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: this is an 86-year-old female with a past medical history of diabetes and hypertension who presented to the emergency department with a two day history of shortness of breath and easy fatigability. she also noted increased dyspnea on exertion. prior to this patient could walk upstairs but now cannot. she denies chest pain, orthopnea, paroxysmal nocturnal dyspnea. however, the patient has noted some abdominal pain, intermittent times a couple of days, none on the day of admission. denied nausea, vomiting, diaphoresis, bowel movement changes. she has noted increased urinary frequency. denies fever or chills. of note, she has had recent medication changes which included discontinuing diovan and starting terazosin. past medical history: 1. diabetes mellitus. 2. hypertension. 3. osteoarthritis. 4. _______________ allergies: no known drug allergies. home medications: 1. aspirin 325 mg p.o. q. day. 2. norvasc 10 mg p.o. q. day. 3. isosorbide mononitrate 30 q. day. 4. terazosin 1 mg p.o. q. day. social history: the patient lives alone. has a remote tobacco history. no ethanol. family history: positive for diabetes. no coronary artery disease. physical examination: on admission, blood pressure 151/61, heart rate 75, sao2 93% on room air. in general, patient in no acute distress. speaks in full sentences. neck: jugular venous pressure notable at the mid neck upright about 80 degree angles. cardiovascular regular rate and rhythm with a 1-2/6 holosystolic murmur. pulmonary: crackles bilaterally one-third to one-half the way up. abdomen: bowel sounds positive, soft, non-tender, non-distended. extremities: 1+ lower extremity edema. laboratories on admission: included normal cbc, bun 47, creatinine 2.4 up from baseline of about 1.5. troponin 4.7, ck 101, mb 3. radiology: chest x-ray showed patient was in congestive heart failure. electrocardiogram: showed normal sinus rhythm at 107 beats per minute with left axis deviation and poor r-wave progression. however, no acute changes were apparent. hospital course: the patient was admitted to the cardiac medicine service and treated for presumed diastolic and systolic dysfunction. echocardiogram was obtained which showed moderately depressed left ventricular systolic function as well as hypokinesis of the lower half of septum and apex. also of note was the distal lateral wall hypokinesis. the wall motion abnormalities were noted to be new. it was believed that a troponin on admission in addition to the wall motion abnormalities she underwent a non-q wave myocardial infarction prior to resulted in her current cardiac failure. throughout hospital course patient's troponin trended down to less than 0.3. heart failure service was involved. she was continued with aggressive diuresis. she was started on _________ with excellent diuresis, however, her renal functioning worsening. a cardiac catheterization was deferred until the renal issue could be resolved. however, her creatinine continued to increase. diuresis was halted and without improvement in creatinine. renal was consulted. a renal ultrasound was obtained. it showed a right kidney size of 6.3 cm and a left kidney size of 8.4 cm. given her hypertension which was very difficult to control, it was felt that she had renal artery stenosis and thus she underwent mra of the kidney which showed severe right renal artery stenosis at its origin. there was also moderate to severe focal stenosis of the left renal artery approximately 1.3 cm from its origin. dr. ______________ consulted on the case. she was transferred to the unit overnight to assess volume which was noted to be optimal. on she underwent catheterization and subsequent stenting of the left renal artery. due to dye load required to assess the coronary disease were not visualized. after the procedure the patient did well. however, her creatinine has worsened up to 4.2. however, her urine output has improved. she has not required hemodialysis at this time. she will need close follow up of her renal functioning. the patient is discharged to an extended discharge facility. discharge diagnoses: 1. non-q wave myocardial infarction. 2. systolic and diastolic congestive heart failure. 3. bilateral renal artery stenosis status post stent left renal artery. 4. acute renal failure. 5. hypertension. follow up: she is to follow up with her primary care physician in one week. she is to follow up heart failure and cardiology in one week as well. in addition, patient is to have her own appointment with podiatry. discharge medications: 1. aspirin 325 mg p.o. q. day. 2. norvasc 10 mg p.o. q. day. 3. atorvastatin 10 mg p.o. q. day. 4. protonix 20 mg p.o. q. day. 5. multivitamin one p.o. q. day. 6. carvedilol 3.125 p.o. b.i.d. 7. ___________ dinitrate 20 mg p.o. t.i.d. 8. erythropoietin 10,000 units two times a week tuesday and saturday. 9. calcium acetate tums one p.o. t.i.d. with meals. 10. tylenol 325 mg p.o. q. 4-6h. p.r.n. 11. iron sulfate 325 mg p.o. q. day. 12. colace 100 mg p.o. b.i.d. 13. hydralazine 10 mg p.o. q. 6h. 14. plavix 75 mg p.o. q. day times 30 days. , m.d. dictated by: medquist36 procedure: angioplasty of other non-coronary vessel(s) insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) arteriography of renal arteries injection or infusion of nesiritide diagnoses: subendocardial infarction, initial episode of care anemia, unspecified congestive heart failure, unspecified acute kidney failure, unspecified other pulmonary insufficiency, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease atherosclerosis of renal artery combined systolic and diastolic heart failure, unspecified diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to