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: no known allergies / adverse drug reactions attending: chief complaint: anxiety attacks" associated with chest tightness major surgical or invasive procedure: urgent coronary artery bypass graft x4: left internal mammary artery to left anterior descending artery and saphenous vein grafts to diagonal obtuse marginal and distal right coronary arteries cardiac cath history of present illness: 62 year old male has a history of hypertension, dyslipidemia, type 2 diabetes and cad s/p om1 stenting in . over the past six months the patient has been having episodes of what he describes as "anxiety attacks", associated with chest tightness. many of these episodes have correlated with exertion although several months ago he did have some episodes that woke him from sleep. last evening while taking the dogs out into his back yard he had additional chest tightness, unassociated with any other symptoms. stress testing in revealed new septal hypokinesis with exercise. he was referred for left heart catheterization. he was found to have three vessel diseae and is now being referred to cardiac surgery for revascularization. past medical history: coronary artery disease s/p coronary artery bypass graft diabetes mellitus type 2 hyperlipidemia secondary diagnosis hypertension anemia fatty liver erectile dysfunction social history: race:caucasian last dental exam:3 years ago lives with:wife contact: (wife) phone # occupation:chef cigarettes: smoked no yes other tobacco use:denies etoh: denies illicit drug use: denies family history: father with mi at age 62 physical exam: pulse:53 resp:18 o2 sat:99/ra b/p right:127/62 left:133/76 height:5'7" weight:185 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema _no____ varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 2+ left: 2+ radial right: cath site left: 2+ carotid bruit right: no left: no pertinent results: cath: 1) selective coronary angiography of this right-dominant system demonstrated severe 3 vessel cad. the distal lmca had 70-80% stenosis. the origin and proximal segment of the lad had diffuse 80% disease with good distal targets. the mid lcx stents were subtotally occluded with probable good targets distal to the stents. the rca was totally occluded at the origin with left-to-right collaterals. 2) limited resting hemodynamics revealed normal systemic arterial pressures with a central aortic pressure of 111/61 with a mean of 73mmhg. 3) refer for cabg carotid u/s: right ica 80-99% stenosis. left ica 70-79% stenosis. echo: pre-bypass: no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no spontaneous echo contrast is seen in the body of the right atrium. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is moderately depressed (lvef=35 %). with normal free wall contractility. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. there is no aortic valve stenosis. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results before surgical incision. post_bypass: normal rv systolic function. overall lvef 40% to 45% mild mr> intact thoracic aorta. prebypass hypokinetic lateral wall seem to be moving well. 04:48am blood wbc-7.3 rbc-3.60* hgb-10.8* hct-30.7* mcv-85 mch-30.1 mchc-35.2* rdw-13.8 plt ct-136* 04:13am blood wbc-9.1 rbc-3.84* hgb-11.5* hct-31.3* mcv-82 mch-29.9 mchc-36.7* rdw-14.3 plt ct-140* 08:54am blood glucose-352* urean-27* creat-1.0 na-139 k-4.6 cl-97 hco3-31 angap-16 04:48am blood glucose-115* urean-19 creat-0.9 na-138 k-3.5 cl-97 hco3-34* angap-11 brief hospital course: mr. was admitted following his cardiac cath which revealed severe three vessel coronary artery disease. he underwent pre-operative work-up and on was brought to the operating room where he underwent a coronary artery bypass graft x 4. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. pod 1 found the patient extubated, alert and oriented and breathing comfortably. he did show right upper lobe collapse on cxr, which resolved. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. glyburide and metformin were titrated for blood glucose management. the patient will keep a blood glucose log on discharge to present to his pcp. patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with vna in good condition with appropriate follow up instructions. medications on admission: atenolol 50 mg daily atorvastatin80 mg daily colchicine 0.6 mg daily fluoxetine 40 mg daily glyburide 5 mg lisinopril 40 mg daily metformin 1000 mg naproxen 500 mg twice a day as needed for pain, take with food nifedipine 90 mg daily nitroglycerin 0.4 mg tablet, sublingual - 1 tablet(s) sublingually daily as needed for chest pain, may repeat in 5 minutes, call 911, proceed to emergency tadalafil 20 mg to one tablet(s) by mouth daily as needed; do not take ntg while taking cialis aspirin 325 mg daily multivitamin dosage uncertain discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*1* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 4. fluoxetine 40 mg capsule sig: one (1) capsule po once a day. disp:*30 capsule(s)* refills:*1* 5. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 6. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 7. multivitamin tablet sig: one (1) tablet po daily (daily). 8. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 9. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*1* 10. glyburide 5 mg tablet sig: two (2) tablet po twice a day. disp:*120 tablet(s)* refills:*1* 11. metoprolol succinate 50 mg tablet extended release 24 hr sig: three (3) tablet extended release 24 hr po daily (daily). disp:*90 tablet extended release 24 hr(s)* refills:*1* 12. lasix 20 mg tablet sig: one (1) tablet po once a day for 1 weeks: to be reevaluated at wound check . disp:*7 tablet(s)* refills:*0* 13. diabetes glucometer lancets test strips discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p coronary artery bypass graft past medical history: hyperlipidemia hypertension diabetes mellitus type 2 anemia fatty liver erectile dysfunction discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema no lower extremity edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. 1:00 pm cardiologist: dr. date/time: 2:40 wound check with cardiac surgery date/time: 10:30 at medical building please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified angina pectoris cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure chronic systolic heart failure other complications due to other cardiac device, implant, and graft accidents occurring in other specified places occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction other chronic nonalcoholic liver disease 

Answer: The patient is high likely exposed to