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 on exertion major surgical or invasive procedure: four vessel cabg(left internal mammary artery to left anterior descending artery, vein grafts to diagonal, obtuse marginal, and posterior descending artery) history of present illness: mr. is a 53 year old male with newly diagnosed diabetes mellitus who presented with exertional shortness of breath and lightheadedness with minimal exertion. stress testing was positive for ischemia and subsequent cardiac catheterization revealed severe three vessel coronary artery disease. based upon the above, he was referred for cardiac surgical intervention. past medical history: coronary artery disease hypertension hyperlipidemia type ii diabetes mellitus morbid obesity social history: denies tobacco and etoh. employed as a bus driver. married, lives with his wife. family history: father died of mi at age 46 physical exam: vitals: 150-170/60-74, hr 60's, resp 18 weight 360 lbs, height 76 inches general: wdwn obese male in nad heent: oropharynx benign, eomi neck: supple, no jvd, no carotid bruits lungs: cta bilaterally heart: regular rate and rhythm, normal s1s2, no murmur or rub abdomen: soft, nontender with normoactive bowel sounds ext: warm, no edema pulses: 2+ distally neuro: alert and oriented, cn 2- 12 grossly intact, no focal deficits noted brief hospital course: mr. was admitted and underwent coronary artery bypass grafting surgery by dr. on . for surgical details, please see separate dictated operative note. following the operation, he was brought to the csru for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. beta blockade and diuretics were initiated. given his recent history of new onset diabetes, was consulted to assist with postoperative and discharge medical management. his csru course was otherwise uneventful, and he transferred to the sdu on postoperative day one. pacing wires and chest tubes removed without incident. he continued to make good progress and was cleared for discharge to home with vna services on pod #7. pt. is to make all followup appts. as per discharge instructions. medications on admission: lotensin 40 , norvasc 10 qd, aspirin 325 qd, levitra prn, zocor 40 qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 6-8 hours as needed for pain. disp:*60 tablet(s)* refills:*0* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. lancets misc sig: as dir miscellaneous four times a day. disp:*qs 1 month* refills:*0* 9. test strips glucometer test strips as dir qs 1 month 10. aquacel aquacel dressing 4x4" as dir qs 1 month 11. allevyn allevyn foam adhesive 7x7" as dir qs 1 month 12. glipizide 5 mg tablet sig: 0.5 tablet po twice a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: hospice program discharge diagnosis: coronary artery disease - s/p cabg hypertension hyperlipidemia type ii diabetes mellitus morbid obesity discharge condition: good discharge instructions: 1)please shower daily. no baths. pat dry incisions, do not rub. 2)avoid creams and lotions to surgical incisions. 3)call cardiac surgeon if there is concern for wound infection. 4)no lifting more than 10 lbs for at least 10 weeks from surgical date. 5)no driving for at least one month. followup instructions: dr. in weeks, call for appt dr. in weeks, call for appt procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia morbid obesity pressure ulcer, buttock 

Answer: The patient is high likely exposed to