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 71-year-old gentleman with a past medical history of hypertension and diabetes who presented to the hospital four days prior to admission complaining of intermittent substernal chest pain. the patient described the chest pain as being pressure-like pain around the sternum, the neck, and the left shoulder. the pain occurred at rest and lasting as long as 20 minutes at one point. the patient saw his primary care physician in the office and received an electrocardiogram which was reported as being abnormal. he was admitted to hospital and was ruled out for a myocardial infarction by cardiac enzymes. the patient underwent a myoview nuclear medicine study which showed a moderate septal inferoapical ischemia. the patient was transferred to on for further workup. past medical history: (the patient's past medical history is significant for) 1. type 2 diabetes mellitus for at least 10 years. 2. hypertension. 3. chronic obstructive pulmonary disease. 4. left carotid stenosis; status post carotid endarterectomy on . 5. gastroesophageal reflux disease. 6. hiatal hernia. allergies: the patient is allergic to penicillin. medications on admission: (medications at home included) 1. aspirin 325 mg by mouth once per day. 2. prozac 20 mg by mouth once per day. 3. protonix 40 mg by mouth once per day. 4. flovent 2 puffs inhaled twice per day. 5. lopressor 75 mg by mouth twice per day. 6. zestril 20 mg by mouth once per day. 7. albuterol 1 to 2 puffs inhaled q.4h. as needed. 8. glyburide 10 mg by mouth once per day. family history: the patient's family history is significant for a brother who had a myocardial infarction at the age of 59. social history: social history was significant for a history of 60-pack-year history of cigarette smoking. the patient quit five years ago. the patient denied alcohol use. physical examination on presentation: physical examination on admission revealed the patient was afebrile with a temperature of 95.5 degrees fahrenheit, his heart rate was 60, his blood pressure was 145/67, his respiratory rate was 20, and his oxygen saturation was 96% on room air. the patient's weight was 88 kilograms. in general, the patient was alert and oriented times three. in no apparent distress. head, eyes, ears, nose, and throat examination revealed sclerae were anicteric. jugular venous distention at about 5 cm. no carotid bruits were appreciated. cardiovascular examination revealed a regular rate and rhythm. normal first heart sounds and second heart sounds. slight distant. no murmurs or rubs were appreciated. chest examination revealed the lungs were clear to auscultation with decreased air movement bilaterally. abdominal examination revealed bowel sounds were present. the abdomen was soft, nontender, and nondistended with a ventral hernia. extremity examination revealed no cyanosis, clubbing, or edema. neurologic examination revealed cranial nerves ii through xii were grossly intact. no motor or sensory deficits grossly visible. pertinent laboratory values on presentation: laboratories findings on admission revealed the patient's white blood cell count was 7.8, his hematocrit was 38.7, and his platelets were 223. sodium was 142, potassium was 4.3, chloride was 108, bicarbonate was 27, blood urea nitrogen was 19, creatinine was 1.2, and blood glucose was 124. his creatine kinase was 105. troponin was 0.5. concise summary of hospital course: the patient was transferred to the from hospital on and underwent a cardiac catheterization. the cardiac catheterization showed complex calcified stenosis at the distal left main involving the origin of the left anterior descending artery and the left circumflex, approximated to be 70% stenosed. the left anterior descending artery also showed 70% to 80% ostial stenosis emanating from the left main plaque. the left circumflex showed a 60% stenosis originating from the obtuse marginal plaque with 80% stenosis of the lower branch of the first obtuse marginal. the right coronary artery which was nondominant was patent. cardiac surgery was consulted, and the patient was urgently taken to the operating room for coronary artery bypass graft on for his 3-vessel disease. the patient was underwent coronary artery bypass graft times three with a left internal mammary artery to the left anterior descending artery, and saphenous vein graft to the left posterior descending artery, and saphenous vein graft to the first obtuse marginal. the patient did well during surgery and was transferred to the cardiac surgery recovery unit in the immediate postoperative time. please see the dictated operative report for further details. in the cardiac surgery recovery unit, the patient was initially on propofol for sedation and was eventually weaned off. the patient's blood pressure was labile and required fluid boluses of lactated ringer's along with neo-synephrine and nitroglycerin drips. the patient was eventually taken off the neo-synephrine drip and maintained a stable blood pressure. the patient's serum glucose level was controlled with an insulin drip given his history of diabetes. by the end on postoperative day two, the patient did well enough to start on by mouth lopressor with a stable blood pressure. the patient's chest tubes were discontinued except for one in the left chest which had a small air leak. the patient was started on lasix for diuresis. given his decreased hematocrit to 24, the patient was transfused one unit of packed red blood cells and was transferred to the floor at the end of postoperative day two. during his first two days on the floor, the patient was somewhat disoriented and easily became agitated in the early morning hours. this was thought to be delirium; possibly secondary to the medications he had been on. the patient was initially sedated with ativan, but the patient still remained agitated. the patient did much better with as needed haldol. by the end on postoperative day five, the patient's agitation and delirium had resolved. the patient's chest tube no longer had an air leak and was placed to water seal. by the end on postoperative day five, the patient was stable on water seal with no change in his chest x-ray, and the patient's chest tube was discontinued. one note should be made regarding the patient's renal function and his creatinine. on the first day out on the floor, the patient was noted to have an elevated creatinine of 1.5. all nephrotoxic drugs including the patient's zestril and lasix were held for one day. the patient's creatinine returned back to his baseline of 1.1. therefore, on discharge, the patient was not restarted on his zestril and should be re-evaluated by his primary care physician before restarting his ace inhibitor. discharge disposition: the patient was discharged on postoperative day seven. condition at discharge: condition on discharge was stable. discharge status: discharge status was to home with services. discharge diagnoses: 1. unstable angina. 2. coronary artery disease; 3-vessel disease. 3. hypertension. 4. type 2 diabetes mellitus. 5. peripheral vascular disease. 6. chronic obstructive pulmonary disease. 7. gastroesophageal reflux disease. medications on discharge: 1. aspirin 325 mg by mouth once per day. 2. fluoxetine 20 mg by mouth once per day. 3. protonix 40 mg by mouth once per day. 4. fluticasone 110-mcg 2 puffs inhaled twice per day. 5. lopressor 75 mg by mouth twice per day. 6. lasix 20 mg by mouth twice per day (for five days). 7. albuterol 90-mcg aerosol 1 to 2 puffs inhaled q.4h. as needed. 8. glyburide 10 mg by mouth once per day. 9. colace 100 mg by mouth twice per day. 10. tylenol no. 3 one tablet by mouth q.4h. as needed. 11. dulcolax 10 mg per rectum once per day as needed (for constipation). 12. milk of magnesia 30 ml by mouth at hour of sleep as needed (for constipation). 13. potassium chloride 20 meq by mouth once per day (for five days). discharge instructions/followup: 1. the patient was instructed to follow up with his primary care physician (dr. within one to two weeks. 2. the patient was instructed to follow up with his cardiologist (dr. in one to two weeks. 3. the patient was instructed to follow up with dr. in four weeks in his office. the patient was to call the office for an appointment time. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization monitoring of cardiac output by other technique diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified personal history of tobacco use 

Answer: The patient is high likely exposed to