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 64 year old male with history of congestive heart failure, diabetes mellitus type ii, status post aortic valve replacement and mitral valve replacement, on coumadin. he was transferred from an outside hospital where he presented with nausea, vomiting and weakness and was found to be hypotensive with systolic blood pressure to the 70's, hyperkalemic with potassium of 6.9, digitoxin toxic at a level of 2.9, and in acute renal failure with a bun and creatinine of 96 over 10. the patient was coagulopathic with an of 8.9. the patient had recently been admitted on to the same outside hospital with a mild congestive heart failure exacerbation. at that admission, the patient was diuresed with lasix in house with good results and discharged on with a bun and creatinine of 20 over 1.1. the patient reports that after being discharged, he took lasix 80 mg p.o. twice a day, aldactone, glucophage, and lisinopril which was newly started at discharge. the day after discharge from the hospital, the patient noted increasing light headedness, nausea, vomiting, weakness. at the outside hospital, the patient underwent a renal ultrasound which was negative for hydronephrosis or other acute process. the patient was given -exalate, one amp calcium gluconate, 500 mls of normal saline. the patient was also started on a dopamine and dobutamine drips for decreased systolic blood pressure into the 60's. the patient was also given one amp of digibind for his high digitoxin level. the patient was then sent by ambulance from the outside hospital to , where in the parking lot, his blood pressure decreased to the 60's again. the dopamine was increased to 5 mcg per kg per minute. the patient, at this time, also complained of chest tightness and vomited times one in the parking lot of . past medical history: transient ischemic attacks. anxiety. rheumatic heart disease. status post mitral valve repair and aortic valve repair in . complicated by atrial fibrillation and period of asystole, requiring a ddd pacemaker placement, also complicated by a peri-cardial effusion and pleural effusions. status post cardiac window and pleurodesis. congestive heart failure. ejection fraction of greater than 55% on year ago. reportedly ejection fraction of 25 to 30% by the outside hospital. benign prostatic hypertrophy. esophageal dysmotility. status post cholecystectomy. coronary artery disease. status post clear coronaries one year ago, found on catheterization. diabetes mellitus, type ii. social history: married, living with wife. retired manager. former alcohol and tobacco use but quit in . allergies: no known drug allergies. medications: aldactone 12.5 mg q. day. digoxin .125 mg q. day. lasix 80 twice a day. lisinopril 5 mg once a day. -max .4 once a day. metformin 500 mg twice a day. aspirin 81 once a day. coumadin 4 mg q h.s. protonic 40 mg once a day. serazone 300 mg once a day. ambien 10 mg once a day. lipitor 10 once a day. coreg 6.25 mg three times a day. advair twice a day. physical examination: on admission, vital signs revealed a heart rate of 70; blood pressure 95/37; oxygen saturation 100% on two liters; temperature 98.6; respiratory rate 14. general: caucasian man found lying in bed in no apparent distress. head, eyes, ears, nose and throat: extraocular movements intact. pupils are equal, round, and reactive to light and accommodation. moist mucous membranes, normal cephalic, atraumatic. oropharynx clear. neck: jvp flat, no bruits. heart: regular rate and rhythm, s1 and s2 normal; 3/6 systolic murmur. lungs: clear to auscultation bilaterally. slight expiratory wheezes. abdomen: normoactive bowel sounds, nontender, nondistended, no hepatosplenomegaly. extremities: no clubbing, cyanosis or edema. 2+ pulses throughout. neurologic: alert and oriented times three; no focal deficits. genitourinary: foley in place, draining red urine. incomplete report -- cut off! , m.d. procedure: venous catheterization, not elsewhere classified diagnoses: acute kidney failure with lesion of tubular necrosis urinary tract infection, site not specified congestive heart failure, unspecified hematoma complicating a procedure chronic obstructive asthma, unspecified injury to bladder and urethra, without mention of open wound into cavity home accidents cardiotonic glycosides and drugs of similar action causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to