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 is a 62-year-old male who was found to have ekg changes on his yearly physical. he was referred by his primary care physician to cardiologist and he underwent echocardiography which showed trace mitral regurgitation, trace tricuspid regurgitation and normal ejection fraction. on , he underwent cardiac catheterization for his positive exercise tolerance test and a new left bundle branch block on ekg. cardiac catheterization revealed ejection fraction of 60%, 40% left vein, 80% proximal lad, 70%, diagonal-1, 60%, om-1 and probable proximal occlusion of the rca. past medical history: 1. hypertension. 2. hypercholesterolemia. 3. gastroesophageal reflux disease. 4. hiatal hernia. 5. left bundle branch block. 6. tinnitus. past surgical history: appendectomy at age 21, sinus surgery as a child. medications: 1. zestril 5 mg po once a day. 2. lipitor 20 mg po once a day. 3. folic acid 1 tablet po once a day. 4. aspirin 81 mg po once a day. 5. toprol xl 25 mg po once a day. 6. multivitamin tablet once a day. 7. alprazolam p.r.n.. 8. antacids p.r.n.. allergies: penicillin which made him lightheaded and weak. family history: his father status post myocardial infarction, died at age 60. he lives with his wife. social history: he is a salesman. his last dental examination was 3 months prior to surgery. he admits to 2 glasses of wine per day. he has never used tobacco. preoperative laboratory data: white blood cell count , hematocrit 43.8, platelet count 211,000, pt 12.7, ptt 25.0, inr 1.1. urinalysis negative. preoperative chemistry as follows: sodium 139, k 4.7, chloride 100, bicarb 26, bun 28, creatinine 1.3, with a blood sugar of 130, alt 27, ast 24, alkaline phosphatase 77, total bilirubin 0.7. total protein 7.1, albumin 4.7, globulin 2.4, hb a1c 5.6%. preoperative chest x-ray showed no acute cardiopulmonary process. preoperative ekg showed sinus rhythm at 74 with left bundle branch block. physical examination: the patient's heart rate is 78, respiratory rate 18, blood pressure 114/70 on the right and 118/76 on the left. he is 6 feet tall, weighing 218 pounds. he is a healthy appearing 62-year-old male in no apparent distress. skin: unremarkable. heent: unremarkable. neck: supple with full range of motion. lungs: clear bilaterally. heart: regular rate and rhythm with no murmurs. abdomen: soft and nontender, nondistended with bowel sounds. he had trace bilateral peripheral edema. no varicosities. he had grossly intact neurologic examination. he had no carotid bruits. he had 2+ bilateral femoral pulses and 1+ bilateral dp and pt pulses. he was referred to dr. , for coronary artery bypass grafting and was admitted to the hospital on . on , the day of admission, he underwent coronary artery bypass grafting x 3 with left internal mammary artery to the left anterior descending, a vein graft to the posterolateral ventricular branch of the right and a vein graft to the lm by dr. . he was transferred to the cardiothoracic intensive care unit in stable condition on a neo-synephrine drip at 0.6 mcg/kg/minute and titrated propofol drop, av paced. on postoperative day 1, he was on a neo-synephrine drip at 2.0. he has been extubated earlier in the evening postoperatively. he was in sinus rhythm at 80 with a t-max of 100.1 and blood pressure of 96/50, oxygen saturations 95% on 2 liters nasal cannula, with a cardiac index of 3.0. his white blood cell count postoperatively was 15.7, hematocrit 29.9, creatinine 1.1, k 4.4. he began his aspirin therapy. he was alert with clear lungs bilaterally. heart was regular rate and rhythm. incisions were clean, dry and intact. he was doing very well. he has remained on neo-synephrine with a plan to wean it during the day. on postoperative day 2, his neo-synephrine had been weaned to 1.0 mcg/kg/minute. he was started on lasix diuresis. he has remained in sinus rhythm with a blood pressure of 87/41, creatinine stable at 1.3, white blood cell count 12.9, k 4.5. he has basilar crackles higher on the left and decreased breath sounds. heart showed regular rate and rhythm. he had an audible rub. his sternal incision was clean, dry and intact. he had 1+ peripheral edema. his chest tubes were removed. he began lasix diuresis. no beta blocker was started at that time, anticipating him coming off his neo-synephrine first. the patient received some albumin for volume on hospital day 1. on postoperative day 3, he had been weaned off his neo- synephrine. he was receiving now percocet for pain. his creatinine remained stable at 1.3. he was saturating 96% on 3 liters and was in sinus rhythm with a stable blood pressure. he had crackles in his lung bases. his sternal incision was clean, dry and intact. his epicardial pacing wires remained in place. his chest tubes had been removed. he started his beta blocker with 12.5 mg po of lopressor twice a day. his diuresis continued and he was transferred to floor 2 where he was seen by case management and started to work with nurses and physical therapists on ambulating and increasing his activity and exercise tolerance as well as aggressive pulmonary toilet. he was alert and oriented. on postoperative day 4, he remained in sinus rhythm with a good blood pressure. his examination was unremarkable. his epicardial pacing wires were removed without incident. he continued to have diuresis and to drift down towards his preoperative weight. he was receiving percocet for incisional pain with good relief. on postoperative day 5, his creatinine bumped up slightly from the afternoon prior, to 1.5. his lopressor was increased to 25 mg po twice a day. his chemistries were rechecked. his lasix was discontinued. his weight was down to 101 kg, he was saturating 96% on room air with an unremarkable examination. he continued to have little bit of incisional sternal pain for which he was medicated with relief. on postoperative day 6, his creatinine dropped to 1.4 from 1.5. he was doing very well. his creatinine was back closer to baseline and he was cleared for discharge to home on with the following discharge diagnoses. discharge diagnoses: 1. status post coronary artery bypass grafting x 3. 2. coronary artery disease. 3. hypertension. 4. hypercholesterolemia. 5. gastroesophageal reflux disease. 6. hiatal hernia. 7. left bundle branch block. 8. tinnitus. he was instructed to follow up with dr. , in the office for his postoperative surgical visit at approximately 4 weeks post discharge, to follow up with dr. , his primary care physician at approximately 2 weeks post discharge and to see dr. , his cardiologist, 2 weeks post discharge also. he was discharged to home with vna services in stable condition on . , m.d. dictated by: medquist36 d: 16:04:55 t: 04:15:45 job#: procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries insertion of temporary transvenous pacemaker system diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia unspecified essential hypertension diaphragmatic hernia without mention of obstruction or gangrene 

Answer: The patient is high likely exposed to