital course: f w/ chf ef 30%, cad, dm2, as, paroxysmal afib, cri, presented with 2 falls in 24hrs, found to be hypotensive to 80s in ed . # s/p falls - increasing weakness/deconditioning finally leading to apparently mechanical falls, based on family report, but must also consider syncope given severe as. . # hypotension - based on reported exam in ed and response to volume resuscitation, was likely hypovolemic and severe as is very pre-load dependent, causing hypotension. normotensive on arrival to unit, after 1 unit prbcs and 2 liter ns in ed, but became hypotensive to sbp 80s, requiring dopamine for maintenance of blood pressure. . # chf: ischemic cardiomyopathy/global lv hk with ef 30%, severe as and 3+ mr contributing as well. close monitoring of fluid status; appeared euvolemic on arrival to unit, but decompensation morning of have been due to fact that she was initially over-resuscitated. digoxin level 1.3, so no additional doses digoxin administered. patient was started on dopamine to augment lv function. held beta blocker given low sbp. attempted bipap for pulmonary edema and hypoxia, with some effect. . # cad - s/p des in , maintained on , , statin . # paf - amio/beta blocker/dig for rate control, not anticoagulated per old notes . # ckd: recent baseline cr 1.8. held ace inh since cr elevated. . # anemia: baseline hct 28-30, received 1 unit prbcs because anemic to 25 and hypotensive in ed. guaiac neg/no source of bleeding. . # hypothyroid: home dose levothyroxine . # dm2: not on any therapy currently; will monitor with am lab draw . # ppx: heparin subcut. home ppi. . # access - rij, piv . # code: dnr/dni, confirmed with son and daughter , ; after family meeting on , patient was made comfort measures only. pressors were stopped and bipap withdrawn, and the patient subsequently expired. medications on admission: 1. htn 2. chf- (ef= 30% by tte) 3. severe as, aova 0.6cm2/peak gradient 58mmhg 4. 3+mr, 2+ tr 5. cad- single vessel disease, s/p drug eluting stent to lad . 6. type 2 dm 7. hyperlipidemia 8. s/p tah/bso 9. s/p appendectomy 10. multinodular goiter- diagnosed 11. paroxysmal atrial fib 12. chronic lower extremity edema 13. chronic renal insufficiency: baseline cr 1.7 discharge medications: n/a discharge disposition: expired discharge diagnosis: 1. congestive heart failure 2. aortic stenosis 3. coronary artery disease 4. hypertension 5. hyperlipidemia 6. paroxysmal atrial fibrillation discharge condition: expired discharge instructions: n/a followup instructions: n/a procedure: venous catheterization, not elsewhere classified transfusion of packed cells infusion of vasopressor agent diagnoses: coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified rheumatic heart failure (congestive) other and unspecified hyperlipidemia cardiogenic shock mitral valve insufficiency and aortic valve stenosis hypovolemia accidental fall from bed diseases of tricuspid valve 

Answer: The patient is high likely exposed to