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 78-year-old male was admitted to on , the day prior to admission, after experiencing a syncopal episode at the donuts with associated nausea and vomiting. he has no recollection of the event. he was brought to . the patient stated that he took a sublingual nitroglycerin just prior to the event for feeling woozy. post procedure, the patient was diaphoretic and had a vagal episode with dropped saturations. treated by the cardiology fellow at . he had a stat chest x-ray also which showed chf. past medical history: 1. hypertension. 2. coronary artery disease with a history of myocardial infarction in . a ct scan of his head was negative by report on the morning of . 3. glaucoma. 4. non-insulin-dependent diabetes mellitus. 5. right eye trauma from fall with small lacerations and sutures around the area of his right orbit which was swollen and ecchymotic. 6. hypercholesterolemia. 7. myocardial infarction with positive troponins. cardiac catheterization showed a lad 85% lesion, a diagonal one 75% lesion, a circumflex 90%, an om 60% lesion, a 90% rca lesion, a 75% acute marginal lesion, and a 50% lesion of the pda. 8. obesity with a weight of 240 pounds/height of 5 feet 9 inches. medications: glucophage 500 mg p.o. twice a day, glyburide 5 mg p.o. twice a day, protonix 40 mg p.o. once a day, zocor 20 mg p.o. once a day, enteric coated aspirin 81 mg p.o. once a day, lisinopril 20 mg p.o. once a day, atenolol 50 mg p.o. once a day, hydrochlorothiazide 25 mg p.o. once a day. the patient was also on vitamin c and vitamin e and additional eye drops; pilocarpine 1% 1 drop once a day left eye only, xalatan 0.005% 1 drop in each eye every evening, alphagan 0.15% 1 drop each eye 3 times a day. allergies: he has no known drug allergies. laboratory data prior to admission: hematocrit of 36.2, platelet count of 221, sodium of 139, k of 4.4, bun of 23, creatinine of 1.4, magnesium of 2.1. blood sugar that morning prior to transfer was 225. physical examination: on exam, he was in a normal sinus rhythm with a heart rate of 65% to 75% on o2 nonrebreather at 94% to 96%, a blood pressure of 140 to 170/80, and a respiratory rate of 16 to 24 breaths per minute. hospital course: he was transferred to from on the 27th in preparation for coronary artery bypass grafting surgery and was referred to dr. . on exam on admission, he was in no apparent distress with a blood pressure of 160/80, in sinus rhythm at 75, with a right eye abrasion. he was alert and oriented. no jvd or bruits. his heart was regular in rate and rhythm with no murmurs. his lungs were clear bilaterally. his abdomen was soft and nontender. he had no edema in his extremities and no groin hematoma at his cath site. he was not allergic to any medicines. he has no history of prior surgery. the patient was seen and evaluated by dr. . it was determined the patient should have a carotid duplex ultrasound and a neurology consult as well as obtaining the final read of the ct of his head. vascular laboratory performed a carotid ultrasound on which showed a 70% to 80% narrowing of his right internal carotid artery and less than 40% on the left with normal antegrade flow of vertebral's. please refer to the official report dated . on house day 2, he was seen by neurology to evaluate the neurologic event of syncope which was prior to admission at . they determined it was probably a cardiogenic syncopal event, and they recommended repeating a head ct. if no sign of any bleed, then he cultured be anticoagulated and put on a heart/lung machine and have his operation; which was planned. he was evaluated in the icu that day and then transferred out to two on the 28th. on house day 3, he also had a ct of the chest which showed a 4.3-cm ascending aorta and prior right rib fractures x 2, which was associated with his syncopal fall. he remained in a sinus rhythm at 58. his creatinine remained up slightly from 1.5 to 1.7. his k was stable at 3.7 with a hematocrit of 37.5. his exam was unremarkable. he was given additional potassium for a k of 3.7 with a plan to check his creatinine again in the morning to evaluate the trend in preparation for surgery on tuesday the 31st. he remained in sinus bradycardia. on house day 4, his creatinine remained stable at 1.7. he was saturating 94 percent on room air with a blood pressure of 184/70. he was given hydralazine for his blood pressure. he remained in sinus bradycardia with occasional pvc. preoperatively, he was receiving tylenol for his shoulder pain and rib pain from his fall. he was seen again by dr. on the 30th and consented for surgery. his baseline creatinine was noted to be approximately 1.4 by dr. . his creatinine was 1.7 on that day. he was seen and evaluated on the floor by case management on the day prior to his surgery. on house day 5, his creatinine still remained 1.7; and it was determined to delay his surgery another day. his exam was otherwise unremarkable. the patient was also consented by dr. for the cabg study. he was also seen by dr. preoperatively on the 1st in the morning who evaluated the plan and agreed