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: clinoril / percocet / oxycontin / prednisone attending: chief complaint: chest pain major surgical or invasive procedure: left and right heart catheterization, no intervention history of present illness: 76 y/o esrd on pd who developed resting chest and arm pain in setting of rapid afib vr 130 during her evening dialysis. brought to by ems who noted to be borderline hypotensive with map 60s. asymptomatic without cp , dizziness or lightheadedness on arrival. rate not controlled with lopressor iv, but converted spontaneously. no previous pmh of afib, but had svt in read as a-flutter vs. mat. not anticoagulated. in had echo which showed diastlolic relaxation dysfunction, hyperdynamic lv, and lvot gradient induced to 50 mmhg. 50 pack year smoking history - quit. fh no cad. past medical history: 1. esrd: on pd since , pd at home. esrd longstanding htn, high grade ras. 2. h/o chf: echo--hyperdynamic lv, ef 70-80%, mild lvh 3. htn 4. pvd: chronic r heel ulcer 5. copd: fev1 0.91, decr dlco, fev/fvc 90%, 2l home o2 6. depression 7. osteoarthritis 8. etoh abuce 9. s/p tah and lysis of adhesions. 10. h/o hematochezia, grade 2 hemorrhoids, colonoscopy --diverticulosis, angioectasia social history: divorced, 2 children prior tobacco 50 pk-yrs - quit 5 yrs ago ambulates with walker h/o etoh abuse--> last drink 2 d pta family history: +htn no colon ca mother and father + chf physical exam: vss, rate 60-80 comfortable lungs mild crackles 1/3 up regular s1/s2 holosystolic murmur tricuspid region, no gallop/rub abd soft, nttp, peritoneal catheter no signs of infection ext: no edema, lower ext very tender to palpation, dp 1+ bilat pertinent results: cxr () - no dissection laboratory on discharge: ck 33, 32, 46 tnt 0.26 (baseline 0.20) cr 8.7 k 3.7 wbc 13.4 --> 8.4 (no bandemia) hct 31.9, plt 160 inr 1.2 cr 6, bun 26 k 3.1, ca 8.6, phos 3.6, mg 1.7 tsh 0.67 imaging: cxr - mild failure, lll infiltrate worse than prior 1 week ago cardiac: ekg: atrial fib with vr 130, st depression in lateral leads tele: sinus rhythm, rate 60-80, with intermittent episodes of afib rate controlled. right and left heart cath: ra 21/21/18, rv 47/23; pcw 27/27/23; lvedp 24; ao grad resting 0 mmhg; co 3.8, ci 2.4 intra-chamber gradient pressures difficult to assess since frequent pvc, gradi post pvc 80mmhg angiogram: rca nml prox lad 30% 20% prox cx tte: la 5.2x5cm; ra 4.6cm; lv septum 1.3 cm; lvef 70-80% e/a 2.75 prolonged e wave decel 345sec lvot peak resting 20mmhg brief hospital course: 76 y/o female with demand ischemia in setting of paf with rvr with relief when rate controlled. she was admitted for romi and rate controlled after receiving lopressor iv and dilt iv. of note she had not been taking po for up to 2wks prior to admit chronic nausea. her hospital course was complicated by hypotension with inappropriate bradycardia symptomatic for decreased mental status. vital signs were otherwise stable. she was transferred to the ccu for observation, hydration with up to 6 liters (in the ed and ccu), calcium gluconate, and dopamine gtt. she was quickly weaned from vasopressors and her bp rose to 100's after 24 hours. it was felt that her symptoms were secondary to beta and calcium channel blockade in the setting of volume depletion. she spontaneously converted to normal sinus rhythm and has remained in it since. she was rate controlled with increased beta blockade. she she has relative as with lvot obstruction with age>65 (chads2 score 3) and has paf and she is highly functional (able to perform pd on self, very alert and educated) it was suggested that she be anticoagulated with coumadin. she underwent cardiac catheterization which demonstrated minimal cad, however lvedp and pcw were in mid twenties. her volume was controlled with alternating higher dextrose concentration solutions for her peritoneal dialysis and was net negative approx 2.5 liters. post cath, she became extremely paranoid and angry stating "you didn't really cath me, i'm in a mental institution" and was attributed to the percocet she received while in the ccu. she has a known psychotic reaction to oxycontin and percocet. she developed a small stable hematoma, however hct remained stable. her anginal symptoms were attributed to elevated