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 77-year-old gentleman well known to our service with inferior myocardial infarction at an outside hospital in early transferred to - for cardiac catheterization.. this revealed 3-vessel disease with preserved ejection fraction. he now returns on for surgery the following day. past medical history: 1. insulin dependent diabetes mellitus. 2. hypertension. 3. hypercholesterolemia. 4. peripheral vascular disease. 5. glaucoma. 6. benign prostatic hypertrophy. 7. chronic obstructive pulmonary disease. 8. coronary artery disease. 9. atrial fibrillation. 10. chronic renal insufficiency with baseline creatinine of 1.5 to 1.9. past surgical history: 1. right carotid endarterectomy in with known occluded left internal carotid. 2. cataract surgery. allergies: no known drug allergies. medications on admission: 1. cosopt for his glaucoma. 2. alphagan for glaucoma. 3. lisinopril 20 mg po once daily. 4. insulin nph 45 units q a.m., insulin nph 16 units q p.m. 5. rosiglitazone 4 mg po once a day. 6. glucophage 1000 mg po twice a day. 7. digoxin 0.25 mg po once a day. 8. hydrochlorothiazide 25 mg po once a day. 9. aspirin 81 mg po once a day. 10. zocor 20 mg po once a day. 11. plavix 75 mg po once a day which was discontinued at admission on . 12. isordil 10 mg 3 times a day. 13. sublingual nitroglycerine as needed. 14. gemfibrozil 600 mg po once a day. 15. finasteride 5 mg po once a day. cardiac catheterization revealed 90% lad lesion, 80% diagonal 1 lesion, 90% circumflex lesion at the om1 take off and a totally occluded rca of edp 31, wedge 33. preoperative laboratory data: white blood cell count 7.3, hematocrit 32.7, platelet count 192,000, pt 14.0, ptt 29.1, inr 1.3. sodium 140, k 4.9, chloride 103, bicarb 29, bun 28, creatinine 1.6, blood sugar of 102. magnesium 2.1. preoperative chest x-ray as follows: no acute cardiopulmonary process identified preoperatively. preoperative ekg showed sinus bradycardia of 51 with diffuse st-t wave changes that were nonspecific. please refer to the official report dated . preoperative echocardiogram showed a ejection fraction of 45 to 50% with 1+ mr and mild left ventricular hypertrophy. preoperative carotid ultrasound showed totally occluded left internal carotid and no plaque in his right internal carotid artery with antegrade vertebral flow bilaterally. renal ultrasound showed no hydronephrosis. physical examination: his temperature was 98, heart rate 56, with blood pressure of 180/80, respiratory rate 20, oxygen saturations 96% on room air. he was sitting in his chair eating his dinner. he was alert and oriented x 3, moving all extremities, following commands, with a nonfocal neurologic examination. his pupils were equal, round and reactive to light with extraocular muscles intact. he was anicteric with normal buccal mucosa. neck was supple with no lymphadenopathy or thyromegaly. no jugular venous distention. bruits on the right carotid and no bruit appreciated on the left. his lungs were clear bilaterally. his heart had regular rate and rhythm with no murmurs. abdomen was soft and nontender, nondistended. normal bowel sounds. extremities warm and well perfused with no varicosities. he was referred to dr. for coronary artery bypass grafting. on , the following day, he underwent coronary artery bypass grafting x 4 with left internal mammary artery to the lad, vein graft to the patent ductus arteriosus and a vein graft to the om and a vein graft to the lad. he was transferred to cardiothoracic icu in stable condition. on postoperative day 1, he had been extubated overnight, was in sinus rhythm maintaining a good blood pressure. postoperative laboratory data: white blood cell count 9.2, hematocrit 35, k 5.0, bun 17, creatinine 1.3, inr 1.4. he was saturating 100% on 4 liters via nasal cannula. he was alert and oriented. his examination was unremarkable. incisions were clean, dry and intact. he began lasix diuresis and lopressor beta blockade. his swan was discontinued and he was transferred up to floor 4. on the floor he was encouraged to work with the nurses and physical therapist for increasing his activity level which he did as well as his exercise tolerance. he appeared to be fairly motivated. he was alert and oriented but occasionally had some confusion regarding person and place. his lungs were clear bilaterally on postoperative day 2. his blood pressure was up slightly at 264/73. lopressor was increased to 37.5 twice a day. his chest tubes were removed. repeat chest x-ray was performed. his examination was otherwise unremarkable. he was re-started on his plavix and continued with lasix diuresis as well as completing his perioperative antibiotics. on postoperative day 3, he discontinued his foley himself. it was reinserted for resulting hematuria. his examination was otherwise unremarkable. his foley did remain in place. he was encouraged to increase his physical therapy as well as his pulmonary toilet and his lasix dosing was decreased. his epicardial pacing wires were removed without incident. he continued to increase his activity level. he was very anxious to get home. he appeared to be very motivated and on , postoperative day 4, he was discharged to home with visiting nurses with the following discharge diagnoses. discharge diagnoses: 1. status post coronary artery bypass grafting x 4. 2. insulin dependent diabetes mellitus. 3. hypertension. 4. hypercholesterolemia. 5. peripheral vascular disease with known carotid artery disease and status post right cea. 6. glaucoma. 7. benign prostatic hyperplasia. 8. chronic obstructive pulmonary disease. 9. coronary artery disease. 10. atrial fibrillation. 11. chronic renal insufficiency. he was instructed to follow up with dr. at 4 weeks post discharge for his postoperative surgical visit, and to see his cardiologist and primary care physicians also at 2 weeks post discharge. discharge medications: 1. colace 100 mg po twice a day. 2. enteric coated aspirin 81 mg po once a day. 3. plavix 75 mg po once a day. 4. zocor 20 mg po q h.s 5. tylenol 650 mg po p.r.n. q 4 hours for pain. 6. lisinopril 5 mg po once daily. 7. lasix 40 mg po once a day. 8. finasteride 5 mg po once a day. 9. metoprolol 37.5 mg po twice a day. 10. protonix 40 mg po once a day. 11. his home dosing of recombinant human insulin nph. 12. cosopt 2-0.5% ophthalmic drops. 13. preoperative dose of alphagan ophthalmic drops. 14. gemfibrozil 600 mg po once a day. the patient was discharged home with vna services in stable condition on . , m.d. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery 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 chronic airway obstruction, not elsewhere classified atrial fibrillation peripheral vascular disease, unspecified unspecified glaucoma hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) unspecified disorder of kidney and ureter 

Answer: The patient is high likely exposed to