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: the patient was transferred to for cardiac catheterization. his referring cardiologist is dr. . the patient is a 59 year old man with a history of hypertension, diabetes mellitus, and hypercholesterolemia. three to four weeks prior to admission, he started to experience midsternal epigastric chest pain and tightness with exertion such as climbing several flights of stairs or emotional stress. the patient had been taking tums with little or no relief. the pain had been relieved mostly by rest. he had no associated nausea, vomiting, diaphoresis or shortness of breath. two days prior to admission, the patient went to his primary care physician for checkup and reported the symptoms and electrocardiogram done at that time showed inferolateral t wave changes and the patient was admitted to for rule out myocardial infarction. the patient was transferred from to for cardiac catheterization. the enzymes at were negative. the patient was started on lovenox and beta blocker as well as aspirin, plavix and nitroglycerin paste, and he was transferred here for catheterization. cardiac catheterization revealed 95% left anterior descending lesion, total occlusion of the mid circumflex, 80% lesion of om1, and total occlusion of proximal right coronary artery with left to right collaterals feeding the right coronary artery and an ejection fraction of 45% and inferior akinesis. his left ventricular end diastolic pressure was 23 to 30. following cardiac catheterization, the patient was referred to cardiac surgery. past medical history: 1. hypertension. 2. diabetes mellitus. 3. hypercholesterolemia. past surgical history: 1. tonsillectomy as a child. 2. removal of ingrown toenail. allergies: the patient states no known drug allergies. medications at home prior to admission: 1. aspirin 325 mg p.o. once daily. 2. lipitor 10 mg once daily. 3. zestril 5 mg once daily. 4. glucophage 1000 mg twice a day. as stated previously, the patient was started on lopressor, plavix, nitroglycerin paste and lovenox at hospital. social history: the patient works in automotive sales, lives alone in and has a sister. denies alcohol and tobacco use. laboratory data: on admission, hematocrit 43.1, platelet count 277,000. sodium 137, potassium 4.5, chloride 97, co2 35, blood urea nitrogen 16, creatinine 0.8, glucose 305. inr 1.0. hemoglobin a1c 8.8. physical examination: the patient is lying on stretcher in holding area in no acute distress, lying supine. vital signs revealed heart rate 96, blood pressure 140/88, respiratory rate 20, oxygen saturation 97% in room air. neck revealed no bruits. lungs clear anteriorly. heart - s1 and s2, regular rate and rhythm, no murmurs, rubs or gallops. the abdomen is soft, nontender, nondistended, positive bowel sounds. bilateral dopplerable pulses in posterior tibial and dorsalis pedis. the feet are cool bilaterally. hospital course: the patient was followed by the cardiology service and on , the patient was brought to the operating room where he underwent coronary artery bypass grafting. please see the operative report for full details. in summary, the patient had a coronary artery bypass graft times four with the left internal mammary artery to the diagonal, saphenous vein graft to the left anterior descending, saphenous vein graft to the ramus and saphenous vein graft to the right posterolateral. his bypass time was 66 minutes with a cross time of 56 minutes. he tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, the patient's heart rate was 84 and sinus rhythm. mean arterial pressure was 72 with neo-synephrine at 0.5 mcg/kg/minute. the patient did well in the postoperative period. his anesthesia was reversed and he was weaned from the ventilator and successfully extubated. he remained hemodynamically stable throughout the day of his surgery. on postoperative day number one, the patient again remained hemodynamically stable. his insulin drip which had been started in the intensive care unit was weaned to off. he did, however, continue to have requirement for neo-synephrine to maintain adequate blood pressure and therefore he was kept in the intensive care unit throughout the day on postoperative day one. the patient did well over the next two days, however, he continued to require neo-synephrine to maintain an adequate blood pressure. therefore, he stayed in the intensive care unit throughout that period. on postoperative day three, the patient was noted to have a hematocrit of 20.7. he was therefore transfused with two units of packed red blood cells. following the transfusion with red blood cells, the patient was successfully weaned off his neo-synephrine drip and he was transferred from the intensive care unit to two for continuing postoperative care and cardiac rehabilitation the patient had an uneventful postoperative course over the next several days. his chest tubes and temporary pacing wires were removed. his activity level was increased with the assistance of the nursing staff and physical therapy staff. on postoperative day seven, it was decided the patient was stable and ready to be discharged home. at the time of discharge, the patient's physical examination was as follows; vital signs revealed temperature 98.9, heart rate 74, sinus rhythm, blood pressure 105/60, respiratory rate 20, oxygen saturation 100% in room air. weight preoperatively was 140 pounds and at discharge 149.4 pounds. laboratory data showed a white blood cell count of 4.3, hematocrit 31.3, platelet count 232,000. sodium 135, potassium 4.3, chloride 98, co2 33, blood urea nitrogen 19, creatinine 0.8, glucose 246. neurologically, the patient was alert and oriented times three, moving all extremities. follow commands. respiratory is clear to auscultation bilaterally. cardiac is regular rate and rhythm, s1 and s2, sternum stable, incision with steri-strips, open to air, clean and dry. the abdomen is soft, nontender, nondistended, positive bowel sounds. extremities are warm and well perfused with no edema. medications on discharge: 1. lasix 20 mg once daily times ten days. 2. potassium chloride 20 meq once daily times ten days. 3. metoprolol 75 mg p.o. twice a day. 4. enteric coated aspirin 325 mg p.o. once daily. 5. atorvastatin 10 mg p.o. once daily. 6. glucophage xl 1000 mg once daily. 7. percocet 5/325 one to two tablets q4hours p.r.n. condition on discharge: good. discharge diagnoses: 1. coronary artery disease, status post coronary artery bypass grafting times four with left internal mammary artery to diagonal, saphenous vein graft to left anterior descending, saphenous vein graft to ramus, and saphenous vein graft to right posterolateral. 2. hypertension. 3. diabetes mellitus. 4. hypercholesterolemia. 5. status post tonsillectomy. 6. status post removal ingrown toenail. discharge status: the patient is to be discharged to home. follow-up: the patient is to have follow-up with dr. in one to two weeks and follow-up with dr. in two to three weeks and follow-up with dr. in four weeks. he is also to have follow-up in the clinic here at in two weeks. , 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 angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to