lvedp in the setting of lvot obstruction. echo showed evidence of diastolic relaxation dysfuction with prolonged e wave decel time and lvot resting peak gradient of 20mmhg. her toprol was increased and she was started on low dose verapamil for treatment of her paf and lvot obstruction. verapamil was chosen because of its greater effect on blocking the av node preferentially to the sa node. when not in afib she had a resting heart rate of 40-60's. digoxin and amiodarone were considered for additional av blockade, however given her lvot, we did not want to give her a positive inotrope and her severe underlying copd would make pulmonary amiodarone toxicity difficult to monitor. her blood pressures prevented the addition of a ccb. she was noted to have a higher o2 requirement than usual. she intermittently uses home o2, however had episode of desaturation to 66% with tachypnia resolving with o2. cxr showed a worsening lll infiltrate, but no evidence of worsened chf or ptx. ekg and c.e did not suggest and mi. given that she has had no worsening cough, has remained afebrile, wihtout a white count, and recently completed treatment for a pneumonia with levaquin, she was not treated with additional antibiotics. instead, it was felt that she had mild overload in the setting of chronic lung disease. she was discharged home with services for pd, pt, and o2 in stable condition. she will need to have inr checks. she may benefit from a reminder to not cut her toprol tablets in half as she has been doing. medications on admission: asa 81 qd paroxetine 30 qd lipitor fluticasone ipratropium lopressor 25 sulindac percocet oxycontin prednisone discharge medications: 1. ipratropium bromide 18 mcg/actuation aerosol sig: two (2) puff inhalation qid (4 times a day). 2. aspirin 81 mg tablet sig: one (1) tablet po once a day. 3. atorvastatin calcium 40 mg tablet sig: one (1) tablet po qd (once a day). disp:*1 tablet(s)* refills:*2* 4. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 5. calcium acetate 667 mg capsule sig: one (1) capsule po three times a day. disp:*90 capsule(s)* refills:*2* 6. toprol xl 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po once a day. disp:*30 tablet sustained release 24hr(s)* refills:*2* 7. paroxetine hcl 30 mg tablet sig: one (1) tablet po at bedtime. 8. lipitor 10 mg tablet sig: one (1) tablet po at bedtime. 9. fluticasone-salmeterol 250-50 mcg/dose disk with device sig: one (1) inhalation twice a day. 10. atrovent 18 mcg/actuation aerosol sig: one (1) inhalation every 6-8 hours. 11. peritoneal dialysis alternate 1.5% and 2.5% over 5 cycles. see renal reccomendations. 12. home o2 titrate o2 to keep sats 90-94%. check o2 with head monitor and not finger or ear monitor as patient has severe peripheral vascular disease 13. coumadin 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 14. verapamil hcl 100 mg cap, 24hr sust release pellets sig: one (1) cap, 24hr sust release pellets po once a day: start in am of for heart. disp:*30 cap, 24hr sust release pellets(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: atrial fibrillation hypotension cad dm pvd hallucinations groin hematoma discharge condition: good discharge instructions: weigh yourself every morning, md if weight > 3 lbs. adhere to 2 gm sodium diet fluid restriction:1500 cc continue to do your nightly dialysis take your medications followup instructions: provider: cc2 pulmonary lab-cc2 where: pulmonary function lab phone: date/time: 9:00 provider: , m.d. where: medical specialties phone: date/time: 9:30 contact your doctor , dr. to schedule appointment within 7 days of admission. procedure: venous catheterization, not elsewhere classified combined right and left heart cardiac catheterization coronary arteriography using two catheters peritoneal dialysis transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified atrial fibrillation other chronic pulmonary heart diseases personal history of tobacco use hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease hypotension, unspecified metabolic encephalopathy diastolic heart failure, unspecified sympatholytics [antiadrenergics] causing adverse effects in therapeutic use cardiomyopathy in other diseases classified elsewhere precordial pain 

Answer: The patient is high likely exposed to