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 60 year-old white male with a past medical history of coronary artery disease status post coronary artery bypass graft in , hypertension, hypercholesterolemia, who presented to on as a transfer from hospital for catheterization. in , he underwent coronary artery bypass graft times three after presenting with exertional chest pain and a positive exercise stress test. catheterization showed severe left anterior descending coronary artery and diagonal branch disease, moderate right coronary artery disease. the patient denies any anginal symptoms since the time of his coronary artery bypass graft until this presentation. on the patient experienced chest pressure without nausea, vomiting, shortness of breath, diaphoresis. symptoms, however, did not resolve so the patient went to hospital. the pain was relived with one sublingual nitroglycerin. electrocardiogram at with depressions in leads 1, 2, avl, v4-v6. the patient ruled in for myocardial infarction with a peak troponin i of 4.0, ck 209, mb 9.27, mbi 5.4. at the patient was started on a beta blocker, aspirin, lovenox, integrilin. his chest pain recurred and he was started on a nitroglycerin drip. he is transferred to on in the morning for catheterization that day. catheterization showed left main coronary artery without obstructive disease, left anterior descending coronary artery to patent left internal mammary coronary artery, 90% lesion proximal left circumflex, right coronary artery with patent saphenous vein graft to distal right coronary artery, saphenous vein graft patent to d1, left internal mammary coronary artery to left anterior descending coronary artery patent. the patient had a drug coated stent placed in to the left circumflex artery at approximately 1:00 p.m. and was loaded with plavix and integrilin. at 3:30 p.m. he complained of sudden onset of severe, 10 out of 10 right flank pain with pallor, diaphoresis, heart rate to 37, blood pressure to 57/palp. his hypotension was slow to respond to 1 mg of atropine. he received 1.5 liters of intravenous fluids. he required transient dopamine 5 to 10 mcg per minute to keep his systolic blood pressure greater then 100. a stat hematocrit was drawn, which showed a value of 37%, down from 40% on admission. a repeat hematocrit approximately 20 minutes later was 34%. the integrilin was turned off and femoral sheath was removed. the patient was sent for a stat ct scan to rule out retroperitoneal bleed. ct showed a moderate sized retroperitoneal bleed. he was transferred to the coronary care unit for further monitoring after receiving 2 liters total of intravenous fluids. past medical history: 1. coronary artery disease status post coronary artery bypass graft in . catheterization at that time revealed severe left anterior descending coronary artery disease, diagonal branch disease, moderate right coronary artery disease. three vessel coronary artery bypass graft with left internal mammary coronary artery to left anterior descending coronary artery, saphenous vein graft to diagonal, saphenous vein graft to right coronary artery. 2. hypertension. 3. hypercholesterolemia. 4. chronic headaches. 5. status post discectomy . 6. status post appendectomy. 7. asthma as a child. allergies: the patient reports an allergy to sulfa drugs resulting in hives. medications prior to admission: 1. aspirin 81 mg po q.d. 2. keflex 250 mg po q.d. 3. lipitor 20 mg po q.d. 4. paxil 20 mg po q.d. 5. multivitamin po q.d. 6. the patient is enrolled in a study through his primary care physician where he is either receiving a cholesterol lowering study drug versus placebo. social history: the patient works as a salesman. he denies any tobacco history. he reports occasional alcohol use. he denies any intravenous drug use. family history: the patient's mother deceased from myocardial infarction at the age of 80. review of systems: the patient denies any edema, orthopnea, paroxysmal nocturnal dyspnea, claudication. he does report a positive history of dyspnea on exertion, decreased exercise tolerance, increasing fatigue over the past several months. physical examination: vital signs blood pressure 123/32. heart rate 65. respiratory rate 13. oxygen saturation 100% on 2.5 liters nasal cannula o2. general appearance, well developed, well nourished white male lying supine, pleasant on o2 via nasal cannula, no acute distress. heent normocephalic, atraumatic. pupils are equal, round, and reactive to light and accommodation. oral mucosa moist. sclera anicteric. oropharynx clear. neck supple without masses or lymphadenopathy. no carotid bruits auscultated. lungs clear to auscultation anterolaterally. no rhonchi, rales, wheezes. cardiovascular regular rate and rhythm. s1, s2 heart sounds auscultated. no murmurs, rubs or gallops. abdomen firm, positive right lower quadrant tenderness to deep palpation, nondistended. hypoactive bowel sounds. no ecchymotic lesions over abdomen or flank noted. groin right groin bandage clean, dry and intact. left groin without bruit. extremities warm and dry. 1+ dorsalis pedis pulse, posterior tibial pulses bilaterally. no clubbing, cyanosis or edema. pertinent laboratories and other data: complete blood count status post catheterization showed white blood cell 7.7, hemoglobin 11.6, hematocrit 34.1 (down from 40.6 on transfer from ), platelet count 210. serum chemistries prior to transfer showed sodium 144, potassium 4.3, chloride 104, bicarbonate 30.4, bun 17, creatinine 1.1, glucose 95, calcium 8.4. cholesterol panel showed total cholesterol 208, triglycerides 228, hdl 44, ldl 119. electrocardiogram number one at showed normal sinus rhythm at 70 beats per minute, positive left axis deviation, normal intervals, no left atrial