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 49 year old male with a prior history of two non q wave myocardial infarctions. he also has a history of left anterior descending percutaneous transluminal coronary angioplasty in , along with angioplasty of two separate right coronary artery lesions in . he had a cardiac catheterization in . he had a repeat cardiac catheterization on , which showed three vessel coronary artery disease, mild mitral regurgitation and mild systolic ventricular dysfunction. specifically, his left anterior descending was found to be totally occluded, his left circumflex had diffuse moderate disease and his om2 was completely occluded. his right coronary artery had 80% stenosis. his left ventricular ejection fraction was estimated to be 41% with mild hypokinesis of the anterolateral, apical and inferior walls. the patient has been mostly asymptomatic. he has no angina or shortness of breath. the patient reports that he is able to walk at least a mild every day. the patient also denied any symptoms of claudication, orthopnea, extremity edema, paroxysmal nocturnal dyspnea or light-headedness. past medical history: 1. hypertension. 2. hypercholesterolemia. 3. history of smoking. 4. diabetes mellitus. 5. coronary artery disease. 6. history of non q wave myocardial infarction times two, prior angioplasties of the right coronary artery and the left anterior descending. past surgical history: none. allergies: no known drug allergies. medications on admission: 1. aspirin 325 mg p.o. once daily. 2. lopid 600 mg p.o. twice a day. 3. inderal 40 mg p.o. four times a day. 4. captopril 25 mg p.o. three times a day. 5. norvasc 5 mg p.o. once daily. 6. folic acid 2 mg p.o. once daily. 7. insulin subcutaneous according to protocol. laboratory data: on admission, hematocrit was 31.9, white blood cell count 12.4, platelet count 183,000. prothrombin time 14.1, partial thromboplastin time 26.6, inr 1.4. glucose 92, blood urea nitrogen 15, creatinine 0.8, sodium 141, potassium 4.0. physical examination: the patient is afebrile with stable vital signs. generally, the patient is alert and oriented in no apparent distress. head, eyes, ears, nose and throat examination is within normal limits. cardiac examination is regular rate and rhythm, no murmurs, rubs or gallops. the chest is clear to auscultation bilaterally. the abdomen is soft, nontender, nondistended, mildly obese. extremities are warm and well perfused, no signs of edema. hospital course: given evidence of three vessel disease, the patient was admitted to cardiac surgery for surgical intervention. on , the patient underwent a three vessel coronary artery bypass graft. specifically, he had the following grafts: left internal mammary artery to left anterior descending, saphenous vein graft to om1, ra to posterior descending artery. his postoperative left ventricular ejection fraction was 45%. the patient tolerated the procedure well. there were no complications. the patient remained intubated and was transferred to the intensive care unit. please see the full operative report for further detail. the patient showed good oxygenation. he was making adequate urine. his lung and heart examinations were unremarkable. he had mediastinal chest tubes in place. he had intact pacer wires. on postoperative day one, the patient was extubated without event. his hematocrit remained stable. his blood gas was within normal limits. on postoperative day number one, the patient was transferred to the regular floor in stable condition. he remained afebrile with stable blood pressure and heart rate. his chest tube was removed on postoperative day number two. his chest x-ray was within normal limits without any sign of pneumothorax. his pacing wires were removed as well. the patient was getting out of bed and ambulating and working with physical therapists. the patient passed level five with the physical therapist and was cleared to go home on postoperative day three. all the patient's lines and drains were removed. his incisions did not show any evidence of infection. his left arm remained swollen which was expected after radial artery graft removal. the patient was discharged to home on postoperative day three. condition on discharge: stable. discharge status: to home. discharge diagnoses: 1. three vessel coronary artery disease, status post coronary artery bypass graft times three. 2. hypertension. 3. diabetes mellitus. 4. hypercholesterolemia. medications on discharge: 1. aspirin 325 mg p.o. once daily. 2. isosorbide mononitrate 60 mg p.o. once daily times one month. 3. percocet one to two tablets p.o. q4-6hours p.r.n. pain. 4. ibuprofen 400 mg p.o. q6hours p.r.n. pain. 5. colace 100 mg p.o. twice a day p.r.n. constipation. 6. lasix 20 mg p.o. twice a day times seven days. 7. potassium chloride 20 meq p.o. twice a day times seven days. 8. lopid 600 mg p.o. twice a day. 9. lopressor 25 mg p.o. twice a day. discharge instructions: 1. the patient is to follow-up with his surgeon, dr. , in approximately six weeks. 2. the patient is to follow-up with his cardiologist in approximately two to three weeks. 3. the patient is to follow-up with his primary care physician in approximately one to two weeks. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of tobacco use old myocardial infarction 

Answer: The patient is high likely exposed to