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: the patient is an 82-year-old male with a history of coronary artery disease, hypertension and elevated cholesterol and diabetes. he had a previous myocardial infarction in with presentation of angina, nausea and syncope. the patient has done well since then with no further anginal events until approximately three or fourth months ago when he experienced occasional epigastric discomfort. these episodes of discomfort were accompanied by mild shortness of breath with no nausea, vomiting or diarrhea. on , the patient said he had several episodes of diarrhea and later in the day nausea and fatigue. he passed out at the dinner table with loss of consciousness estimated to be several seconds. the patient denied chest pain or pressure, shortness of breath, palpitations, lightheadedness and dizziness prior to passing out. after that event, the patient was taken to where he ruled in for non st elevation myocardial infarction with a positive troponin of 2.9 and mb fraction of 10. echocardiogram demonstrated ejection fraction of 60% and 1+ mitral regurgitation as well as basal inferior wall akinesis. the patient is now referred for cardiac catheterization. past medical history: 1. coronary artery disease 2. prostate cancer treated with radiation in 3. type ii diabetes mellitus 4. hypercholesterolemia 5. hypertension past surgical history: 1. abdominal aortic aneurysm repair in 2. left cataract surgery medications: 1. cardizem 2. allopurinol 100 mg qd 3. micronase 5 mg 4. glucophage 1000 mg 5. aspirin 325 mg qd allergies: niacin causes severe flushing. physical examination: general: the patient is an elderly man in no acute distress. appears younger than stated age. vital signs: stable, afebrile. height is 5 foot 6 inches, weight 158 pounds. head, ears, eyes, nose and throat: normocephalic, atraumatic. extraocular muscles are intact. pupils equal, round and reactive to light. anicteric. throat is clear. neck: supple, midline with no masses or lymphadenopathy. chest: clear to auscultation bilaterally. cardiovascular: regular rate and rhythm with no murmur, rub or gallop. abdomen: soft, nontender, nondistended with no masses or organomegaly. extremities: warm, non cyanotic with trace pedal edema. there are some venostasis changes in bilateral lower extremities. neurologic: grossly intact. admission labs: hematocrit 37.2, platelets 167. chemistries: sodium 142, potassium 4.5, bun 17, creatinine 1.1. inr is 1.0. hospital course: the patient was admitted for cardiac catheterization which was performed on and revealed diffuse three vessel coronary artery disease and a normal ejection fraction of approximately 59%. cardiac surgery consultation was obtained which recommended urgent revascularization procedure. on , the patient was taken to the operating room and had a coronary artery bypass graft x2 with left internal mammary artery to the lad, saphenous vein graft to the om. the patient tolerated the procedure well and without complication. postoperatively, the patient was extubated on postoperative day #0. on the evening of postoperative day #1, the patient went into atrial fibrillation with rapid response. the patient was given an amiodarone bolus and an amiodarone drip was started. the patient converted to normal sinus rhythm on the morning of postoperative day #2. the patient was subsequently transferred to the floor on postoperative day #3. the remainder of his stay was largely unremarkable. he was noted to have some drainage from his right saphenous vein graft harvest site. jp had been placed interoperatively and once this had been removed, there was copious serosanguinous drainage from the old jp site. this was treated conservatively with an ace wrap and dry sterile dressings prn. on the evening of postoperative day #5, a single 2-0 silk stitch was placed in the jp site to close it. this decreased the amount of drainage. of note, the patient was also transfused on postoperative day #4 for a hematocrit of 27.6. physical therapy had worked with the patient and recommended rehabilitation placement for him. ultimately, the patient was discharged on postoperative day #6 tolerating a regular diet and had adequate pain control on po pain medications and having no anginal symptoms or anginal equivalents. discharge physical examination: general: no acute distress. vital signs: 97.2??????, heart rate 61, blood pressure 127/71, respirations 20, 97% on 3 liters. chest: clear to auscultation bilaterally. there is no sternal click or drainage from the sternal incision. cardiovascular: regular rate and rhythm. extremities: notable for 1+ peripheral edema. as mentioned in the hospital course, there is a small jp site which has been stitched closed in the right leg. there continues to be serosanguinous drainage from this old jp site. there is no significant erythema or any exudate. discharge condition: good disposition: rehabilitation facility diet: cardiac and diabetic discharge medications: 1. lopressor 25 mg 2. aspirin 325 mg qd 3. lasix 40 mg x7 days 4. potassium chloride 20 milliequivalents x7 days 5. allopurinol 100 mg qd 6. metformin 500 mg 7. glyburide 2.5 mg 8. percocet 5/325 1 to 2 q4h prn 9. colace 100 mg discharge instructions: the patient is discharged to rehabilitation facility. he should continue with incentive spirometry and ambulation prn. physical therapy to work with him for gait training, endurance and mobility. the patient should have a dry sterile dressing to the right leg jp site prn. elevate legs on two pillows while sleeping and elevate legs in chair when in chair. the patient should have the stitch removed from his right leg in 10 to 14 days. follow up with cardiology in one to two weeks time, address need for continuing diuresis as well as adjustment of cardiac medications at that time. the patient should follow up with dr. in six weeks. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization (aorto)coronary bypass of one coronary artery diagnoses: 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 cardiac complications, not elsewhere classified atrial fibrillation family history of ischemic heart disease subendocardial infarction, subsequent episode of care aortic aneurysm of unspecified site without mention of rupture 

Answer: The patient is high likely exposed to