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 young gentleman with a long-standing history of coronary disease complained most recently of increasing chest tightness with exertion prior to his last percutaneous coronary intervention in . he has a past history of coronary artery bypass graft times three in . most recently, his history was that in , he developed chest pain with pressure and nausea which led him directly to the cardiac catheterization laboratory and ultimately to coronary artery bypass graft. since then over the past decade, he has had multiple angioplasties and stent placement times ten with his most recent stenting on , for severe chest pain and unstable angina. past medical history: 1. coronary artery bypass graft times three in . 2. hypertension. 3. myocardial infarction (during his pci in ). 4. hypercholesterolemia. 5. multiple pci/stents. 6. lower back pain. 7. old right rib fracture. past surgical history: his past surgical history also includes tonsillectomy. medications on admission: 1. atenolol 25 mg p.o. twice a day. 2. plavix 75 mg p.o. once daily, last done on . 3. mavik 2 mg p.o. once daily. 4. folgard undetermined dose. 5. lipitor 80 mg p.o. once daily. 6. wellcol unknown dose. 7. aspirin 325 mg p.o. once daily. allergies: penicillin and he had an aversion to nitroglycerin which gives him severe headaches. physical examination: on examination, he is a well nourished active young man. blood pressure on the right was 116/62, blood pressure on the left was 116/66, height five foot six inches, 160 pounds, with a stable heart rhythm at 52 beats per minute. at the time of the examination, he had poison on both lower extremities and otherwise, his skin was of normal condition. he had normal buccal mucosa. his pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact. the eyes are nonicteric and noninjected. he had no jugular venous distention or carotid bruits. his lungs were clear bilaterally. his heart was regular rate and rhythm with s1 and s2 sounds and no murmur appreciated. his abdominal examination was benign with positive bowel sounds, no hepatosplenomegaly or costovertebral angle tenderness. on his extremities, he had right midthigh and right groin to midthigh open areas of unused saphenectomy site. his extremities were warm and well perfused with no cyanosis, clubbing or edema. no varicosities were noted. neurologically, he had a nonfocal examination, grossly intact, with excellent strength in all four extremities. he had good peripheral pulses with 2+ femorals, nonpalpable dorsalis pedis pulses but 2+ posterior tibial and radial pulses. he was referred to dr. for redo coronary artery bypass grafting with bilateral radial arteries scheduled tentatively for . he was given instructions to not take any more plavix. his last dose was on . laboratory data: preoperative chest x-ray showed no evidence of any acute cardiopulmonary disease and evidence of calcification in his saphenous vein bypass graft. preoperative laboratory work showed a white blood cell count of 5.3, hematocrit 41.8, platelet count 161,000. prothrombin time 13.8, partial thromboplastin time 33.9 with inr of 1.3. urinalysis was negative. chem7 showed a sodium of 142, potassium 4.1, chloride 102, bicarbonate 26, blood urea nitrogen 20, creatinine 1.1, with a blood sugar of 77 and anion gap of 18, alt 27, ast 28, alkaline phosphatase 86, total bilirubin 1.9, albumin 4.4. prior cardiac catheterization data from , showed left internal mammary artery to left anterior descending was 100% occluded. the rima to the right coronary artery was patent. vein graft to the diagonal was diseased. vein graft to the left anterior descending was diseased. native right coronary artery 100% and left main native disease 100% occlusion. hospital course: on , the patient underwent redo coronary artery bypass grafting times two with a radial artery anastomosed to the vein graft to the left anterior descending and the radial artery to the diagonal by dr. . the patient was transferred to cardiothoracic intensive care unit in stable condition on an neo-synephrine drip at 1.5 mcg/kg/minute, nitroglycerin drip at 0.3 mcg/kg/minute and propofol drip at 10 mcg/kg/minute. on postoperative day one, the patient remained intubated and stayed on a propofol drip as well as neo-synephrine and nitroglycerin drips with a blood pressure of 106/67, sinus rhythm in the 80s. his cardiac index was 3.32. he was having good urine output and was switched over to cpap mode. postoperatively, his hematocrit went from 18 to 25.7. he continued on his perioperative vancomycin. potassium was 3.6 with a blood urea nitrogen of 11 and creatinine 1.0. he also remained on an insulin drip with a swan-ganz in place. on postoperative day two, he was transferred out to the floor to begin his ambulation. he was seen by physical therapy for support and additional pain management issues were addressed by the nurse and the house staff. he was also seen by the occupational therapy staff for evaluation for activities of daily living issues given that both radial arteries were harvested. it was thought that an occupational therapy consultation would be received well by the patient. on postoperative day two, the patient also had some continued oozing after his central line access site was pulled. additional pressure was applied. otherwise, the examination was unremarkable. his heart was regular rate and rhythm. he had no rales, and his lungs were clear. incisions were clean, dry and intact. his platelet count decreased to 89,000 with a corresponding hematocrit of 28.3. prothrombin time was 12.1 and partial thromboplastin time was 27.0 and inr of 1.0. his electrolytes were otherwise unremarkable. he was given magnesium oxide for repletion. on postoperative day four, he had no complaints and felt better overnight. his sternum was stable. his wounds were clean, dry and intact. he continued to improve and was doing very well with his ambulation. his lopressor was increased to 75 mg p.o. twice a day to bring his heart rate down which was in the mid90s. he was followed daily by physical therapy. discharge teaching and planning was begun by the nursing staff. on postoperative day five, the patient was feeling much better. his incisions were looking good. he was alert and oriented. he had some erythema along both of his radial artery incisions. his sternum was clean, dry and intact and his lungs were clear. his heart rate was regular. his blood pressure was 152/84, sinus rhythm at 101 beats per minute, oxygen saturation 95% in room air. his arms were evaluated and determined that they were not cellulitic. his energy level was also greatly improved. on postoperative day six, the patient had no events overnight. he had a temperature of 98.8, sinus rhythm in the 80s with a blood pressure of 157/94, respiratory rate 16, oxygen saturation 95% in room air. his lungs were clear. his heart was regular rate and rhythm, his sternum was clean, dry and intact. he would periodically have episodes of atrial fibrillation but converted back to sinus rhythm. he started diltiazem 240 mg extended release p.o. once daily. and was discharged to home on , in stable condition. medications on discharge: 1. potassium chloride 12 meq p.o. twice a day times two weeks. 2. colace 100 mg p.o. twice a day. 3. aspirin 81 mg p.o. once daily. 4. hydromorphone 2 mg p.o. q4-6hours p.r.n. for pain. 5. lipitor 80 mg p.o. once daily. 6. metoprolol 100 mg p.o. twice a day. 7. lasix 20 mg p.o. twice a day times fourteen days. 8. diltiazem 240 mg p.o. once daily times thirty days. discharge diagnoses: 1. status post redo coronary artery bypass grafting times two. 2. status post coronary artery bypass grafting in . 3. hypertension. 4. myocardial infarction. 5. hypercholesterolemia. 6. status post multiple pci/stents. 7. lower back pain. 8. old right rib fracture. 9. status post tonsillectomy as a child. follow-up: the patient was discharged to home with instructions to follow-up with dr. in the office in approximately three to four weeks and to follow-up with dr. , his primary care physician, in approximately three to four weeks. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension coronary atherosclerosis of autologous vein bypass graft old myocardial infarction 

Answer: The patient is high likely exposed to