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: patient recorded as having no known allergies to drugs attending: chief complaint: numbness and shaking of right hand major surgical or invasive procedure: cabg x 3 s/p l carotid stent history of present illness: pt. is a 63 y/o male who three wks ago had numbess and shaking of the right hand. he was evaluated by his pcp who ordered carotid us. that showed significant left carotid stenosis and was referred to dr. . dr. saw pt and advised pt. to be admitted to the same day for further work-up, anticoagulation, and poss. cea. past medical history: coronary arerty disease (s/p mi x 3, last 6 yrs ago) left carotid stenosis s/p cva 3 yrs ago hypertension hypercholesterolemia peripheral vascular disease social history: tobacco: 2ppd x approx. 50 yrs; -etoh family history: non contributory physical exam: general: nad heent: eomi/perrla/nc/at neck: supple, -bruits heart: rrr -c/r/m/g lungs: ctab with occ. rare wheeze abd: soft nt/nt +bs ext: warm, -c/c/e neuro: non-focal, cnii-xii intact, aox3 pertinent results: cath : 1. severe three vessel and left main coronary artery disease (70% lm, 80% lad, to lcx). 2. moderate diastolic ventricular dysfunction. 3. extensive iliac disease pfts : essentially normal spirometry. reduced fvc likely reflects suboptimal test performance. mibi : 1)moderate, partially reversible defect involving the inferior wall, and moderate, reversible defect involving the inferolateral wall. 2) increased left ventricular cavity size with moderately depressed left ventricular function with hypokinesis. transient dilatation after stress suggestive of subendocardial ischemia. cta : 1) left veretebral arterial near occlusion. 2) severe left internal carotid artery stenosis ct head : new left frontal infarct compared to . findings are consistent with chronic microvascular ischemic changes. no intracranial hemorrhages identified. pre-op ekg: sinus bradycardia 57 left bundle branch block 04:20pm blood wbc-10.0 rbc-6.04 hgb-17.5 hct-50.8 mcv-84 mch-29.0 mchc-34.5 rdw-13.5 plt ct-223 12:23am blood wbc-18.7*# hct-38.9* plt ct-165 02:49am blood wbc-10.6 rbc-4.26* hgb-12.4* hct-35.8* mcv-84 mch-29.1 mchc-34.6 rdw-13.7 plt ct-143* 05:05am blood wbc-8.4 rbc-5.13 hgb-14.6 hct-43.0 mcv-84 mch-28.4 mchc-33.9 rdw-13.4 plt ct-225 02:17am blood wbc-18.1*# rbc-4.51* hgb-12.9* hct-37.6* mcv-83 mch-28.6 mchc-34.3 rdw-13.6 plt ct-162 05:34am blood wbc-10.1 rbc-4.64 hgb-13.0* hct-38.8* mcv-84 mch-28.0 mchc-33.5 rdw-13.8 plt ct-227 04:20pm blood pt-12.9 ptt-23.9 inr(pt)-1.1 04:20pm blood plt ct-223 08:30am blood pt-13.1 ptt-54.9* inr(pt)-1.1 05:05am blood pt-12.7 ptt-25.9 inr(pt)-1.0 01:51am blood pt-12.8 ptt-24.8 inr(pt)-1.0 05:34am blood plt ct-227 lplt-3+ 04:20pm blood glucose-294* urean-9 creat-0.7 na-137 k-4.1 cl-100 hco3-23 angap-18 05:05am blood glucose-146* urean-11 creat-0.7 na-140 k-3.8 cl-103 hco3-28 angap-13 05:34am blood glucose-176* urean-12 creat-0.5 na-138 k-4.0 cl-101 hco3-26 angap-15 05:20am blood alt-77* ast-50* alkphos-99 totbili-0.6 04:20pm blood calcium-10.2 phos-3.2 mg-1.8 01:51am blood calcium-8.5 phos-3.4 mg-1.6 05:30am blood %hba1c-10.3* 05:30am blood triglyc-200* hdl-44 chol/hd-3.7 ldlcalc-78 02:59am blood freeca-1.21 01:53pm urine color-straw appear-clear sp -1.009 01:53pm urine blood-neg nitrite-neg protein-neg glucose-tr ketone-neg bilirub-neg urobiln-neg ph-7.0 leuks-neg 07:36pm urine blood-neg nitrite-neg protein-30 glucose-1000 ketone-tr bilirub-neg urobiln-neg ph-6.5 leuks-neg brief hospital course: as mentioned in the hpi, pt was admitted under dr. /vascular surgery for work-up of carotid stenosis. pt. had +ett with mibi on (hd#3). cardiac cath was performed on (hd#6). pt. had significant 3vd (see full report). ct surgry was consulted for cabg. pt. still needed further work-up for carotid stenosis (cta) and pfts/pulm cpnsult. ct () discussed w/ vasc. () to either plan a combined l cea and cabg or carotid stening followed be cabg. cta on showed left veretebral arterial near occlusion and severe left internal carotid artery stenosis. stroke/neuro consult on (see