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: aleve / gemfibrozil / lescol / motrin attending: chief complaint: osh transfer for chf/nstemi major surgical or invasive procedure: cardiac catheterization with drug eluting stents x2 to left anterior descending artery history of present illness: 80 y/o m with pmh of dmii, transferred from osh for management of nstemi and chf. he originally presented to osh from facility with sob. his symptoms started on saturday when he was moving from his home to an facility. he started having chest burning heaviness lasting about an hour associated with some sob that eventually subsided. he thought that this was d/t gerd and took some tums. on monday, he reported his sxs to the np new facility, who noted bilateral le edema and advised him to sleep on 2 pillows that night and she set him up for a ekg this morning. however, monday evening he noticed he was sob around 12am when he got out of bed to turn on the air conditioner. he went back to bed and at 3am he was still sob, when his symptoms persisted he called his daughter at 5am and took a baby aspirin. activated the help code at his assisted facility who called the ambulance for transport to the osh. at osh he was found to have a troponin i of 0.38, cr 1.3, hyponatremia to 129, and cxr showed infiltrative changes at both lung bases with minimal fluid. ekg showed nsr with rbbb, non-specific st changes and some st depressions. he was treated with duonebs, heparin gtt, nitro gtt was transferred to for further management. . in the ed, initial vitals were 97.1 79 154/74 18 90% 4l labs and imaging significant for worsening interstitial edema compared to osh cxr. patient given lasix 20mg iv with 900cc urine output. he required bipap for ra sats in low 80s. ekg showed rbbb and twi precordially and <1mm ste in avr. repeat troponin was 0.2. vitals on transfer were 96.6 ??????f (35.9??????c) (axillary), pulse: 54, rr: 18, bp: 118/53,(nitro o.28mcg/kg) on arrival to the floor, patient was resting comfortable in nad. he states that he endorses pnd. he sleeps on 1 pillow, although he slept on 2 pillows last night on the advice of a np facility. he has been using a cane to ambulate over the last few weeks (more per his family) due to low back pain and has a hx of arthritis. in addition, over the last year he has assumed full care of his wife who has worsening dementia and has been eating microwaved meals with high salt content since that time. of note, ekg from pcp showed sinus bradycardia (49), normal axis, q waves in ii, iii, avf, and non-specific twi, rbbb. review of systems on review of systems, s/he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, hemoptysis, black stools or red stools. s/he denies recent fevers, chills or rigors. s/he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, palpitations, syncope or presyncope. past medical history: pmh: unspecified anemia bph w/o urinary obstruction carotid artery stenosis cervical radiculopathy chronic kidney disease, stage i cad dermatitis diabetes mellitus, ii esophageal reflux essential hypertriglyceridemia hearing loss liver enlargement hypertension murmur overweight proteinuria rbbb sciatica vitamin d deficiency psh: carpel tunnel ~ social history: retired businessman. recently moved to new so that his wife with dementia can have 24hr care. smoked 1ppd for 20 years, quit 25 years ago. drinks 1 bourbon per day. denies illegal drug use. : home dtr cell family history: son had mi at 52 mom died in sleep at 83 father - emphysema physical exam: admission: pe: 97.9 134/58 71 22 93%5l appearance: wdwn in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 7 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. 2/6 systolic murmur no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab: b/l crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ discharge: pe: 98.3 131/55 64 18 99%ra i/o: 730/700 appearance: wdwn in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 7 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. 