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 63-year-old male with coronary artery disease, status post cabg in , who presented for elective cath status post positive stress test. the patient had an exercise stress test in which revealed reversible ischemia in inferolateral wall. initially, plan was for cta to further evaluate but study would have been limited secondary to patient's pacer. it was decided that patient would proceed with cardiac cath. the patient has been completely asymptomatic for the last several months. no chest pain. no shortness of breath. no pnd, fever, orthopnea, change in bowel or urinary function. past medical history: 1. coronary artery disease, status post cabg x 4 in . 2. dual-lead pacer in for symptomatic bradycardia. 3. cardiac cath in with 60% to 70% lad, 100% left circumflex, 50% lad, 80% rca. 4. hypertension. 5. cva (). 6. non-insulin-dependent diabetes mellitus. 7. colonoscopy in within normal limits. 8. hyperlipidemia. outpatient medications: pravachol, avapro, metformin, hydrochlorothiazide, plendil, avandia, metoprolol, zetia, ecotrin. allergies: nkda. physical examination at presentation: vitals: 97.2, bp 103/65, hr 80, rr 18, pulse oximetry 98% on room air. general: alert and oriented x 3, in no apparent distress. heent: oral mucous membranes moist and clear. pupils equal, round, and reactive to light. cardiovascular: regular rate and rhythm. no murmurs, rubs, or gallops. no jvd. no carotid bruits. clear to auscultation bilaterally. abdomen: obese, palpable/reducible direct hernia, soft/nontender, positive bowel sounds. extremities: trace lower extremity edema, 2+ dorsalis pedis pulses bilaterally. hospital course: a 63-year-old male who presented for elective cath which was complicated by a thrombus in the svg/acute chest pain observed in ccu, after stabilization he was transferred to the floor: 1. coronary artery disease: the patient presented initially for elective cath. he was status post stenting of the svg graft to om. this was complicated by distal embolization to the svg and acute mi with a peak ck of 669. the patient was continued on ecotrin, plavix, , statin. the patient's beta blocker was titrated up for better heart rate and blood pressure control. 2. chronic renal insufficiency: patient's baseline creatinine 1.5, acute renal failure with creatinine of 1.6; likely prerenal in the setting of nausea and vomiting. patient was encouraged to increase p.o. intake and had improvement of his creatinine. 3. arrhythmia: patient with symptomatic bradycardia, status post dual-lead pacer. patient also with a history of intermittent runs of vt up to 20 beats. patient was monitored on telemetry, and lytes were repleted aggressively without event. 4. anemia: the patient's hematocrit was drifting down and then stabilized. he was guaiac negative. a ct was negative for retroperitoneal bleed. he did receive 1 unit before transfer to the floor. 5. non-insulin-dependent diabetes mellitus: the patient was monitored with q.i.d. fingerstick glucoses. his metformin and rosiglitazone were held for cath, and he was placed on a regular insulin sliding scale with good glucose control. 6. disposition: patient was discharged to home shortly after his transition from the ccu to the floor in extremely good condition. patient was asymptomatic and well appearing at the time of discharge. discharge diagnoses: 1. coronary artery disease. 2. saphenous vein graft to posterior descending artery stent complicated by non-st-elevation myocardial infarction. 3. acute renal failure. 4. suprapatellar bursitis. 5. anemia. 6. hypertension. 7. diabetes. medications on discharge: pravastatin, hydrochlorothiazide, felodipine, ezetimibe, aspirin, clopidogrel, dicloxacillin, valsartan, nitroglycerin, atenolol, rosiglitazone. followup: patient was instructed to follow up with dr. , his cardiologist, in 2 to 4 weeks after time of discharge. he had an appointment with dr. on tuesday, , at 2:30 p.m. for further evaluation and a repeat serum creatinine check. , md procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization transfusion of packed cells insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia acute kidney failure with lesion of tubular necrosis unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled coronary atherosclerosis of autologous vein bypass graft paroxysmal ventricular tachycardia other drugs and medicinal substances causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to