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: scheduled admission for sleep study major surgical or invasive procedure: arterial line placement history of present illness: 53-year-old man with history of sleep apnea, dm2, dyslipidemia, htn, stage iv ckd, morbid obesity, schf ef 40-50%, cad, afib on warfarin, gout presented for a scheduled sleep apnea. ros is completely unremarkable. patient has no complaint. past medical history: - diabetes mellitus (last alc 7.1 ) - dyslipidemia - hypertension - chronic kidney disease stage iv - morbid obesity - chronic systolic congestive heart failure, ef 40-50% - coronary artery disease - atrial fibrillation: on coumadin - gout - sleep apnea social history: -on disability x 10 years. had been living with his brother and his sister-in-law in , but recently has been in rehab at for the past few months. -tobacco history: denies -etoh: denies -illicit drugs: denies family history: hypertension, mother with heart disease. physical exam: gen: obese, pleasant man in nad heent: eomi lungs: ctab cv: rrr, no m/r/g abd: obese, soft, nt, nd ext: no edema pertinent results: 06:46pm wbc-10.3 rbc-4.81 hgb-11.8* hct-38.7* mcv-80* mch-24.5* mchc-30.4* rdw-19.4* 06:46pm plt smr-normal plt count-231 06:46pm pt-21.4* ptt-28.1 inr(pt)-2.0* 06:46pm glucose-140* urea n-78* creat-3.0* sodium-139 potassium-4.2 chloride-101 total co2-26 anion gap-16 06:46pm calcium-9.2 phosphate-3.4 magnesium-2.0 06:46pm type-art po2-90 pco2-37 ph-7.47* total co2-28 base xs-3 brief hospital course: 53-year-old man with history of sleep apnea, dm2, dyslipidemia, htn, stage iv ckd, morbid obesity, schf ef 40-50%, cad, afib on warfarin, gout presented for a scheduled sleep study. # sleep study: his prescription is bipap 14/9, 4 liters oxygen, 150 cc dead space. dr. will arrange for this to be set up at nursing home. # other multiple medical problems: continued home meds. medications on admission: 1.paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). 2.prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 3.allopurinol 100 mg tablet sig: one (1) tablet po every other day (every other day). 4.lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical q12 (). 5.isosorbide mononitrate 60 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 6.hydralazine 10 mg tablet sig: one (1) tablet po q6h (every 6 hours). 7.gabapentin 100 mg capsule sig: one (1) capsule po hs (at bedtime). 8.acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 9.metoprolol succinate 200 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 10.aspirin 81 mg tablet sig: one (1) tablet po once a day. 11.senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 12.oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 13.tramadol 50 mg tablet sig: one (1) tablet po bid (2 times a day). 14.simvastatin 10 mg tablet sig: four (4) tablet po daily (daily). 15.omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 16.docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 17.warfarin 3 mg qday 18.furosemide 80 mg tablet sig: one (1) tablet po twice a day. (has been held x several days) 19.insulin nph & regular human 100 unit/ml (70-30) suspension sig: ten (10) units subcutaneous qpm. 20.insulin nph & regular human 100 unit/ml (70-30) suspension sig: twelve (12) units subcutaneous qam. 21.insulin lispro 100 unit/ml solution sig: one (1) per sliding scale subcutaneous with meals. 22.potassium chloride 20 meq tab sust.rel. particle/crystal sig: two (2) tab sust.rel. particle/crystal po qod. 23.magnesium hydroxide 400 mg (170 mg) tablet, chewable sig: one (1) tablet, chewable po once a day as needed for constipation. discharge medications: 1. paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). 2. prednisone 5 mg tablet sig: one (1) tablet po daily (daily). 3. allopurinol 100 mg tablet sig: one (1) tablet po every other day (every other day). 4. isosorbide mononitrate 60 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 5. hydralazine 10 mg tablet sig: one (1) tablet po q6h (every 6 hours). 6. gabapentin 100 mg capsule sig: one (1) capsule po hs (at bedtime). 7. acetaminophen 325 mg tablet sig: 1-2 tablets po q6h (every 6 hours) as needed for pain. 8. metoprolol succinate 100 mg tablet sustained release 24 hr sig: two (2) tablet sustained release 24 hr po daily (daily). 9. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for constipation. 11. oxycodone 5 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 12. tramadol 50 mg tablet sig: one (1) tablet po bid (2 times a day). 13. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 14. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po bid (2 times a day). 15. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 16. warfarin 1 mg tablet sig: three (3) tablet po once daily at 4 pm. 17. lidocaine 5 %(700 mg/patch) adhesive patch, medicated sig: one (1) adhesive patch, medicated topical q24h (every 24 hours). 18. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime). 19. nph insulin human recomb 100 unit/ml suspension sig: twelve (12) units subcutaneous qam. 20. nph insulin human recomb 100 unit/ml suspension sig: ten (10) units subcutaneous qpm. 21. humalog 100 unit/ml solution sig: per sliding scale unit subcutaneous four times a day. discharge disposition: extended care facility: - discharge diagnosis: primary diagnosis: sleep apnea secondary diagnoses: chronic kidney disease, coronary artery disease, diabetes mellitus, dyslipidemia, hypertension, morbid obesity, chronic systolic congestive heart failure, atrial fibrillation, gout discharge condition: stable discharge instructions: you presented for a sleep study. your sleep doctor, dr. , will arrange for the proper equipment for you in the near future. followup instructions: * dr. will arrange for the proper equipment for you. procedure: arterial catheterization diagnoses: obstructive sleep apnea (adult)(pediatric) 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 chronic kidney disease, stage iv (severe) hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified gout, unspecified atrial fibrillation other and unspecified hyperlipidemia morbid obesity chronic systolic heart failure long-term (current) use of anticoagulants other disorders of lipoid metabolism 

Answer: The patient is high likely exposed to