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 diabetic male referred to the for outpatient catheterization to evaluate for exertional angina. the patient reported he had a cardiac catheterization in at , which revealed some mild coronary artery disease for which he was treated medically. he was since that time followed by a cardiologist with annual stress tests. over the month before admission the patient noticed exertional chest pressure. he reported that this occurred with activities such as raking leaves in the yard or carrying groceries. he denied any chest discomfort at rest. the patient had a long history of smoking and states he had dyspnea for years. the patient underwent modified stress test on during which he exercised for five and a half minutes and achieved 21% of his age predicted heart rate. the patient chest was felt to be due to dyspnea and light fatigue. nuclear imaging revealed inferoapical ischemia with no evidence of prior myocardial infarction and an ejection fraction of 44%. past medical history: cataracts, diabetic retinopathy, diabetic neuropathy, diabetes, sleep apnea (uses 2 liters oxygen at home during sleep), hypertension. past surgical history: appendectomy complicated by postoperative infection, cholecystectomy, deviated septum. allergies: no known drug allergies. medications: aspirin 162 mg po q day, cardura 1 mg po q day, monopril 10 mg po q day, prilosec 20 mg po q day, glucophage 500 mg po t.i.d., ultra lente insulin 25 units b.i.d., humalog insulin 6 units b.i.d., atrovent inhaler two puffs b.i.d., albuterol two puffs b.i.d. prn. hospital course: the patient was admitted to the and underwent a cardiac catheterization, which revealed three vessel disease. the cardiothoracic surgery team was consulted. following review of the medical record the decision was made to take the patient to surgery for coronary artery bypass graft. the patient underwent a four vessel coronary artery bypass graft on with a left internal mammary coronary artery being grafted to the diagonal and saphenous vein graft sequentially to the obtuse marginal one and obtuse marginal two with an additional saphenous vein graft to the posterior descending coronary artery. the patient was thereafter transfered to the csru for continued monitoring. the patient had an uncomplicated stay in the csru and was transferred to the floor on postoperative day number two. physical therapy was initiated. the patient received frequent chest physical therapy and his respiratory functions were closely monitored. his chest tubes were discontinued on postoperative day number three. the patient had an uneventful recovery and was discharged from the hospital on postoperative day number five. the patient was noted to have a baseline oxygen saturation in the low 90s with occasional desaturations into the 80s on physical therapy. given his long history of smoking and continued tobacco use no intervention was deemed necessary. discharge condition: stable. discharge medications: ipratropium bromide two puffs b.i.d., fixed dose insulin, sliding scale insulin, metformin 500 mg po t.i.d., enteric coated aspirin 325 mg po q day, colace 100 mg po b.i.d., potassium chloride 20 milliequivalents po b.i.d. times ten days, lasix 20 mg po b.i.d. times ten days, metoprolol 75 mg po b.i.d., albuterol one to two puffs q six hours prn, percocet one to two tablets po q 4 to 6 hours prn. follow up: the patient is expected to follow up with dr. in four week following discharge. the patient is also to follow up with his primary care physician in two to four weeks following discharge. , m.d. dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnostic ultrasound of heart other esophagoscopy diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy 

Answer: The patient is high likely exposed to