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 63-year-old male patient who presented to an outside hospital on with complaints of chest pain. he ruled out for an mi by enzymes and went to a stress test on showing an ejection fraction of 60 percent, decreased to 50 percent with exercise with midapical and anterior hypokinesis. he was transferred to the on for cardiac catheterization showing an ef of 75 percent, lad occlusion of 40 percent proximally, 90 percent mid through distal with a left circumflex occlusion of 80 percent proximally and rca with only mild disease. at that time, he was referred for cardiac surgery consult. the cardiac surgery service consulted on that day and it was found that the patient was safe to be discharged home and follow-up with us in the office. he was sent home on and presented that night to an outside hospital with complaints of chest pain. he ruled in for an mi and was transferred back to for emergent bypass surgery on . the physical examination on presentation revealed a height of 5 feet, 7 inches tall, weight 254 kilograms. the vital signs were 63, sinus rhythm, 138/80, respiratory rate 17, oxygen saturation 95 percent on room air. in general, the patient was lying flat in bed, in no acute distress. the respiratory examination was clear to auscultation. the cardiovascular examination revealed a regular rate and rhythm. no murmurs noted. gi: soft, obese, nontender, nondistended with positive bowel sounds. neurologic: the patient was alert and oriented times three, appropriate, moving all extremities without any carotid bruits noted. the extremities were warm and well perfuse without edema or varicosities. past medical history: 1. atrial flutter ablation on . 2. hypertension. past surgical history: no past surgical history. allergies: the patient has no known drug allergies. medications prior to admission: 1. aspirin 325 mg daily. 2. toprol xl 100 mg daily. 3. lipitor 10 mg daily. 4. lisinopril 40 mg daily. 5. humibid 600 mg twice daily. 6. buspar 15 mg twice daily. 7. protonix 40 mg daily. 8. coumadin 6 mg daily. laboratory data: the laboratory data prior to surgery revealed a sodium of 140, potassium 4.0, chloride 105, bicarbonate 27, bun 19, creatinine 1.1, glucose 94. white blood cell count 4.8, hematocrit 38.7, platelets 84,000. hospital course: on , the patient was transferred back to the and proceeded to the operating room with dr. . he underwent a coronary artery bypass graft times three with lima to the lad, saphenous vein graft to the om and saphenous vein graft to the ramus. please see the operative report for details of operating room course. he was transferred to the cardiac surgery recovery unit with a mean arterial pressure of 80, cvp of 16, and normal sinus rhythm, rate of 87 on no iv drip medication. he was successfully weaned and extubated on his operative day. he was transferred to the floor for continued recovery on postoperative day number two. on postoperative day number three, mr. experienced some atrial fibrillation, treated with iv and oral lopressor. on postoperative day number three, he was also restarted on his preoperative dose of coumadin with inr checks daily. he was followed by physical therapy daily. on , postoperative day number four, he was cleared by physical therapy feeling that he was safe for discharge home once medically stable. also, on postoperative day number four, his medications were adjusted to accommodate for a heart rate around 100 and a blood pressure rising to the 160s. the lopressor was increased to his preoperative dose and his cardiac pacing wires were discontinued. on postoperative day number five, he continued with physical therapy, doing very well with his heart rate and blood pressure better and it was decided that he was safe to be discharged home on . condition on discharge: as of , vital signs revealed a temperature of 99.8, pulse 97, in atrial fibrillation, blood pressure 144/96, respiratory rate 20, oxygen saturation 96 percent on room air. weight 116 kilograms. the physical examination revealed that neurologically he was alert, oriented, nonfocal. pulmonary: lungs clear bilaterally. cardiac: regular rate and rhythm. abdomen: soft, nontender, nondistended with positive bowel sounds. extremities: warm with 1 plus edema. sternal incision without drainage or erythema. leg incision clean and dry without drainage or erythema. discharge status: the patient will be discharged home with care by visiting nurses. discharge diagnoses: 1. coronary artery disease, status post coronary artery bypass grafting times three. 2. atrial fibrillation. 3. hypertension. discharge medications: 1. colace 100 mg p.o. twice daily. 2. aspirin 81 mg p.o. daily. 3. lasix 20 mg p.o. daily for ten days. 4. potassium chloride 20 meq p.o. daily also for ten days. 5. ferrous gluconate 300 mg tablets p.o. daily. 6. buspar 15 mg tablets p.o. twice daily. 7. protonix 40 mg p.o. daily. 8. coumadin 6 mg p.o. daily. 9. toprol xl 100 mg p.o. daily. 10. hydromorphine 2-4 mg p.o. every four hours as needed. follow up: the patient is to schedule an appointment with dr. within four weeks time and schedule an appointment with dr. within two to four weeks time. also, call to schedule an appointment with his cardiologist within two to four weeks time. the patient will be seen in the postoperative wound clinic on 2 in two weeks. , procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart transfusion of platelets diagnoses: thrombocytopenia, unspecified 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 atrial fibrillation pain in joint, lower leg 

Answer: The patient is high likely exposed to