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 66-year-old male with known coronary artery disease, status post percutaneous transluminal coronary angioplasty in and in , who presented to an outside hospital with 10/10 chest pain with electrocardiogram changes of st depressions in leads v3, v4, and v5 with t wave inversions. the patient reportedly continued to have unstable angina despite being on an heparin and nitroglycerin drips. the patient did recently have a cardiac catheterization and stent in but did not undergo operative management at that time secondary to improvement of his symptoms. the patient is now transferred to the for management in the coronary care unit setting and possible revascularization procedure. the patient currently denies chest pain and shortness of breath. past medical history: 1. inferior myocardial infarction. 2. anxiety. 3. bilateral leg neuropathy. 4. coronary artery disease; status post stenting in and . 5. mitral regurgitation of 3 to 4+. 6. transient ischemic attack. medications on admission: 1. lisinopril 40 mg p.o. q.d. 2. isosorbide dinitrate 5 mg p.o. q.i.d. 3. nitroglycerin patch 0.4 mg q.d. 4. omega 1000 mg p.o. q.d. 5. ibuprofen 400 mg p.o. b.i.d. 6. folic acid 400 mcg p.o. q.d. 7. aspirin 162 mg p.o. q.d. 8. atenolol 50 mg p.o. q.d. 9. zocor 20 mg p.o. q.d. 10. paxil 10 mg p.o. q.d. 11. serax 10 mg p.o. b.i.d. and 20 mg p.o. q.h.s. 12 plavix 75 mg p.o. q.d. allergies: allergy to nortriptyline. physical examination on presentation: general physical examination revealed the patient was an elderly male who was quite anxious and in no acute distress. vital signs were stable, afebrile. oxygen saturation was 96% on room air. head, eyes, ears, nose, and throat examination revealed normocephalic and atraumatic. pupils were equal, round, and reactive to light. extraocular movements were intact. sclerae were anicteric. the throat was clear. the neck was supple, midline. no masses or lymphadenopathy. the chest was clear to auscultation bilaterally. cardiovascular examination revealed a regular rate and rhythm without appreciable murmur. the abdomen was soft, nontender, and nondistended and without masses or organomegaly. extremities were warm. no cyanosis and no edema times four. neurologic examination was grossly intact. pertinent laboratory values on presentation: laboratories on admission revealed complete blood count with a white blood cell count of 9.1, hematocrit was 40.5, and platelets were 204. chemistry-7 revealed sodium was 137, potassium was 3.9, chloride was 103, bicarbonate was 24, blood urea nitrogen was 21, creatinine was 1.1, and blood glucose was 96; 8.8, 2, 4.5. prothrombin time was 13.8, inr was 1.3, partial thromboplastin time was 88.4. hospital course: the patient was initially admitted for management of his unstable angina and coronary artery disease. the patient was transferred directly the coronary care unit on heparin and nitroglycerin drips. revascularization was initially planned for the day of transfer (on ) but because of a recent infusion of integrilin with plavix, the decision was made to delay the surgery until . the patient remained hemodynamically stable and without events until his surgery was performed on . at that time, the patient was to the operating room and underwent coronary artery bypass graft times four with left internal mammary artery to the left anterior descending artery, saphenous vein graft to the obtuse marginal, diagonal, and descending right coronary artery. the patient also had a 28-mm mitral ring placed for his failing mitral valve. postoperatively, the patient was taken to the cardiothoracic surgery recovery unit for closer monitoring. on postoperative day one, the patient was extubated. he remained av paced in the 90s with an underlying rhythm in the 50s. otherwise, the patient had an uneventful stay in the intensive care unit. on postoperative day three, the patient was transferred to the floor without event. his floor stay was unremarkable, and the patient continued to work with physical therapy in order to regain his strength. discharge disposition: ultimately, the patient was discharged to home on postoperative day five; tolerating a regular diet, in adequate pain control on oral pain medications, and having no further anginal symptoms. the patient was cleared for home by physical therapy. condition at discharge: condition on discharge was good. discharge status: discharge status was to home. discharge diet: cardiac diet. medications on discharge: 1. lopressor 12.5 mg p.o. b.i.d. 2. lasix 20 mg p.o. b.i.d. (times seven days). 3. potassium chloride 20 meq p.o. b.i.d. (times seven days). 4. aspirin 325 mg p.o. q.d. 5. colace 100 mg p.o. b.i.d. 6. percocet 5/325 one to two tablets p.o. q.4h. as needed. 7. prozac 10 mg p.o. q.d. 8. captopril 25 mg p.o. t.i.d. 9. serax 10 mg p.o. t.i.d. and 20 mg p.o. q.h.s. 10. ibuprofen 800 mg p.o. q.8h. die instructions/followup: 1. the patient was to follow up with cardiology in one to two weeks to address the need for diuresis as well as for adjustment of cardiac medications at that time. 2. the patient was to follow up with dr. in four weeks' time. 3. the patient was encouraged to continue ambulation as well as incentive spirometry. , 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 open heart valvuloplasty of mitral valve without replacement diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome mitral valve disorders percutaneous transluminal coronary angioplasty status anxiety state, unspecified old myocardial infarction 

Answer: The patient is high likely exposed to