report), followed pt. during hosp. stay. on (hd#9) pt. had a stent placed in her left carotid artery (see operative note). vasc. surgery continues to follow-up pt. (please see notes). (pod#2 from carotid stent placement), cabg post-poned secondary to increased stroke risk w/ heparinizatoin since pt. has a hyperperfusion syndrome. pt. had head ct on which showed new frontal infarct (see ct). cabg would now be delayed at least 7-10 days. during this time pt was cont. to be followed/managed by vasc/cario/neuro and for newly diagnosed dm management. on pt was brought to the or and after general anesthesia, pt underwent a cabg x 3. please refer to operative not efor full details. pt. tolerated the procedure well with a total bypass time of 55 min and cross-clamp time of 44 min. pt. was brought to the csru in stable condidion with a map of 70, cvp 10, pad 15, 21, hr 80 a-paced. and she was receiving drips of propofol, neo, and insulin. later on op day, pt. was weaned from propofol and mechanical ventilation and was extubated. pt. was fully awake, alert, following command and moving all extremities. pod #1 - pt was doing well, neo was weaned off, but now required a nitro gtt for elevated bp. swan ganz catheter was removd. lasix and lopressor started. pod #2 - nitro was weaned off, bp 129/95. chest tubes and leg jp drain were removed. pt. had bilat. course breath sounds w/ decreased sao2 92% 6l nc (cxr ordered). pod #3 - pacing wires were removed. pt/is/nebs and pulm consult. pod #4 - pt. was doing well and was transferred to telemetry floor. cont. to have some ronchi and sao2 was 93% 4l nc. pod #5,6 - pt. cont. to slowly improve. o2 sat. slowly increased and breath sounds improved with decreased ronchi. pt. cont. is/nebs and was getting oob. pod #7 - pt. appeared to be doing good. was hemodynamically stable. 02 sat. was now 94% ra. bp 128/64. breath sounds were clear and pe was unremarkable. pt. was discharged home with vna services. medications on admission: 1. atenolol 50 mg qd 2. norvasc 5 mg qd 3. lipitor 40 mg qd 4. isosorbide 20 mg tid 5. prilosec 6. asa 325 mg qd 7. ntg prn discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. 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:*2* 4. clopidogrel bisulfate 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. hydromorphone hcl 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*40 tablet(s)* refills:*0* 6. atorvastatin calcium 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. fluticasone propionate 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*1 mdi* refills:*2* 8. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 9. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* 11. nicotine 14 mg/24 hr patch 24hr sig: one (1) transdermal once a day. disp:*30 patches* refills:*2* 12. insulin glargine 100 unit/ml solution sig: twenty eight (28) units subcutaneous at bedtime. disp:*1 vial* refills:*2* 13. syringe (disposable) 1 ml syringe sig: one (1) box miscell. once a day: 1cc safety glide 29g w/ inch needle. disp:*1 box* refills:*2* 14. sharps container misc sig: one (1) container miscell. as directed. disp:*1 container* refills:*2* discharge disposition: home with service facility: , discharge diagnosis: coronary arerty disease (s/p mix3-last 6yrs ago) s/p coronary artery bypass graft x 3 left carotid stenosis s/p left carotid stent s/p new left frontal infarct s/p cva 3 yrs ago hypertension hypercholesterolemia dm (newly diagnosed) peripheral vascular disease discharge condition: good discharge instructions: no driving for 1 month no lifting > 10# for 1 month may shower, no bathing or swimming for 1 month no creams, lotions or powders to any incisions followup instructions: with dr. in 6 weeks follow up with dr. in weeks please call clinic@( for follow up appointment in 1 week procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization arteriography of cerebral arteries percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified occlusion and stenosis of carotid artery without mention of cerebral infarction 

Answer: The patient is high likely exposed to