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 60-year-old korean gentleman presented to an outside hospital with left leg numbness. during his workup he was found to have st elevations and a subsequent cardiac cath at the outside hospital revealed a 40% left main lesion, 90% lad lesion, 90% rca lesion, and a 100% mid circumflex occlusion. his ejection fraction was 45% at cardiac cath. incidentally, he was also found by mri to have a high-grade left carotid stenosis. carotid ultrasound showed no evidence of extensive disease. however, the patient had a cva on the left an unknown number of years ago leaving him with mild paresthesias and left upper extremity weakness. his leg weakness appears to be mononeuritis due to diabetes mellitus, and his symptoms have improved. he was seen by neurology in consultation upon his arrival to the hospital on the evening of . past medical history: 1. cva - thalamic. 2. insulin-dependent diabetes mellitus. 3. peptic ulcer disease. 4. hypertension. past surgical history: he had no past surgeries. medications on admission: on arrival his medications were plavix 75 mg p.o. once daily, atenolol 25 mg p.o. once daily, aspirin 162 mg p.o. once daily, zocor 80 mg p.o. once daily, colace, and lantus 30 units q.a.m. at the hospital he was also started on accupril 40 mg p.o. once daily. his aspirin was reduced to 81 mg and his lantus reduced to 25 units q.a.m. allergies: he had no known allergies. social history: he is married. smoked a half a pack a day and prior alcohol (but none in 10 years). physical examination on admission: he was in no apparent distress. his sclerae were anicteric. his conjunctival tissues appeared reasonable. his neck was supple with no lymphadenopathy. his heart was regular in rate and rhythm. no murmurs, rubs, or gallops. his lungs were clear bilaterally. his abdomen was soft, nontender, and nondistended. on the left he had a carotid bruit and normal femoral, dp, and pt pulses. on the right, he had normal a carotid pulse. his femoral artery was dressed without any hematoma, and his dp and pt pulses were normal. his extremities also showed greater swelling in his left leg than his right leg. he was alert and oriented x 3 with motor in all four extremities. he had slight decreased sensation in his right upper extremity. his cranial nerves ii through xii were intact. the resident was unable to assess his gait due to his recent cath. laboratory data on admission: white count of 7.1, hematocrit of 32.1, platelet count of 210,000. pt of 11.2, ptt of 41.8, and inr of 0.8. urinalysis showed protein in his urine with some trace glucose and a small amount of blood, but no urinary tract infection. sodium of 143, k of 4.3, chloride of 110, bicarbonate of 27, bun of 29, creatinine of 1.8 (which was up slightly from 127 earlier in the day), and a blood sugar of 90. alt of 9, ast of 14, ldh of 161, alkaline phosphatase of 78, total bilirubin of 0.2. albumin of 2.6. magnesium of 1.8. hba1c was 9.2%. radiologic and other studies: preoperative carotid series showed normal antegrade flow in the vertebral arteries bilaterally and mild plaque in the prophylaxis internal carotid arteries bilaterally with less than of 40% hemodynamic stenosis. a mri at the previous hospital showed a high-grade left carotid stenosis. persantine thallium on showed a fixed defect apical/inferior left wall with a lvef of 42%. hospital course: he was admitted to the cardiac surgery service and seen by dr. . we elected to hold off on his surgery until his creatinine could stabilize, and he remained on a heparin drip. on house day 3, his creatinine went from 1.8 down to 1.7 with a plan to have surgery on tuesday and allow his creatinine to stabilize over the long holiday weekend. he remained on a heparin drip and nitroglycerin drip over the weekend. his creatinine then dropped to 1.6. he was on a nitroglycerin drip for blood pressure control. preoperative chest x-ray also showed no acute cardiopulmonary process. the patient remained in a sinus rhythm in the 60s with no ectopy without any temperature. he was alert and cooperative. on the 31st he underwent coronary artery bypass grafting x 4 with dr. with a lima to the lad, a vein graft to the diagonal, a vein graft to the plv branch, and voiding to the pda. he was transferred to the cardiothoracic icu on a nitroglycerin drip at 0.3 mcg/kg per minute and propofol titrated drip in stable condition. the following day his index was 3.6, white count of 19, hematocrit of 34.9, platelet count of 209,000, creatinine of 1.7. on his 1st day postoperatively he remained intubated with cpap. his abdomen was soft, nontender, and nondistended. his heart was regular in rate and rhythm. he had decreased breath sounds on the left. his chest tubes remained in place. he began lasix diuresis and lopressor beta blockade. his chest tubes were removed later in the day. he had been placed on a natrecor drip at 0.01 which he remained on for less than 24 hours, which was discontinued on , and he was hemodynamically stable. on he was transferred out to the floor to begin working the nurses and physical therapist on increasing his activity level and ambulation. on postoperative day 3, he was saturating 98% on room air and was down to 67.1 kilograms; which was up 4 kilograms from his preoperative weight. he had been restarted on his plavix and aspirin as well as his lipitor. he had decreased breath sounds at the bases, and his pacing wires were discontinued. on postoperative day 4, he was ambulating independently. he had 1 to 2+ pedal edema. he was advised to elevate his legs when he was not walking. he continued to have decreased breath sounds at the bases. his incisions - sternum and left leg - were clean, dry, and intact. on postoperative day 4, his lopressor was increased to 75 mg p.o. b.i.d. with a blood pressure of 160/80. he was saturating 95% on room air and continued to make great progress. smoking cessation was discussed with the patient, and he was discharged to home in stable condition on (postoperative day 4) with vna services with the following discharge instructions. discharge instructions: he was instructed to make an appointment to see dr. (his primary care physician) in approximately 2 to 3 weeks post discharge and to make an appointment to see dr. (his surgeon) in 3 to 4 weeks postoperatively for his surgical visit. discharge diagnoses: 1. coronary artery bypass grafting x 4. 2. hypertension. 3. hypercholesterolemia. 4. history of thalamic stroke with right upper extremity paresthesias. 5. insulin-dependent diabetes. 6. history of peptic ulcer disease. 7. chronic renal insufficiency. medications on discharge: 1. lasix 20 mg p.o. twice a day (for 5 days). 2. metoprolol 75 mg p.o. twice a day. 3. potassium chloride 20 meq p.o. once daily (for 5 days). 4. colace 100 mg p.o. twice a day. 5. enteric coated aspirin 81 mg p.o. once daily. 6. percocet 5/325 1 to 2 tablets p.o. q.4.h. p.r.n. (for pain). 7. plavix 75 mg p.o. once daily. 8. lipitor 10 mg p.o. daily. 9. lantus 30 units subcutaneously at bedtime. discharge disposition: the patient was discharged to home on . condition on discharge: stable. , m.d. procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery injection or infusion of nesiritide diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes occlusion and stenosis of carotid artery without mention of cerebral infarction 

Answer: The patient is high likely exposed to