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 is a 67-year-old gentleman with a history of insulin-dependent diabetes, and hypertension, and hyperlipidemia, who for the past year, has had some substernal chest discomfort with episodic recurrences upon moderate exertion. a cardiac catheterization revealed 3-vessel disease. he was admitted to the cardiac surgery service for an elective coronary artery bypass graft. past medical history: 1. hypertension. 2. hyperlipidemia. 3. status post bilateral cataract extraction. 4. insulin-dependent diabetes. 5. partial amputation of big toe of right foot, peripheral vascular disease. 6. tonsillectomy. 7. history of bell's palsy. 8. ludwig's angina. 9. rheumatic fever at the age of 10 without known rheumatic heart disease. allergies: allergy to penicillin. social history: a half pack per day cigarette smoker for many years. no alcohol. family history: father died of a myocardial infarction at the age of 63. mother died of cancer at the age of 91. medications on admission: atacand 32 mg q.d., atenolol 50 mg p.o. q.d., aspirin 325 mg p.o. q.d., lipitor 20 mg p.o. q.d., sublingual nitroglycerin p.r.n. hospital course: the patient underwent a coronary artery bypass graft times three on . he had a smooth interoperative course. he was admitted to the cardiothoracic surgery recovery unit postoperatively. he was extubated on postoperative day zero in the cardiothoracic surgery recovery unit. he was transferred to the regular floor on postoperative day one. subsequently, he had a smooth postoperative course with his chest tubes being discharged on postoperative day one and wires being discharged on postoperative day three. he was ready for discharge on postoperative day four. at the time of discharge, he was ambulating well, and his pain was under control with p.o. analgesics. medications on discharge: 1. nph 32 units in the a.m. 2. lopressor 25 mg p.o. b.i.d. 3. lasix 20 mg p.o. q.d. (times one week). 4. kcl 20 meq p.o. q.d. (times one week). 5. colace 100 mg p.o. b.i.d. 6. zantac 150 mg p.o. b.i.d. 7. enteric-coated aspirin 325 mg p.o. q.d. 8. percocet one to two tablets p.o. q.4-6h. p.r.n. die followup: follow up with primary care physician, . , in two weeks and with dr. in four weeks. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to