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 gentleman had increasing chest discomfort on exertion over three months with a known history of coronary artery disease. he had prior ptca of his rca and a circ in . he also had history of sick sinus syndrome and pacemaker placement in . he had a positive stress test and was referred for cardiac catheterization and coronary bypass surgery. past medical history: 1) coronary artery disease. 2) hypertension. 3) hypercholesterolemia. 4) non insulin dependent diabetes mellitus. 5) history of cva in . 6) sick sinus syndrome. past surgical history: includes two coronary stents in , pilonidal cyst removal in , pacemaker placement in and a rectal abscess in 9/97. medications: at home, toprol xl 100 mg po q d, lipitor 40 mg po q d, isosorbide 30 mg po q d, zoloft 150 mg po qid, xanax 0.5 mg po q d, enteric coated aspirin 325 mg po q d and glucophage 500 mg po q d. allergies: no known drug allergies. physical examination: on preadmission testing he was somewhat anxious, had no jvd, no carotid bruits, his lungs were clear bilaterally without any wheezing or rhonchi, heart was regular rate and rhythm, s1 and s2 with no murmurs. abdominal exam was normal. extremities were warm without edema or any cyanosis. neurologically he was grossly intact. he had good peripheral pulses. he was found at cardiac catheterization to have three vessel disease. please refer to his cardiac catheterization report. cardiac catheterization report showed a 30% left main lesion, multiple lesions in the lad with a mid 90% stenosis, 80% circumflex and 80% rca lesion. he had preserved ejection fraction and was referred for coronary artery bypass grafting. laboratory data: pre-operative laboratory work showed a sodium of 139, potassium 4.5, chloride 103, co2 28, bun 24, creatinine 1.0, white count 6.1, hematocrit 37 and inr 1.0. hospital course: on he underwent coronary artery bypass grafting times four with a lima to the lad, vein graft to the rca, vein graft to the om and vein graft to the diagonal by dr. . he was transferred to the cardiothoracic icu in stable condition. on postoperative day #1 he was hemodynamically stable, had been extubated and was on three liters nasal cannula with a good sat. his potassium was 4.4 with hematocrit of 40, blood sugar of 123. he was alert and following commands. his lungs were clear bilaterally. his incisions were clean, dry and intact. he began his lopressor, aspirin and lasix diuresis and he was transferred out to the floor. he was seen by physical therapy. on postoperative day #2 he remained hemodynamically stable with a blood pressure of 128/68 and sinus rhythm. his blood sugars were running in the 190-207 range. chest tubes were pulled. he had some edema of his upper extremities. his sternum was stable and his wounds were otherwise clean, dry and intact. his lopressor was increased to slow his heart rate down a little bit. his foley was removed. he continued to ambulate with pt. he was seen by case management. on postoperative day #3 his pain was controlled, he was ambulating well but had not done stairs yet. he had one episode of epistaxis the prior afternoon. he had some complaints of left hand coolness and decreased sensation. his heart rate was in the 70-80 range. his foley was out and he had voided. he was otherwise comfortable, his lungs were clear, his heart was regular rate and rhythm. his chest tube sites were dry. his right lower extremity saphenectomy site was clean, dry and intact with trace edema. his left hand had a 2+ radial pulse. he had sensation to light touch and motor skills . his pacer wires were removed. he continued ambulating with physical therapy and made good progress. on postoperative day #4 he had no complaints. he did stairs level v ambulation. he was tolerating his diet, remained stable with heart rate in the 80's and a good blood pressure of 146/70. he was comfortable, his lungs were clear, his incisions were clean, dry and intact. pt consult was obtained. his lopressor was increased to 50 mg and on postoperative day #5 he was discharged to home. his blood pressure was 138/73, he was satting 96% on room air, his heart rate was in the 70's, incisions were clean, dry and intact. his abdominal exam was benign. his lungs were clear. he was hemodynamically stable and was discharged on the following medications. discharge medications: ibuprofen 400-600 mg po prn q 6 hours, lipitor 40 mg po q d, glucophage 500 mg po bid, zoloft 150 mg po q d, xanax 0.25 mg po q d, lasix 20 mg po bid times 7 days, kcl 20 meq po bid times 7 days, colace 100 mg po bid, aspirin 81 mg po q d, lopressor 75 mg po bid and po percocet as needed for pain. discharge diagnoses: 1. status post coronary artery bypass grafting times four. 2. coronary artery disease. 3. hypertension. 4. hypercholesterolemia. 5. non-insulin dependent diabetes mellitus. 6. status post cva. 7. sick sinus syndrome with pacemaker placement in . die instructions: follow-up with dr. in weeks and to see dr. , his primary care physician, also 3-4 weeks and was discharged to home on . , m.d. dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: 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 percutaneous transluminal coronary angioplasty status cardiac pacemaker in situ 

Answer: The patient is high likely exposed to