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 patient is a 74-year-old man with a history of lung cancer and coronary artery disease, who underwent an esophagogastroduodenoscopy at an outside institution to assess chronic abdominal pain. during that study, the patient developed acute pulmonary edema which required treatment with morphine and lasix. he was admitted, had an echocardiogram which revealed an interval decrease of ejection fraction to 15-20% from a previous echocardiogram showing "preserved ejection fraction." subsequently, the patient underwent a stress test showing apical and inferior perfusion defects. diagnostic catheterization was performed which showed multivessel coronary artery disease including a 45% left main lesion, 70% mid left anterior descending artery, and 95% proximal right coronary artery, and 80% mid right coronary artery lesions. he was then transferred to for intervention. upon transfer to , the patient immediately went to the cardiac catheterization laboratory. a left ventriculogram revealed a left ventricular ejection fraction of 30%, coronary angiography revealed a right dominant system with a 40% left main coronary artery lesion, 70% proximal left anterior descending artery lesion, normal circumflex, and a 90% distal right coronary artery lesion. patient underwent rotablation and stenting of the proximal right coronary artery lesion and stenting of the distal lesion. catheterization was complicated by postprocedural hypertension requiring dopamine for maintenance of pressure. he was then transferred to the ccu for further management. of note, the patient had also recently undergone workup for hypotension and has been tentatively diagnosed with autonomic dysfunction being treated with midodrine and florinef. the autonomic dysfunction was thought to be secondary to his diabetes. at the time of admission to the ccu, the patient was pain free without complaints. past medical history: 1. coronary artery disease status post myocardial infarction in with ejection fraction of 15-20%. 2. hypertension. 3. type 2 diabetes on insulin. 4. chronic pancreatitis. 5. lung cancer stage iii status post right pneumonectomy and chemotherapy. 6. patient with negative bone scan in . 7. monoclonal gammopathy of uncertain significance. 8. status post cholecystectomy. social history: the patient is a former engineer at . he is married. allergies: penicillin, cephalosporins, pravachol, zestril, fosamax. medications on admission: 1. aspirin. 2. creon with meals. 3. protonix 40 mg q day. 4. nph insulin 12 units q am, 8 units q pm. 5. diovan 40 mg q day. 6. lopressor 25 mg . 7. florinef 0.1 mg . 8. flovent 220 mcg three puffs . 9. lasix 40 mg q day. examination on admission to the ccu: the patient's heart rate was in the 120s. blood pressure 108/60 on 3 mcg of dopamine. o2 sat was 97% on 3 liters. in general, he was alert and oriented times three in no acute distress. jugular venous pressure was at 8 cm. his lungs revealed decreased breath sounds on the right status post pneumonectomy. he had crackles at the base on the left side. his heart examination was tachycardic with a normal s1, s2. no murmurs were noted. abdomen was soft and nontender with a well-healed incision from a pneumonectomy. extremities were without peripheral edema. hospital course: 1. cardiovascular. a: coronary artery disease. the patient underwent cardiac catheterization as described in history of present illness, and was brought to the coronary care unit. transient requiring dopamine for maintenance of blood pressure. dopamine was weaned over the first few hours upon arrival to the ccu. for his coronary artery disease, he was continued on aspirin and plavix. his groin site from the catheterization was stable without any development of hematoma or bruit. as his blood pressure tolerated, he was begun on lopressor 12.5 mg , which was increased to 25 mg in the morning and 12.5 in the evening. on the day of discharge, he was continued on aspirin and plavix. b: pump. patient underwent echocardiography to evaluate his left ventricular function postcatheterization. echocardiogram revealed an ejection fraction of 20% with severely depressed overall left ventricular systolic function with inferior and septal hypo or akinesis. it was noted that the rv cavity as well as the right atrium were compressed likely by the liver, edge of the right lung. this compression produced 16 mm hg gradient across the tricuspid valve. the patient was also noted to have 1+ mitral regurgitation. he was diuresed with lasix prn for heart failure and was loaded on digoxin with 0.25 mg q6h x4, and begun on a daily regimen of 0.125 mg. at the time of discharge, he was increased to 0.25 mg and further diuresis was held to ensure adequate preload given the compression of the right atrium. c: rhythm. again the patient was begun on lopressor as above, and he was in sinus rhythm throughout his hospitalization. 2. hypotension: excluding the initial postcatheterization hypotension requiring dopamine, the patient's systolic blood pressures were maintained in the 80s-90s for the first day of his admission which then came up to the systolics in the 1 teens to 130s. he was continued on his midodrine and florinef without any evidence of orthostasis with ambulation. 3. pulmonary: the patient was on oxygen by nasal cannula and titrated to keep oxygen saturations greater than 92%. at the time of discharge, he was requiring no oxygen and was sating all on room air. 4. endocrine: the patient is type 2 diabetic on standing doses of insulin. once he was taking po, following catheterization, he was reinstituted on his outpatient doses of nph insulin and covered with sliding scale of regular insulin. he had good glycemic control throughout his hospitalization. 5. gastrointestinal: chronic pancreatitis. the patient was continued on his pancreatic enzyme replacement of creon with meals and was given protonix. 6. asthma: the patient was continued on his outpatient inhalers including flovent and salmeterol. he tolerated the beta blocker well with no exacerbations of his asthma during his hospitalization. followup: the patient is instructed to followup with dr. this week. he will call to make an appointment, (. after evaluation by physical therapy, the patient was deemed safe to return to home and he was discharged to home in stable condition. discharge diagnoses: 1. multivessel coronary artery disease status post stenting of the right coronary artery with rotablation of the proximal lesion and stenting of the proximal end distal lesions. 2. stage iii lung cancer status post right pneumonectomy. 3. orthostatic hypotension. 4. type 2 diabetes. 5. chronic pancreatitis. 6. asthma. discharge medications: 1. digoxin 0.25 mg po q day. 2. midodrine 10 mg po tid. 3. florinef 0.1 mg po bid. 4. salmeterol 1-2 puffs . 5. nph insulin 12 units q am, 8 units q pm. 6. lopressor 25 mg q am, 12.5 mg po q pm. 7. protonix 40 mg q day. 8. creon two caps po qid with meals. 9. plavix 75 mg po q day. 10. aspirin 325 mg po q day. 11. flovent 220 mcg three puffs . , md dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) left heart cardiac catheterization coronary arteriography using a single catheter diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled asthma, unspecified type, unspecified other specified cardiac dysrhythmias chronic pancreatitis monoclonal paraproteinemia 

Answer: The patient is high likely exposed to