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: mr. is a 70 year old male with a long history of coronary artery disease. he underwent his first coronary artery bypass grafting in at . he then experienced recurrent anginal symptoms and had a repeat coronary artery bypass grafting in at an outside hospital. of note is that his second coronary artery bypass graft was complicated by hemodynamic instability requiring intra-aortic balloon pump. the patient consequently did well until when he began developing exertional anginal symptoms especially radiating to his left arm. over the past few months he has experienced daily angina with ambulation such as walking to the mailbox. on , the patient was awakened by what he described as chest burning, which then proceeded to worsen, relieved only slightly with sublingual nitroglycerin. the patient presented to an outside hospital and his pain was relieved with sublingual nitroglycerin and also aspirin was administered. his creatinine kinase enzymes were flat. he had a recent cardiac catheterization () which showed multivessel coronary artery disease with extensive graft disease and with patent saphenous venous graft to the diagonal/left anterior descending but with stenosis at the side-to-side anastomosis at the diagonal. the patient has been painfree since and has been on intravenous integrilin and lovenox. on review of systems the patient complained of the left arm and jaw discomfort with minimal activity on a daily basis. the patient also has developed paroxysmal nocturnal dyspnea over the past few months, left extremity edema and positional orthostatic dizziness at times. the patient denies orthopnea or claudication. past medical history: 1. coronary artery disease, status post coronary artery bypass graft in and a redo coronary artery bypass graft in ; 2. hypertension; 3. diabetes mellitus; 4. status post bilateral knee replacement in and ; 5. status post cholecystectomy in ; 6. history of basal cell carcinoma. social history: the patient is married, lives with his wife, social alcohol use and no tobacco use. allergies: no known drug allergies. medications on admission: 1. toprol xl 75 mg p.o. q. day; 2. multivitamins; 3. nitropaste as needed; 4. accupril 20 mg p.o. q. day; 5. avandia 8 mg p.o. q. day; 6. norvasc 5 mg p.o. q. day; 7. lipitor 10 mg p.o. q. day; 8. digoxin 0.125 mg p.o. q. day; 9. lovenox 80 mg subcutaneously b.i.d.; 10. folate one tablet once a day; 11. glyburide 2.5 mg p.o. q. day; 12. integrilin intravenously. physical examination: afebrile, weight 192. heartrate 73. blood pressure 141/72, 95% on room air. general examination, in no apparent distress. neurologic examination, oriented times three, neurologically grossly intact. lung examination, clear to auscultation bilaterally. cardiac examination, regular rate and rhythm, no murmurs, rubs or gallops. head, eyes, ears, nose and throat examination, no carotid bruits, no jugulovenous distension. temporal pulses present, otherwise unremarkable. extremities, warm, well perfused, 2+ pulses present bilaterally in the upper and lower extremities. trace lower extremity edema. laboratory data: electrocardiogram performed on showed sinus rhythm with heartrate of 81 with incomplete left bundle branch block. white blood cell count was 6.6, hematocrit 40.5, platelets 251, inr 1.0, sodium 135, bun 33, creatinine 1.5, glucose 163, potassium 3.8. hospital course: the patient was seen by cardiac surgery. given the worsening of his symptoms as well as the findings on recent cardiac catheterization it was thought that a redo coronary artery bypass graft would be appropriate. first and intra-aortic balloon pump was placed prior to surgery. the procedure was without complications. the patient was started on intravenous heparin. on , the patient underwent third time redo coronary artery bypass grafting with radial artery to left anterior descending coronary artery and lesser saphenous vein to the obtuse marginal coronary artery. the procedure was without complications. please see the full operative report for further details. the patient was transferred to the intensive care unit. he remained intubated. he was hemodynamically stable. the patient remained in sinus rhythm. his blood pressures were stable. his incision remained clean, dry and intact. however, on postoperative day #1 while in the intensive care unit, the patient went into rapid atrial fibrillation. he was loaded with amiodarone dose and was placed on a standing dose as well. the patient soon converted to sinus rhythm only with occasional premature ventricular contractions. on postoperative day #1 the patient was noted to have hematuria. the urology service was consulted. a two-way foley catheter was placed and the bladder was irrigated. no clots were seen. the patient continued to make adequate urine. on postoperative day #2 the patient's hematocrit was noted to be 23. he was transfused with packed cells. chest tubes were removed on postoperative day #3. his swan-ganz catheter was removed on postoperative day #3 as well. the patient was put on imdur. physical therapy was consulted which followed the patient during his hospitalization and eventually cleared him to go home. the patient's urine eventually cleared. the patient had another burst of atrial fibrillation on postoperative day #4. his urine catheter was finally removed on postoperative day #4. the patient was maintained on a standing dose of amiodarone. the patient was transferred to the regular floor on postoperative day #4 in stable condition. he was also maintained on p.o. lopressor. his heartrate remained in the 60s and 70s in sinus rhythm. he remained afebrile. his incision was clean, dry and intact. the patient was discharged to home on postoperative day #5 (on ) in stable condition. condition on discharge: good. discharge disposition: home. discharge diagnosis: 1. coronary artery disease, status post redo coronary artery bypass graft times two. 2. atrial fibrillation. 3. hypertension. 4. diabetes mellitus. discharge medications: 1. avandia 8 mg p.o. b.i.d. 2. glyburide 5 mg p.o. q. day 3. lasix 20 mg p.o. b.i.d. times 14 days 4. potassium chloride 20 mg p.o. b.i.d. times 14 days 5. amiodarone 400 mg p.o. q. day times 30 days 6. lopressor 25 mg p.o. b.i.d. 7. percocet 1 to 2 tablets p.o. q. 6 hours prn pain 8. colace 100 mg p.o. b.i.d. prn constipation 9. aspirin 325 mg p.o. q. day 10. imdur 60 mg p.o. q. day times 90 days 11. accupril 20 mg p.o. q. day 12. multivitamin discharge instructions: 1. the patient is to follow up with her cardiac surgeon, dr. in approximately six weeks. 2. the patient is to follow up with her cardiologist, dr. in approximately two to three weeks. 3. the patient is to follow up with her primary care physician, . in approximately one to two weeks. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery injection or infusion of platelet inhibitor (aorto)coronary bypass of one coronary artery implant of pulsation balloon other bypass anastomosis for heart revascularization diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled coronary atherosclerosis of autologous vein bypass graft cardiac complications, not elsewhere classified atrial fibrillation 

Answer: The patient is high likely exposed to