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 is a 67-year-old man with known cad, five prior mis and cabg x3 in the past who presented to an outside hospital with chest pain and congestive heart failure and was started on iv integrilin, nitroglycerine and lopressor. the integrilin was discontinued because of epistaxis. she also had a run of ventricular tachycardia during that er visit. he was transferred to for cardiac catheterization and an echo and was referred to dr. following catheterization for evaluation of surgical candidacy. past medical history: 1. significant for cabg x3 in with lima to the lad, saphenous vein graft to om, saphenous vein graft to the pda. 2. ischemic cardiomyopathy. 3. multiple percutaneous interventions. 4. diabetes. 5. mitral regurgitation. 6. renal artery stenosis with stenting. 7. right bundle branch block. 8. glaucoma. 9. hypertension. 10. carotid disease. 11. hypercholesterolemia. 12. hernia repair. 13. chronic renal insufficiency with a baseline of 1.6. 14. peripheral vascular disease with bilateral popliteal stenting. 15. congestive heart failure. social history: retired. smoked 1 pack per day x25 years but quit in . no alcohol or recreational drug use. family history: noncontributory. allergies: no known drug allergies. medications: 1. plavix 75 once daily. 2. enalapril 20 b.i.d. 3. glyburide 10 b.i.d. 4. norvasc 10 b.i.d. 5. lipitor 20 once daily. 6. coreg 25 b.i.d. 7. aspirin 81 once daily. 8. omeprazole 20 once daily. 9. fish oil 1 gram daily. 10. betoptic 1 drop both eyes b.i.d. 11. lantus 14 once daily. 12. humalog 4 to 8 unit t.i.d. 13. lasix 40 mg once daily. 14. nitro patch. his medications on transfer include: 1. iv heparin 2. zetia 10 once daily 3. regular insulin sliding scale. 4. acetylcysteine 20% 600 mg b.i.d. 5. lipitor 80 once daily.. 6. carvedilol 25 b.i.d. 7. nitroglycerin ointment inch topically q6 hours. 8. lasix 40 once daily. 9. plavix 75 once daily. 10. amlodipine 10 once daily 11. protonix 40 once daily. 12. enalapril 20 b.i.d. 13. aspirin 325 once daily. 14. betoptic drops. laboratory data: white count 6.1, hematocrit 36, platelets 121, pt 13.6, ptt 30.8, inr 1.3, sodium 142, potassium 3.8, chloride 100, co2 20, bun 46, creatinine 2.3, troponin 0.56. alt 14, ast 21, alkaline phosphatase 77, total bilirubin 1.2, albumin 4, amylase 55. the patient had a catheterization done and it showed saphenous vein graft to the pda with 95% distal stenosis, lima to the lad was patent and vein graft to the om as 100% occluded. circumflex was 100% occluded. lad 100% occluded and rca 100% occluded with 95% left main. echocardiogram showed 3+ mi with an ef of 30% to 35%, inferior and posterior basilar akinesis and inferior and posterolateral hypokinesis. physical examination: heart rate 62, blood pressure 136/71, respiratory rate 18, oxygen saturations 94% on room air. neuro grossly intact, nonfocal examination. cardiac regular rate and rhythm s1 and s2 with 2 to 3 out of 6 systolic ejection murmur. respiratory clear to auscultation bilaterally with a well-healed sternotomy incision. abdomen soft, nontender, nondistended with normal active bowel sounds. no cva tenderness. extremities, right lower extremity saphenous site from the ankle to the lower thigh is well healed. no clubbing, cyanosis or edema. both extremities are warm and well perfused. pulses - radial 2+ bilaterally. posterior tibial 2+ bilaterally, dorsalis pedis 1+ bilaterally. femoral 2+ on the left. the right is covered with a dressing. following much discussion it was decided that the patient should undergo stenting of his occluded saphenous vein grafts and then a minimally invasive mitral repair via right thoracotomy. on , the patient was admitted directly to the operating room at which time he underwent a mitral valve repair of the right thoracotomy with no. 28 ce annuloplasty band. please see the or report for full details. in summary he had minimally invasive right thoracotomy. his bypass time was 64 minutes with no cross clamp time. he tolerated the operation and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer he had neo-synephrine 0.4 mcg per kg per minute, epinephrine at 0.02 mcg per kg per minute, milrinone is 0.4 mcg per kg per minute and insulin at 2 units per hour, and propofol at 20 mcg per kg per minute. the patient did well in the immediate postoperative period. his anesthesia was revered and he was weaned from the ventilator and successfully extubated. during he course of postoperative day 1, he was weaned from his epinephrine drip, his milrinone drip initial wean was begun and he was also