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: pt has sig pmh that includes diabetes, copd, chf, hypertension, acute coronary syndrome, diastolic dysfunction, hyperlipidemia, hypothyroidism, gerd, osteoarthritis, cva ', chronic kidney disease, and s/p cholecystectomy. pt remains full code. allergies to medications include ace inhibitors. pt remains intubated on cmv, sating 100%, abg wnl. ls clear bilaterally, no secretions noted with suctioning. plan is to diurese and extubate pt in am. pt cont to have junctional bradycardia w/ hr 30-40s, pacing pads still remain on pt in case pacing is required. sbp 110s-170s, goal sbp 140-160, pt ordered for nitro gtt to help improve diastolic function & maintain sbp < 160. however pts sbp has been in 120s while nitro gtt has been off. pt sedated on low dose of propofol, however pts sbp cont to remain low while on medication. propofol d/c'd and pt sedated with fentanyl/versed prn, in hopes of maintaining sbp 140-160s. neuro exam remains intact- follows commands appropriately, nodding to questions, opening eyes spontaneously, denies pain. no issues with gi system- currently remains npo, ogt available for po meds. foley patent, however not draining adequate amt of urine. pts uop 5-20cc/hr, team aware, pt started on lasix gtt for goal of 50-100cc/hr, however pt not responding to lasix. family into visit with pt today, spoke with ccu team and was updated as to pts status and poc. family would like pt to remain a full code. poc: diurese pt, wean vent settings and attempt to extubate in am. pacemaker to be placed in next few days. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours combined right and left heart cardiac catheterization coronary arteriography using two catheters insertion of endotracheal tube aortography pulmonary artery wedge monitoring arteriography of renal arteries diagnoses: anemia in chronic kidney disease subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified acute on chronic diastolic heart failure asthma, unspecified type, unspecified other and unspecified hyperlipidemia chronic kidney disease, stage iii (moderate) acute respiratory failure other specified cardiac dysrhythmias atherosclerosis of renal artery disorders of phosphorus metabolism hypoxemia 

Answer: The patient is high likely exposed to