2/6 systolic murmur no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab: b/l crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: admission labs: 10:50am pt-12.6* ptt-150* inr(pt)-1.2* 10:50am plt count-270 10:50am neuts-85.5* lymphs-9.8* monos-3.3 eos-0.9 basos-0.6 10:50am wbc-10.0 rbc-3.35* hgb-11.2* hct-32.7* mcv-98 mch-33.3* mchc-34.1 rdw-13.8 10:50am hdl chol-53 chol/hdl-2.3 ldl()-64 10:50am calcium-9.2 phosphate-4.0 magnesium-1.9 cholest-122 10:50am ck-mb-6 10:50am ctropnt-0.21* 10:50am ck(cpk)-145 10:50am estgfr-using this 10:50am glucose-151* urea n-27* creat-1.2 sodium-133 potassium-3.8 chloride-94* total co2-22 anion gap-21* 11:10am urine mucous-rare 11:10am urine rbc-1 wbc-<1 bacteria-none yeast-none epi-0 11:10am urine blood-tr nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 11:10am urine color-straw appear-clear sp -1.005 05:40pm pt-13.2* ptt-150* inr(pt)-1.2* 05:40pm %hba1c-5.5 eag-111 05:40pm calcium-8.8 phosphate-3.9 magnesium-1.7 05:40pm ck-mb-5 ctropnt-0.25* 05:40pm glucose-175* urea n-26* creat-1.1 sodium-131* potassium-3.6 chloride-96 total co2-22 anion gap-17 .cxr : bilateral perihilar and basilar opacities, compatible with preliminary reportpulmonary edema or bilateral pneumonia in the correct clinical setting. discharge: 07:40am blood wbc-7.7 rbc-2.98* hgb-9.8* hct-29.5* mcv-99* mch-32.8* mchc-33.1 rdw-13.9 plt ct-268 07:40am blood pt-11.9 ptt-28.3 inr(pt)-1.1 07:40am blood urean-22* creat-1.2 na-134 k-4.2 cl-97 brief hospital course: 80 y/o m with multiple cardiac risk factors including long-standing dm, htn, hpl and cad with prior hx of cardiac ischemia presenting with 1 episode of chest burning and heaviness and 3 day hx of worsening sob found to have elevated troponin and pulmonary edema likely new onset chf in the setting of an nstemi. contributing factors include multiple cardiac risk factors in addition to increased salt intake over the last year and stress this past weekend in the setting of him moving from his home to an . in addition, his wife has been in and out of the hospital over the last 3 weeks which has been a source of stress for him as well. #nstemi: pt was taken to to cath on , given high risk cad decomp hf, low ef, potentialy viable vasculature - rhc show pa sat 52%, co 4.2, ci 2.3, wedge 35, pa pressure 66/34; lhc - totally occluded rca (old with collaterals), lad 90% prox, 70% mid lesion, very calcified - needed rota - and received 2 des to lad. post procedure he was hemodynamically stable with no evidence of distal embolization. we started carvedilol 25mg po bid, atorvastatin 80mg po daily, plavix 75mg po daily(after loading with 300mg pre-cath), lisinopril 40mg po daily and asa 325mg daily. we also added back his home dose of cardura at 8mg po for both blood pressure control and bph. he will follow up dr. in cardiology on as an outpatient further management of post nstemi medications. #chf: echo on admission showed moderately depressed lv function with ef 35-40%, with inferior/inferoseptal akinesis and anterior/anteroseptal. he was diuresed with lasix iv with good response and goal urine output 100cc/hr. he was started on lisinopril 40mg po daily and carvedilol 25mg po bid with good blood prssure control. he will follow up with cardiology as an outpatient for further titration of hf medications. #respiratory distress: likely new onset chf with pulmonary edema on cxr. he wasa treated with lasix iv for diuresis with good response and urine output of 100cc/hr. upon admission to the ccu he was descalated from bipap to nasal cannula and had 98-99% o2 saturation on ra by the day of discharge. #dm: controlled on metformin alone, last a1c 5.6% per patient metformin was held on admission. a1c checked on admission was 5.5%. his renal function remained stable during admission with a creatinine ranging from 1.1-1.2. he was placed on insulin sc during this admission and was instructed to restart metformin upon discharge. transitional issues: mr. will followup with dr. in cardiology () for repeat echo and further management of nstemi long-term effects. in addition, he will be scheduled to see his new pcp . as an outpatient for hospital follow-up. medications on admission: preadmission medications listed are correct and complete. information was obtained from patient outside records. 