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: throat tightness, bilateral jaw numbness major surgical or invasive procedure: cardiac catheterization coronary artery bypass graft x history of present illness: 77 yo m with history of htn, hyperlipidemia who presented to after experiencing throat tightness/burning and jaw numbness, associated with nausea, shortness of breath, and diaphoresis. he ruled in for nstemi with troponin 0.5 and negative cks. he was transferred to for cardiac catheterization. past medical history: coronary artery disease s/p ptca yrs ago hypertnesion hyperlipidemia peripheral vascular disease chronic kidney disease (baseline creat 1.6-1.8) asthma as a child herniated disc low back past surgical history: s/p r cea s/p embolectomy r leg post cath s/p surgery for deviated septum s/p mastoid surgery as child s/p tonsillectomy as child s/p l hand surgery s/p trauma s/p bilat cataract surgery s/p right big toe surgery social history: race: caucasian last dental exam: within 2 months lives with: wife occupation: retired wholesale druggist tobacco: quit 30 yrs ago etoh: 2-3 beers/day family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. throat and lung cancer in the family physical exam: pulse:57 resp:19 o2 sat: 100% ra b/p right:202/76 left: 202/71 height:5'9" weight:72.6kg (160lbs) general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen:soft non-distended non-tender bowel sounds + extremities:warm , well-perfused edema 0 varicosities: none neuro: grossly intact pulses: femoral right: +2 left: +2 dp right: +2 left: +2 pt : +2 left: +2 radial right: +2 left: +2 carotid bruit right: 0 left: 0 pertinent results: cardiac cath: 1. coronary angiography in this right dominant system demonstrated three vessel coronary artery disease. the lmca had diffuse, calcified 50% disease with a possible ulcerated plaque distally. the lad had a complex ostial 70% lesion also involving the lcx ostium which in turn had a 70% stenosis. the rca had an ostial 70% stenosis with diffuse 70-80% stenosis distally. 2. limited resting hemodynamics demonstrated severe systemic arterial systolic hypertension with an sbp of 169 mmhg despite nitroglycerin infusion. carotid u/s: right ica stenosis. left ica stenosis 40-59%. echo: prebyass: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. lvef 55%. no spontaneous echo contrast is seen in the body of the right atrium. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. dr. was notified in person of the results. postbypass: preserved biventricular function. aortic appears structurally preserved with no disection flaps. trace ai still present. findings communicated with dr. in person. 11:15pm plt count-242 11:15pm neuts-48.8* lymphs-37.7 monos-7.9 eos-4.1* basos-1.5 11:15pm wbc-8.6 rbc-4.78 hgb-13.9* hct-41.8 mcv-87 mch-29.1 mchc-33.2 rdw-14.1 11:15pm ck-mb-8 11:15pm ctropnt-0.20* 11:15pm ck(cpk)-160 11:15pm glucose-108* urea n-29* creat-1.6* sodium-141 potassium-4.0 chloride-108 total co2-22 anion gap-15 05:20am pt-13.6* ptt-64.1* inr(pt)-1.2* 01:40pm blood %hba1c-5.6 06:05am blood wbc-12.8* rbc-3.25* hgb-9.4* hct-28.1* mcv-87 mch-28.9 mchc-33.4 rdw-13.9 plt ct-153 06:05am blood plt ct-153 06:05am blood glucose-100 urean-27* creat-1.6* na-139 k-4.1 cl-104 hco3-25 angap-14 05:50am blood alt-29 ast-63* ld(ldh)-318* alkphos-57 amylase-29 totbili-0.6 05:50am blood lipase-10 06:05am blood wbc-12.8* rbc-3.25* hgb-9.4* hct-28.1* mcv-87 mch-28.9 mchc-33.4 rdw-13.9 plt ct-153 01:55pm blood pt-13.9* ptt-56.5* inr(pt)-1.2* 07:10am blood urean-22* creat-1.4* k-3.6 brief hospital course: mr. was transferred with nstemi from outside hospital to for cardiac cath. cath revealed severe three vessel coronary artery disease. he was referred for surgical revascularization. he underwent complete surgical work-up while awaiting plavix wash-out. on he was brought to the operating room where he underwent a coronary artery bypass graft x4. please see operative report for surgical details. in summary he had: coronary artery bypass grafting x4 with left internal mammary artery to left anterior descending coronary artery; reverse saphenous vein single graft from aorta to the second diagonal coronary artery; reverse saphenous vein single graft from aorta to the first obtuse marginal coronary artery; as well as reverse saphenous vein graft from the aorta to the distal right coronary artery. endoscopic vein harvesting. his bypass time was 109 minutes with a crossclamp of 91 minutes. he tolerated the operation well and following surgery he was transferred to the cvicu for invasive monitoring in stable condition. he was hemodynamically stable in the immediate post operative period, he was weaned from sedation, awoke neurologically intact and extubated later that day. on pod# 1 he was transferred from the icu to the stepdown unit for continued post operative management. chest tubes and temporary pacing wires were removed per cardaic surgery protocol. he was started on betabolckers and diuresed toward his pre-op weight. he was evaluated by physical therapy and rehab was recommended. the remainder of his post operative course was uneventful. he was discharged to rehabilitation on post operative day four. medications on admission: atenolol 50mg daily, isosorbide dinitrate 20 mg , hydralazine 50 mg , amlodipine 10 mg daily, zocor 40mg daily, asa 325mg daily, magnesium tablets discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 6. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 7. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 8. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours): 20mg x 10 days then 20mg qd. 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours): 20meq x 10 days then 20meq qd. 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po twice a day: hold for sbp<100 or hr<60. discharge disposition: extended care facility: tcu discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x myocardial infarction past medical history: hypertnesion hyperlipidemia s/p ptca yrs ago peripheral vascular disease chronic kidney disease (baseline creat 1.6-1.8) asthma as a child herniated disc low back past surgical history: s/p r cea s/p embolectomy r leg post cath s/p surgery for deviated septum s/p mastoid surgery as child s/p tonsillectomy as child s/p l hand surgery s/p trauma s/p bilat cataract surgery s/p right big toe surgery discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. please contact your with all wound issues at (. 2) report any temperature greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) please shower daily. wash incisions with soap and water. no lotions, creams or powders to incisions for 6 weeks. no swimming for 6 weeks. 5) no driving for 1 month. 6) no lifting greater then 10 pounds for 10 weeks from date of surgery. 7) please call with any questions or concerns. followup instructions: 6 wound clinic in 2 weeks/nurses to schedule prior to discharge dr. (ct ) in 4 weeks dr. (cardiology) in weeks dr. . yeghiazarians (pcp) 1-2 weeks ( please call and schedule your physician 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 left heart cardiac catheterization diagnostic ultrasound of heart diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to