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: patient is a 79-year-old white male with a history of coronary artery disease, copd, hypertension, and cerebrovascular accident, status post stroke a few years ago by report. is being worked up for carotid endarterectomy and positive ett, and then referred to cardiac catheterization prior to cea. on cardiac catheterization, it was found that patient had 80% lm, 80% lad, 90-95% circumflex, and 90-95% rca with stenosed right ileac. stress exam showed moderate severe anterior anginal ischemia with an ef of 46%. the patient had no previous angina or shortness of breath or dyspnea on exertion. denies diabetes mellitus, bleeding dyscrasias, but does have positive fatigue in the legs. past medical history: 1. hypertension. 2. cerebrovascular accident with right weakness. 3. hypercholesterolemia. 4. peptic ulcer disease status post gastrectomy 30 years ago. 5. carotid disease. 6. melanoma on the right cheek. 7. fractured right hip status post repair. 8. migraine headaches. social history: no tobacco, no alcohol, and patient lives with his wife. medications on admission: 1. metoprolol 50 b.i.d. 2. hydrochlorothiazide 25 q.d. 3. lipitor 10 q.d. 4. aspirin 325 q.d. allergies: cephalexin. physical exam on admission: vital signs of 96.7, 64, 158/70, and respiratory rate of 20. generally, the patient was in no acute distress. heent exam was pupils are equal, round, and reactive to light and accommodation. extraocular movements are intact, and eyes were anicteric and not injected. neck is supple without lymphadenopathy without jvd. there was 2+ carotids, soft left sided bruit. oropharynx was clear with mucous membranes moist without erythema. respiratory exam was clear to auscultation bilaterally. cardiac examination was regular, rate, and rhythm without murmurs, rubs, or gallops. abdomen exam: transverse scar, well healed, soft, nontender, nondistended without hepatosplenomegaly, normoactive bowel sounds. extremities are warm and well perfused without clubbing, cyanosis, or edema. pulse examination: there is 2+ carotid pulses bilaterally with bruit on the left side. femoral pulses 2+. radial pulses 2+. dp and pt pulses are 2+. neurologic examination: the patient was alert and oriented times three, followed commands. cranial nerves ii through xii were grossly intact. strength was equal bilaterally. sensation was intact. symmetry was intact bilaterally. patient had an ekg on admission which showed a heart rate of 60 and left bundle branch block. laboratories on admission: from outside hospital showed a white count of 8.6, hematocrit of 47.3, and platelet count of 274 with sodium 141, potassium 4.8, chloride 102, bicarb 34, bun 20, creatinine 0.9, glucose 103. coags: pt 10.5, ptt 28, inr of 1.1, ast of 30, alt of 24, alkaline phosphatase of 199, t bilirubin 1, albumin of 3.9, and negative urinalysis. patient was seen by dr. and was deemed ready for coronary artery bypass graft on . on date of admission date, the patient was started on heparin drip at 800 units an hour and had an inr of 1.2 on . repeat vascular laboratories, carotid duplex showed left ica stenosis of 80-99% with no stenosis of the right ica. patient was taken to the operating room on for coronary artery bypass graft x4, lima to lad, saphenous vein graft to diag, saphenous vein graft to om-1, saphenous vein graft to om-2. surgeon was dr. , first assistant dr. . postoperative day one, the patient was extubated on a neo-synephrine drip of 0.7 and propofol was weaned off. insulin drip of 2.5. neurologically, the patient was intact, and vascular staff was consulted for evaluation of left sided carotid stenosis. the patient was seen by dr. on , and patient was transferred to the floor on on lopressor 12.5 b.i.d. after neo-synephrine had been weaned off the day before and lasix 20 b.i.d. physical therapy began seeing patient on , and continued to see patient throughout hospital stay and to discharge. vascular staff once again saw patient for preoperative workup on , however, the patient had bouts of atrial fibrillation, and was treated with 20 mg of lopressor iv push and converted back to sinus, however, the patient remained confused overnight and throughout the day, and carotid endarterectomy was postponed secondary to the patient's confusion and inability to sign consent. however, the patient's confusion resolved, and head ct was obtained at the time of the confusion, which showed global atrophy and no acute hemorrhage with multiple bilateral cerebral infarcts small that were chronic and no acute changes, and there is also no change from prior baseline per primary care physician. patient remained in sinus rhythm from cabg postoperative days four and five, and was taken to the or for left sided carotid endarterectomy on , postoperative day six from cabg. left cea with patch was performed by dr. and dr. with 1300 of crystalloid given, 200 urine output with estimated blood loss of 50 cc. patient did well postoperatively, and was neurologically intact. tongue midline. smile symmetric with bilateral carotid pulses, and strength equal and nonfocal examination postoperative day 0. patient, however, was transfused 2 units of packed red blood cells for a hematocrit drop from 25.3 to 23. patient continued to do well on postoperative day one, and had some bouts of hypertension 160s, was controlled with lopressor. was discharged to rehabilitation facility on medications: 1. aspirin 325 p.o. q.d. 2. lopressor 50 p.o. b.i.d. 3. lipitor 10 p.o. q.d. 4. tylenol #3 1-2 tablets p.o. q2-4h prn pain. 5. zantac 150 mg p.o. b.i.d. 6. ascorbic acid 500 mg b.i.d. 7. colace 100 mg p.o. b.i.d. discharge instructions: was instructed to followup with primary care physician weeks. cardiologist in weeks, dr. in days, and dr. in weeks. condition on discharge: good. discharge status: rehabilitation facility. discharge diagnoses: 1. hypertension. 2. hypercholesterolemia. 3. peptic ulcer disease. 4. coronary artery disease status post coronary artery bypass graft. 5. carotid disease status post left sided carotid endarterectomy. , m.d. , m.d. dictated by: medquist36 d: 08:21 t: 08:22 job#: procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery endarterectomy, other vessels of head and neck diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation occlusion and stenosis of carotid artery without mention of cerebral infarction other late effects of cerebrovascular disease delirium due to conditions classified elsewhere other musculoskeletal symptoms referable to limbs 

Answer: The patient is high likely exposed to