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: no known allergies / adverse drug reactions attending: chief complaint: hypotension major surgical or invasive procedure: cardiac catheterization intra arterial balloon pump placement history of present illness: see hospital course past medical history: 1. obesity 2. hypertension 3. diabetes, poorly controlled, hba1c 11, est. av. glucose 280. on oral agents at admission. 4. chronic renal insufficiency (likely diabetic) 5. hyperlipidemia, not clear that this was being treated. 6. history of smoking - remote, 20 pack years 7. coronary artery disease s/p catheterization (at ). he had had a positive stress test and elective cath. in : anatomy: lad 50-60% stenosis distally. rca mid 100% stenosis. lcx and lm without lesions. excellent left to right collaterals. no stents placed. last echo revealed lvef of 55%, per cath. report. no evidence of cabg (although in ed note - no evidence of incision and no sternotomy wires). 8. obstructive sleep apnea 9. hemorrhoids 10. anxiety 11. gridiron incision c/w past appendectomy. 12. gout - fifth finger of right hand affected. social history: unknown family history: unknown physical exam: expired pertinent results: 11:11pm blood wbc-13.6* rbc-5.36 hgb-11.7* hct-40.1 mcv-75* mch-21.9* mchc-29.3* rdw-17.7* plt ct-237 11:11pm blood neuts-77* bands-3 lymphs-12* monos-5 eos-1 baso-0 atyps-2* metas-0 myelos-0 11:11pm blood glucose-327* urean-39* creat-2.2* na-138 k-4.7 cl-107 hco3-19* angap-17 11:11pm blood ctropnt-0.23* 11:11pm blood calcium-7.2* phos-5.1* mg-2.0 12:37am blood type-art peep-5 po2-58* pco2-37 ph-7.30* caltco2-19* base xs--7 intubat-intubated 11:14pm blood type-art po2-69* pco2-46* ph-7.29* caltco2-23 base xs--4 intubat-intubated cxr severe pulmonary edema brief hospital course: ?????? ?????? the patient was a 64 year-old man with a history of obesity, coronary artery disease, hypertension, dyslipidemia, poorly-controlled diabetes, chronic kidney disease, obstructive sleep apnea, anxiety and gout. he had a positive stress test and elective catheterization in , which showed an ejection fraction of 55%, 50-60% stenosis of the left anterior descending artery and 100% stenosis of the right coronary artery; no stents were previously placed. ??????in , he experienced a prior episode of bradycardic arrest with development of complete heart block, for which he was admitted to . ??????sinus rhythm was restored after control of his hyperglycemia. ?????? ?????? on the evening of , the patient was reportedly dining when he experienced a witnessed sudden cardiac arrest. immediate cardiopulmonary resuscitation was administered and he was taken to the emergency department at . he regained a rhythm and awakened at the outside emergency department before subsequently experiencing two brief successive arrests for which he was quickly resuscitated with epinephrine and cardiopulmonary resuscitation. he was noted to have gross pulmonary edema and was intubated. workup for pulmonary embolism was negative and his cardiac enzymes were documented as ck 444, mb 7.70, mbi 1.7, and troponin-t 0.062. he was subsequently transferred to for advanced cardiac care. ?????? ?????? at , he remained somewhat hypotensive and extremely hypoxic. electrocardiography showed right bundle branch block, diffuse repolarization changes, and no st segment elevation myocardial infarction. a repeat electrocardiogram showed rhythm with negative deflections in leads one and avl; a chest radiograph showed pulmonary edema, and ventilation was difficult. his caretaker/friend noted that he was on insulin for control of diabetes and azithromycin for a ??????few days?????? due to a respiratory infection. labs on admission showed leukocytosis and microcytic anemia; troponin t was elevated at 0.23; glucose, bun, creatinine and phosphate were elevated; calcium and bicarbonate were low. ?????? ?????? the patient was taken to the catheterization lab with a systolic blood pressure of 100. he subsequently developed hypotension and bradycardia. intravenous inotropes and bolus epinephrine were administered. ??????fluoroscopy and echocardiography confirmed absence of pneumothorax. ??????echocardiography performed in the catheterization laboratory demonstrated severe pump dysfunction, no pericardial effusion, and no evidence of mitral regurgitation or aortic insufficiency. an intaaortic balloon pump was placed for blood pressure support. despite resuscitative efforts for pulseless electrical activity including placement of a pacemaker, further epinephrine and vasopressors, there was no improvement in blood pressure, and the patient continued to deteriorate and expired at 1:00 a.m. on the morning of . both the patient??????s aunt and friend consented to a full autopsy, given the absence of living spouse, parents, or children. medications on admission: unknown discharge medications: n/a discharge disposition: expired discharge diagnosis: cardiac arrest discharge condition: deceased discharge instructions: n/a followup instructions: n/a md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours coronary arteriography using two catheters insertion of temporary transvenous pacemaker system implant of pulsation balloon cardiopulmonary resuscitation, not otherwise specified right heart cardiac catheterization diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery other pulmonary insufficiency, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified peripheral vascular disease, unspecified personal history of tobacco use chronic kidney disease, unspecified other and unspecified hyperlipidemia anxiety state, unspecified cardiac arrest cardiogenic shock long-term (current) use of insulin right bundle branch block obesity, unspecified diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled chronic total occlusion of coronary artery physical restraints status 

Answer: The patient is high likely exposed to