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: mr. is an 84-year-old man with a history of pvd symptomatic by claudication diagnosed 10 years ago and noticed over the past several days to have a decreased walking ability. the patient is a former smoker, quit 30 years ago. last week the patient was golfing and noticed substernal crushing chest pain radiating to his arms and jaws. also, 3-4 days prior to admission, the patient noted dysuria and urinary frequency at night. the patient's claudication is described as calf pain. he also has dependent posturing pain. he was admitted to on the and had an mri with cardiac catheterization done on the day of transfer that showed 50 percent left main and 80 percent lad and 35 percent circumflex with a 100 percent rca lesion. past medical history: patient's past medical history is significant for pvd, copd and skin ca. medications: prior to admission include aspirin. social history: former smoker. occasional alcohol use. family history: father dies of a brain tumor. mother died of diabetes complications. allergies: the patient states an allergy to penicillin. physical exam at the time of admission: vital signs: temperature 96.6, heart rate 102, blood pressure 138/70, respiratory rate 30, o2 sat 93 percent on 4 liters. general: the patient lying in bed in no acute distress. heent: pupils equally round and reactive to light. extraocular movements and clear ops clear. neck is supple with no lymphadenopathy. positive carotid bruits. chest is clear to auscultation bilaterally. irregular rate and rhythm. lungs are clear. abdomen is soft, nontender, nondistended. extremities with no clubbing, cyanosis or edema. pulses: carotid two plus with a bruit bilaterally. femoral two plus with a bruit bilaterally. dorsalis pedis dopplerable and posterior tibial monomorphic. lab data: white count 12.3, hematocrit 38.9, platelets 528, pt 14.4, ptt 41.3, inr 1.3, sodium 136, potassium 4.3, chloride 97, co2 of 28, bun 33, creatinine 1.1, glucose 323. chest x-ray shows congestive heart failure. ekg shows a-fib with frequent pvcs. nonspecific st changes. hospital course: a urology consult was obtained prior to surgery as the patient reported prostatitis. the urology service dilated the meatus with up to 16 french and placed a 12 french foley. on , the patient was brought to the operating room for coronary artery bypass grafting. please see the or report for full details. in summary, the patient has cabg times three with the lima to the lad, saphenous vein graft to pda and saphenous vein graft to om. his bypass time was 68 minutes with a cross-clamp time of 46 minutes. he tolerated the operation well, was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, the patient's rate was 89 beats per minute. he had a mean arterial pressure of 78 with a cvp of 8.0. he had propofol at 20 mcg/kg/min, epinephrine at 0.03 mcg/kg/min and lidocaine at 2 mg per minute. in the immediate postoperative period, the patient had a low cardiac index and was therefore begun on a milrinone infusion following which the patient improved hemodynamically. he remained intubated throughout the evening of his operative day. on postoperative day one, his sedation was weaned. he was weaned from the ventilator and attempts at extubation caused some hypoxia following which a pulmonary consult was obtained. pulmonary's recommendation was to begin on iv steroids, to decrease his peep and fio2 as tolerated. postoperative day two, the patient was hemodynamically stable. his blood gases had improved dramatically. his peep was weaned as was his of fio2 and he was successfully extubated. following extubation, the patient was awake, alert and oriented, following commands and moving all extremities. his speech was clear. while the patient was having a conversation with the pulmonary service, he became unresponsive, not withdrawing to painful stimuli. also noted to be pursed-lip breathing. pupils were equal and reactive at that time. he was immediately seen by the neurology service and was transported to mri for scanning. mri revealed a small stroke. the neurology service is aware and they are also questioning whether the patient had seizure activity and was postictal, this being the reason for his unresponsiveness. by the time the patient returned from mri, he was again alert, responsive and moving all extremities. additionally, the patient was noted to have some periods of atrial fibrillation during postoperative day two for which an amiodarone infusion was begun. following his neurological event, the patient was begun on heparin and coumadin as well and was discontinued. for the next several days, the patient was monitored in the cardiothoracic intensive care unit. on postoperative day six, the patient was ultimately transferred from the csru to 520 for continuing postoperative care and cardiac rehabilitation. once on the floor, the patient had an uneventful hospitalization. his activity level was advanced with the assistance of the nursing staff and physical therapy. his medication regime was refined and on postoperative day nine, it was decided that the patient was stable and ready to be discharged to rehabilitation. at the time of this dictation, the patient's physical exam is as follows. vital signs: temperature 97.4, heart rate 84, sinus rhythm, blood pressure 129/44, respiratory rate 20, o2 sat 93 percent on room air, weight preoperatively 97.7 kg, at discharge 98.1 kg. laboratory data: white count 16, hematocrit 32, platelets 360, pt 16.1, inr 1.6, sodium 141, potassium 4.3, chloride 103, co2 of 22, bun 44, creatinine 1.4. physical exam: neuro: alert and oriented times three, moves all extremities, follows commands. respiratory: clear to auscultation bilaterally. cardiovascular: regular rate and rhythm, s1 and s2. sternum is stable. incision with steri- strips open to air, clean and dry. abdomen: soft, nontender, nondistended with positive bowel sounds. extremities are warm and well-perfused with one plus edema bilaterally. left leg saphenous vein graft harvest site with steri-strips open to air, clean and dry. condition on discharge: good. discharge diagnoses: cad status post coronary artery bypass grafting times three with the lima to the lad, saphenous vein graft to the pda and saphenous vein graft to the om. pvd. skin ca. copd. disposition: the patient is to be discharged to rehab. follow up: he is to have follow-up with dr. and 3-4 weeks, follow-up with dr. in 4 weeks, follow-up with dr. in weeks following his discharge from rehabilitation and follow-up with dr. in weeks. discharge medications: 1. colace 100 mg b.i.d. 2. aspirin 81 mg once daily. 3. coumadin, take as directed with a goal inr of . patient's last 4 days of coumadin dosing have been 5, 5, 2, 5. 4. additionally, the patient is to receive percocet 5/325, 1- 2 tablets q. 4 hours p.r.n. 5. albuterol mdi 2 puffs q 4 hours. 6. keppra 1 gram b.i.d. 7. pantoprazole 40 mg once daily. 8. diltiazem extended release 240 mg once daily. 9. lasix 20 mg once daily. 10. potassium chloride 20 meq once daily. 11. amiodarone 400 mg b.i.d. times one week, then 400 mg once daily times one week, then 200 mg once daily. , m.d. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries non-invasive mechanical ventilation arteriography of cerebral arteries transfusion of packed cells dilation of urethra continuous intra-arterial blood gas monitoring diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified atherosclerosis of native arteries of the extremities with intermittent claudication atrial fibrillation acute myocardial infarction of other inferior wall, initial episode of care iatrogenic cerebrovascular infarction or hemorrhage redundant prepuce and phimosis occlusion and stenosis of carotid artery with cerebral infarction 

Answer: The patient is high likely exposed to