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: iodine; iodine containing attending: chief complaint: dyspnea on exertion, r>l claudication major surgical or invasive procedure: cardiac catheterization peripheral angiography pneumovax history of present illness: hpi: 71 m with pmh pvd, dm, htn, hyperchol, cad (cabg , ptca/stent), accepted from the ccu. the patient was admitted for aa angiogram with dr. , for pre-procedure hydration and prep. pt had been having doe for past 4 mo, le color changes, skin dryness. no cp, sob, orthopnea, pnd, f/c. ros neg. . pt had flushing and warmth with contrast, will document that pt may need pretreatment with steroids, benadryl, pepcid in case of contrast in future. . pt had cath yesterday, with lmca stent and lcx balloon. pt has no cp, no sob, no palpitations, no dizziness, ros neg. mri l-spine showed spinal stenosis. pt will attempt ambulating today and be monitored o/n for hypotension/arrhythmia. past medical history: pmh: 1) hypertension. 2) hyperlipidemia. 3) diabetes with neuropathy. 4) coronary disease status post bypass surgery in placing a lima to the lad and separate vein grafts to the pda, and a vein graft to the diagonal artery. 5) preserved left ventricular systolic function. 6) status post multiple pcis, most recently under the care of dr. , placing a 2.75 x 13 penta stent in the left circumflex with vein grafts, as well as a patent lima. 7) peripheral disease, lower extremity claudication rutherford class ii, status post lower extremity angioplasty in under the care of dr. , now with right lower extremity claudication status post aortoiliac reconstruction, starting with the right, later with the left stage procedure, most recently in . 8) cri - baseline creat 1.7 social history: sh: past smoker (quit 17 yrs ago after ~80pack yrs), etoh - quit 17 yrs ago when dx with dm family history: fh: non-contributory physical exam: exam: vitals: 97.8, 124/98 (l), 122/67 (r), 82, 22, 92% ra g: nad, comfortable h: no lad/facial flushing. neck supple c: rrr, no murmur appreciated, pmi non-displaced, jvd flat at 90deg l: bibasilar crackles - clear with cough a: soft, obese, nt, nd, +bs e: no edema, pulses: dp 1+ l, 0 r; pt 0 l, 1+ r. dry, hairless skin with venous stasis color changes pertinent results: ekg (post-cath): sinus rhythm with first degree atrio-ventricular conduction delay. diffuse non-diagnostic repolarization abnormalities. compared to the previous tracing of multiple abnormalities as previously noted persist without major change. . cardiac cath : final diagnosis: 1. three vessel coronary artery disease. 2. all vein grafts widely patent. 3. widely patent iliac artery stents. 4. widely patent renal artery stent. 5. successful ptca and atherectomy of the proximal lcx. 6. successful perclose. . cxr : 1. the patient has had median sternotomy. heart remains moderately enlarged. 2. thoracic aorta is generally large and the contour of the descending portion raises the possibility of aneurysm. 3. lungs are clear. no pleural effusion. . abdominal aortogram: results sent separately. . 08:55pm glucose-292* urea n-32* creat-1.4* sodium-139 potassium-4.2 chloride-101 total co2-26 anion gap-16 08:55pm calcium-9.6 magnesium-1.9 08:55pm wbc-9.3 rbc-4.99 hgb-14.5 hct-42.9 mcv-86 mch-29.1 mchc-33.8 rdw-13.7 08:55pm plt count-178 08:55pm pt-13.1 ptt-23.1 inr(pt)-1.1 brief hospital course: a/p: 71 yr old male with known pvd and hx of cabg, admitted for aa angiogram and cath: . ## cad: the patient has a past history of cabg. cardiac catheterization showed 3vd. the lmca was heavily calcified with a 60% taper and was stented. the lcx was non-dominant and showed a 99% lesion, and underwent ptca and rotational atherectomy, but a stent could not be placed. in the cath lab, the patient required dopamine to maintain his bp. the patient was weaned off of dopamine prior to arrival in the ccu, and the patient was subsequently transferred to the floor. the abdominal aortogram showed cia bilaterally with stents that are patent. the left renal artery stent is widely patent. the patient was maintained on asa, plavix, bb, acei, integrilin for 18 hrs post-cath, and a statin was added. the patient's bp stayed stable, without hypotensive episodes and without arrhythmia post-stenting on tele. post-cath check was uneventful. . note: patient needs pre-medication of steroids, benadryl, ppi before contrast administration. pt had flushing and warmth with contrast on this admission. . ## pvd: per dr. note, "lower extremity claudication rutherford class ii, status post lower extremity angioplasty in under the care of dr. , now with right lower extremity claudication status post aortoiliac reconstruction under my