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: patient is an 86-year-old male with a history of coronary artery disease status post coronary artery bypass graft and a redo cabg in and then in with the left internal mammary artery graft to the left anterior descending, sug to posterior descending artery and sug to obtuse marginal along with multiple pcis and a stent ncm and ccx times three with instant restenosis treated with brachy therapy. patient stopped his aspirin and plavix in following stomach cancer and a partial gastrectomy. patient reports he was in his usual state of health until the morning of admission when he developed bilateral upper extremity pain and substernal chest pain. no diaphoresis. no shortness of breath. no dyspnea on exertion. patient went to the outside hospital where first set of enzymes showed ck of 257, mb 37, index 13.9, troponin i 8.19. ekg showed intermittently paced with native beats showing normal axis, elevations in 1, 2, and an inverted t in inferior leads. patient was transferred to for catheterization. in the catheterization lab selected coronary angiography demonstrated a right dominant system with three-vessel coronary artery disease. the left main stent was patent. the left anterior descending was occluded distally. the left circumflex stents in the obtuse marginal 1 were patent. the distal left circumflex had a 70% lesion. the right coronary artery was noted to be occluded and was not injected. left to right collaterals supplied the right posterior descending artery. the saphenous vein graft to the obtuse marginal was patent. saphenous vein graft to the right posterior descending artery was occluded proximally with extensive thrombus. the left internal mammary artery graft to the left anterior descending was known to be patent on and was not injected. left ventriculography was not performed. the thrombotic occlusion in the proximal svg to the right posterior descending artery was successfully treated by rheolytic thrombectomy, angioplasty and stenting. the mid svg was stented using a hepacoat stent as is the distal svg. final angiography revealed no residual stenosis within the stent. patient was admitted to the cardiac intensive care unit. past medical history: 1. hypercholesterolemia. 2. hypertension. 3. coronary artery bypass graft times two. 4. status post pacemaker. 5. chronic renal insufficiency with a baseline creatinine of 1.8 status post nephrectomy. 6. peripheral vascular disease of the left iliac stent. 7. carotid endarterectomy bilaterally. 8. history of cerebrovascular accident. family history: noncontributory. social history: patient is a retired policeman. he is married. he quit smoking in . denies any alcohol or additional drug use. home medications: 1. zestril. 2. toprol. 3. temazepam. 4. sucralfate. 5. aciphex. 6. compazine. 7. reglan. physical examination on admission: heart rate 67 and paced, blood pressure 130/58, respiratory rate 16, 100% on room air. in general, patient is in no acute distress. mucous membranes are moist. gums, palate, mucosa are within normal limits. no jugular venous distention. no thyroid is palpated. respiratory: clear to auscultation; multiple surgical wounds are noted. cardiovascular exam: rhythm is regular; normal s1, s2; no s3, no s4; there is a holosystolic iii/vi murmur. abdominal exam: soft, nontender, nondistended. extremities: no edema as noted. patient has 2+ posterior tibial pulses. skin: no rashes present. laboratory data: ekg on admission: lvh with strain, normal axis, interim immediately paced, 1 to elevations in ii and iii, q waves in ii, iii, and avf, st depressions in v2 through v6 with t-wave inversion. an echocardiogram from shows an ejection fraction greater than 50%, mild pulmonary hypertension, tr gradient 29, moderate atrial regurgitation, mild mitral regurgitation, mild tricuspid regurgitation. cardiac catheterization : as previously discussed. assessment and plan: this is an 86-year-old male with extensive history of coronary artery disease, including cabg and redo and multiple pcis and stent placement presented from the outside hospital with acute, inferior, posterior st elevation myocardial infarction. catheterization lab revealed thrombus and saphenous vein graft to the posterior descending artery with collaterals to the left circumflex. patient was stented times two. patient had timi 3 flow post stent placement. 