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: a 76-year-old male with a history of mi with systolic dysfunction, ef less than 20%, hyperlipidemia, afib, and chronic renal insufficiency, who is seen in advanced heart failure clinic and sent to for nesiritide tailored therapy. patient had gone to for the winter in decompensated heart failure with recurrent atrial fibrillation. despite promising to seek medical care, he had not sought cardiology followup in , while decompensating further. patient went up 30 pounds in weight in . creatinine was found to be worsening. patient walks 10 yards and is short of breath. patient was on admission not on an aspirin or beta-blocker. complains of moderate-to-low sodium diet. allergies: no known drug allergies. current medications: 1. amiodarone 200 mg q.d. 2. folic acid 1 mg q.d. 3. atorvastatin 10 mg q.d. 4. coumadin. 5. furosemide 80 mg q.d. 6. lisinopril 5 mg q.d. 7. started nesiritide past medical history: 1. chf: systolic ef of less than 20%. 2. coronary artery disease status post mi in . 3. afib status post on coumadin. 4. chronic renal insufficiency. 5. hypothyroid. social history: patient dates the owner of in . history of smoking. no alcohol use recently. physical exam: temperature 96.3, blood pressure 90/62, heart rate 76, respiratory rate 18, and 95% on room air. weight 70.6 kg. lungs with decreased breath sounds at the right base half the way up the left base, but not as pronounced, diffuse crackles. irregularly, irregular s1, s2 normal, no murmur. abdomen: markedly distended and firm, nontender, positive bowel sounds, positive fluid wave. no lower extremity edema. mild non-pitting edema on the left, mild non-pitting edema on the right. 2+ pulses bilaterally. laboratories: creatinine found to be 3.6 on admission, hematocrit 33.4. lfts unremarkable. tsh greater than 100. chest x-ray showed heart failure. hospital course: 1. chf: the patient was markedly decompensated and up approximately 30 pounds. patient was on natrecor 0.15, lasix drip of 7, and dopamine of 3 mcg to maintain pressure and kidney perfusion. patient had a picc line placed for these medications. patient was still having difficulty diuresing and his weight was still around 70 kg at this time. 2. anemia: the patient's hematocrit had been stable at approximately around 33. 3. ascites: plans were to do a paracentesis. the coumadin was discontinued and the inr allowed to drift down. this was going slowly so vitamin k 5 mg subq was given. 4. coronary artery disease: we continued his aspirin, atorvastatin. the beta-blocker and ace inhibitor were not started because he was in such decompensated heart failure and was so hypotensive. 5. hyperlipidemia: we increased his lipitor to 80 mg q.d. 6. hypothyroid: tsh was greater than 100 most likely from amiodarone toxicity. we restarted the patient on low-dose levothyroxine at 25 mcg so that as not to cause any ischemia to the patient. 7. atrial fibrillation: we discontinued the amiodarone because of thyroid dysfunction, the patient not staying in sinus rhythm. we discontinued the coumadin because of the hopes of paracentesis next week. spoke with the attending and there was no reason to place the patient on heparin for anticoagulation. 8. chronic renal insufficiency: baseline creatinine 1.2-1.7 has been slowly decreasing from 3.6-3.0. it has not gone back towards baseline. 9. full code: i spoke with the patient and his girlfriend, who wishes to be his healthcare proxy. they wish all measures to be performed. 10. diet: he was on a 2-gram sodium diet and restricted to 1 liter of fluid per day. electrolytes were repleted as needed. the rest of this discharge summary will be dictated at the time of discharge. dr 12.abz dictated by: medquist36 d: 11:49 t: 05:32 job#: procedure: venous catheterization, not elsewhere classified venous catheterization, not elsewhere classified insertion of endotracheal tube hemodialysis venous catheterization for renal dialysis percutaneous abdominal drainage arterial catheterization pulmonary artery wedge monitoring transfusion of packed cells transfusion of other serum injection or infusion of nesiritide diagnoses: anemia, unspecified acute kidney failure with lesion of tubular necrosis congestive heart failure, unspecified unspecified acquired hypothyroidism atrial fibrillation systolic heart failure, unspecified other sequelae of chronic liver disease other and unspecified coagulation defects 

Answer: The patient is high likely exposed to