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 status post cardiac cath done for a complaint of increasing shortness of breath and chest pain with known cad, status post ptca of the circumflex and om1, as well as rca and lad in . past medical history: 1. hypertension. 2. hypercholesterolemia. 3. hypothyroidism. 4. insulin dependent diabetes mellitus. 5. coronary artery disease. 6. status post right shoulder surgery. allergies: no known drug allergies. meds: 1. insulin 70/30, 28 u q am and 20 u q pm. 2. nph sliding scale. 3. toprol 50 mg q am and 25 mg q pm. 4. synthroid 300 mcg qd. 5. aspirin 81 mg qd. 6. zocor 40 mg qd. 7. diovan 80 mg qd. cardiac catheterization: showed left main with mild disease. lad with diffuse disease with focal 70% lesion in the midstent. the circumflex was totally occluded proximally with diffuse in-stent restenosis and left-to-left collaterals. rca with diffuse occlusive in-stent restenosis with left-to-right collaterals. no ventriculogram was done at that time. labs at time of catheterization: white count 5.7, hematocrit 39.6, platelets 296, sodium 136, potassium 4.6, chloride 101, co2 27, bun 19, creatinine 1.0, glucose 288, pt 13, inr 1.3, ptt 90 on heparin, ast 27, alt pending, alk phos 72, total bili 0.5. ua was negative. physical exam: temperature 97.8, heart rate 64/sinus rhythm, blood pressure 124/64, respiratory rate 16, o2 sat 98% on room air. neurologically: awake, alert and oriented x 3. pupils equally round and reactive to light. extraocular movements intact. strength was equal in the upper and lower extremities bilaterally. cardiovascular: regular rate and rhythm with no rubs or murmurs. respiratory: clear to auscultation bilaterally. abdomen: flat, nontender, nondistended with positive bowel sounds. extremities: no edema. no varicosities. pulses: femoral 2+ with no bruit bilaterally. popliteal 1+ bilaterally. dorsalis pedis and posterior tibial 2+ bilaterally. radial 2+ bilaterally. carotids without bruits, and no stenosis by ultrasound. hospital course: the patient was discharged to home following his cardiac catheterization and, as stated previously, a direct admission to on the for coronary artery bypass grafting. in summary, the patient had a cabg x 4 with a lima to the lad, saphenous vein graft to diag, saphenous vein graft to om, and saphenous vein graft to the pda. his bypass time was 97 minutes with a crossclamp time of 55 minutes. please see the or report for full details. the patient tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, the patient was in a sinus rhythm at 80 beats per minute with a mean arterial pressure of 70, and a cvp of 7. he had propofol at 20 mcg/kg/min, insulin at 1 unit/h, and phenylephrine at 0.5 mcg/kg/min. the patient did well in the immediate postoperative period. his anesthesia was reversed. he was weaned from the ventilator and successfully extubated. he had no other events on the day of his surgery. however, he was able to wean off of his neo-synephrine drip. on postoperative day #1, the patient remained hemodynamically stable. his swan-ganz catheter was removed. he was begun on diuretics, as well as low dose beta blockers, and transferred to the floor for continued postoperative care and cardiac rehabilitation. additionally, on postop day #1, consult was requested to help control his diabetes mellitus. on postoperative day #2, the patient continued to progress well. he remained hemodynamically stable. his chest tubes were discontinued. his beta blockade was increased. with the assistance of the nursing staff and physical therapist, his activity level was also advanced over the next several days. the patient had an uneventful hospital course, with the exception of a persistent low-grade temperature between 99 and 101. he had several x-rays which showed bibasilar atelectasis and small pleural effusions. he had 2 urinalysis that were both negative. his wounds were clean, dry and open to air without erythema. he had a normal white blood cell count. on postoperative day #5, it was decided that the patient would be stable and ready to be discharged to home. at the time of this dictation, the patient's physical exam is as follows: physical exam - vital signs: temperature 100, heart rate 96/sinus rhythm, blood pressure 140/50, respiratory rate 20, o2 sat 96% on room air. weight preoperatively was 82 kg and at discharge is 84.2 kg. neuro: alert and oriented x 3. moves all extremities. follows commands. respiratory: clear to auscultation bilaterally. cardiac: regular rate and rhythm. s1, s2 with no murmurs. sternum: stable. incision with steri-strips, open to air, clean and dry. abdomen: soft, nontender, nondistended with active bowel sounds. extremities: warm and well-perfused with no edema. right saphenous vein graft harvest site with steri-strips, open to air, clean and dry. lab data: white count 7.5, hematocrit 26.6, platelets 279, potassium 5.0, bun 19, creatinine 1.4, glucose 130. discharge medications: 1. enteric-coated aspirin 325 qd. 2. synthroid 300 mcg qd. 3. zocor 40 mg qd. 4. metoprolol 50 mg . 5. lasix 20 mg qd x 2 weeks. 6. potassium chloride 20 meq qd x 2 weeks. 7. niferex 150 mg qd x 30 days. 8. vitamin c 500 mg x 30 days. 9. insulin 70/30, 28 u q am, 20 u q pm. 10.regular insulin sliding scale. 11.colace 100 mg . 12.dilaudid 2-4 mg q 4-6 h prn. discharge condition: good. discharge diagnoses: 1. coronary artery disease, status post coronary artery bypass grafting x four with left internal mammary artery to left anterior descending, saphenous vein graft to diagonal, saphenous vein graft to obtuse marginal, saphenous vein graft to posterior descending artery. 2. hypothyroidism. 3. insulin dependent diabetes mellitus. 4. right shoulder surgery. 5. hypertension. 6. hypercholesterolemia. discharge disposition: he is to be discharged to home with visiting nurses. follow-up: 1. he is to have follow-up in the clinic in 2 weeks. 2. follow-up with dr. , the primary care physician, 3 weeks. 3. follow-up with dr. in 6 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 pure hypercholesterolemia unspecified essential hypertension unspecified acquired hypothyroidism other specified complications of procedures not elsewhere classified diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to