enlargement, right atrial enlargement, left ventricular hypertrophy, right ventricular hypertrophy, positive left anterior vesicular block, elevations noted in leads v1, avr. depressions noted in leads v4-v6. depressions in lead v3. electrocardiogram obtained post catheterization showed normal sinus rhythm at 55 beats per minute, left axis deviation. left anterior vesicular block, borderline pr interval, lateral leads with flattened t waves, noted in leads, 1, avl, v4-v6. no q waves. depressions in v5 and v6. catheterization showed left ventricular ejection fraction 50%. hypokinesis of apex. 1+ mitral regurgitation. saphenous vein graft patent. right dominant system. left ventricular and diastolic pressure at 22 mmhg. 95% lesion noted in the obtuse marginal one. hospital course: the patient is a 60 year-old white male with known history of coronary artery disease status post coronary artery bypass graft times three in , hypertension, hypercholesterolemia, who presented from an outside hospital with an episode of left chest pain, ruled in for a non st elevation myocardial infarction at outside hospital with peak ck 209, ckmb 9.27, troponin i 4.0. he underwent catheterization on with placement of a left circumflex coronary artery stent. post catheterization he had an episode of back pain, falling hematocrit, ct scan with evidence of retroperitoneal bleed. 1. coronary artery disease: the patient underwent catheterization of his left circumflex coronary artery. a drug coated stent was placed. although he has a ct of evidence of a retroperitoneal bleed, he was continued on aspirin and plavix post catheterization to prevent acute stent thrombosis. he was also continued on lopressor 25 mg po b.i.d. for beta blockade and lipitor 40 mg po q.d. for hypercholesterolemia. his blood pressure was controlled initially with captopril 12.5 mg po t.i.d. and lopressor 25 mg po b.i.d. as he was experiencing episodes of sinus bradycardia he was monitored on telemetry for evaluation of any post myocardial infarction arrhythmias or events. he spent the evening in the coronary care unit and did not exhibit any hemodynamic instability or arrhythmic events on telemetry. on hospital day number two he was transferred out of the coronary care unit to the regular floor. he is continued on aspirin, plavix, lopressor, lipitor. his captopril was changed to lisinopril 2.5 mg po q.d. he tolerated this regimen well with no hemodynamic instability. in order to assess his left ventricular function more completely, an echocardiogram was performed on hospital day number two. echocardiogram revealed left ventricular ejection fraction of 60%. left atrium mildly dilated. mild/borderline symmetric left ventricular hypertrophy with normal cavity size and systolic function. regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal, which revealed mitral regurgitation. there was no mitral valve prolapse. there was mild pulmonary artery systolic hypertension. there was a very small inferolateral pericardial effusion. the impression was that this was preserved global and biventricular systolic function. at the time of discharge the patient was chest pain free with no evidence of hemodynamic instability on his current medication regimen. 2. retroperitoneal bleed: the patient experienced severe back and flank pain suggestive of retroperitoneal bleed. a vascular surgery consultation was obtained. they recommended a ct scan of the abdomen and pelvis. ct showed a moderate size retroperitoneal bleed. the patient was volume resuscitated with intravenous fluids. he was typed and crossed for 2 units of packed red blood cells. serial hematocrit values were checked. repeat hematocrit values remained stable greater then 30. therefore the patient did not require any blood transfusion or blood products. initially his pain was controlled with morphine. hospital day two he was able to tolerate percocet. at the time of discharge he was pain free and his hematocrit values were stable with a value at discharge of 32.3. condition on discharge: good. discharge status: the patient was discharged to home. discharge diagnoses: 1. myocardial infarction. 2. status post ptci, coronary artery stenting of left circumflex. 3. status post retroperitoneal bleed. 4. coronary artery disease status post coronary artery bypass graft. 5. hypertension. 6. hypercholesterolemia. discharge medications: 1. atorvastatin 40 mg one po q.d. 2. paroxetine 20 mg one po q.d. 3. cefalexin 250 mg one po q.d. 4. multivitamins one po q.d. 5. percocet one to two tablets po q 4 to 6 hours as needed for pain. 6. aspirin 325 mg one po q.d. 7. plavix 75 mg one po q.d. 8. metoprolol 50 mg 0.5 tablets po b.i.d. 9. lisinopril 5 mg 0.5 tablet po q.d. follow up plans: the patient was instructed to call his primary care physician or visit local emergency room if he experiences any chest pain, shortness of breath, back pain, groin pain at his catheterization site, nausea, vomiting, lightheadedness or fainting. he was instructed that we added some new medications to his regimen for better control of his blood pressure and cholesterol and instructed to take them as directed. additionally he was instructed to change his aspirin dosing from 81 mg po q.d. to 325 mg po q.d. however, a prescription was not given for aspirin. he was also instructed to call his primary care physician . at to make a follow up appointment within the next seven to ten days. additionally he was told to contact his cardiologist dr. to make a follow up appointment within the next two weeks. , m.d. dictated by: medquist36 d: 04:43 t: 11:08 job#: procedure: coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension aortocoronary bypass status hemorrhage complicating a procedure 

Answer: The patient is high likely exposed to