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 67-year-old, morbidly obese male, with a history of hypercholesterolemia, and three prior myocardial infarctions. the patient has had angina for a number of years which recently has progressed. the patient presented to an outside hospital for a cardiac catheterization on . this last cardiac catheterization showed severe three-vessel disease with an estimated ejection fraction of approximately 23%. given the patient's symptoms and findings on cardiac catheterization, it was decided that a surgical intervention would be the best approach. the patient was subsequently transferred to for further evaluation and likely surgery. the patient denied any symptoms of shortness of breath, orthopnea, claudication, or paroxysmal nocturnal dyspnea. he does have a history of hypertension. preoperatively the patient's fev1 was 2.24, which was 81% of the predicted value. fvc was 2.91, which was 73% of the predicted value. past medical history: 1. myocardial infarction times three. 2. hypertension. 3. hypercholesterolemia. past surgical history: 1. status post cholecystectomy. 2. appendectomy. allergies: no known drug allergies. medications on admission: lopressor 50 mg p.o. b.i.d., avapro, enteric coated aspirin 325 mg p.o. q.d., cordarone 400 mg p.o. b.i.d., protonix 40 mg p.o. q.d., nystatin powder 1 tab t.i.d., lasix 40 mg p.o. q.d. physical examination: general: the patient was alert and oriented times three in no apparent distress. he was a middle-aged obese male. vital signs: the patient was afebrile, heart rate 83, blood pressure 146/90, respirations 17, 94% on room air. heent: no jugular venous distention. no bruits. lungs: clear to auscultation bilaterally. cardiovascular: regular, rate and rhythm. no murmurs or gallops. abdomen: obese but soft, nontender, nondistended. extremities: pulses present bilaterally in upper and lower extremities. no varicosities. neurological: grossly intact. laboratory data: on admission white blood cell count was 11.4, hematocrit 41.1, platelet count 220; pt 13.6, inr 1.3, ptt 41; glucose 96, bun 32, creatinine 1.1, calcium 8.9, potassium 3.7, sodium 138. the patient was placed on intravenous heparin at the outside hospital and was consequently transferred to . hospital course: the patient was admitted to the cardiac surgery service. he remained in stable condition preoperatively. on , given the history of coronary artery disease and also cardiomyopathy, the patient underwent coronary artery bypass grafting times three with left main mammary artery to left anterior descending, saphenous vein graft to obtuse marginal branch of the circumflex, and saphenous vein graft to the posterior descending coronary artery. the patient tolerated the procedure well. there were no complications. the patient was transferred to the intensive care unit in fair condition. the patient remained intubated. the patient's heart rhythm was in sinus with frequent premature ventricular contractions and bigeminy noticed. the patient was started on amiodarone. neo was continued as well. the patient was extubated on the same day in the evening. the patient tolerated extubation well. he showed good oxygen saturation. the patient remained in sinus rhythm on postoperative day #1. he was able to get out of bed to chair. at the time, he was 95-97% on 3 l nasal prongs. he showed a strong cough with minimal sputum production. the patient was started on lopressor given tachycardia. the swan-ganz catheter and the chest tubes were removed on postoperative day #1. the patient remained afebrile. his hematocrit was stable. on postoperative day #2, the patient went into atrial fibrillation with a heart rate in the 120s and 130s. the patient was diuresed appropriately. his temperature rose to 100.0??????. his white count increased to 20 at the time. the patient received perioperative doses of intravenous vancomycin. neo was restarted. the patient was started on intravenous heparin for his atrial fibrillation. he was continued to be diuresed. he was making adequate urine. the patient was also started on coumadin. the patient was also loaded on digoxin. physical therapy was consulted who followed the patient throughout his hospitalization and eventually cleared the patient to go home. on , the patient reverted to sinus rhythm. digoxin was discontinued. the patient was continued on coumadin and intravenous heparin. on postoperative day #7, his incision was noted to be draining small amounts of serous fluid in two areas. there was no erythema or particular tenderness. his white blood cell count at the time was noted to be elevated at 17.5. the patient was started on keflex prophylactically. on postoperative day #8, the patient's white count decreased to 15.5. the drainage decreased slightly. the patient remained afebrile. the patient continued to be in sinus rhythm. intravenous heparin was discontinued. the patient was discharged to home on postoperative day #8 in stable condition. condition on discharge: good. disposition: home with vna services. discharge diagnosis: 1. three-vessel coronary artery disease and cardiomyopathy status post coronary artery bypass grafting times three. 2. hypertension. 3. hypercholesterolemia. 4. obesity. 5. atrial fibrillation. discharge medications: keflex 500 mg p.o. q.6 hours x 12 days, lopressor 75 mg p.o. b.i.d., amiodarone 400 mg p.o. q.d. x 30 days, percocet tab p.o. q.4-6 hours p.r.n. pain, colace 100 mg p.o. b.i.d., ibuprofen 400 mg p.o. q.4-6 hours p.r.n. pain, aspirin 81 mg p.o. q.d., lasix 40 mg p.o. b.i.d. x 10 days, potassium chloride 20 mg p.o. b.i.d. x 10 days, coumadin dose to be adjusted to the goal inr of 2.0-2.5, the patient received 3 mg coumadin on the day of discharge. discharge instructions: 1. the patient is to received vna services to monitor his incision. 2. the patient is to receive frequent inr level checks, and coumadin is to be adjusted accordingly. the patient's primary care physician and cardiologist were both made aware of his anticoagulation. 3. the patient is to see dr. in approximately four weeks. 4. the patient is to see dr. in approximately 2-3 weeks (cardiologist). 5. the patient is to see his primary care physician . in approximately 1-2 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: other primary cardiomyopathies coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation old myocardial infarction 

Answer: The patient is high likely exposed to