slowly weaned from his neo-synephrine. additionally the patient's diuresis was initiated. on postoperative day 2, the patient continued to be hemodynamically stable. his milrinone was weaned off and he was begun on beta blockade as well as an after load reducing to maintain blood pressure control. during the evening of postoperative day 2, the patient was noted to have some atrial fibrillation and he was begun on amiodarone infusion. he remained hemodynamically stable on postoperative day 3, however continued to have bursts of atrial fibrillation and he was begun on anticoagulation at that time. the patient was additionally seen by the electrophysiology service. on postoperative day 6, the patient was noted to have additional arrhythmias with several episodes of ventricular tachycardia versus aberrantly conducted atrial fibrillation. this was further evaluated by the electrophysiology service and it was decided that the patient should undergo aicd placement prior to discharge from the hospital. during one of these episodes the patient was cardioverted to a normal sinus rhythm. on postoperative day 7, the patient continued to do well and he was transferred from the icu to floor 2 for continuing postoperative care. over the next several days his activity level was advanced. on postoperative day 9 an aicd was implanted by the ep service, dual chamber, . on postoperative day 9 it was decided that the patient would be stable and ready for discharge to home on sunday following the final dose of vancomycin given to cover his aicd implantation. physical examination: at the time of this dictation, the patient's physical examination is as follows: temperature 98, heart rate 67, sinus rhythm, blood pressure 129/70, respiratory rate 20, oxygen saturations 95% on room air. weight is 78 kg. neuro, alert and oriented. moves all extremities and follows commands. nonfocal examination. pulmonary clear to auscultation with somewhat diminished breath sounds in the right breast. cardiac regular rate and rhythm. left upper shoulder incision is clean and dry. dry thoracotomy incision without erythema or drainage. abdomen soft, nontender, nondistended with normal active bowel sounds. extremities warm and well perfused with no edema. the patient's condition at the time of discharge is good. laboratory data: white count 8.6, hematocrit 29.4, platelet count 242, sodium 136, potassium 4.6, chloride 106, co2 18, bun 45, creatinine 1.8, glucose 174. discharge diagnoses: status post mitral valve repair with #28 annuloplasty band. status post aicd placement. past medical history: cabg x 3, ischemic cardiomyopathy, congestive heart failure, multiple percutaneous interventions, diabetes mellitus, renal artery stenosis, chronic renal insufficiency with a baseline of 1.6, right bundle branch block, glaucoma, hypertension, carotid disease, hypercholesterolemia, hernia repair, peripheral vascular disease with bilateral popliteal stents. he is to be discharged home with visiting nurses. he is to follow up in the wound clinic in 2 weeks, follow up with dr. in 4 weeks, follow up with dr. , his cardiologist in 2 to 3 weeks and follow up in the ep device clinic on at 11 a.m. discharge medications: the patient's discharge medications include: 1. plavix 75 mg once daily. 2. pantoprazole 40 mg once daily. 3. zetia 10 mg once daily. 4. glyburide 10 mg b.i.d. 5. atorvastatin 80 mg once daily. 6. amlodipine 10 mg q.i.d. 7. colace 100 mg b.i.d. 8. aspirin 81 mg once daily. 9. betaxolol 1 drop both eyes b.i.d. 10. glargine 14 units once daily. 11. carvedilol 25 mg b.i.d. 12. percocet 5/325 1 to 2 tablets q4 to 6 hours p.r.n. as needed. 13. lasix 40 mg once daily. 14. enalapril 10 mg once daily. 15. humalog. resume preop sliding scale. the patient is to have an inr check done by the visiting nurses on with the results called to in dr. office who will then dose the patient's warfarin accordingly. additionally the patient will take warfarin on a daily basis. doses as determined at the time of discharge. , m.d. procedure: extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart other electric countershock of heart non-invasive mechanical ventilation implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] open heart valvuloplasty of mitral valve without replacement diagnoses: mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation aortocoronary bypass status peripheral vascular disease, unspecified percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia old myocardial infarction unspecified disorder of kidney and ureter 

Answer: The patient is high likely exposed to