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 65 year old male with past medical history of hypertension, dyslipidemia, who presented to an outside hospital complaining of a four day history of shortness of breath and dyspnea on exertion. during those four days the patient noticed that he had increasing cough and a significant increase in dyspnea on exertion where his exercise tolerance decreased from a 15 to 30 minutes walk to five minutes before becoming very short of breath. the patient denied having "chest pain," described having radiating pain from "stomach" up to the right jaw. the patient admits to orthopnea, but denies paroxysmal nocturnal dyspnea, denies nausea, vomiting, diarrhea. at the outside hospital the patient was noted to have ekg changes with st elevations in leads v1 to v4. the patient was transferred to for urgent therapy. in the emergency department the patient received lopressor, nitroglycerin drip and heparin drip and was urgently transferred to the cardiac catheterization lab. past medical history: significant for hypertension, dyslipidemia, chronic left lower extremity edema more than two years ago. allergies: the patient denies having any known drug allergies. medications: medications at home include hydrochlorothiazide 25 mg p.o. q.d., lipitor 10 mg p.o. q.d., aspirin 81 mg p.o. q.d., atenolol 25 mg p.o. q.d. social history: the patient has a smoking history of one pack per week for over 30 years. denies alcohol abuse. family history: significant for heart disease in great- grandparents. physical examination: on admission afebrile at 98.1, heart rate 85, blood pressure 156/82, 96 percent on 2 liters nasal cannula. alert and oriented times three, cantonese speaking, not in apparent distress. heent normocephalic, atraumatic. supple neck. pupils equally round and reactive to light and accommodation. extraocular movements intact. no jugular venous distention, no carotid bruits noted. chest exam occasional expiratory wheezes, rales in lateral lung fields bilaterally. cardiac regular rate and rhythm, s1, s2, no murmurs were appreciated. abdomen soft, nondistended, nontender, no rebound, no guarding. extremities 1+ lower extremity edema. laboratory data: ekg on admission sinus tachycardia at 107, normal axis, elevation in v1 and v2, elevation in v2 to v4, q wave in v1 and poor r wave progression. compared with the last known ekg in , st segment elevation in v2 and v3 as well as q wave in v1 are new. on admission white count 9.7, hematocrit 42.8, platelets 245. sodium 138, potassium 3.3, chloride 103, co2 20, bun 15, creatinine 0.9, glucose 181. pt 14.2, ptt 30.0, inr 1.3. cardiac enzymes ck 204, mb 7, troponin less than 0.01. chest x-ray on admission showed early upper zone insufficiency, left more than right, small left sided pleural effusion. hospital course: the patient was originally taken to the cardiac catheterization lab whereupon the patient was found to have severe coronary artery disease with left main, diffuse, 50 to 60 percent stenosis and diffuse proximal disease of the lad and total occlusion at mid-lad, total occlusion at the origin of the lcx with collateral filling of the om1, proximal total occlusion of the rca with right to left and left to right collaterals. given the severe three vessel disease and left main disease, the patient was placed on an intra-aortic balloon pump prophylactically. in addition, given the right dominant coronary anatomy, the rca was dilated serially in the mid and proximal segments with the restoration of timi-3 flow. three hepaco stents were placed with documentation of 70 percent pda lesion appearing to be stable and adequate outflow at the pl branches. left ventricular ejection fraction was calculated at 15 percent at the time of catheterization. given the severe disease with total occlusion of three cardiac vessels as well as left main disease, cardiac surgery was consulted. post procedure the patient was supported with nitro drip and integrilin drip and supported with aspirin and heparin. there was a concern, given the severe extent of the disease as well as the ejection fraction of 15 percent, whether there were viable cardiac muscle cells to be rescued by coronary artery bypass graft. viability of the anterior wall was documented by thallium reperfusion study which showed viable cells at the distal anterior wall. after the patient was medically stabilized, the patient was taken to the operating room by dr. on whereupon the patient underwent coronary artery bypass graft times four with lima to lad, saphenous vein graft to pda, saphenous vein graft to plv, saphenous vein graft to om. total time on cardiopulmonary bypass was 87 minutes, cross clamp time was 73 minutes. please see the operative report for further details. in the immediate post-op period the patient did well and did not have immediate complications. the patient was weaned off pressors without difficulty and was extubated without problems. however, during the course of postoperative day one the patient went into rapid atrial fibrillation which was treated with amiodarone. the patient converted to sinus rhythm and was transferred out to the floor on postoperative day three. the patient did well otherwise. his lopressor dose was slowly increased to 37.5 mg p.o. b.i.d., given the low ejection fraction. the patient had mildly elevated finger stick values despite being four days out from surgery and was evaluated by physician. the patient's new onset of diabetes, it was determined that the patient should be seen in the clinic for dietary and nutritional education before starting on any oral hypoglycemics or insulin. the patient remained stable and is discharged on postoperative day five, alert and oriented times three, not in apparent distress. cardiac exam regular s1, s2, in sinus rhythm. lungs were clear to auscultation. sternum was clean, dry and intact and stable without discharge. there was no lower extremity edema. laboratory studies on discharge included white count 9.8, hematocrit 30.5, platelets 227. chemistries sodium 135, potassium 3.8, chloride 103, co2 24, bun 13, creatinine 0.8, glucose 131. pre-op total cholesterol was 163, ldl 112, hdl 31, triglycerides 102. discharge status: discharged to home with services. condition on discharge: good. discharge diagnoses: 1. acute coronary syndrome. 2. severe coronary artery disease with left main disease and total occlusion of three coronary arteries, status post ptca and stent to rca times three, status post iabp, status post coronary artery bypass graft times four with lima to lad, svg to pda, svg to plv, svg to om1. 3. post-op atrial fibrillation converted to sinus rhythm with amiodarone. 4. hypertension. 5. diabetes mellitus. 6. congestive heart failure and cardiogenic shock preoperatively. discharge medications: 1. amiodarone 400 mg p.o. q.d. for one week, then 200 mg p.o. q.d. 2. lopressor 37.5 mg p.o. q.d. 3. plavix 75 mg p.o. q.d. 4. aspirin 325 mg p.o. q.d. 5. percocet 5/325 one to two tablets p.o. q.four hours p.r.n. 6. colace 100 mg p.o. b.i.d. 7. milk of magnesia 30 cc p.o. q.two p.r.n. 8. vitamin c 500 mg p.o. b.i.d. 9. iron polysaccharide 150 p.o. q.d. 10. lipitor 10 mg p.o. q.d. followup: the patient is to follow up with dr. , primary care physician, two weeks. he is to follow up with dr. , cardiology, in two weeks. the patient is to follow up with dr. within four weeks. he is to see as scheduled. , procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor diagnostic ultrasound of heart implant of pulsation balloon other conversion of cardiac rhythm nonoperative removal of heart assist system diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation cardiogenic shock acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to