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: the patient was transferred from medical center. the patient has known history of bilateral carotid stenosis. he is a 79-year-old white male with known coronary artery disease and status post angioplasty, hypertension, insulin dependent diabetic, hypercholesterolemia, copd who presented to hospital after undergoing arteriography for carotid disease with chest pain. he was begun on heparin. cks were obtained. the initial ck was 197, mb 3.1, index 1.7, troponin 0.05. he was transferred to our institution for further evaluation and treatment. allergies: pepcid and codeine cause rash. medications: on transfer were zestril 10 mg q d, hydrochlorothiazide 50 mg q d, lasix 20 mg q d, aspirin 81 mg q d, terazosin 2 mg daily, lipitor 20 mg daily, meclizine 12.5 mg tid, novolin insulin 70/30 units, 8 units at breakfast and at supper, zantac 150 mg , glyburide 5 mg , amlodipine 10 mg daily, albuterol mdi 2 puffs q 6 hours, ipratropium puffs 2 q 6 hours. social history: former tobacco smoker, greater than 100 pack years. has not smoked over the last 12 years. former alcohol abuse, now never. laboratory data: transfer labs included cbc with white count of 7.8, hematocrit 33.6, platelet count 109,000. coags were normal. bun 37, creatinine 1.3, potassium 4.6, ck here in our er was 146. ekg showed a normal sinus rhythm at 66, normal axis, t waves are flat and avl biphasic in v6. physical examination: vital signs, 97.9, 190/66, 218. he is alert, in no acute distress. neck exam shows no jugulovenous distension with bilateral carotid bruits. chest is clear to auscultation bilaterally without adventitious sounds. heart is regular rate and rhythm with a 2/6 systolic ejection murmur at the apex. abdomen is unremarkable. extremities are without edema. neurologically he is intact. hospital course: the patient underwent on a left heart cath which showed an ejection fraction of 55%, left ventricle showed atrial, lateral and apical wall hypokinesis. the right coronary artery showed a stenosis in the mid of 60%. the left main trunk was normal. left anterior descending showed 70% in the proximal portion. the diagonal i showed 70% in the proximal portion. the left main circumflex was totally occluded. obtuse marginal was totally occluded. the patient underwent angioplasty of the obtuse marginal on right coronary arteries with stenting. he tolerated the procedure well. on the patient had mental status changes associated with right upper quadrant weakness and expressive receptive aphasia. neurology was consulted at that time and head ct was obtained. head ct with contrast was obtained. there was no evidence of intracranial hemorrhage or acute infarct vs retention cyst noted in the right maxillary sinus. an mri was obtained 48 hours later which demonstrated evidence of acute infarct in the left frontal lobe. there were some questionable changes in the right frontal lobe, question whether this was a neoplasm. these were restudied and this was negative for neoplasm. the patient underwent a left carotid endarterectomy on without complications. the remaining hospital course was unremarkable. the patient was discharged to rehab for further rehabilitation. discharge medications: lisinopril 80 mg q d, terazosin 2 mg q d, meclizine 12.5 mg , ipratropium bromide puffs 2 qid, albuterol multidose inhaler puffs 2 qid, amlodipine 10 mg q d, lasix 20 mg q d, novolin 70/30 insulin 5 units q a.m. and at supper, hydrochlorothiazide 50 mg q d, glyburide 5 mg . the patient's wounds at the time of discharge were clean, dry and intact. the patient is to follow-up with dr. in two weeks for skin clip removal. discharge diagnosis: 1. bilateral carotid stenosis, left greater than right, status post left cea, middle cerebral artery infarct. 2. hypertension controlled. 3. hyperlipidemia. 4. insulin dependent diabetes controlled. 5. chronic obstructive pulmonary disease, stable. 6. coronary artery disease status post angioplasty with stent of the obtuse marginal i and left circumflex. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization arteriography of cerebral arteries endarterectomy, other vessels of head and neck diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome chronic airway obstruction, not elsewhere classified occlusion and stenosis of multiple and bilateral precerebral arteries with cerebral infarction other complications due to other cardiac device, implant, and graft diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled iatrogenic cerebrovascular infarction or hemorrhage hemiplegia, unspecified, affecting dominant side 

Answer: The patient is high likely exposed to