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: this is a 51 year old gentleman with a history of coronary artery disease, status post inferior myocardial infarction and stents times two who on the day of admission began having left chest pain around 11 am. the pain began at rest. he described the pain as , aching and dull, worse with tensing his pectoralis muscles but also says he has shortness of breath and numbness in both arms. this is unlike his typical angina which is described as more of a chest tightness. the patient had recently had a cardiac catheterization on which revealed 70 to 80% stenosis of the left main coronary artery. the left anterior descending had mild to moderate diffuse disease. the left circumflex artery had mild disease and there was 30% in-stent restenosis of the obtuse marginal. the right coronary artery had insignificant disease and the stent was patent. the patient had been scheduled for an elective coronary artery bypass graft with dr. for . past medical history: 1. coronary artery disease, inferior myocardial infarction on , stent to obtuse marginal , stents to right coronary artery , cardiac catheterization , see history of present illness for details. 2. hypertension. 3. hypercholesterolemia. 4. diabetes for the past five years. medications on admission: 1. aspirin 325 mg p.o. q. day 2. vitamin e 3. folate 4. lopressor 50 mg p.o. b.i.d. 5. metformin 1000 mg p.o. b.i.d. 6. lipitor 20 mg p.o. q.d. 7. zestril 10 mg p.o. q.d. 8. glucotrol xl 10 mg p.o. q.d. social history: history of tobacco, claims she quit one month. history of alcohol use, questionable amount. family history: denies family history of coronary artery disease, hypertension or diabetes. physical examination: examination on admission revealed vital signs of pulse 85, blood pressure 137/80, 15, 97% on room air. general, pleasant, well appearing gentleman appearing his stated age. head, eyes, ears, nose and throat shows pupils equal, round and reactive to light. extraocular muscles intact. moist mucous membranes. neck, no bruits, no lymphadenopathy. cardiovascular, regular rate and rhythm, no murmur. pulmonary clear to auscultation bilaterally. abdomen soft, nontender, nondistended. normoactive bowel sounds. rectal, coag negative. extremities, no bruits, no edema and 2+ pulses in all extremities. neurological, cranial nerves ii through xii intact. motor in all four extremities. alert and oriented times three. hospital course: the patient was admitted to the and ruled out for myocardial infarction by serial enzymes. on the day following admission the patient went to the operating room where he had a coronary artery bypass graft times four. he had left internal mammary artery anastomosed to the left anterior descending, saphenous vein graft to obtuse marginal, saphenous vein graft to the diagonal, saphenous vein graft to the posterior descending artery. dr. was the surgeon of record. please see previously dictated operative note for more details. the patient tolerated the procedure well. the patient was transferred from the operating room to the cardiac surgery recovery unit in stable condition. he was left intubated and was on propofol drip on arrival to the cardiac surgery intensive care unit. the night of operation he was extubated without incident and weaned off of neosynephrine which he needed for blood pressure support. his hematocrit was 19.5 and he was transfused 2 units of packed red blood cells. on postoperative day #1 the patient was transferred from the intensive care unit to the patient care floor. his repeat hematocrit after 2 units had gone from 19.5 to 23.7 and therefore he was given a third unit of packed red blood cells. after this his hematocrit went to 25.3. the patient remained stable during his hospital course. his sternal wires, chest tube and foley catheter were all removed without incident. unfortunately upon removal of his foley catheter the patient was unable to void and required to be straight cathed times one. he had residual volume of roughly 300 cc. the catheter was removed and he was able to void several hours later spontaneously. by postoperative day #5, the patient was ambulating and cleared by physical therapy to be discharged to home. pain was controlled on oral medications and he was voiding without problems. discharge disposition: home. discharge diagnosis: status post coronary artery bypass graft, four vessels. discharge medications: 1. lopressor 50 mg p.o. b.i.d. 2. lasix 20 mg p.o. b.i.d. times one week 3. kayciel 20 meq p.o. b.i.d. times one week 4. colace 100 mg p.o. b.i.d. while on percocet 5. enteric coated aspirin 325 mg p.o. q.d. 6. glucotrol 10 mg p.o. q.d. 7. lipitor 20 mg p.o. q.d. 8. glucophage 1000 mg p.o. b.i.d. 9. lopressor 50 mg p.o. b.i.d. 10. ibuprofen 400-600 mg p.o. q. 4-6 hours prn 11. percocet one tablet p.o. q. 4-6 hours prn follow up: the patient will see dr. , his primary care physician in three weeks. the patient will see dr. back at in three to four weeks. , 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 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 personal history of tobacco use percutaneous transluminal coronary angioplasty status old myocardial infarction retention of urine, unspecified 

Answer: The patient is high likely exposed to