1. cardiovascular/coronary artery disease: patient had two stents placed in the svg to the posterior descending artery. he was placed on aggrastat times 72 hours as well as plavix, expected course of nine months. patient was maintained on an aspirin, a statin, beta blocker. liver function tests were checked. cholesterol was 108, triglycerides 75, hdl 36, ldl 57. patient was sent home on a statin. lfts were within normal limits. patient was followed with daily ekgs. he was started on a low-dose ace inhibitor, and his beta blocker was changed to q.d. dosing prior to discharge. 2. pump: patient had a post myocardial infarction echo which demonstrated moderately dilated left atrium; left ventricular cavity size normal; moderate global left ventricular hypokinesis. overall, left ventricular systolic function is moderately depressed, aortic root is mildly dilated; 1+ atrial regurgitation, 1+ mitral regurgitation. ejection fraction of 40%. this was done on . patient had a beta blocker tolerated and switched to q.d. dosing prior to discharge. patient was started on an ace inhibitor on . although he had only one kidney, great care was taken to evaluate this effect on patient's renal function. patient's creatinines will be discussed increased on first-day ace inhibitor. patient will be followed in outpatient for further management on ace inhibitor. 3. rhythm: patient is av paced, maintained on a beta blocker. on the evening of patient had 10 to 13 beats of nsvt, asymptomatic multiple times. electrophysiology was consulted and recommended holter monitoring in a few weeks as well as a follow-up echo with further follow up by electrophysiology should these still show ectopy or cause for concern. 4. renal: patient is status post nephrectomy. patient was maintained on two doses of mucomyst following his cardiac catheterization. his creatinine and electrolytes were followed as described above. patient was started on an ace inhibitor with caution as he has a single kidney. patient's creatinine increased from 1.4 to 1.6 following one day on ace inhibitor therapy. patient will be discharged and followed as an outpatient in two days and the monitoring of his electrolytes and creatinine for further management of ace inhibitor use. 5. heme: patient had stable hematuria, thrombocytopenia secondary to his known mild dysplastic syndrome. patient was transfused on one unit with a hematocrit of 28. hematocrit responded appropriately and was 34, trended down to 33 prior to patient's discharge. 6. fengi: patient was maintained on a proton pump inhibitor and had nutrition counseling for a cardiac diet. disposition: discharged home. patient worked with physical therapy and was ambulating well prior to his discharge home. final diagnoses: 1. acute myocardial infarction. 2. coronary artery disease status post coronary artery bypass graft times two. 3. chronic renal insufficiency. 4. hypertension. 5. hyperlipidemia. 6. status post nephrectomy. 7. status post partial gastrectomy. 8. congestive heart failure with ejection fraction of 40%. 9. cardiac catheterization with stenting of the saphenous vein graft to the posterior descending artery with two stents on . discharge instructions: 1. patient will follow with dr. , 9:30 a.m. he will get a referral for the holter monitor and echo study at that time. 2. patient will follow at dr. office for lab monitoring two to three days post discharge. 3. the patient has an appointment at the holter lab for holter placement. 4. patient is given the number to arrange a cardiac echo in four weeks. discharge condition: patient is walking well, working with physical therapy, taking pos, instructed on a cardiac diet, started on ace inhibitor. discharge medications: 1. aspirin 325. 2. plavix 75 q.d. times nine months. 3. acetaminophen. 4. docusate 100 b.i.d. 5. protonix 40 q.d. 6. senna p.r.n. 7. sucralfate, one tablet, p.o. q.i.d. 8. lisinopril 5, take half tablet p.o. q.d. 9. metoprolol 100 q.d. 10. atorvastatin 10 q.d. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters left heart cardiac catheterization transfusion of packed cells diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension coronary atherosclerosis of autologous vein bypass graft aortocoronary bypass status unspecified disorder of kidney and ureter cardiac pacemaker in situ acute myocardial infarction of inferoposterior wall, initial episode of care 

Answer: The patient is high likely exposed to