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 is a 77-year-old male with a history of coronary artery disease status post coronary artery bypass graft surgery, insulin dependent-diabetes mellitus, congestive heart failure, chronic atrial fibrillation, and chronic renal insufficiency, who is sent to the emergency department after having chest pain and bilateral arm weakness during his stress test. he did not have any associated nausea, vomiting, or diaphoresis. he did not experience any palpitations. he describes the chest pain as more heaviness rather than chest pain. past medical history: 1. atrial fibrillation on coumadin. 2. coronary artery disease status post coronary artery bypass graft surgery. 3. insulin dependent-diabetes mellitus. 4. anemia. 5. gout. 6. systolic congestive heart failure with an ejection fraction of less than 20%. 7. status post pacemaker icd placement. 8. chronic renal insufficiency. allergies: morphine causing nausea. medications on admission: 1. gemfibrozil 600 mg twice a day. 2. lasix 20 mg daily. 3. altace 5 mg daily. 4. coumadin 5 mg daily except sundays 2.5 mg. 5. digoxin 0.125 mg monday, wednesday, , . 6. allopurinol 150 mg daily. 7. colchicine 0.5 mg q day. 8. folic acid 1 mg daily. 9. zebeta 5 mg. 10. aspirin 325 mg daily. 11. humalog insulin-sliding scale. 12. nph insulin, 18 units in the morning, 5 units hs. social history: no tobacco, occasional alcohol drinks per month, retired systems engineer. physical examination: temperature 98.7, heart rate 64, blood pressure 112/50, respiratory rate 18, and oxygen saturation is 99% on 2 liters. general: alert and oriented in no acute distress. heent: pupils are equal, round, and reactive to light. supple neck. jugular venous distention approximately 10 cm above the sternal notch. cardiovascular examination: regular, rate, and rhythm, no murmurs, rubs, or gallops. lungs: faint crackles at the bases bilaterally. abdomen is soft, nontender, nondistended. extremities: no edema. neurologic is alert and oriented. cranial nerves ii through xii are grossly intact. strength are bilaterally in upper and lower extremities. laboratory values: white blood cell count 5.6, hematocrit 37.3, platelets 124, mcv 100, inr 2.4. sodium 135, potassium 5.7, chloride 107, bicarb 16, bun 97, creatinine 2.7, glucose 224. digoxin 0.8. electrocardiogram: showed bigeminy with v-paced beats alternating with intrinsic beats, left bundle branch block, no acute changes, no st-t wave changes. chest x-ray: showed stable cardiomegaly without evidence of acute cardiopulmonary disease. stress test revealed extensive reversible ischemic changes with an ejection fraction of 19%. mibi revealed severe global hypokinesis with large inferior wall and moderate anterior apical defects, severe systolic dysfunction with septal hypokinesis with an ejection fraction of 19%. hospital course: 1. chest pain/positive stress test: the patient underwent cardiac catheterization which revealed severe native vessel coronary artery disease with one patent saphenous vein graft to om graft with two focal stenoses, markedly elevated right and left sided filling pressures, successful stenting of the right coronary artery, ostial saphenous vein graft lesion, and distal saphenous vein graft lesion. an intra-aortic balloon pump was placed prophylactically secondary to the patient's severe systolic dysfunction. the patient was transferred to the ccu for monitoring, and was transferred to the floor after only a short stay. the patient was given mucomyst and iv fluid hydration prior to catheterization in light of his chronic renal insufficiency. 2. systolic congestive heart failure: the patient was admitted on daily lasix, ace inhibitor, digoxin, and a beta blocker. his diuretics and ace inhibitor were held initially secondary to his acute on chronic renal insufficiency. on discharge, the patient was restarted on his ace inhibitor, however, his daily lasix will be held until his follow-up appointment with his cardiologist, dr. . the patient will measure his weights daily, and will notify dr. office if his weight increases more than five pounds. 3. acute on chronic renal insufficiency: the patient has chronic renal insufficiency with a baseline creatinine of 1.5 to 1.8, which is likely secondary to diabetic nephropathy. on admission, the patient's creatinine was 2.7. the patient's lasix, ace inhibitor, allopurinol, and colchicine were all held because they were felt to be major contributors to his acute renal failure. the renal team was consulted. it was felt that the patient's acute on chronic renal failure was secondary to a large component of prerenal hypovolemia as well as renal tubular acidosis type iv. the patient was started on sodium bicarbonate 650 mg twice a day, and was given iv fluid hydration including normal saline with bicarbonate. the patient's creatinine responded well to iv hydration and holding of nephrotoxic medications and on the day of discharge, his creatinine had returned to his baseline at 1.5. the patient will continue to take sodium bicarbonate as an outpatient. he will also be taking his daily ace inhibitor and daily allopurinol. he will not take his colchicine unless he has an acute flare of gout. 4. diabetes mellitus: the patient was continued on his fixed doses of nph, and was placed on an insulin-sliding scale. condition on discharge: fair. discharge status: home. discharge instructions: please follow up with your primary care physician, . within 1-2 weeks. please follow up with dr. as previously scheduled, . please have your inr checked in days as coumadin dose may need to be adjusted. your goal inr should be between . please have the results called to your primary care physician, . . discharge diagnoses: 1. unstable angina. 2. coronary artery disease. 3. systolic congestive heart failure. 4. insulin dependent diabetes. 5. chronic renal insufficiency. 6. acute renal failure. 7. renal tubular acidosis type iv. 8. hyperkalemia. 9. anemia. 10. gout. discharge medications: 1. aspirin 325 mg daily. 2. plavix 75 mg daily. 3. gemfibrozil 600 mg twice daily. 4. folic acid 1 mg daily. 5. digoxin 125 mcg monday, wednesday, , . 6. sodium bicarbonate 650 mg twice daily. 7. coumadin 5 mg daily. 8. ramipril 5 mg daily. 9. allopurinol 150 mg daily. 10. toprol xl 50 mg daily. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor implant of pulsation balloon insertion of drug-eluting coronary artery stent(s) diagnoses: hyperpotassemia coronary atherosclerosis of native coronary artery intermediate coronary syndrome congestive heart failure, unspecified acute kidney failure, unspecified coronary atherosclerosis of autologous vein bypass graft systolic heart failure, unspecified diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to