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: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: coronary artery disease major surgical or invasive procedure: cardiac cathterization cabgx3(lima->lad, svg->om, pda) history of present illness: 71 year-old man, patient of dr. , dr. , with a recent mi and prior rca ptca referred for cardiac catheterization. mr. was vacationing in this past , when he developed acute chest pain while at rest. he went to a local er where he was found to be having an acute inferior mi. he was treated with tnk and subsequently developed (new) rapid afib. he was rate controlled with beta blockers and spontaneously converted back to nsr. his peak ck was 1877 with an mb of 300. a post mi stress test was done on . he exercised 12 minutes 38 seconds of a modified protocol, 95% phr. he had no chest pain or sob. no ekg changes. since his recent mi he has been feeling well without any complaints of chest discomfort or shortness of breath. past medical history: hyperlipidemia hypertension diabetes mellitus past myocardial infarction s/p left carotid endarterectomy diverticulosis social history: patient is married with one daughter. is a retired college music professor. his wife is a physician. family history: one brother had an mi at age 54. father with some heart disease, dying at age 70. another brother died from heart disease at age 79. physical exam: ht: 69" wt: 179 lbs bp: 132/48 hr 78 gen: well developed, well nourished in no acute distress heart: rrr, normal s1-s2, no murmur lungs: clear abd: soft, nontender, nondistended, normal active bowel sounds ext: no edema, 2+ pulses, no varicosities. pertinent results: 12:40pm glucose-141* urea n-19 creat-0.7 sodium-136 potassium-4.1 chloride-102 total co2-24 anion gap-14 02:45pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-8.0 leuk-neg 02:45pm urine color-yellow appear-clear sp -1.005 12:40pm wbc-3.8* rbc-4.07* hgb-13.5* hct-39.1* mcv-96 mch-33.1* mchc-34.4 rdw-12.4 06:05am blood wbc-9.5 rbc-2.94* hgb-9.5* hct-27.1* mcv-92 mch-32.5* mchc-35.2* rdw-12.6 plt ct-205 06:20am blood glucose-160* urean-23* creat-0.9 na-138 k-3.8 cl-99 hco3-28 angap-15 06:05am blood calcium-7.9* phos-3.7 mg-2.4 cxr no acute cardiopulmonary abnormality cxr the patient is status post cabg and median sternotomy. the patient has been extubated, and the swan-ganz catheter has been removed. the right jugular cordis sheath is terminating in the superior vena cava. the left chest tube and mediastinal drain remain in place. there is a tiny left apical pneumothorax (5%). there is continued cardiomegaly without evidence of congestive heart failure. patchy atelectasis is seen in the left lung base. cardiac catheterization 1. selective coronary angiography revealed a right dominant system with three vessel coronary artery disease. the lmca had 70% ostial and 60% distal lesions. the lad had a 70% proximal eccentric stenosis that becomes intramyocardial. the lcx had no angiographically apparent flow limiting stenoses. the rca had 80% ostial and proximal disease with a dissection cap and moderate mid vessel disease. 2. limited resting hemodynamics demonstrated moderately elevated left sided pressures (lvedp 20 mmhg) with no gradient upon movement of the catheter from the ventricle back to the aorta. 3. left ventriculography showed inferior akinesis (ef 45%) with moderate mitral regurgitation echo the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function appears mildly depressed. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. carotid ultrasound findings as stated above which indicate 40% to 59% right ica stenosis, no significant left ica stenosis. ekg sinus rhythm left bundle branch block the inferolateral st-t wave changes may be in part primary and cannot exclude in part ischemia since previous tracing of , no significant change brief hospital course: mr. was admitted to the medical center on for a cardiac catheterization. this revealed a 70% stenosed left main coronary artery, a 70% stenosed left anterior descending artery, an 80% stenosed right coronary artery and a mildly reduced ejection fraction of 45%. due to the severity of his disease, the cardiac surgical service was consulted and mr. was worked-up in the usual preoperative manner including a carotid ultrasound which showed a 40% to 59% right internal carotid artery stenosis an no significant left internal carotid artery stenosis. an echocardiogram was performed that showed an ejection fraction of 40-45%, + mitral regurgitation and trivial tricuspid regurgitation. on , mr. was taken to the operating room where he underwent coronary artery bypass grafting to three vessels. postoperatively, he was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, mr. neurologically intact and was extubated. he was then transferred to the cardiac surgical step down unit for further recovery. he was gently diuresed towards his preoperative weight. beta blockade was titrated for optimal heart rate and blood pressure control. his chest drains and epicardial pacing wires were removed per protocol. the physical therapy service was consulted for assistance with his postoperative strength and mobility. mr. had some paroxysmal atrial fibrillation for which his beta blockade was increased. mr. continued to make steady progress and was discharged home on postoperative day five. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: zebeta 2.5mg every morning plendil 10mg twice a day folic acid 1mg twice a day diovan 80mg once daily aspirin 325mg daily metformin 500mg, two tablets twice a day (held as of ) actos 45mg every morning prandin 1mg twice a day lipitor 10mg every evening ntp 0.4mg/hour during the day vitamin supplements discharge medications: 1. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po twice a day for 7 days. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 5. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 8. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. bisoprolol fumarate 5 mg tablet sig: 0.5 tablet po daily (). disp:*15 tablet(s)* refills:*2* 10. pioglitazone 45 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. repaglinide 1 mg tablet sig: one (1) tablet po bidwm (2 times a day (with meals)). disp:*60 tablet(s)* refills:*2* 12. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 13. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: area vna discharge diagnosis: cad discharge condition: good. discharge instructions: follow medications on discharge instructions. you may not drive for 4 weeks. you may not lift more than 10 lbs. for 3 months. you should shower, let water flow over wounds, pat dry with a towel. do not use creams, lotions, or powders on wounds. call our office for sternal drainage, temp>101.5 followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 2-3 weeks. make an appointment with dr. for 6 weeks. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia acute myocardial infarction of other inferior wall, subsequent episode of care 

Answer: The patient is high likely exposed to