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: cardiac catheterization s/p ptca of previously stented svg to om1-om2-om3 jump graft history of present illness: 76 y/o m with htn, hypercholesterolemia, dm, tobacco use, cad s/p cabg ', ' (svg->d1, svg->pda, svg->0m1-om2-om3, lima->lad), s/p pci/des to svg-om1-om2-om3 jump graft in , s/p tmlr, s/p icd, icm with ef 30%, prostate ca who presented to on with unstable angina. . had onset of sharp, substernal cp when climbing stairs. alleviated w/ 1 sl ntg. took a nap, and awoke with cp, and bilat shoulder pain, similar to prvious mi pain. alleviated with 3 sl ntg. called primary cardiologist, prompting ems transport to osh. . at osh, peak trop i 0.23 (ref range 0.0-0.39). ecg showed twi v4-v6, and 1mm st depression in avl. transferred to for cath. also received 1u prbcs for hct 24. . ros: has had cp w/ sob when going outdoors into cold air, and when climbing stairs. typically uses 1 sl ntg /week. guaiac (+) stools at ~1 week ago, but guaiac (-) on this admission. past medical history: cad as above htn hypercholesterolemia dmii paroxysmal a-fib s/p icd, generator ( dr 7278) replaced in s/p ivc filter for dvt (pt presented with hemoptysis) siadh hx of gib secondary to ulcer trigeminal neuralgia h/o tias cri (baseline cr=1.4) prostate ca social history: he lives in a house with his wife, has 4 children. 2 pack-year history of smoking, quit 20 years ago. drinks 1-3 beers per month. no cocaine use or other drug use. family history: 2 brothers suffered mi in their 50's. physical exam: vs - t 98.1, hr 65, bp 111/49, rr 19, o2 sat 100% 3l nc gen: comfortable, in bed, nad heent: eomi, perrl, op clr, mmm, jvp 4cm above angle cv: rrr w/ ectopy; +2/6 systolic murmur at apex pulm: crackles 1/2 up bilaterally, no wheezes abdomen: nabs, soft, nt, no g/r ext: no edema, 2+ dp/pt pulses bilaterally neuro: non-focal pertinent results: 03:05pm glucose-117* urea n-24* creat-1.6* sodium-138 potassium-4.5 chloride-105 total co2-25 anion gap-13 03:05pm calcium-8.7 phosphate-3.4 magnesium-1.8 06:03am blood wbc-6.3 rbc-3.75* hgb-12.5* hct-34.6* mcv-92 mch-33.4*# mchc-36.1*# rdw-13.8 plt ct-242 03:05pm blood pt-12.7 ptt-44.5* inr(pt)-1.1 . blood ck(cpk)-98 -> 97 -> 101 -> 79 -> 83 -> 90 blood ctropnt-0.03 -> 0.04 -> 0.06 -> 0.07 . chest - portable ap (): no previous films for comparison. status post cabg. there is a dual chamber left-sided icd with atrial and ventricular leads in situ. there is cardiomegaly with tortuosity of the thoracic aorta but no evidence for chf. apart from linear atelectasis at the left lung base, the lungs are clear. . cardiac cath (): 1. selective coronary angiography in this right dominant patient revealed severe native vessel cad. the lad and lcx were proximally occluded and the lcx had some left to left collaterals. the rca was also proximally occluded. the lima-lad graft was known occluded and was not engaged. the svg-rpda was widely patent. the svg-d1 was patent with a slow filling small diagonal that was distally occluded. the svg-om-om-om (lpl) had an occlusion distal to first touchdown just after the previously placed cypher stent. 2. limited resting hemodynamics revealed normal systemic blood pressure of 112/46 with hr 60. 3. successful ptca of the svg-om-om-om with 1.5 mm and 2.0 mm balloons. at the end of the case, there was antegrade flow through the graft into all three anastamosed om's (three touchdown sites). . final diagnosis: 1. three vessel coronary artery disease. 2. patent svg-rpda, patent svg-small d1, occluded lima-lad and newly occluded svg-om-om-om distal to the first touchdown. 