care, starting with the right, later with the left stage procedure, most recently in ." . ## htn: the patient was continued on his home regimen of felodipine, metoprolol, and lisinopril. . ## dm2: the patient was maintained on an insulin sliding scale during admission. on the day before discharge, metformin and glyburide were restarted without complication. . ## cri: baseline creat 1.7, now cr 1.3. the patient's cri is likely due to dm2 and htn. the pt's cr continued to trend down post-cath. he was discharged on lasix 40 po qd. hctz was discontinued, since pt's bp was well-controlled on felodipine, metoprolol, lisinopril. medications on admission: medications: aspirin a day, zocor 20 mg once a day, plavix once a day, metformin b.i.d., ---------holding glyburide 5 mg b.i.d ------holding atenolol 25 mg once a day, lisinopril 10 mg once a day, hydrochlorothiazide 25 mg once a day, insulin per protocol discharge medications: 1. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po hs (at bedtime) as needed for insomnia. 2. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 3. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 4. felodipine 5 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). 5. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 7. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 8. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 9. cepacol 2 mg lozenge sig: one (1) lozenge mucous membrane prn (as needed). lozenge(s) 10. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 11. glyburide 5 mg tablet sig: two (2) tablet po twice a day. 12. metformin 500 mg tablet sig: two (2) tablet po twice a day. 13. insulin regular human 100 unit/ml solution sig: per home scale scale injection four times a day. 14. insulin nph human recomb 100 unit/ml suspension sig: 34am/40pm units subcutaneous twice a day. discharge disposition: home discharge diagnosis: peripheral disease coronary artery disease secondary: 1) hypertension. 2) hyperlipidemia. 3) diabetes with neuropathy. 4) coronary disease status post bypass surgery in placing a lima to the lad and separate vein grafts to the pda, and a vein graft to the diagonal artery. 5) preserved left ventricular systolic function. 6) status post multiple pcis, most recently under the care of dr. , placing a 2.75 x 13 penta stent in the left circumflex with vein grafts, as well as a patent lima. 7) peripheral disease, lower extremity claudication rutherford class ii, status post lower extremity angioplasty in under the care of dr. , now with right lower extremity claudication status post aortoiliac reconstruction under my care, starting with the right, later with the left stage procedure, most recently in . 8) cri - baseline creat 1.7 discharge condition: fair, with no shortness of breath or chest pain discharge instructions: please all your doctor or return to the ed for chest pain, shortness of breath, pain or weakness in your legs, abdominal pain, bleeding, or other concerning symptoms. followup instructions: please see dr. in weeks; call to make an appointment. . please see you pcp . in the next month; call to make an appointment. . keep appointments as below:. provider: , md where: cardiac services phone: date/time: 9:20 . provider: , m.d. where: dermatology phone: date/time: 1:15 . provider: study where: cc clinical center radiology phone: date/time: 10:00 procedure: coronary arteriography using two catheters intraoperative cardiac pacemaker injection or infusion of platelet inhibitor left heart cardiac catheterization other and unspecified coronary arteriography arteriography of femoral and other lower extremity arteries aortography aortography insertion of drug-eluting coronary artery stent(s) infusion of vasopressor agent diagnoses: other iatrogenic hypotension nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere coronary atherosclerosis of native coronary artery atherosclerosis of native arteries of the extremities with intermittent claudication cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified aortocoronary bypass status percutaneous transluminal coronary angioplasty status mononeuritis of lower limb, unspecified other and unspecified hyperlipidemia other specified cardiac dysrhythmias long-term (current) use of insulin other complications due to other vascular device, implant, and graft morbid obesity other complications due to other cardiac device, implant, and graft acute myocardial infarction of unspecified site, initial episode of care diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled spinal stenosis, lumbar region, without neurogenic claudication dissection of coronary artery 

Answer: The patient is high likely exposed to