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: chest pain major surgical or invasive procedure: urgent three vessel coronary artery bypass grafting(lima to lad, vein graft to ramus, vein graft to pda) placement of iabp history of present illness: mr. is a 78 year old male who previously did not see a physician in over 20 years, took no medications and was generally feeling well. he presented to 3 days prior to this admission with shortness of breath. he extensive evaluation. an echocardiogram revealed an lvef of 15-20%. subsequent cardiac catheterization showed severe three vessel coronary artery disease. during his hospitalization, he went on to develop chest pain which improved with intravenous nitroglycerin. he was concomitantly diagnosed with diabetes mellitus with a hgba1c greater than 10. he was urgently transferred to the for cardiac surgical intervention. past medical history: coronary artery disease, congestive heart failure, diabetes mellitus, peripheral vascular disease, thrombocytopenia, peptic ulcer disease, s/p partial gastrectomy, s/p hernia repair social history: admits to 80-90 pack year history of tobacco, quit 10 years ago. he denies history of excessive etoh. he was widowed 6 months ago. he is retired from . family history: sister with diabetes. no known family history of premature cad. physical exam: vitals: bp 160/80, hr 74, rr 14, sat 96% on 2l general: elderly male in no acute distress heent: oropharynx benign, poor dental health neck: supple, no jvd, heart: regular rate, normal s1s2, no murmur or rub lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: warm, no edema, no varicosities pulses: 2+ distally neuro: alert and oriented, cranial nerves grossly intact, no focal motor deficits noted. pertinent results: 01:19am blood wbc-6.8 rbc-3.97* hgb-11.4* hct-33.4* mcv-84 mch-28.8 mchc-34.2 rdw-13.6 plt ct-137* 01:19am blood pt-13.6* ptt-42.1* inr(pt)-1.2 01:19am blood glucose-213* urean-24* creat-1.3* na-138 k-3.5 cl-102 hco3-31 angap-9 10:43am blood ck-mb-notdone ctropnt-0.03* 01:19am blood %hba1c-11.2* -done -done 07:25am blood wbc-10.7 rbc-3.66* hgb-10.5* hct-31.4* mcv-86 mch-28.7 mchc-33.4 rdw-15.0 plt ct-160 06:45am blood hct-28.5* 07:25am blood plt ct-160 06:45am blood glucose-207* urean-40* creat-2.1* na-136 k-4.3 cl-100 hco3-25 angap-15 06:45am blood calcium-7.7* phos-3.0# mg-2.3 01:19am blood %hba1c-11.2* -done -done brief hospital course: shortly after arrival, mr. developed recurrent, persistent chest pain despite intravenous therapy. for refractory ischemia, mr. placement of an iabp. he was then urgently brought to the operating room for coronary artery bypass grafting. the operation was uneventful. following the operation, he was brought to the csru for invasive monitoring. there he was extubated and weaned from inotropic support. the iabp was removed on postoperative day one without complication. he was transfused with prbcs and platelet to maintain normal levels. he did well and transferred to the sdu on postoperative day two. intermittent episodes of atrial fibrillation were noted and treated with amiodarone. he maintained stable hemodynamics and remained mostly in a normal sinus rhythm/sinus bradycardia with rates between 69 and 48 beats per minute. the center was consulted to assist in the management of his newly diagnosed diabetes mellitus. insulin therapy was initiated. over several days, medical therapy was optimized and he continued to make clinical improvements. once his blood sugars were more well controlled, he was cleared for discharge to rehab on pod #8. his amiodarone is to be tapered down on , and recommends humalog 75/25 22 units every am, and 14 units with dinner. t 98.0 sr 70 with occ. pvcs, 120/50 rr 18 sat 97% ra medications on admission: patient took no medications at home preoperatively discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 5. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily). 6. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours) for 1 months. 7. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po twice a day. 8. humalog 75/25: 22units qam, 14 units at dinner discharge disposition: extended care facility: discharge diagnosis: coronary artery disease, congestive heart failure, diabetes mellitus, peripheral vascular disease, thrombocytopenia, peptic ulcer disease, s/p partial gastrectomy, s/p hernia repair, postoperative atrial fibrillation discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. followup instructions: cardiac surgeon, dr. in weeks. local pcp weeks. local cardiologist dr. in weeks. center, dr. in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries implant of pulsation balloon transfusion of packed cells nonoperative removal of heart assist system diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified cardiac complications, not elsewhere classified atrial fibrillation peripheral vascular disease, unspecified acute myocardial infarction of other specified sites, initial episode of care 

Answer: The patient is high likely exposed to