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: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: as per notes, mr is a 75-year-old man w a history of hypertension, hyperlipidemia, diabetes and cad, s/p cabg in the ??????s and stenting in , who was recently diagnosed with carotid artery disease after pcp detected bruit. diagnostic carotid angiography revealed stenosis. admitted to for treatment, carotid angiography done and xact carotid stent placed in the r ica w no residual stenosis in the stent, no dissection and normla flow. . on transfer to the floor, pt comfortable no complaints. no headache, dizziness, chest pain, shortness of breath, no groin pain. . pt denies any prior history of stroke or tia, and denies any specific neurologic symptoms. pt describes occasional exertional angina, relived with sl nitroglycerin. he also describes bilateral leg discomfort with walking less than one mile. cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. . major surgical or invasive procedure: right carotid artery stenting history of present illness: as per notes, mr is a 75-year-old man w a history of hypertension, hyperlipidemia, diabetes and cad, s/p cabg in the ??????s and stenting in , who was recently diagnosed with carotid artery disease after pcp detected bruit. diagnostic carotid angiography revealed stenosis. admitted to for treatment, carotid angiography done and xact carotid stent placed in the r ica w no residual stenosis in the stent, no dissection and normla flow. . on transfer to the floor, pt comfortable no complaints. no headache, dizziness, chest pain, shortness of breath, no groin pain. . pt denies any prior history of stroke or tia, and denies any specific neurologic symptoms. pt describes occasional exertional angina, relived with sl nitroglycerin. he also describes bilateral leg discomfort with walking less than one mile. cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. . past medical history: 1. cardiac risk factors: +diabetes, +dyslipidemia, +hypertension 2. cardiac history: -cabg: -percutaneous coronary interventions: stenting in -pacing/icd: none 3. other past medical history: myocarditis- age 28 mi age 61, s/p cabg in at hospital (no specifics) coronary stenting at age 70 at le claudication hypertension bilateral carotid artery disease diabetes type ii borderline elevated cholesterol remote bowel obstruction, s/p surgery remote hemorrhoidectomy retrieval of kidney stones gerd mild prostatism admit to with small bowel obstruction mild emphysema per patient report abdominal hernia per patient report occasional vertigo social history: patient is married. and lives with his wife. one daughter who works as a nurse . occupation: retired heavy equipment operator contact person upon discharge: (son in law): -home, cell: . no alcohol. family history: mother with heart problems- no specifics. several siblings also with heart issues- no details physical exam: vs: 96.5, 95/45, 50, 14, 95% ra general: elderly heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 7 cm. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. groin dressing c/d/i. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: admission labs: 10:45am wbc-6.3 rbc-4.26* hgb-12.7* hct-35.6* mcv-84 mch-29.8 mchc-35.7* rdw-14.9 10:45am neuts-76.5* lymphs-16.5* monos-4.4 eos-1.7 basos-0.8 06:06am blood glucose-116* urean-26* creat-1.5* na-139 k-3.7 cl-103 hco3-30 angap-10 cardiac enzymes: 10:03pm blood ck-mb-2 ctropnt-<0.01 10:45am blood ck-mb-2 06:06am blood ck-mb-2 ctropnt-<0.01 04:32pm blood ck-mb-2 ctropnt-<0.01 brief hospital course: 75m w dm2, htn, hl, cad (s/p cabg and pci), and carotid artery dz, now s/p r ica stenting for carotid stenosis. . # carotid stenosis: the patient was enrolled in the empire trial prior to uncomplicated r ica stent placement. there was an 80% proximal r ica stenosis immediately after the bifurcation. final angiography revealed no residual stenosis in the stent, no dissection and normal flow. the right femoral arteriotomy site was closed with a perclose device. he was subsequently on a nitroglycerin gtt titrated to sbp < 130. other blood pressure medications were held overnight for brief hypotension after the procedure and restarted in the morning. aspirin was increased to 325 mg daily and clopidogrel was continued. there were no neurologic deficits noted. . # bradycardia: patient was bradycardic to 40. atenolol was held. in conversation with his primary care physician, restarting the atenolol every other day, as the patient had been stable with this heart rate for years. . # coronaries: known coronary artery disease. aspirin and simvastatin were continued. cardiac enzymes were cycled and were negative. nifedipine, atenolol, and clonidine were resumed upon discharge. . # pump: patient was apparently euvolemic. . # rhythm: he remained in sinus rhythm on telemetry. . # dm2: oral hypoglycemics were held and insulin sliding scale begun. home regimen was restarted prior to discharge. . # hypertension: patient had a history of hypertension, was initially slighltly hypotensive to sbp 90s after the procedure, but was hypertensive to sbp 140 the next day. nitroglycerin gtt was given and titrated to sbp <130. this was discontinued and his outpatient regimen restarted prior to discharge with sbp 120-130. . # hyperlipidemia: simvastatin was continued. medications on admission: nifedipine 90mg one tablet every morning omeprazole 20mg daily every morning atenolol 25mg half a tablet every morning flomax 0.4mg daily every evening clonidine 0.1mg one tablet every morning, 2 tablets every evening plavix 75mg daily every morning simvastatin 20mg daily every morning glipizide 5mg 2 tablets every morning, 1.5 tablets every evening aspirin 81mg daily every morning meclizine 25mg as needed nitroglycerin sl as needed discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. nifedipine 90 mg tablet sustained release sig: one (1) tablet sustained release po daily (daily). 3. clopidogrel 75 mg tablet sig: one (1) tablet po once a day. 4. glipizide 5 mg tablet sig: two (2) tablet po qam (once a day (in the morning)). 5. glipizide 5 mg tablet sig: 1.5 tablets po qpm (once a day (in the evening)). 6. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). 8. clonidine 0.1 mg tablet sig: one (1) tablet po qam (once a day (in the morning)). 9. clonidine 0.1 mg tablet sig: two (2) tablet po qpm (once a day (in the evening)). 10. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 11. atenolol 25 mg tablet sig: .5 tablet po every other day. discharge disposition: home discharge diagnosis: primary: carotid artery stenosis secondary: coronary artery disease, claudication, hypertension, type 2 diabetes mellitus discharge condition: stable, with bradycardia hr 40-45 discharge instructions: you were admitted to the hospital to have a stent placed in your carotid artery. you had a successful procedure and stent placement. you heart rate was low after the procedure, so your atenolol was stopped. also, your kidney function was slightly affected by the dye in the procedure. your primary care physician will need to check your blood test in a week to be sure that your kidney function is improving. your aspirin dose was increased. we spoke with dr. who would like you to continue taking atenolol every other day. otherwise, none of your medications was changed. please resume all of your home medications. please return to the emergency room if you have chest pain, shortness of breath, weakness or difficulty speaking, or other symptoms that are concerning to you. followup instructions: dr. office will be calling you on the morning of to arrange follow-up. if you don't hear from them that day, please call to arrange an appointment. we also made an appointment with dr. for you: tuesday, at 12:40 pm, procedure: arteriography of cerebral arteries percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified coronary atherosclerosis of unspecified type of vessel, native or graft aortocoronary bypass status peripheral vascular disease, unspecified percutaneous transluminal coronary angioplasty status occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia other specified cardiac dysrhythmias other specified surgical operations and procedures causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation personal history of urinary calculi 

Answer: The patient is high likely exposed to