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: sixty-one-year-old male with diabetes mellitus type 2, coronary artery disease, status post silent mi in with cabg (svg to rca, svg to om, svg to diagonal, lima to lad, status post left main and diagonal stents in ), chf with an ef of 30% underwent an uneventful right carotid endarterectomy in . went to rehab. patient had a presyncopal event and had cardiac catheterization in . no change since his last catheterization in , but no left subclavian artery stenosis at 70%. on the day of admission, the patient came in for an elective left carotid endarterectomy and had episodes of hypotension. systolic blood pressures of 80 at the time of preoperative catheterization, and then decreased systolic blood pressure around 65. patient was started on neo-synephrine. ekg showed st depressions of 2 mm in v4 through v6, i and avl. patient was persistently hypotensive off neo and post 1 liter of lactated ringers. patient was transferred to the cardiac care unit to rule out for myocardial infarction and pressure support. also the patient was found to have blood glucoses of greater than 600, and was started on an insulin drip. past medical history: 1. coronary artery disease status post cabg as detailed above. 2. right fem bypass. 3. left below the knee amputation. 4. cholecystectomy. 5. lumbosacral laminectomy x2. 6. bilateral carpal tunnel release. 7. diabetes mellitus 2. 8. peripheral vascular disease. 9. morbid obesity. allergies: no known drug allergies. current outpatient medications: 1. protonix. 2. lipitor 10 mg q.d. 3. lasix 40 mg q.d. 4. valsartan 40 mg q.d. 5. imdur 60 mg b.i.d. 6. digoxin 0.175 mg. 7. aspirin q.d. 8. neurontin 100 mg b.i.d. 9. plavix 75 mg q.d. 10. epogen 40,000 units. 11. carvedilol 3.125 mg. 12. folic acid. 13. methotrexate 7.5 mg q tuesday. 14. insulin nph 65 q.a.m., 60 q.p.m. 15. regular insulin-sliding scale. social history: patient is married on disability. used tobacco cigarettes. quit at age 50. alcohol use rare. no history of drug abuse. family history: diabetes mellitus and coronary artery disease in parents. physical exam: 84, 14, 95/43 on 2 mg of neo-synephrine. no apparent distress. moist mucous membranes. oropharynx within normal limits. jugular venous pressure approximately 7 cm. clear to auscultation anteriorly. regular, normal s1, s2, no s3, s4, 2/6 systolic ejection murmur at the left lower sternal border, orientation x3. ekg: normal sinus rhythm at 82, normal axis, normal intervals, depressions in i, avl, v4 through v6 compared with . echocardiogram on at the : 1+ mr, 1+ tr, increased left atrial enlargement, pa pressure approximately 45, ef 40%, apical akinesis. dilated and hypertrophied left ventricle. admission laboratories: white blood cell count 10.3, hematocrit 32.2, platelets 277. sodium 135, potassium 4.4, chloride 97, bicarb 27, bun 63, creatinine 2.0, glucose 163. ck 35, myoglobin fractionation 11. troponins were 0.07, 0.07, and 0.08. inr 1.1. ptt 27. digoxin level 1.2. repeat catheterization in showed left main stent patent, left circumflex diffuse disease, rca totally occluded, svg to rca totally occluded, svg to om okay, svg to diagonal total occlusion, diagonal stent okay. lima to lad patent. 70% left subclavian stenosis near lima. hospital course: 1. cardiac: patient was ruled out for myocardial infarction. it was felt that the patient may benefit from a stent placed in the subclavian. the patient went for cardiac catheterization, and the subclavian was found to be 80% stenosed. a 6 mm stent was placed with 10% residual stenosis. there were no other complications from the cardiac stent placement. the patient was weaned of the neo-synephrine as he has had fluid repletion from his osmotic diuresis from the diabetes. 2. diabetes mellitus: the patient was initially placed on an insulin drip, and then was converted to nph 80 units in the a.m., 75 units in the p.m., and a humalog sliding scale with the help of the diabetes group. 3. infectious disease: the patient had a uti for which he was treated for seven days with levaquin. the patient did no go home with any oral antibiotics. discharge status: discharged to home with vna services. condition on discharge: the patient is able to get out of bed with assistance. he is able to feed himself and tolerating food without difficulty. discharge medications: 1. digoxin 0.125 mg q.d. 2. atorvastatin 10 mg q.d. 3. protonix 40 mg q.d. 4. gabapentin 100 mg b.i.d. 5. iron sulfate 325 mg q.d. 6. multivitamin q.d. 7. epo 40,000 units q week. 8. docusate sodium 100 mg b.i.d. 9. folic acid 1 mg q.d. 10. methotrexate 2.5 mg q tuesday. 11. aspirin 325 mg q.d. 12. plavix 75 mg q.d. for which he will take it for nine months. 13. senna q.h.s. 14. carvedilol 3.125 mg b.i.d. 15. acetaminophen as needed for pain. 16. valsartan 40 mg q.d. 17. nph 80 units in the a.m. and 75 units in the p.m. 18. humalog sliding scale, which was attached on a separate sheet as suggested by the diabetes group. followup: patient will follow up with dr. in the outpatient clinic in three weeks by calling to schedule an appointment. the patient will have his carotid endarterectomy again considered after the appointment with dr. . , md dictated by: medquist36 d: 12:06 t: 07:19 job#: procedure: angioplasty of other non-coronary vessel(s) insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) arteriography of other specified sites diagnoses: urinary tract infection, site not specified congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled occlusion and stenosis of carotid artery without mention of cerebral infarction other complications due to other cardiac device, implant, and graft rheumatoid arthritis stricture of artery surgical or other procedure not carried out because of contraindication 

Answer: The patient is high likely exposed to