3. successful ptca of the svg-om-om-om. . tte (): the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is severe regional left ventricular systolic dysfunction with akinesis of the septum, anterior wall and apex. the inferior wall is hypokinetic. the basal lateral wall moves best. no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. . compared with the prior study (images reviewed) of , lv systolic function has decreased. brief hospital course: 1) cardiovascular # ischemia - patient presented with unstable angina. cardiac enzymes were monitored, and remained stable though minimally elevated. he was taken for cardiac catheterization which demonstrated stent restenosis of svg->om1-om2-om3 vein graft. this was angioplastied with plans for stenting in 1 month. he was continued on a medication regimen of asa, plavix, lipitor, toprol xl, and lisinopril. he was changed to a long acting oral nitrate. doses were optimized. . # pump - patient has known depressed ef of 30% by tte in . wma were significant for severe hypokinesis/akinesis of the distal half of the septum and anterior wall. a repeat tte during this hospitalization showed ef 20-25%. patient remained relatively euvolemic by clinical exam. . # rhythm - patient is known to have a history of paroxysmal atrial fibrillation, but was noted to be in a combination of atrial-paced and normal sinus rhythm throughout hospitalization. he is s/p a-v pacer / icd. he is not anticoagulated at home, presumed gib. . 2) anemia: patient has chronic anemia of unclear etiology, presumed secondary to chronic renal insufficiency. he also had a prior ulcer gib, with continued guaiac positive stools. he had documented guaiac positivity on a recent admission at osh, and was guaiac positive on this hospitalization. he was continued on a ppi, and was transfused 1u prbcs prior to his transfer here. his hct was monitored daily, and remained stable. . 3) chronic renal insufficiency: patient has known chronic renal insufficiency with a prior baseline creatinine 1.3-1.4. during hospitalization, his creatinine was stable between 1.6-1.8, likely to represent a new baseline. he received precath and postcath hydration as well as mucomyst for renal protection. . 4) diabetes mellitus: patient has a previously documented diagnosis of dm, but stated on admission that he had been previously told that he was no longer diabetic. he had previously been on metformin, but was not on a oral hypoglycemic or insulin on admission. a hba1c drawn on admission was 5.9%. . 5) prophylaxis: patient received sq heparin, a ppi, and a bowel regimen during hospitalization. code: full, confirmed on admission. medications on admission: asa 81 qd plavix 75 toprol xl 50 cozaar 50 (stopped presyncope) lipitor 10 tricor 145 isordil 20 tid sl ntg prn (usually /wk) iron 325 qd "prostate injections" q4mo discharge medications: 1. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 6. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 8. isosorbide mononitrate 30 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* discharge disposition: home discharge diagnosis: primary: non st elevation mi . secondary: cad: s/p cabg ', ' (svg->d1, svg->pda, svg->0m1-om2-om3, lima->lad), s/p pci/des to svg-om1-om2-om3 jump graft in , s/p tmlr, s/p icd, icm with ef 30% htn hypercholesterolemia dmii paroxysmal a-fib s/p icd, generator ( dr 7278) replaced in s/p ivc filter for dvt (pt presented with hemoptysis) siadh hx of gib secondary to ulcer trigeminal neuralgia h/o tias ckd (baseline cr=1.4 prostate ca discharge condition: good. patient is afebrile, hemodynamically stable, mobile, on stable medical regimen. patient has appropriate follow up arranged. discharge instructions: 1. please take all medications as prescribed . 2. please keep all outpatient appointments . 3. please return to hospital immediately for symptoms of shortness of breath, chest pain, nausea/vomiting, dizziness, loss of consciousness or any other concerning symptoms. followup instructions: you have an appointment with your primary care physician, . on monday, at 2:30p.m. his office is located at , ma. please call his office at with any questions or scheduling needs. . please call your cardiologist, dr. , to make an appointment to be seen for follow up within the next two weeks. procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor left heart cardiac catheterization excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: subendocardial infarction, initial episode of care pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled coronary atherosclerosis of autologous vein bypass graft atrial fibrillation personal history of malignant neoplasm of prostate unspecified deficiency anemia 

Answer: The patient is high likely exposed to