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: a 61-year-old man with no history of documented coronary artery disease in his usual state of health until four days prior to admission when he had chest pain which he felt was gas in the epigastric area with no radiation. when it occurred, it was 2 to . today, on presentation, it is 7 to . he noticed the pain today while he was sitting watching tv. tried maalox and tums with little relief. walking upstairs made it worse and it has been continuous since four days prior to this admission. the patient has been able to sleep, but he wakes up coughing and has the pain present when he does wake up. the patient had a similar episode in although at that time he did not have a myocardial infarction. he feels that his chest pain is worse today than in the past. past medical history: 1. diabetes mellitus since 2. status post appendectomy since 3. hypercholesterolemia 4. hernia noted in with no planned therapy. family history: mother died of an myocardial infarction. his brother died of lung ca. social history: lives in at the trust house. tobacco history - two packs per day x40 years. medications: 1. glyburide 10 mg 2. another diabetic medication unnamed 500 mg twice a day 3. lipitor 10 mg once a day allergies: he has no known drug allergies. physical exam: vital signs: heart rate 90, blood pressure 91/58, respiratory rate 15, o2 saturation 95% on 2 liters nasal prongs. general: no acute distress, lying in bed, somewhat disturbed. head, ears, eyes, nose and throat: pupils equally round and reactive to light with extraocular movements intact. no icterus. neck: supple with no jugular venous distention, no bruits. chest: crackles at the bases. heart: regular rate and rhythm, small systolic murmur. abdomen: large ventral hernia, positive bowel sounds, guaiac negative. extremities: 1+ edema at the knees. neurologic: alert and oriented x3 with a knot effect. vascular: faint dorsalis pedis pulses. labs: sodium 142, potassium 4.4, chloride 105, co2 24, bun 15, creatinine 0.8, glucose 280, ck 142, mb 4, troponin 1, troponin i 2.6. white count 15.1, hematocrit 42.8, platelets 333. pt 13.5, ptt 28.4, inr 1.3. electrocardiogram showed sinus tachycardia at 141, 5?????? axis, v1 through 3 with elevation. v2, 3 and f with 1 to depression. t-waves are inverted in 1, l and v6. chest x-ray is significant for mild congestive heart failure and questionable left sided effusion. hospital course: the patient was treated in the emergency room with integrilin, intravenous nitroglycerin, aspirin, lopressor and intravenous lasix and following stabilization, he was brought to the cardiac catheterization lab. please see catheter report for full details. in summary, the catheter showed lad with 90% lesion, left circumflex with a 90% lesion and an rca with an 80% lesion. the patient's ejection fraction was estimated at 10% to 15%. he had an intra-aortic balloon pump placed in the cardiac catheterization lab and he was transferred to the coronary care unit. cardiothoracic surgery was consulted. the patient was accepted for coronary artery bypass grafting and on the following day he was brought to the operating room where he underwent coronary artery bypass grafting. please see the operating room report for full details. in summary, the patient had a coronary artery bypass graft x4 with a left internal mammary artery to the lad, saphenous vein graft to d1, saphenous vein graft to distal lad and saphenous vein graft to the rca. he tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, the patient had an oximetric swan and intra-aortic balloon pump. he was on a levophed drip, milrinone drip, a .............. drip, dobutamine drip, insulin drip, propofol drip and amiodarone drip. the intra-aortic balloon pump was at 1 to 1. in the immediate postoperative period, the patient was noted to have a significant amount of bleeding from his chest tubes. he returned to the operating room at 1:30 on the day of his surgery for re-exploration due to the mediastinal bleeding. no obvious bleeding site was found. the patient returned from the operating room to the cardiothoracic intensive care unit after an intraoperative bronchoscopy which removed several large mucous plugs. on postoperative day #1, the patient's sedation was discontinued. he was successfully weaned from the ventilator and extubated. in addition, his pressor requirement was significantly reduced. his dobutamine was weaned to off. his milrinone was also weaned to off and his levophed requirement was significantly diminished. on postoperative day #2, the patient continued to do well. he remained hemodynamically stable. his intra-aortic balloon pump was weaned to off and discontinued. following removal of the intra-aortic balloon pump, the patient's chest tubes were also removed. the patient remained in the intensive care unit due to the need for aggressive pulmonary toilet. over the next two days, the patient continued to be weaned from the remainder of his cardioactive drugs. he continued to receive aggressive pulmonary toilet in the cardiothoracic intensive care unit. he remained hemodynamically stable. on postoperative day #5, his pulmonary condition had improved sufficiently and he was transferred to six for continuing postoperative care and cardiac rehabilitation. over the next several days, the patient's activity level was increased with the assistance of the nursing staff and physical therapy. on postoperative day #10, it was deemed that the patient was stable and ready to be transferred to cardiac rehabilitation for continuing postoperative care. at the time of transfer, the patient's physical exam was as follows: vital signs: temperature 98.9??????, heart rate 63 sinus rhythm, blood pressure 109/65, respiratory rate 20, o2 saturation 93% on room air. weight preoperatively is 102 kg, at discharge is 104 kg. discharge lab data: white count 12.7, hematocrit 27.9, platelets 417. sodium 139, potassium 4.8, chloride 101, co2 28, bun 14, creatinine 0.8, glucose 122. physical exam: neurologic: alert and oriented x3, moves all extremities, conversant. respiratory: clear to auscultation bilaterally. heart sounds regular rate and rhythm, s1, s2, no murmur noted. sternum: stable. incision with staples open to air, clean and dry with mild staple reaction. abdomen: soft, nontender, positive bowel sounds, large ventral hernia. extremities: warm and well perfuse with minimal pedal edema, bilateral saphenous vein graft sites with steri-strips open to air. bilateral upper thigh ecchymotic areas. right upper thigh incision with a small amount of serous drainage. discharge medications: 1. furosemide 20 mg qd x2 weeks 2. potassium chloride 20 milliequivalents qd x2 weeks 3. aspirin 325 mg qd 4. metoprolol 25 mg 5. atorvastatin 10 mg qd 6. amiodarone 400 mg through , then qd 7. ranitidine 150 mg 8. colace 100 mg 9. glyburide 10 mg 10. regular insulin sliding scale 11. percocet 5/325 2 tablets q4h prn discharge diagnoses: 1. coronary artery disease, status post coronary artery bypass graft x4 with left internal mammary artery to the lad, saphenous vein graft to d1, saphenous vein graft to distal lad and saphenous vein graft to rca 2. diabetes mellitus type ii 3. hypercholesterolemia 4. ventral hernia 5. status post appendectomy discharge condition: good discharge status: he is to be discharged to rehabilitation. he is to have follow up with dr. in three to four weeks and follow up with his primary care physician three to four weeks after discharge from the rehabilitation center. , m.d. dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries 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 fiber-optic bronchoscopy incision of mediastinum implant of pulsation balloon nonoperative removal of heart assist system diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified cardiac complications, not elsewhere classified atrial fibrillation other specified forms of chronic ischemic heart disease hemorrhage complicating a procedure cardiogenic shock 

Answer: The patient is high likely exposed to