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: doxycycline / aspirin / nsaids / calcium carbonate / aluminum hydroxide / magnesium hydroxide attending: chief complaint: bradycardia major surgical or invasive procedure: none history of present illness: yo with pmh significant for cad, copd, paf, and cri and three admissions in last month for arf on crf, uti, pna, and asymptomatic bradycardia and discharged 3 days ago. pt returns today for worsening renal failure and hyperkalemia. pt was seen yesterday by vna and found to have sbp in 80's and bradycardic; labs showing worsening renal failure and hyperkalemia. pt asked by pcp to come in for further evaluation. on arrival ems noted her to be bradycardic to 30's, but asymptomatic. in ed received, d50, insulin, kayexalate, calcium and bicarb with improved potassium. remained bradycardic in 30's and sbp stable off further anti-hypertensives to 100-110's. she denies any chest pain, fevers, or any other changes. history largely obtained from sister, who reports that she is confused at baseline with her dementia. ros: + nausea, no emesis, decreased po's, + loose stool, and doe (unclear if worse than baseline). past medical history: 1. copd-- fev1 0.46 (75%pred), fvc 1.35, fev1/fvc 34 (64% pred) 2. cad status post non-q-wave myocardial infarction in . 3. diverticulitis () 4. hypertension. 5. hearing loss. 6. hypothyroidism. 7. history of lower gastrointestinal bleed 1/. 8. gerd. 9. paroxysmal atrial fibrillation on amiodarone, not on anticoagulation secondary to history of gi bleed. 10. history of left hip fracture status post open reduction. 11. history of clostridium difficile colitis in . 12. seizure disorder. 13. history of mac, diagnosed by bronchoscopy. 14. cri, baseline cr 1.5-1.9 15. chf - maintained on lasix, ace. ef 55%, echo : the left atrium is mildly dilated. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened but not stenotic. there is no aortic valve stenosis. trace aortic regurgitation is seen. mild (1+) mitral regurgitation is seen. there is mild-moderate pulmonary artery systolic hypertension. 16. s/p bilateral lens replacement social history: shx: + tobacco, 40 pack year history, quit 10years ago. denies alcohol use. she lives with her sister,who takes care of her. she is a retired psychiatrist. family history: non-contributory physical exam: t95.0 p35 bp 132/50 rr20 sat 95% on 2l nc gen- frail, elderly woman, awake, in no acute distress heent- surgical pupils bilat, dry mm, clear op neck supple, no lad, jvp flat, r ej in place lungs- good air movement bilaterally, ctab, bibasilar crackles cv- nl s1s2, bradycardic, no murmurs abd- bs present, soft, nt/nd ext- no edema bilaterally l fem triple lumen in place pertinent results: wbc-6.9# rbc-3.13* hct-30.6* mcv-98 plt count-253 pt-13.3 ptt-28.4 inr(pt)-1.1 sodium-134 potassium-7.3*-->4.9 chloride-107 total co2-16*-->22 urea n-96* creat-4.9* glucose-78 anion gap-11 calcium-8.6 phosphate-7.1* magnesium-2.7* ck(cpk)-66 ck-mb-notdone ctropnt-0.03* phenytoin-2.2* type- ph-7.25* pco2-38 po2-29* total co2-17* base xs--10 cxr: no significant interval change in mild congestive heart failure pattern. stable appearance of small bilateral pleural effusions. stable left lower lobe bulla. ekg: afib at 47, peaked ts, narrow complexes brief hospital course: a/p: year old woman with multiple medical problems was admitted with asymptomatic bradycardia and worsening renal failure. she developed respiratory failure during her admission, was intubated, extubated, and eventually passed away while on comfort measures. 1. hypoxia: patient developed hypoxia during her admission and was intubated. after a short course, she was extubated. it was decided with the patient's sister (and proxy) that she would be dnr/dni with comfort at utmost importance. she did well after extubation for several hours, but then developed worsened hypoxia again. given progression of renal failure and multiple system issues, a decision was made by the icu team and the patient's sister to make patient comfort measures only. she was transferred to the floor and was treated with morphine, ativan, and scopolamine patches for comfort. a palliative care consult was obtained. the patient passed away at approximately 10 pm on secondary to respiratory arrest. other major medical issues addressed during admission will be briefly discussed below. 2. bradycardia- on admission, patient was asymptomatic with hr as low as 35, which then improved to 60s while holding antihypertensives. cardiology was consulted and recommended elective pacer placement if patient/family wished. this was not done due to the events discussed above. 3. a fib- in a fib during admission with slow response. her low dose amiodarone was continued. pt was not on anticoagulation due to h/o gib. 4. pt discharged 3 days prior to admission with a creatinine 3.8. likely had a new baseline (3.5-3.8). arf possibly secondary to hypotension/bradycardia. fena 0.5% so thought to be possibly pre-renal as well. she was rehydrated gently, as patient has diastolic dysfunction and easily develops chf. anti-hypertensives were held. hyperkalemia resolved. renal us r/o obstruction/hydronephrosis and showed changes consistent with chronic parenchymal disease. renal team was consulted. they are hoping to avoid dialysis. family wished for this as well. as patient's respiratory status worsened, decisions were made for cmo and dialysis was not pursued. 5. chf- diastolic dysfunction. ef >55% 6/02. pt with history of deveoping chf with fluid hydration so fluid status monitored closely. intubation occurred likely from chf, fluid overload. 6. copd- continued outpatient regimen of salmeterol, flovent, combivent. 7. communication: constantly with patient's sister, her proxy. medications on admission: salmeterol fluticasone phenytoin 200mg qd sevelemer 800mg tid metoprolol 50mg amio 150mg qd hydralazine 20mg q6hrs levothyroxine 175mcg qd amlodopine 10mg qd pantoprazole 40mg qd mvi folic acid1mg qd colace 100mg combivent qid minoxidil 2.5mg qd discharge medications: none discharge disposition: expired discharge diagnosis: respiratory failure renal failure atrial fibrillation discharge condition: passed away discharge instructions: passed away followup instructions: passed away md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube transfusion of packed cells diagnoses: acidosis hyperpotassemia anemia, unspecified congestive heart failure, unspecified acute kidney failure, unspecified atrial fibrillation other convulsions hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease acute respiratory failure other specified cardiac dysrhythmias hypotension, unspecified encounter for palliative care 

Answer: The patient is high likely exposed to