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 the present illness: this is a 77-year-old male with a history of cad, status post five vessel cabg in with cardiac risk factors including hypercholesterolemia and family history who presented with a two to three month history of chest pain, initially exertional and then progressed to occurring at rest, similar to his angina prior to his cabg, unrelieved by nitroglycerin. he underwent a stress test on where he exercised for 55 minutes on the protocol. he had a recurrence of chest pain with 2.5 to depressions in the inferior leads and v4 through v6 with imaging revealing severe reversible anterior wall defect extending to the apex and mild inferior wall defect. treatment with aspirin and nitroglycerin was initiated. he was admitted to the cmi unit on for cardiac catheterization. catheterization revealed a 44% ejection fraction with anterior lateral hypokinesis, a right dominant system with severe three vessel disease. the patient had a 90% lima to lad lesion, status post stent. lvedp was 28 with a blood pressure up to 199/81. positive chest pain occurred during his catheterization, question of a distal emboli of clot. note, an echocardiogram today revealed an ef of 50-55% with no other significant findings. after catheterization, his sbp was in the 190s and then dropped to the 70s and then to the 100s on the floor, also with high wedge pressures and question of new t wave inversions in v5 and v6 with new persistent q waves. therefore, he was transferred to the ccu. the drop in blood pressure was likely secondary to a vasovagal episode. on the floor, he had a recurrence of left chest pressure and he was begun on a nitroglycerin drip and received morphine p.r.n. his low blood pressure did respond to fluid boluses. review of systems: substernal chest pain continues. no shortness of breath. past medical history: 1. status post five vessel cabg in , lima to lad, svg sequential to om1 and om2, svg sequential to distal rca and acute marginal. 2. status post prostatectomy and laparotomy for peritonitis in with a history of bph. 3. question of irritable bowel syndrome. 4. back/disk surgery times two in and . 5. hypercholesterolemia. allergies: the patient has no known drug allergies. medications on transfer: 1. cholestyramine 4 grams p.o. b.i.d. 2. lipitor 20 q.d. 3. potassium. 4. simethicone 40-80 mg q.i.d. p.r.n. 5. maalox p.r.n. 6. sublingual nitroglycerin p.r.n. 7. percocet p.r.n. 8. plavix 75. 9. integrelin drip. 10. aspirin 325 q.d. outpatient medications: 1. lipitor 20 q.d. 2. aspirin 325 q.d. 3. lomotil p.r.n. 4. cholestyramine powder q.a.m. social history: he is married and retired. family history: his father died of a mi at the age of 62. laboratory/radiologic data: white blood cell count of 8.4, hematocrit 39.6, platelets 204,000, inr 1.1. chem-7 is unremarkable. ck of 251, ck mb 5. an echocardiogram on revealed an ef of 50-55%, mildly thickened av and mv leaflets. no pericardial effusion. physical examination on admission: vital signs: temperature 98.9, heart rate 52-70, blood pressure 110-131/41-62, respirations 16-20, 95% on room air. general: the patient was awake and alert russian-speaking male. heent: oropharynx was clear. the pupils were equal and reactive to light. the extraocular motions were intact, anicteric. cardiovascular: regular rate and rhythm, normal s1, and s2. chest pain is reproducible on palpitation. chest: clear to auscultation bilaterally. abdomen: obese, normoactive bowel sounds, soft, nontender, nondistended. groin right dressing is in place. no hematoma or bruit. extremities: no clubbing, cyanosis or edema, +2 dorsalis pedis and posterior tibial bilaterally. assessment: this is a 77-year-old male with cad, status post five vessel cabg in , history of hypercholesterolemia, positive family history, who presented with unstable angina and a positive stress test, now status post catheterization with pci/stent to the lima to lad touchdown. his post catheterization course was complicated by hypotension which was likely vasovagal, and continued chest pain. however, there were no ekg changes and the chest pain was reproducible. hospital course: cardiovascular: he was continued on aspirin, plavix, integrelin drip after the catheterization. his lipitor was also continued and an ace inhibitor was started the following day. he was continued on a nitroglycerin drip and iv morphine for continued chest pain. he was monitored on telemetry for arrhythmia status post catheterization. by the next morning, his chest pain had resolved. therefore, his nitroglycerin drip was titrated off. we wanted to cycle his enzymes, however, he was refusing all blood draws. his ck did peak to 371 and was now dropping. there were no further ekg changes and his chest pain had resolved; therefore, he was transferred to the floor on . beta blocker was not initiated since his heart rate had been in the 40s. the ace inhibitor was titrated up. however, by the time of discharge, we were able to start a very low dose of lopressor, although we were careful since he had been bradycardiac in the 60s. he had pt to evaluate and he was discharged home on . discharge status: the patient was discharged home. he will be following up with dr. on at 3:15. discharge diagnosis: blockage of left internal mammary artery to left anterior descending artery which for which he underwent percutaneous transluminal coronary angioplasty. discharge medications: 1. aspirin 325 mg q.d. 2. plavix 75 q.d. 3. percocet p.r.n. 4. tylenol 325 to 650 p.r.n. 5. nitroglycerin 0.3 mg tablets p.r.n. 6. simethicone. 7. lipitor 20 q.d. 8. cholestyramine one packet b.i.d. 9. lisinopril 10 mg q.d. 10. magnesium hydroxide/aluminum hydroxide oral suspension q.i.d. p.r.n. , m.d. dictated by: medquist36 d: 05:05 t: 16:23 job#: procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension coronary atherosclerosis of autologous vein bypass graft hypotension, unspecified family history of ischemic heart disease irritable bowel syndrome 

Answer: The patient is high likely exposed to