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 new onset angina over the last week while traveling to from his home in the united kingdom. the patient was seen initially by the hotel physician who recommended evaluation at . the patient was seen at where it was felt initially that he was having a pulmonary embolus which was ruled out in the emergency room. but, at that time they found that he had an elevated troponin and cpk. he was admitted to rule out an myocardial infarction and for cardiac catheterization. he ruled in for an myocardial infarction with a peak cpk of 800. past medical history: significant for hypertension, benign prostatic hypertrophy, hypercholesterolemia and resection of a lipoma on his right calf. review of systems: no shortness of breath, asthma, cough, palpitations, no diabetes, transient ischemic attacks, cerebrovascular accident, seizures, ulcer disease, reflux, no orthopnea or paroxysmal nocturnal dyspnea or edema. no nausea, vomiting, diarrhea or constipation. no hematochezia or melena. medications on admission: medications at home include doxazosin and losartan. medications on transfer include atorvastatin 20 q.d., captopril 12.5 t.i.d., integrilin, heparin 1200 units/hour. isordil 10 t.i.d., lopressor 12.5 t.i.d. and sublingual nitroglycerin. allergies: the patient states no known drug allergies. social history: he is married and lives in with a wife and two children. he is a retired engineer. he has a remote tobacco history, quit 15 years ago after 80 pack years of smoking, positive alcohol use, bottle of wine and one scotch per day. laboratory data: the patient's electrocardiogram was sinus rhythm at 67 beats/minute with a right bundle branch block. st inverted in leads 3 and v1 and st depression in v4 through 5. cardiac catheterization by report at showed an right coronary artery of 50% mid occlusion, left anterior descending 50% proximal occlusion, diagonal 90% occlusion, circumflex 50% mid occlusion and obtuse marginal 100% mid occlusion with a normal left main and normal ejection fraction. laboratory data from revealed white count 9.6, hematocrit 38.9, platelets 177, pt 13.3, ptt 50.9, inr 1.2, sodium 138, potassium 3.9, chloride 104, carbon dioxide 23, bun 14, creatinine 1.2, albumin 4. total bilirubin 0.9, alkaline phosphatase 44, creatinine kinase 216, sgpt 28, sgot 38. urinalysis is negative. physical examination: on physical examination vital signs revealed temperature 99.6, heartrate 64, sinus rhythm, blood pressure 130/80, respiratory rate 16, oxygen saturation 96% on room air. general: heavy gentleman in no acute distress. neurological, alert and oriented times three. moves all extremities. follows commands. nonfocal examination. head, eyes, ears, nose and throat, pupils equally round and reactive to light with extraocular movements intact, anicteric. mucous membranes moist. no erythema or exudate. no lymphadenopathy, no thyromegaly and no bruits. chest, clear to auscultation bilaterally. cardiovascular: regular rate and rhythm, s1 and s2 with no murmur. abdomen is soft, nontender, nondistended. normoactive bowel sounds. extremities are warm and well perfused with no cyanosis, clubbing or edema and no varicosities. pulses: carotids 2+ bilaterally with no bruits, femoral 2+ bilaterally with an ecchymotic area on the right femoral area from his cardiac catheterization, radials 2+ bilaterally, dorsalis pedis 2+ bilaterally and posterior tibial 2+ bilaterally. hospital course: the patient was seen by dr. and scheduled to undergo coronary artery bypass grafting the day after admission to . on , the patient was brought to the operating room where he underwent coronary artery bypass grafting times four, please see the operation report for full details. in summary, the patient had a coronary artery bypass graft times four with saphenous vein graft to the left anterior descending, left internal mammary artery to the diagonal, saphenous vein graft to the posterior descending artery and saphenous vein graft to the obtuse marginal. he tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer the patient had a mean arterial pressure of 83. he was atrially placed at a rate of 88 beats/minute. he had nitroglycerin and propofol infusions at the time of transfer. the patient did well in the immediate postoperative period. his anesthesia was reversed. he was weaned from the ventilator and successfully extubated on postoperative day #1. the patient continued to do well. he remained hemodynamically stable. his chest tubes were removed and he was transferred to the floor for continuing postoperative dare and cardiac rehabilitation. over the next two days, the patient did well. on postoperative day #3 it was noted that the patient had some sternal drainage. at that time the drainage was sent for culture, and it was decided that the patient would stay in the hospital until the sternal drainage had resolved. the patient remained in the hospital for several additional days. he remained hemodynamically stable throughout that period. over the course of that time, his activity level was increased with the assistance of the nursing staff and physical therapy staff. finally, on postoperative day #9 the patient's sternal drainage had all but resolved, and it was decided that he was stable and ready to be discharged. at the time of discharge the patient's physical examination was as follows: vital signs, temperature 98.9, heartrate 80, sinus rhythm, blood pressure 127/70, respiratory rate 20, oxygen saturation 94% on room air. weight preoperatively is 107.6 kg, at discharge 102.8 kg. laboratory data revealed white count 8.7, hematocrit 33.5, platelets 431, potassium 4.3, bun 16, creatinine 0.6. neurologically alert and oriented times three. nonfocal examination. respiratory clear to auscultation bilaterally. cardiac, regular rate and rhythm, s1 and s2, with no murmur. sternum was stable. incision with steri-strips, open to air. abdomen soft, nontender, nondistended, normoactive bowel sounds. extremities, warm and well perfused with no edema. right leg, saphenous vein graft harvest site with steri-strips, open to air, clean and dry. discharge medications: 1. aspirin 325 mg q.d. 2. atorvastatin 20 mg q.d. 3. metoprolol 50 mg b.i.d. 4. lisinopril 10 mg q.d. 5. keflex 500 mg q.i.d. 6. dilaudid 2 to 4 mg q. 4 hours prn discharge diagnosis: 1. coronary artery disease, status post coronary artery bypass grafting times four with left internal mammary artery to the diagonal, saphenous vein graft to the left anterior descending, saphenous vein graft to the posterior descending artery and saphenous vein graft to the obtuse marginal. 2. hypertension. 3. hypercholesterolemia. 4. benign prostatic hypertrophy. 5. resection of the lipoma of the right calf. condition on discharge: good. discharge disposition: discharged to his hotel. follow up: he is to have follow up with dr. in five days, tuesday, and follow up with his primary care provider upon return to the united kingdom. , m.d. dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) pulmonary collapse acute myocardial infarction of unspecified site, initial episode of care 

Answer: The patient is high likely exposed to