1. aspirin 162 mg po daily 2. atenolol 25 mg po daily 3. doxazosin 8 mg po hs 4. fish oil (omega 3) 1000 mg po bid 5. hydrochlorothiazide 25 mg po daily 6. lisinopril 40 mg po daily 7. melatonin *nf* 3 mg oral hs 8. multivitamins 1 tab po daily 9. simvastatin 10 mg po daily 10. calcium carbonate 500 mg po bid 11. nifedipine 30 mg po q8h 12. vitamin d unit po daily 13. metformin xr (glucophage xr) 500 mg po daily do not crush discharge medications: 1. aspirin 81 mg po daily rx *aspirin 81 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*0 2. lisinopril 40 mg po daily 3. atorvastatin 80 mg po daily rx *atorvastatin 80 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*0 4. carvedilol 25 mg po bid rx *carvedilol 25 mg 1 tablet(s) by mouth twice a day disp #*60 tablet refills:*0 5. clopidogrel 75 mg po daily rx *clopidogrel 75 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*0 6. furosemide 40 mg po daily rx *furosemide 40 mg 1 tablet(s) by mouth daily disp #*30 tablet refills:*0 7. spironolactone 12.5 mg po daily rx *spironolactone 25 mg 0.5 (one half) tablet(s) by mouth daily disp #*15 tablet refills:*0 8. calcium carbonate 500 mg po bid 9. doxazosin 8 mg po hs 10. fish oil (omega 3) 1000 mg po bid 11. melatonin *nf* 3 mg oral hs 12. metformin xr (glucophage xr) 500 mg po daily 13. multivitamins 1 tab po daily 14. vitamin d unit po daily 15. outpatient lab work please check chem-7 on tuesday with results to dr. at phone: fax: icd 9: 428 16. nitroglycerin sl 0.4 mg sl prn chest pain rx *nitroglycerin 0.4 mg 0.4 mg sublingually every 5 minutes for 3 disp #*30 tablet refills:*0 discharge disposition: home with service facility: home care discharge diagnosis: primary: acute systolic congestive heart failure non st elevation myocardial infarction . secondary: diabetes mellitus hypertension discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. discharge instructions: mr. , . it was a pleasure taking care of you here at . you were admitted to on for a heart attack and congestive heart failure. it is thought that you had the heart attack a few days before you came to the hospital and an echocardiogram shows an area of your heart that is not moving well. because your heart was weak, you had fluid that backed up in your lungs and you needed some support for your breathing until we were able to remove the fluid. a cardiac catheterization showed a blockage in your left heart artery and two drug eluting stents were placed to keep the artery open. you will need to take aspirin and plavix (clopidogrel) every day without fail to prevent the stents from clotting off and cuasing another heart attack. do not stop taking aspirin and plavix or miss unless dr. , your new cardiologist, says that it is ok. you are now doing well and have been started on many new medicines to help your heart recover from the heart attack. . you will need to watch yourself very closely to make sure the fluid does not return. monitor your breathing and any swelling in your legs. please weigh yourself daily in the morning before breakfast and record the weight. call dr. for any symptoms of fluid return or if your weight increases more than 3 pounds in 1 day or 5 pounds in 3 days. your weight at discharge is 168 pounds and this should be considered your ideal weight. . we would like you to have labwork done on tuesday to check your salts and kidney fuction with all the the new medicine we started. followup instructions: department: adult specialties when: friday at 11:00 am with: , md building: (, ma) campus: off campus best parking: free parking on site . name: , location: bidhc subacute care extended community practice phone: *your primary care provider will visit you at home within 72 hours of being discharged from the hospital. if you have any questions or concerns please call the office. procedure: coronary arteriography using two catheters pulmonary artery wedge monitoring right heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) transposition of cranial and peripheral nerves insertion of two vascular stents excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel transluminal coronary atherectomy diagnoses: subendocardial infarction, initial episode of care esophageal reflux congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hyposmolality and/or hyponatremia hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) acute systolic heart failure unspecified vitamin d deficiency chronic kidney disease, stage i 

Answer: The patient is high likely exposed to