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: this is a 55 year old gentleman, patient of dr. who was referred for a cardiac catheterization due to progressive dyspnea on exertion and chest discomfort. he states that the dyspnea varies on a day to day basis. at times he feels quite limited though he can not be active all day. he sleeps in a chair which relieves his breathing. he does admit to paroxysmal nocturnal dyspnea. he also complains of intermittent chest pain, more over the last six months. he describes he has tenderness in his shoulders and chest with bilateral hand numbness. this is evident on exertion but can also occur at rest. he became so short of breath on the day prior to admission that he could not speak. he has undergone pulmonary function tests in the past and was told he has asthma. on , he underwent an echocardiogram which revealed normal left ventricular function with concentric left ventricular hypertrophy, mild left atrial enlargement, 1+ aortic insufficiency. on , a myoview was 56% of maximum heart rate and was stopped for leg discomfort and dyspnea as well as chest pain. electrocardiogram showed depressions inferiorly in leads v3 through v6. past medical history: significant for hypertension, hypercholesterolemia and former history of heavy smoking for approximately 50 years, to three packs per day range and stopped seven years ago. his other history is significant for gout and kidney stones. he has no surgical history reported as well as no history of transient ischemic attacks, cvls or lower gastrointestinal bleed. admission medications: aspirin, atenolol 50 q.d., accupril 20 q.d., allopurinol 300 b.i.d., crestor 5 mg q.d., flomax .4 q.d., magnesium oxide 400 q.d., ranitidine 300 b.i.d., combivent prn, and pulmicort 2 puffs b.i.d. laboratory data: his admitting laboratory data were significant for a white count of 8.2, hematocrit of 55, and chem-7 of 140/4.1, 103/32, 22/1.5 and inr of .9. social history: the patient is married. he works in ................... he is illiterate. hospital course: he was taken to the cardiac catheterization laboratory on with findings of left main disease and three vessel coronary artery disease. he was consulted to the cardiac service for a coronary artery bypass grafting, admitted to the hospital specifically with a 90% occlusion of the left anterior descending at s1; diffuse mid 70%; sequential 80% mid distal lesion lmca; diffuse 70%, 80% distally left circumflex; 80% proximal large obtuse marginal 1; 70% mid; subtotal distal occlusion with right coronary artery collaterals; right coronary artery; diffuse proximal to mid diseased, 70%; 80% proximal posterior descending artery. the patient was preopped by the cardiology surgery service on and was seen by the attending physician, . at that time. he was taken to the operating room on and underwent a coronary artery bypass graft times three. coronary artery bypass graft was times three with a left internal mammary artery to the left anterior descending coronary artery and reverse saphenous vein graft from the aorta to the right posterior descending coronary artery and reverse saphenous vein graft from the aorta to the obtuse marginal coronary artery. he tolerated the procedure well and was taken to the recovery room in stable condition. on postoperative day #1 he was on no drips and he had a heart rate of 84 and was atrially paced at that time. his blood pressure was 112/51, central venous pressure of 14 on 4 liters of nasal cannula. his hematocrit at the time was 34.9 with a potassium of 4.5. he was transferred to the floor and postoperative day #2, , he was doing well. he was complaining of incisional pain and feeling bloated. his pulmonary toilet was encouraged. he was started on reglan. his diuresis was continued. he continued to do well. he was cleared by physical therapy and was discharged home on . discharge diagnosis: 1. coronary artery disease 2. hypertension 3. gout 4. kidney stones 5. hyperlipidemia discharge medications: 1. lopressor 75 mg p.o. b.i.d. 2. lasix 20 mg p.o. b.i.d. times two weeks 3. -ciel 20 mg p.o. b.i.d. times two weeks 4. colace 100 mg p.o. b.i.d. 5. aspirin 325 mg, enteric coated p.o. q.d. 6. percocet 5/325 mg one to two tablets p.o. q. 4-6 hours prn 7. crestor 5 mg p.o. q.d. 8. keflex 500 mg p.o. q. 6 hours times ten days for some erythema around the distal portion of the sternal wound. of note he was discharged with home services for this small amount of erythema, approximately 3 by 3 cm at the distal aspect of his sternal wounds. there was no discharge from the wound at the time and it was examined by the attending physician and deemed to be not a preventative factor from being discharged. he will be followed with services at that time. dr., 02-358 dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension gout, unspecified asthma, unspecified type, unspecified other chronic pulmonary heart diseases personal history of tobacco use 

Answer: The patient is high likely exposed to