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: dyspnea major surgical or invasive procedure: cardiac catheterization history of present illness: this 46 year old gentleman with pmh of htn, lipids, and tobacco use was in his usual state of health until the end of when he developed a cough with congestion with low grade fevers. he was treated with a z-pack with improvement until 2-3 weeks later when he developed a dry cough and dyspnea with exertion, such as climbing stairs or walking 30 feet. he previously had no exercise limitations. he attributed these symptoms to a persistent viral infection. additionally, he experienced progressive pnd at night. also has finally, however, he was becoming short of breath with only minimal exertion, and decided to seek medical evaluation. he saw his pmd who referred him for cardiac workup. additionally at that time he was diagnosed with new onset dm2. . an echocardiogram was done on and demonstrated a dilated left ventricle with severe global systolic dysfunction with an ef of approximately 10-15%. he had severe mr and mild tr and a dilated left atrium. he was referred to for diagnostic cath to evaluate the etiology of his heart failure. past medical history: hypertension - poorly controlled, not on meds hyperlipidemia - took a statin briefly, d/c'ed palpitations tobacco abuse ( ppd x 35 years) dm2 - newly diagnosed on , not started on any meds back surgery (? laminectomy) 7 years ago collarbone, rib fracture in mva nasal surgery for deviated septum 2 years ago social history: originally portuguese, moved to usa 20 years ago. married, works as a software project manager. has one 7 year old son. travel to 1.5 years ago, last travel to 5 years ago. drinks 2 glasses of wine and 1 glass of scotch daily. smokes ppd x 35 years. family history: no history of udden cardiac death or heart disease in the family. father died of ?liver cancer physical exam: physical examination: vs: t: 98.4 bp: 112/89 p: 108 rr: 21 sat o2: 95% ra gen: pleasant, nad, a+o x 3 heent: nc/at, mmm. perrla, sclerae anicteric. neck: jugular veins flat, no hjr. no thyroid nodules appreciated cor: rr, tachycardic. no m/r/g, no extra sounds appreciated resp: inspiratory crackles at bases bilaterally r>l abd: s/nt/nd, + bs ext: wwp, no c/c/e. r groin no buits or hematoma. pulses 2+ at radial and dp skin: no lesions pulses: right: carotid 2+ femoral 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ dp 2+ pt 2+ pertinent results: admission labs cbc: wbc-6.4 rbc-4.87 hgb-15.6 hct-45.0 mcv-92 mch-31.9 mchc-34.6 rdw-14.9 plt ct-310 . coags: pt-12.4 ptt-21.7* inr(pt)-1.1 . chem: glucose-176* urean-16 creat-1.1 na-137 k-4.6 cl-100 hco3-27 angap-15 totprot-7.3 calcium-9.7 phos-4.5 mg-2.2 . cardiac cath final diagnosis: 1. two vessel coronary artery disease (lcx had an occluded that filled via collaterals. the rca was diffusely diseased with proximal/mid vessel subtotal occlusion. the distal rca filled via collaterals from the left system). 2. severely elevated right and left-sided filling pressures due to known severe cardiomyopathy. 3. left ventriculography was deferred due to #2. 4. unsuccessful pci of the subtotally occluded rca complicated by a grade i dissection. . chf workup labs: brief hospital course: 1. acute systolic heart failure: his echo finding of global systolic dysfunction with ef 10-15% in conjunction with only mild cad and sudden onset of hf sxs makes ischemic etiologies of cardiomyopathy unlikely. his work up for non-ischemic cardiomyopathy was as follows: hiv neg, fe studies wnl, tsh wnl. spep/upep pending. his recent viral illness suggests a viral etiology. in addition, his history of etoh use is also concerning for etoh induced cm. he was diuresed with iv lasix, with significant improvement of his symptoms. he was discharged with lasix 20 po and with instructions for follow up in clinic. he was also advised on etoh cessation. . 2. cad: he has several cardiac risk factors including poorly controlled htn, hyperlipidemia, tobacco use, and dm. c. cath demonstrated 2 vessel dz. his rca pci was complicated by dissection. he was treated with medical management with asa, bb, ace-i, and statin. see below for specific risk factor modifications. . 3. hyperlipidemia: he was found to have an ldl 170. he was started on pravastatin as he reported "muscle aches" on lipitor. he tolerated the pravastatin during this hospitalization. . 4. dm: he was found to have hyperglycemia. he was started on fsg qid and on glipizide 2.5. his hgba1c was pending on discharge. he was counselled on following a diabetic diet and checking his fsg with meals. . 5. tobacco dependence: he was counselled on smoking cessation. he was interested in attempting cessation at this time and wished for assistance. he was discharged with a prescription of chantix and with instructions to start his prescription 1 week prior to his set quit date. he will follow with his pcp for progress on smoking cessation. . medications on admission: home meds: (all started ) aspirin 81mg daily lasix 20mg daily lisinopril 2.5mg daily discharge medications: 1. chantix 0.5(11)-1(3x14) mg tablets, dose pack sig: one (1) tablets, dose pack po once a day. disp:*1 dose pack* refills:*2* 2. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. pravastatin 20 mg tablet sig: four (4) tablet po hs (at bedtime). disp:*120 tablet(s)* refills:*2* 4. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 6. glipizide 2.5 mg tab,sust rel osmotic push 24hr sig: one (1) tab,sust rel osmotic push 24hr po twice a day. disp:*60 tab,sust rel osmotic push 24hr(s)* refills:*2* 7. glucose meter, disp & strips kit sig: one (1) miscellaneous check fsgs tid with meals. disp:*1 kit* refills:*0* 8. glucose strips sig: one (1) qachs. disp:*qs 1 month* refills:*2* 9. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home discharge diagnosis: cardiomyopathy of unclear etiology 2 vessel coronary artery disease diabetes mellitus discharge condition: stable discharge instructions: you were diagnosed with a cardiomyopathy. the most likely etiology of you cardiomyopathy is viral versus alcohol use. you should refrain from further alcohol use, as this may exacerbate your heart failure. . it is very important that you take all medications as prescribed. you were started on aspirin, carvedilol, lisinopril for your heart. you were also started on lasix for diuresis. in addition, you were started on glipizide for your diabetes. you were also prescribed chantix for assistance with smoking cessation. you should take the chantix as prescribed, starting 1 week prior to your quit date. your smoking cessation progress should be followed by your primary care provider. were given instructions on checking your finger sticks. . please return to the emergency department or see your pcp is you have any chest pain, shortness of breath or worsening lower extremity swelling. . you should have a repeat echo in about six weeks. dr. in the heart failure clinic will direct your future care for your heart failure. followup instructions: please follow up with your pcp, . , to have your glucose and electrolytes checked in the next week. tel: . dr. should also follow your progress with your smoking cessation. . please also follow up with dr. in the heart failure clinic in the next week. you should call for an appointment. tel (. it is important that you follow up with him within the next 1 week to evaluate for possible progression of your congestive heart failure. . procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery tobacco use disorder mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified systolic heart failure, unspecified other and unspecified hyperlipidemia other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure surgical or other procedure not carried out because of contraindication tachycardia, unspecified diseases of tricuspid valve long-term (current) use of aspirin dissection of coronary artery 

Answer: The patient is high likely exposed to