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: patient recorded as having no known allergies to drugs attending: chief complaint: sob x 9 days, worsening orthopnea, fatigue with exertion, nonproductive cough major surgical or invasive procedure: dc cardioversion cardiac catheterization with stent placement history of present illness: pt is a 71 y/o man with pmh signficant for inferoposterior mi (cath done at that time insignificant left main ds with totally occluded lad, distal circ stenosis and totally occluded rca s/p iabp and cabg with l internal mamm art to lad and vein graft to post desc artery, vein graft to obtuse marginal- balloon pump weaned and ef improved to 15-20%), h/o afib with rvr and a flutter tx with coumadin and amiodarone, lost to follow up until when he presented to dr. (pcp)'s office c/o 9 days of worsening sob, worsening orthopnea, fatigue with exertion, and non-productive cough with no chest pain and found to be in afib with rvr, lbbb, and chf by clinical presentation and cxr. he was admitted to hospital with dx of chf. last echo was showing ef 10-15%, severe diffuse left ventricular hypokinesis, rv decr fxn, mod mr, mod tr, pa systolic was 40mmhg. . at , he was started on carvedilol 6.25mg po bid, lasix 40mg iv bid, lisinopril 2.5mg po qd, hep gtt. he was in aflutter with variable conduction, and was started on digoxin 0.125mg po qd. on admission, he had wide complex tachy to 120, when slowed- was aflutter. his bp dropped with these meds, to 80s-90s systolic without dizziness. he remained extremely sob, however, +orthopnea (cannot sleep from any angle- sleeps sitting up in bed on tray table.) cxr at osh c/w pulmonary edema with b/l pleural effusions. he ruled out for mi with 2 sets neg ce and 3 sets neg troponins. because of his significant orthopnea and failure to diurese despite iv lasix and hypotension, he was transferred here for potential iv milrinone, possibly also needed atrial fib ablation vs. cardioversion to nsr. past medical history: 1. lasix 40mg iv q12 2. insulin 3. coreg 6.25mg po bid 4. amiodarone 400mg po bid 5. lisinopril 2.5mg po qd 6. heparin gtt 7. digoxin 0.125mg po qd 8. zocor 20mg po qd 9. asa 325mg po qd social history: cigarettes 1-2ppd x the past 30 years, cigar tobacco pipes per day, no etoh, no ivda family history: premature coronary ds, father died of mi at age 51 physical exam: bp: 122/70 hr: 87 rr: 16 oxygen sat: 98% on 4l nc general: pleasant 71 y/o cm, nad, with occasional dry cough heent: with bilateral glaucoma, no scleral icterus, blind bilateral eyes neck: supple, with jvd all the way up to the ear lungs: with fine crackles at the bases cv: rrr with occasional pvcs, s1 and s2 audible. abd: soft, nt, nd, obese, nabs. no masses. peripheral vasc: 1+ edema bilateral lower extremities neuro: blind bilaterally. no focal deficits. strength 5/5 throughout. able to ambulate to and from bathroom with a cane. sensory intact. pertinent results: 07:53pm glucose-273* urea n-51* creat-1.5* sodium-132* potassium-5.8* chloride-99 total co2-22 anion gap-17 07:53pm calcium-9.6 phosphate-6.0* magnesium-2.0 07:53pm wbc-9.7 rbc-4.96 hgb-14.6 hct-42.6 mcv-86 mch-29.3 mchc-34.2 rdw-13.4 plt count-239 pt-14.2* ptt-48.4* inr(pt)-1.3 cath done at that time insignificant left main ds with totally occluded lad, distal circ stenosis and totally occluded rca s/p iabp and cabg with l internal mamm art to lad and vein graft to post desc artery, vein graft to obtuse marginal- balloon pump weaned and ef improved to 15-20% . ekg at osh shows aflutter with variable conduction ekg here: atrial flutter with variable conduction, rate 75bpm, wide qrs c/w lbbb, st elevation in v2, v3, and v4. . cxr here: with slight right pleural effusion, with cardiomegaly and enlarged pulmonary arteries . cta osh: suboptimal but otherwise neg for pe . echo : ef:20% the left atrium is mildly dilated. the right atrium is moderately dilated. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. there is severe global left ventricular hypokinesis (ejection fraction 20 percent). the right ventricular cavity is dilated. right ventricular systolic function appears depressed. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) mitral regurgitation is seen. there is borderline pulmonary artery systolic hypertension. . echo : no thrombus before dc cardioversion from aflutter to nsr. . cardiac cath : final diagnosis: 1. native three vessel coronary artery disease. 2. patent svg-rca. occluded second svg-rca and svg-om. patent lima-lad. 3. elevated right and left sided filling pressures. 4. depressed cardiac output and index. 5. successful drug-eluting stenting of the lcx. . probnp-3563* hgba1c: 11.9, lipid panel: tot chol 124, tg 79, hdl 29, ldl 79 07:53pm blood ck-mb-2 ctropnt-0.01, ck(cpk)-105 03:15pm blood ck-mb-notdone ctropnt-<0.01, ck(cpk)-40 10:00pm blood ck-mb-notdone, ck(cpk)-42 04:40am blood ck-mb-notdone, ck(cpk)-36* brief hospital course: impression: 71 y/o man with h/o cad, s/p 4 vessel cabg in the past, ischemic cardiomyopathy, with h/o atrial fibrillation/flutter, lost to follow up from to , transferred from osh in decompensated chf and aflutter. he is now status post dc cardioversion to normal sinus rhythm; s/p diuresis over 18 l total; s/p cardiac catheterization w/ stenting of his native lcx. . 