for a cabg x 4. on the 1st, the patient underwent a cabg x 4 by dr. with a lima to the lad, a vein graft to the ramus, a vein graft to the diagonal, a vein graft to the plv. he was transferred to the cardiothoracic icu in stable condition on a nitroglycerin drip at 0.25 mcg/kg per minute, a propofol titrated drip, and an insulin drip at 2 units per hour. on postoperative day 1, the patient was on cpap at 40% fio2. he remained on an insulin drip at 5 units an hour, a lidocaine drip at 2, with a cardiac index of 2.6. he was in sinus rhythm at 73. he was on a natrecor drip at 0.01 and a nitroglycerin drip at 0.1. he was in no apparent distress. he was moving all extremities. his sternum was stable. a levophed drip at 0.014. this was weaned off during the course of the day. lasix diuresis was begun. the chest tubes were discontinued, and he was extubated on the 2nd. on postoperative day 2, he continued with diuresis. his exam was unremarkable. he started beta blockade with lopressor. his chest tubes were discontinued. his jp drain in his leg was discontinued, and his natrecor drip was discontinued. he was seen and evaluated by physical therapy and transferred out to the floor after he was extubated and stabilized on the . he was switched over to percocet for pain but was refusing it at the time and had no complaints of pain. after his transfer, he had 2+ pedal edema. his pacing wires were grounded. he had good urine output. his foley was discontinued that evening. he was encouraged to ambulate with the nurses and the physical therapist. he was also started back on heparin subcutaneously .i.d. he had an episode of rapid afib in the morning. the lopressor was increased to 50 b.i.d. but maintained a good blood pressure of 124/72. he was encouraged to ambulate and increase his p.o. intake. his creatinine was stable at 1.6 with a hematocrit of 30.5 and a white count of 9.6. he was saturating 97% on 3 liters nasal cannula. he was started back again also on his oral diabetes medicines. on the 4th, he removed in afib with a rate of 80. he was also encouraged to use the incentive spirometer. his left leg incisions were clean, dry, and intact. his sternum was stable and clean, dry, and intact. of note, the patient did continue to have bilateral 2+ lower extremity edema. he continued with lasix diuresis. he was encouraged to keep his legs elevated when he was not ambulating. his chest dressing was intact. his pacing wires were discontinued, and he was seen and evaluated by dr. who noted his continued pitting edema in his lower extremities. his blood sugar was slightly elevated. this was covered by a sliding scale regular insulin. he was ambulating on the unit with 1 assist. his creatinine decreased to 1.5. on the 5th, he was also back in a sinus rhythm in his usual sinus bradycardia between the 50s and 60s. his epicardial pacing wires were discontinued on the 5th. his lungs were clear bilaterally without any shortness of breath, and he was saturating 93% on room air. he was speaking in full sentences and was alert and oriented. he was encouraged to ambulate; which he did. he was moving all extremities and was ambulating with minimal assist without any difficulty. discharge status: on , , he was discharged to home with vna services with the following discharge diagnoses. discharge diagnoses: 1. status post coronary artery bypass grafting x 4. 2. hypertension. 3. myocardial infarction. 4. glaucoma. 5. non-insulin-dependent diabetes mellitus. 6. right eye and right rib trauma from syncopal event. 7. hypercholesterolemia. discharge instructions: the patient was instructed to follow up with dr. (his primary care physician) in approximately 1 to 2 weeks post discharge (telephone number ). he was to make an appointment to see dr. in the office in 4 weeks for his postoperative surgical visit (telephone number ). medications on discharge: 1. potassium chloride 20 meq p.o. twice a day (for 14 days). 2. enteric coated aspirin 81 mg p.o. once a day. 3. colace 100 mg p.o. twice a day. 4. zocor 40 mg p.o. once daily. 5. protonix 40 mg p.o. once daily. 6. brimonidine tartrate 0.15% ophthalmic drops 1 drop q.8h. 7. latanoprost 0.005% 1 ophthalmic drop at bedtime. 8. pilocarpine hydrochloride 1% drops 1 drop ophthalmic q.6h. 9. tylenol no. 3 (30/300) 1 to 2 tablets p.o. q.4-6h. as needed (for pain). 10. glyburide 10 mg p.o. twice a day. 11. metoprolol 75 mg p.o. twice a day. 12. amiodarone 400 mg p.o. twice a day for 7 days; then amiodarone 400 mg p.o. once a day for 7 days; then decrease to amiodarone 200 mg p.o. once a day. 13. lasix 40 mg p.o. 3 times daily (for 14 days). 14. glucophage 500 mg p.o. twice a day. discharge disposition: the patient was discharged to home with vna services on . condition on discharge: in stable condition. , m.d. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery transfusion of packed cells injection or infusion of nesiritide diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation unspecified glaucoma occlusion and stenosis of carotid artery without mention of cerebral infarction 

Answer: The patient is high likely exposed to