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 57-year-old male with unknown history of coronary artery disease was referred by dr. for outpatient cardiac catheterization after an abnormal stress test. he first started experiencing chest discomfort approximately one and a half years ago after having an abnormal stress test, a cardiac catheterization was done at hospital on which reportedly revealed a 90% proximal ramus stenosis, a 70% long left anterior descending stenosis and a distal left circumflex stenosis. at that time, a 3.5 x 23 mm stent was placed in the mid left anterior descending and the ramus was treated with angioplasty. the patient's symptoms recurred shortly after this procedure. a stress test was done in , which revealed a small minimally reversible distal anterior wall defect and a fixed inferior defect with an ejection fraction of 40%. the patient was treated medically, however, he continued to have symptoms. a repeat catheterization was done on which reportedly revealed moderate to severe diffuse instent restenosis involving the left anterior descending that was treated with percutaneous transluminal coronary angioplasty and brachytherapy, an 80% distal circumflex treated with percutaneous transluminal coronary angioplasty and a 95% right coronary artery stenosis treated with rotational atherectomy. the patient's symptoms significantly improved following his procedure in for a few months. since , he has been experiencing recurrent exertional symptoms. he has chest discomfort after walking approximately one eighth of a mild or after climbing one flight of stairs. he feels the symptoms are exacerbated by stress, fatigue and after eating. a stress mibi was done on , he exercised for five and a half minutes on protocol and was stopped secondary to fatigue. he has chest and left arm pain with exercise and his electrocardiogram was significant for inferolateral upsloping st depressions with exercise which progressed to 1 mm horizontal downsloping in recovery. nuclear imaging revealed reversible perfusion defects involving the territories of the left anterior descending and left circumflex artery. he had an ejection fraction of 55%. past medical history: significant for exposure to , nephrolithiasis, auditory dysfunction, wears bilateral hearing aids, history of hypertension, history of hypercholesterolemia, history of diabetes. he is status post tonsillectomy, status post debridement of a shrapnel wound in . medications on admission: 1. aspirin 325 mg po q.d. 2. aciphex 20 mg po q.d. 3. lisinopril 20 mg po q.d. 4. plavix 75 mg po q.d. 5. atenolol 50 mg po q.d. 6. isosorbide mononitrate 60 mg po q.d. 7. zocor 80 mg po q.d. 8. vitamin b 500 mg po q.d. 9. calcium 1000 mg po q.d. 10. multivitamin 1 po q.d. allergies: he has no known drug allergies. family history: significant for coronary artery disease. social history: he does not smoke cigarettes. he is married and is a practicing attorney. review of systems: unremarkable. physical examination: he is a well-developed white male in no apparent distress. vital signs stable, afebrile. head, eyes, ears, nose and throat exam: normocephalic, atraumatic, extraocular movements intact, oropharynx benign. neck was supple, full range of motion. no lymphadenopathy or thyromegaly. carotids are 2+ and equal bilaterally without bruits. lungs are clear to auscultation and percussion. cardiovascular exam: regular rate and rhythm, normal s1, s2 with no murmurs, rubs or gallops. abdomen was soft, nontender, obese with positive bowel sounds, no masses or hepatosplenomegaly. extremities without cyanosis, clubbing or edema. pulses were 2+ and equal bilaterally throughout with the exception of 1+ on his right femoral which is where the catheterization was done. neurological exam was nonfocal. hospital course: a cardiac catheterization at the revealed a 40% proximal left main. the left anterior descending had a mid instent restenosis with a focal 60% stenosis, distal to the origin stent. the left circumflex had an 80% stenosis in the previously treated segment of the ramus, 90% om1, 99% left posterior descending artery within the previously placed stent and the right coronary artery was small and nondominant. his ejection fraction was 65% with no mitral regurgitation. on , the patient underwent a coronary artery bypass graft times four with left internal mammary artery to the left anterior descending, reverse saphenous vein graft to the posterior descending artery and om2 and ramus. >........<was 101 minutes, total bypass 721 minutes. during the case, he had an infiltrate of the left arm iv, which caused some left hand edema. this was treated with elevation and resolved the night of surgery. he was transferred to the surgical intensive care unit on neo in stable condition. he was off all drips on postoperative day number one and extubated that day as well. he had his chest tubes discontinued on postoperative day number two, received two units of packed red blood cells for a hematocrit of 20.9 and was transferred to the floor in stable condition. he continued to have a stable postoperative course except for cardiac pacing wires were discontinued on postoperative day number five and he did have two blisters on his right leg that were lanced and he was treated with silvadene for that and he was discharged home on postoperative day number six in stable condition. laboratories on discharge: hematocrit 24.8, white blood cell count 7,500, platelet count 106,000. sodium 140, potassium 4.2, chloride 103, co2 32, bun 21, creatinine 0.8, blood sugar 95. medications on discharge: 1. potassium 20 meq po q.d. times seven days. 2. lasix 40 mg po q.d. times seven days. 3. aspirin 325 mg po q.d. 4. percocet po q. 4-6 hours prn pain. 5. zocor 80 mg po q.d. 6. vitamin c 500 mg po q.d. 7. iron 325 mg po q.d. 8. aciphex 20 mg po q.d. 9. atenolol 25 mg po q.d. follow-up: he will be followed by dr. in one to two weeks and by dr. in four weeks. , 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 intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to