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: patient is an 88-year-old who is a retired former gm worker who has cardiac history that dates back to when he was admitted to an outside hospital with chest pain, shortness of breath and diaphoresis after shoveling snow at which time ecg was consistent with an acute inferior mi with a ck peaking at 1273 with 20% mb. he was originally seen by dr. in consultation in 10/98 complaining of dyspnea on exertion. there is a chest x-ray from showing cardiomegaly without congestive heart failure. chest x-ray in was consistent with mild congestive heart failure. the patient was seen at an outside hospital on and admitted with diagnosis of congestive heart failure. the patient on saw dr. in the office and reported feeling significantly improved since he started lasix after his hospitalization. he denies any orthopnea, pnd, palpitations or actual syncope, although according to his daughter, he has fallen a couple of times getting out of the bathtub. he has noticed some ankle swelling. according to his daughter, the patient is currently back to his usual baseline. there is no history of alcohol use. an echo in demonstrated normal lv chamber size and systolic function with mild concentric left ventricular hypertrophy with dilated right atrium and left atrium with moderate mitral regurgitation and tricuspid regurgitation and mild aortic insufficiency with at least moderate pulmonary hypertension. past medical history: 1. significant for atrial fibrillation. 2. coronary artery disease. 3. congestive heart failure. the patient's work up revealed severe three vessel disease, three vessel coronary artery disease with preserved ejection fraction. hospital course: the patient was admitted on , the same day as his surgery. he was taken to the operating room and a coronary artery bypass times three vessels was performed. the lma was brought to the lad, svg was brought to the om, svg was brought to the distal rca. cardiac bypass time was 79 minutes. cross clamp time was 41 minutes. the patient was brought to the cardiothoracic surgery intensive care unit postoperatively. patient on postoperative day #1 remained intubated with a normal arterial blood gas. ph was 7.32, pco2 of 40, po2 of 152, bicarbonate 22. on postoperative day #2, the patient was extubated without complication and maintained his oxygen saturation. patient's urine output was maintained and he was diuresed with iv lasix. chest tubes were discontinued and the patient was subsequently discharged to the surgery floor. patient's postoperative course was complicated by occasional rapid atrial fibrillation for which the patient was on inderal previously and was subsequently switched to toprol 25 mg p.o. b.i.d. he maintained his ventricular rate well from the 70s to the 90s. condition on discharge: good. discharge status: to rehab. die instructions: follow up with dr. in four weeks. follow up with dr. in one to two weeks. discharge diagnoses: coronary artery disease, status post coronary artery bypass times three vessels. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries monitoring of cardiac output by other technique diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome congestive heart failure, unspecified atrial fibrillation old myocardial infarction 

Answer: The patient is high likely exposed to