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: the patient is a 73 year old male with the diagnosis of ischemic cardiomyopathy who awoke on the morning of admission and presented to an outside hospital. he had previously been seen as an outpatient for shortness of breath one week ago and was diagnosed with chf exacerbation at which time his lasix dose had been doubled and resulted in a 6 pound weight loss over two days. subsequently his urine output started to decline. in the emergency room at the outside hospital he was given 80 mg iv of lasix which resulted in hypotension and tachycardia with minimal urine output. he then received a normal saline bolus which improved his blood pressure and heart rate. he was then transferred to . past medical history: coronary artery disease. history of postoperative myocardial infarction after surgery. he has a pacemaker placed in dual chamber placed after a bradycardiac episode. diabetes type 2 recently started on glipizide. peripheral vascular disease. abdominal aortic aneurysm status post repair. colon cancer status post resection and diverting colostomy in . melanoma status post resection. congestive heart failure with ef of approximately 15% attributed to ischemia. hypercholesterolemia. renal insufficiency baseline creatinine approximately 2 to 2.5. status post right cea. known 100% occluded left carotid artery. allergies: no known drug allergies. medications on admission: lasix 40 mg p.o. q.d., lipitor 40 mg p.o. q.d., captopril 12.5 mg t.i.d., lopressor 50 mg t.i.d., glipizide 2.5 mg p.o. q.d., aspirin 81 mg p.o. q.d., amiodarone 200 mg p.o. b.i.d. family history: stomach cancer. history of rheumatoid arthritis and coronary artery disease. social history: ex-tobacco use, quit approximately 40 years ago. no alcohol use. used to work for the telephone company. physical examination: on admission vital signs were temperature of 98.7, heart rate 115, blood pressure 114/60, oxygen saturation 98% on 2 liters nasal cannula. in general, an elderly male in no apparent distress. heent perrl, eomi, mm dry, op clear, poor dentition. neck normal carotid upstroke, bounding carotid pulses, engorged ejv with jvd up to 10 cm, no thyromegaly, no lymphadenopathy. chest diffuse expiratory wheezes plus rales left greater than right half way up lung fields. heart tachycardiac, regular, holosystolic murmur heard best at the left lower sternal border, left ventricular heave. abdomen colostomy in place without erythema, soft midline scar well healed, bowel sounds positive. extremities positive cyanosis bilateral lower extremities, dopplerable pulses, 2 to 3+ pitting edema up to mid-shin, no clubbing. neuro alert and oriented times three, grossly intact. laboratory data: on admission white blood cell count 6.1, hematocrit 37.4, platelets 163. sodium 137, potassium 4.9, chloride 99, co2 20, bun 103, creatinine 3.9, glucose 138. magnesium 2.7, phosphate 5.4, calcium 9.4, albumin 3.4. alt 36, ast 29, lk 294, ldh 352. ck 186, mb 7, troponin 0.08. urinalysis was clean. ekg was v-paced with 100% capture rate of 115 with magnet rate of 60, sinus tachycardia with left bundle branch block. chest x-ray showed cardiomegaly with preserved redistribution, no infiltrates, blunting of costophrenic angle on right. hospital course: 1. cardiac: a. ischemia. the patient was ruled out for myocardial infarction. there were no ischemic issues during this hospitalization. b. pump. the patient arrived in congestive heart failure exacerbation. he was unable to be adequately managed with lasix and bumex and required natrecor for adequate diuresis. patient diuresed well. we were able to continue his beta blocker, aspirin and statin as well as his ace inhibitor. his ace inhibitor was switched from captopril to lisinopril for more convenient once daily dosing. c. rhythm. the patient was found to be in a-fib on admission. an echo to evaluate for possible cardioversion showed an apical thrombus, thus, cardioversion was contraindicated. he was started on heparin and coumadin for this thrombus with an inr goal of 2 to 3. heparin was discontinued prior to discharge when this goal was reached. ep was also consulted and recommended discontinuation of amiodarone as atrial fibrillation had occurred while on this medication. in addition, low dose digoxin was added for further rate control and augmentation of cardiac output. 2. renal. the patient came in in acute on chronic renal failure. this was felt to be secondary to heart failure exacerbation with pre-renal failure. creatinine peaked at 4.2 well above baseline of approximately 2.5. this then subsequently decreased to approximately 2.8 where it stayed for the remainder of the hospitalization and on discharge. 3. of note, during attempted placement of a right subclavian line, a large hematoma of his neck formed with tracheal compression. otolaryngology was consulted and did not feel there was a risk of airway compromise. the hematoma slowly improved without further management. 4. gi. protonix was continued throughout hospitalization. there were no gi issues. 5. heme. the patient was started on coumadin for atrial fibrillation with apical thrombus. in addition, his hematocrit declined and he needed to be transfused during the hospitalization to maintain hematocrit above 28 as he has known heart failure and coronary artery disease. discharge status: the patient was discharged to acute rehab as he was significantly decompensated from this hospitalization and heart failure exacerbation. discharge instructions: during rehab at home he should closely follow his 2 gm sodium diet and fluid restriction to less than 2 liters per day as well as he should weigh himself daily and if there is a gain of greater than 1 kg or any new shortness of breath or increased lower extremity edema, his cardiologist or pcp should be immediately for management to reduce the risk of further congestive heart failure exacerbation requiring hospitalization. discharge medications: 1. aspirin 325 mg p.o. q.d. 2. protonix 40 mg p.o. q.d. 3. sublingual nitroglycerin 0.3 mg p.r.n. 4. lipitor 40 mg p.o. q.d. 5. digoxin 0.125 mg p.o. q.d. 6. epoetin alfa 5000 units subcu q.week. 7. toprol xl 100 mg p.o. q.d. 8. lisinopril 5 mg p.o. q.d. 9. warfarin 3 mg p.o. q.h.s. 10. glipizide 2.5 mg p.o. q.d. 11. salmeterol inhaler one to two puffs b.i.d. 12. lasix 40 mg p.o. q.d. 13. trazodone 50 mg p.o. q.h.s. p.r.n. discharge diagnoses: 1. chf exacerbation. 2. atrial fibrillation. 3. apical thrombus. 4. acute on chronic renal failure. 5. diabetes type 2. 6. copd. 7. coronary artery disease. 8. peripheral vascular disease. 9. anemia thought to be secondary to renal failure. condition on discharge: he was discharged in stable condition to rehab. , m.d. dictated by: medquist36 procedure: venous catheterization, not elsewhere classified diagnostic ultrasound of heart injection or infusion of nesiritide diagnoses: pure hypercholesterolemia congestive heart failure, unspecified acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified atrial fibrillation hematoma complicating a procedure other specified forms of chronic ischemic heart disease acute on chronic systolic heart failure 

Answer: The patient is high likely exposed to