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: the patient is a 61 year old male with a history of inferior myocardial infarction, percutaneous transluminal coronary angioplasty of his right coronary artery in , with a seven week history of exertional chest pain and exercise tolerance test the day prior to admission which demonstrated apical ischemia. he was then referred for cardiac catheterization by dr. . past medical history: 1. coronary artery disease as described previously. 2. hypertension. 3. hypercholesterolemia. social history: he lives alone. he is a high school biology teacher. he has no smoking history and rarely drinks alcohol. allergies: he has no known drug allergies. medications on admission: 1. lescol 40 mg p.o. q. day. 2. metoprolol 50 mg p.o. twice a day. 3. lisinopril 20 mg p.o. q. day. 4. aspirin 325 mg p.o. q. day. 5. niacin 2 grams p.o. q. day. 6. nitroglycerin sublingual p.r.n. review of systems: he shows no symptoms of peripheral vascular disease such as claudication. he had no hematochezia, no melena, and no nocturia. physical examination: on physical examination, he is a well appearing 61 year old male in no apparent distress. his vital signs show his heart rate to be 64; blood pressure to be 170/72; respiratory rate 18. his heent examination shows his pupils to be equal and reactive to light. extraocular movements are intact. his pharynx is clear. his neck is supple; he has no carotid bruits and no jugular venous distention. his lungs are clear to auscultation bilaterally. his heart is regular rate and rhythm with a normal s1 and s2. he has no murmurs, rubs or gallops. abdomen was positive bowel sounds; it was soft, nontender, nondistended and normoactive. his extremities show no cyanosis, clubbing or edema. his pulses, dorsalis pedis pulses are two plus bilaterally; his posterior tibialis pulses are two plus bilaterally. his radial artery pulses are two plus bilaterally. laboratory: on admission included a white blood cell count of 4.6, hematocrit of 40.3% and a platelet count of 234,000. his sodium was 141, potassium 4.9, chloride 102, co2 32, bun 24, creatinine 1.1, glucose was 87. inr of 0.9. hospital course: the patient went to the cardiac catheterization laboratory upon admission where he was found to have an ejection fraction of 46% with a 90% stenosis of his distal left main and 90% ostial stenosis of his left anterior descending and 100% mid stenosis of his right coronary artery and his left circumflex was okay. upon arrival to the floor following cardiac catheterization, the patient was noted to have "chest discomfort" which was relieved with sublingual nitroglycerin. there was some discussion as to whether the patient should receive intra-aortic balloon pump versus going right to the operating room and the decision was made for him to undergo urgent coronary artery bypass grafting times four with a left internal mammary artery to left anterior descending artery and a saphenous vein graft to the ramus, to the obtuse marginal and to the pda. the surgery was performed by dr. with dr. as assistant. the surgery was performed under general endotracheal anesthesia with a cardiopulmonary bypass time of 61 minutes and a cross clamp time of 52 minutes. the patient tolerated the procedure well and was transferred to the surgical intensive care unit in critical but stable condition, a-paced and on neo-synephrine and propofol drips. the patient did well on the postoperative night; he did require an insulin drip throughout the night and a neo-synephrine drip was continued. he was extubated on the postoperative night without difficulty. he did remain in the cardiac surgery recovery unit for an additional day while he was weaned off the neo-synephrine drip. by postoperative day number two, he was able to be transferred to the surgical floor. his chest tubes were discontinued on this day without incident and he was started on beta blocker. he also began a gentle diuresis with intravenous lasix on this day. he began working with physical therapy and continued cardiac rehabilitation. on postoperative day number three, his pacing wires were discontinued without incident and he continued to work with physical therapy. he was noted on this day to have a hematocrit of 21 and he was therefore transfused two units of packed red blood cells. his hematocrit on the day following transfusion was 26. he continued to progress well and on postoperative day number five, it was felt that he was ready to be discharged to home. his discharge examination shows his vital signs to be stable. he has been afebrile with a heart rate of 72. his blood pressure was 143/88; respiratory rate 20; oxygen saturation 98% on room air. he has been diuresing well and was back to almost his preoperative weight. his lungs were clear to auscultation bilaterally. his heart was regular rate and rhythm. his abdomen was positive bowel sounds, soft, nontender, nondistended. his extremities do show one plus pitting edema in the left lower extremity around his saphenectomy site. his incisions are otherwise clean, dry and intact and the sternum had clips in place and intact. his discharge laboratory studies showed a hematocrit of 30.3, with a potassium of 3.8, which was repleted, bun of 12, and a creatinine of 0.8. he has been noted to have blood sugars ranging from 120 to 170s postoperatively with the goal of keeping blood sugar less than 120. he should have this followed up on as an outpatient as he did receive sliding scale coverage. this could resolve spontaneously when at home. his discharge chest x-ray shows no signs of infiltrate or effusion and no sign of pneumothorax. mr. will be discharged home with and will be discharged to home on the following medications. discharge medications: 1. aspirin 325 mg p.o. q. day. 2. percocet one to two tablets p.o. q. four hours p.r.n. pain. 3. iron 150 mg p.o. q. day. 4. vitamin c 500 mg p.o. twice a day. 5. lasix 20 mg p.o. twice a day for seven days. 6. potassium chloride 20 meq p.o. q. day for seven days. 7. lipitor 20 mg p.o. q. day. 8. lopressor 75 mg p.o. twice a day. 9. captopril 6.25 mg p.o. three times a day. discharge instructions: 1. he should follow-up with his primary care physician, . , in one to two weeks. 2. he should follow-up with his cardiologist, dr. in two to three weeks. 3. he should follow-up with dr. in four weeks. 4. the patient to have his surgical clips removed in ten days. 5. he should continue to ambulate and follow a low salt, low cholesterol diet. , 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 combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension percutaneous transluminal coronary angioplasty status old myocardial infarction family history of ischemic heart disease other abnormal glucose 

Answer: The patient is high likely exposed to