1. chf: his initial decompensation was likely subacute as he was grossly volume overloaded w/ relatively minor sxs. we felt this was a combination of dietary non adherance and atrial flutter. the pt is much improved w/ diuresis, afterload reduction and restoration of nsr. we diuresed over 18l off of the pt with iv lasix. his blood pressures tolerated this well. he will be discharged on coreg, acei. he will receive one more dose of lasix prior to discharge and will need follow up labwork. his echo was done on , showing ef of 20% with severe global lv hypokinesis. he has a follow up appointment with dr. for potential icd placement. his appt is , and he will have an echocardiogram that same day. . 2. coronary artery disease: as there was some difficulty obtaining prior cardiac records, and because his echo demonstrated an ef of 20% with severe global left ventricular hypokinesis with depressed systolic function, we pursued workup of his likely ischemic cardiomyopathy. he went for cardiac catheterization on , demonstrating 2 of 3 vein grafts down on cath; patent lima to lad; s/p stent to native left circumflex. he did well post-cath, and will be discharged on asa/statin/bb/plavix, with follow up with his cardiologist, dr. . he was told that he must take his medications. he will have a repeat echo in . he has an outpatient follow up appt with dr. for potential icd vs. biv pacer placement. . 3. aflutter- he initially presented with atrial flutter with variable conduction w/wide qrs c/w lbbb, st elevation in v2, v3, and v4. he is now s/p tee/dc cardioversion to nsr, without complications. he remains in nsr. he was given amiodarone 400mg po qd for 10 days, then switched to amiodarone 200mg po qd. for anticoagulation, we placed him on heparin gtt and coumadin. he will be discharged on coumadin 7.5mg po qd, with f/u to his pcp to check inr. his inr is therapeutic at 2.3. . 4. hyperlipidemia his lipid panel was checked: tg 96, hdl 36, ldl 67. we continued his lipitor. he will continue this medication after discharge. . 5. type ii diabetes mellitus, new diagnosis: the pt came in with markedly elevated sugars in the 300s-400s. his hgba1c was checked at osh and found to be 11. diabetic consult was obtained, and followed his sugars throughout his stay. the pt was started on glyburide, titrated up to 10mg po bid, with lantus titrated to 12u qhs. he was also on a modified humalog sliding scale. however, nearing discharge, he was requiring less and less insulin, so he received lantus 6 units prior to discharge, with follow up the next day in dr. clinic. his wife was instructed on how to inject him, and is familiar with the care he will need. . # hematuria: he initially had gross blood visible in the foley bag after the foley was placed, presumably secondary to traumatic foley insertion. this cleared, and he has not had blood in the foley for several days. he will f/u with his pcp for potential cystoscopy as outpatient. . 7. full code medications on admission: meds on transfer: 1. lasix 40mg iv q12 2. insulin 3. coreg 6.25mg po bid 4. amiodarone 400mg po bid 5. lisinopril 2.5mg po qd 6. heparin gtt 7. digoxin 0.125mg po qd 8. zocor 20mg po qd 9. asa 325mg po qd . meds on admission to osh (pt reports compliant with meds for several years): 1. zocor 2. digoxin 0.025mg po qd 3. asa 325mg po qd discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. glyburide 5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 4. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. warfarin sodium 2.5 mg tablet sig: three (3) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 7. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: 1. congestive heart failure 2. atrial fibrillation with rapid ventricular response status post dc cardioversion 3. ischemic cardiomyopathy status post cardiac catheterization to the native left circumflex artery 4. diabetes mellitus type ii 5. blindness 6. hyperlipidemia 7. glaucoma discharge condition: stable discharge instructions: if you experience any chest pain, shortness of breath, or sweating, please come to the emergency room immediately. if you experience worsening shortness of breath, weight gain, or fatigue, please come to the er. have dr. check your blood chemistries because you are getting a dose of lasix before you leave. please take all of your medications. please adhere to a low sodium diet. weigh yourself every day, if your weight increases by more than 2kg, notify your physician. up with your doctors (see information below). followup instructions: you have a follow-up appointment with dr. on thursday, at 10 am to discuss referral for your diabetes treatment. you have an appointment with dr. on at 2:30 pm in 7 th floor, . your echocardiogram is scheduled for the same day, at 1pm, , 3, . please go to your echocardiogram before your appointment with dr. . procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor diagnostic ultrasound of heart other and unspecified coronary arteriography other electric countershock of heart aortography insertion of drug-eluting coronary artery stent(s) diagnoses: other primary cardiomyopathies 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 coronary atherosclerosis of autologous vein bypass graft atrial flutter other and unspecified hyperlipidemia long-term (current) use of insulin old myocardial infarction long-term (current) use of anticoagulants obesity, unspecified legal blindness, as defined in u.s.a. 

Answer: The patient is high likely exposed to