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 a 48-year-old man who was referred for cardiac catheterization on . patient has a strong family history of premature cardiac disease. his father died suddenly from cardiac disease at age 51 along with his grandfather who had his first myocardial infarction in his 50s, dying at age 62. patient's past medical history is also significant for hypertension and hypercholesterolemia. patient had reported only atypical chest discomfort which did not occur with exertion. he denied any symptoms of claudication, orthopnea, edema, paroxysmal nocturnal dyspnea, lightheadedness or palpitations. patient underwent a treadmill stress echocardiogram on during which patient experienced no anginal symptoms. however, electrocardiogram at peak exercise showed . depressions in v5, v6, were resolving by two minutes into recovery. the anterior septum was hypokinetic and the anterior free wall became hypokinetic with exercise. final interpretation of the echocardiogram was consistent with evidence of prior myocardial injury with inducible ischemia at an achieved work load. patient then underwent cardiac catheterization on . cardiac catheterization revealed three vessel coronary artery disease. the left anterior descending was calcified with serial lesions in the proximal mid and distal segments, the proximal lesion was 70%, mid lesion was 60%, 60% lesion in the distal segment. small diagonal branch had an 80% proximal lesion, left circumflex had a proximal 40% lesion, and discrete 80% lesion distal to the take-off of the om1. the left posterior descending artery was occluded and filled the right to left collateral from the right coronary artery. the right coronary artery was a small nondominant vessel with the diffuse disease of approximately 60% throughout the vessel. ejection fraction was 56% with anterolateral hypokinesis and normal wall motion in the remaining segments. past medical history: significant for peptic ulcer disease, depression and chronic back pain. past surgical history: significant for a laminectomy in and a spinal fusion of l4-l5 in . patient's medications prior to admission: enteric coated aspirin 81 mg po q.h.s., lipitor 10 mg po q.h.s., univasc 15 mg po q.d., nortriptyline 150 mg po q.d., multivitamin and vitamin e 400 iu q.d. hospital course: the patient underwent an off-pump coronary artery bypass graft times three with a left internal mammary artery to the left anterior descending and then a left internal mammary artery to left radial t to the om1 and om2. the patient tolerated the procedure well and was transferred to the cfru on nitroglycerin, propofol and phenylephrine drips. overnight, the patient had a large amount of urine output, up to 700 cc per hour along with tachycardia and blood pressures in the 80s to 90s. patient, on postoperative day number one, was on a neo-synephrine drip at 2.5 mg/kg/minute and a nitroglycerin drip 0.25 for his radial artery. the patient was started on aspirin, plavix and imdur. his urine output was replaced cc for cc with lactated ringer's. his hematocrit on postoperative day number one was 21.8 which was likely delusional to his large fluid requirement overnight. he did not receive any blood transfusions at this point and his hematocrit was followed and remained stable throughout his hospital course. his neo-synephrine drip was weaned off by postoperative day number two, however, he continued to have a large urine output and a large fluid requirement. he was tachycardic into the one teens to 120s in a sinus rhythm and his hematocrit on postoperative day number two was 23. patient was transferred to the floor on postoperative day number two. he was started on imdur, plavix, aspirin and lopressor. his mediastinal tubes were discontinued without complication. on postoperative day number three, his urine output progressively decreased and his foley catheter was discontinued. his heart rate continued to remain around 100 to 115. his lopressor dose was increased. his blood pressure remained stable. he was ambulating well with physical therapy and his chest tubes were discontinued. on postoperative day number four, the patient continued to do well. his heart rate improved to 90-100 with an increased dose of lopressor. his blood pressure remained stable. he did have a slight fever to 101.1. a urinalysis at this point was negative and his chest x-ray was clear. the patient is being discharged on postoperative day number five in good condition. his lopressor dose was increased to 75 mg po b.i.d. for heart rate control. according to the patient, his baseline heart rate is around 100 secondary to nortriptyline. on discharge, patient is in no apparent distress. his heart is regular. his lungs are clear. his abdomen is soft. his extremities are warm. his left forearm incision from his radial harvest site has some erythema that is likely secondary to a tape reaction, however, the patient will be started on doxycycline 250 mg po q.i.d. for a ten day course. the patient has been instructed to call or return to the emergency department for worsening erythema, swelling or drainage from this wound. his chest wound is clean, dry and intact with no drainage and the sternum is stable. patient's medications on discharge: 1. doxycycline 250 mg po q.i.d. times ten days. 2. lopressor 75 mg po b.i.d. 3. aspirin 81 mg po q.d. 4. plavix 75 mg po q.d. 5. imdur 60 mg po q.d. 6. colace 100 mg po b.i.d. 7. nortriptyline 150 mg po q.d. 8. lipitor 10 mg po q.h.s. 9. dilaudid 2 mg po q. 4-6 hours prn for pain. discharge condition: patient is being discharged to home in good condition. follow-up: he is to follow-up in one month with dr. , as well as his primary care physician, . , in and his cardiologist, dr. . , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass (aorto)coronary bypass of one coronary artery other bypass anastomosis for heart revascularization diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled family history of ischemic heart disease 

Answer: The patient is high likely exposed to