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: mr. is a 48-year-old male patient of dr. . the patient is status post left anterior descending interventions, i.e., repeat percutaneous transluminal coronary angioplasty in the past, who was referred for a cardiac catheterization due to recurrent exertional chest pain. the patient is a 48-year-old diabetic patient who reported new onset of exertional chest discomfort and shortness of breath in . he underwent an exercise treadmill test on , which revealed that, after five minutes of exercise on protocol, he complained of shortness of breath, calf claudication, and had significant electrocardiogram changes. he did have at that time some mild chest pain as well. electrocardiogram had inferolateral st changes. on , he had cardiac catheterization at , where he was found to have an 80% ostial left anterior descending lesion. there was no other obstructive disease, however. his ejection fraction was noted to be 65% at that time. he underwent a successful left anterior descending dca as well as percutaneous transluminal coronary angioplasty and stenting at that time. in , he was taken back to the catheterization laboratory because of recurrent exertional symptoms and anteroseptal ischemia on his exercise treadmill after four minutes of exercise. angiography at that time revealed re-stenosis of the previously-placed left anterior descending stent. other angiography revealed diffuse disease in the distal left anterior descending up to 80% after the origin of the d2. the circumflex had a minor disease, and the origin of the rpda had a 70% stenosis. he underwent successful dca as well as getting percutaneous transluminal coronary angioplasty and brachytherapy of the left anterior descending stent at that time. in , he underwent another re-look catheterization because of again anteroseptal and apical ischemia noted on his surveillance treadmill test. he was found to have a 90% restenosis of the left anterior descending stent, along with a 40% lesion distal to the stent margin. the rpda had a 70% lesion as well. he underwent repeat dca, percutaneous transluminal coronary angioplasty of the left anterior descending ostium. ov past several weeks, however, the patient has developed recurrent angina and it was occurring with walking short distances, and occasionally when exercising, although in most cases he was able to bike 30 to 45 minutes on a stationary bike and feel "well." he was referred for repeat catheterization and possible coronary artery bypass graft due to this problem, and was ultimately referred to dr. . on admission, he denied claudication, no orthopnea, no edema, no paroxysmal nocturnal dyspnea, no lightheadedness. he is 5'7", 248 pounds. coronary artery disease risk factor profile included hypertension, hypercholesterolemia, diabetes. past medical history: significant for depression, coronary artery disease status post multiple left anterior descending interventions outlined above. he is diabetic, and has hyperlipidemia. past surgical history: significant for tonsillectomy. allergies: no known drug allergies. medications on admission: aspirin 325 mg once daily, lipitor 10 mg once daily, hydrochlorothiazide 25 mg daily at bedtime, toprol xl 50 mg daily at bedtime, glucophage 500 mg three times a day, folate 1 mg twice a day, accupril 80 mg daily at bedtime, celexa 20 mg once daily. laboratory data: cbc on revealed a white count of 7,000, hematocrit 42.6, platelet count 204,000. inr .88, bun and creatinine of 19 and 0.7. social history: he is married, and works as a lecturer. hospital course: he was admitted and given pre-hydration and mucomyst protocol. he ultimately underwent a cardiac catheterization on showing severe in-stent restenosis in the ostial left anterior descending stent, as well as moderate left circumflex and posterior descending artery disease, with low normal left ventricular ejection fraction, estimated to be 40 to 50%. on , the patient was brought to the operating room, where he underwent a coronary artery bypass graft x 3, including left internal mammary artery to left anterior descending, saphenous vein graft to the posterior descending artery, as well as saphenous vein graft to obtuse marginal. his pericardium was left open. he left the operating room with a right radial arterial line and a right internal jugular swan-ganz catheter. he had atrial pacing wires. he had a mediastinal and left pleural tube as well. his cardiopulmonary bypass time was 53 minutes, with an aortic cross-clamp time of 32 minutes. he came off pump relatively well. he was extubated on the night of surgery. by postoperative day number one, he was doing well. he was started out of bed, chest physical therapy, ambulation. he was started on lasix, lopressor and aspirin. his diet was advanced as tolerated, and his postoperative hematocrit was noted to be 27.3, with a bun and creatinine of 17 and 0.6. his chest tubes were shortly thereafter discontinued. by postoperative day number two, he had already been transferred to the floor. he was making excellent progress. he did have some low-grade temperatures to 100.3, which were felt to be secondary to pulmonary toileting issues. he was in sinus in the 80s, with a blood pressure of 110/80. his pacing wires were thereafter discontinued. his dressings were taken down from his wounds. he was continued on lasix 20 mg by mouth twice a day as well as lopressor titrated to a dose of 25 mg by mouth twice a day. over the next several days, he did quite well. he was working with physical therapy aggressively. by postoperative day number three, the patient was cleared from physical therapy, as he had cleared stairs. his lopressor was titrated serially. his preoperative medications were added back without any difficulty. he had excellent glycemic control, and was otherwise progressing quite well and had a remarkably postoperative recovery. discharge temperature is 99.7, heart rate 60s and sinus, blood pressure 100/50, breathing at a rate of 20, room air saturation 94%. his oropharynx was negative, mucous membranes were moist. his trachea was midline. he had no carotid bruits. the lungs were clear but decreased at the bases, no crackles. his heart sounds were regular rate and rhythm, normal s1 and s2. his wound was stable. no drainage was noted. staples were intact. otherwise his dressings on the inferior portion of the wound were clean, dry and intact. his abdomen was benign. his lower extremities were warm and well perfused, with no edema. discharge medications: 1. lipitor 10 mg by mouth once daily 2. hydrochlorothiazide 25 mg by mouth daily at bedtime, to be on hold, not to be started until after his lasix diuresis is completed 3. glucophage 500 mg by mouth three times a day 4. folate 1 mg by mouth twice a day 5. accupril 80 mg by mouth daily at bedtime, to be on hold until seen and evaluated by his primary care . celexa 20 mg by mouth once daily 7. lasix 20 mg by mouth twice a day for five days, then stop and change to hydrochlorothiazide 25 mg daily at bedtime 8. aspirin 325 mg by mouth once daily 9. colace 100 mg by mouth twice a day 10. percocet 5/325 one to two tablets by mouth every four to six hours as needed 11. ibuprofen 600 mg by mouth three times a day as needed with food 12. k-dur 20 meq by mouth twice a day for five days, stop after his lasix diuresis is completed die instructions: he should follow up with dr. in approximately three to four weeks, and see his primary care physician in one to two weeks so that his medications can be serially reviewed and his accupril and hydrochlorothiazide be readdressed. the patient is encouraged to take a diabetic, heart-healthy diet, to follow his finger sticks for glycemic control in the immediate postoperative time. discharge status: to home. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled percutaneous transluminal coronary angioplasty status other and unspecified angina pectoris other complications due to other cardiac device, implant, and graft 

Answer: The patient is high likely exposed to