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: right carotid stenosis, progressive,asymptomatic major surgical or invasive procedure: right carotid endartectomy history of present illness: patient with known carotid disease. serial carotid ultrasounds done now with progressive stenosis. asymptomatic. admit for elective rt. carotid endartectomy. past medical history: histroy of hypertension histroy of dyslipdemia histroy of dm2 histroy of carotid disease s/p left cea histroy of dysrythmia af,paf, anticoagulated histroyof coronary artery disease .s/p cabg's lima-lad,svg-om, s/p ptca rca xa ' myoview 112/07 fixed apical defect with possible focal ischemia of inferior wall. ef 60% history of arthritis s/p rt. hip prothesis history of obesity history of obstructive sleep apnea/cpap social history: married and lves with spouse family history: unknown physical exam: vital signs:p-77 b/p 159/84 o2 sat 98% heent: right carotid bruit lungs: clear to auscultation heart: regular irregular abd: bengin neuro: nonfocal exam pertinent results: 11:14am freeca-1.18 11:14am hgb-13.3* calchct-40 11:14am type-art po2-224* pco2-43 ph-7.36 total co2-25 base xs--1 intubated-intubated vent-controlled 06:21pm ptt-41.6* 08:56pm pt-14.6* ptt-38.7* inr(pt)-1.3* 08:56pm plt count-150 08:56pm glucose-168* urea n-18 creat-0.8 sodium-134 potassium-3.7 chloride-103 total co2-22 anion gap-13 09:07pm freeca-1.12 09:07pm glucose-160* lactate-1.7 k+-3.8 09:07pm type-art po2-147* pco2-37 ph-7.39 total co2-23 base xs--1 intubated-not intuba brief hospital course: dos: right to pacu stable and neurologically intact.@ 1800 c/p frontal headache-given tylenol. 1830 no change in heache 0.5mg iv diludid given at this time increasing left upper extremity weakness with loss of left hand grasp. ct head obtained during this time developed hypertension while in scanner wich was controlled with iv hydralazine. continued neuro changes with progressive upper extremity wakness and left facial droop and left sided neglect. iv heparin rate increased. develope hypotension and was fluid resustated.transfered to icu. neuro stoke consulted. mri/mra obtained. inital read multiple small embollic foci and aberrant rt. pca comming from mca which likely lead to minute thalmic infracts as well. pod#1 remains in icu insulin gtt started for hyper glycemia.transfered to vicu @1600. consulted for glycemic mangment.po hypooglycemic resarted with addition of metformin. pod#2 stable neurologically intermittent af . remains on iv heparin.dilt drip started cardology consulted for af with rvr. diltdrip weaned after starting diltizem po.ervaluated by pt will need home pt at discharge.also evaluated by ot. pod#4 tropinins not elevated af well controlled.heparin coumadin conversion in progress.tsh 0.8 tee: ra6.0/la 6.1 ef 50% mild mr. require out patient cardion version once anticoagulated if still in af in 4 weeks.will also require an outpatient stress. pod# 5 cardology recommending d/c diltizem. and continue lopressor with increasing dose 150mgm . pod# 6 inr 1.4 pod# 7 inr 1.7 d/c to home on 7.5mgm coumadin daily with inr on to be call to dr. office. patient should followup with dr. his cardologist for evaluation for cardioversion if still in af 4 weeks.he should also followup for stress test with his cardologist. patient instructed to arrange for appointment with cardologist upon discharge. neck wound cliped and steri strips applied. wound without hematoma. followup with dr. as directed. medications on admission: atenolol 50mgm glyset 25mgm tid plavix 75mgm daily gabapentin 300mgm tid asa 81mgm daily mirapex 0.125mgm daily vicodan 5/500 daily slo niacin 100mgm daily cardura 4mgm daily liptor 40mgm daily lisinoprinl 10mgm daily imdur 60mgm daily cosopt gtts os discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed. 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 4. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 5. gabapentin 300 mg capsule sig: one (1) capsule po tid (3 times a day). 6. doxazosin 4 mg tablet sig: one (1) tablet po hs (at bedtime). 7. dorzolamide-timolol 2-0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 8. pramipexole 0.125 mg tablet sig: one (1) tablet po qhs prn (). 9. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 10. miglitol 25 mg tablet sig: one (1) tablet po with meals (). 11. outpatient work pt/inr call results to dr. office 12. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 13. metoprolol tartrate 50 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 14. warfarin 2.5 mg tablet sig: three (3) tablet po days (,mo,tu,we,th,fr,sa). disp:*90 tablet(s)* refills:*2* 15. niacin 100mgm daily discharge disposition: home with service facility: , discharge diagnosis: discharge worksheet-discharge diagnosis-finalized:,, pa on @ 0807 carotid stenosis, asymptomatic histroy of a.fib/flutter,anticoagulated histroy of coronary artery disease. stressmyoview: fixed apical defect with possible focal inferior wall ischemia,s/p cabg"s lima-lad,, ptca rca x2 history of dyslipdemia histroy of hypertension history of arthritis, s/ p rt. hip prothesis histroy of dm2 histroy of obesity postoperative embolic stroke. postoperative hyper glycemia requiring iv insulin gtt, treated discharge condition: stable discharge instructions: asa 325mgm started coumadin 5mgm daily began, changed 7.5mgm daily atenolol changed to lopressor 150mgm plavix d/c'd imdur d/c'd metformin has been added to your dm medications for improve glycemic control. please have a hgac1 in 3 months please have an inr drawn and results called to dr. office @ followup instructions: followup with your cardiac provider to arrange for cardioversion if still in af and stress test goal inr 2-3.0 will need outpatient cardioversion once anticoagulated. if still in af. will need out patient stress after d/c to home procedure: endarterectomy, other vessels of head and neck procedure on single vessel diagnoses: obstructive sleep apnea (adult)(pediatric) unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status atrial flutter occlusion and stenosis of carotid artery without mention of cerebral infarction cerebral artery occlusion, unspecified with cerebral infarction iatrogenic cerebrovascular infarction or hemorrhage 

Answer: The patient is high likely exposed to