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 59-year-old gentleman with a history of coronary artery disease (status post inferoposterolateral myocardial infarction in ), hypertension, hyperlipidemia, and non-insulin-dependent diabetes mellitus who was transferred from to on for a cardiac catheterization. in , the patient's cardiac catheterization revealed an occluded right coronary artery and circumflex with moderate-to-diffuse disease along the left anterior descending artery. the patient currently has presented with increasing shortness of breath which awoke him from sleep; at which time the patient presented to on . during the presentation, the patient's bnt was elevated to 459, and the patient's persantine thallium showed an inferolateral defect; at which time the patient was referred to for cardiac catheterization. cardiac catheterization at showed 60% to 70% ostial left main, left anterior descending artery with 80% and 70% mid, left circumflex to mid, right coronary artery to mid, both collateralized from left. ejection fraction was in the high 40s. there was the presence of mild mitral regurgitation and inferobasal and posterior akinesis. wedge was estimated to be approximately 17 mmhg. no evidence of chest pain, and shortness of breath was substantially better after treatment with bumex. at this time, the patient was evaluated by cardiothoracic surgery service for a coronary artery bypass graft. past medical history: 1. coronary artery disease with myocardial infarction and known 3-vessel disease in . 2. ventricular tachycardia; status post implantable cardioverter-defibrillator. 3. mitral regurgitation. 4. hypertension. 5. status post a right carotid endarterectomy. medications on admission: (medications at home included) 1. wellbutrin 100 mg p.o. twice per day. 2. mavik 4 mg p.o. every day. 3. pravachol 40 mg p.o. once per day. 4. labetalol 200 mg p.o. twice per day. 5. reminyl 8 mg p.o. twice per day. 6. sotalol 160 mg p.o. twice per day. allergies: penicillin (to which the patient develops hives). social history: the patient has a longstanding history of pipe smoking and social alcohol use. physical examination on presentation: physical examination at the time of discharge revealed vital signs with a temperature of 97.3, heart rate was 63 (sinus), blood pressure was 177/90, respiratory rate was 16, and oxygen saturation was 99% on room air. the patient was a well-developed and well-nourished male in no apparent distress at the time of discharge. head, eyes, ears, nose, and throat examination revealed sclerae were anicteric. mucous membranes were moist. no evidence of oral ulcers. cranial nerves ii through xii were intact. no cervical lymphadenopathy noted. the chest was clear to auscultation bilaterally. the staples were intact along the sternotomy incision site, and no evidence of erythema or serosanguineous drainage were noted. cardiovascular examination revealed a regular rate and rhythm. no murmurs. no clicks. abdominal examination revealed positive bowel sounds. soft, nontender, and nondistended. no evidence of hernia noted, and no inguinal lymphadenopathy noted. there was no presence of hepatosplenomegaly. lower extremity examination revealed there was no evidence of edema noted in the lower extremities, and the graft site showed no evidence of erythema or serosanguineous drainage. pertinent laboratory values on discharge: pertinent laboratories on revealed white blood cell count was 18.3, hematocrit was 26.7, and platelets were 424. sodium was 136, potassium was 4.8, chloride was 99, bicarbonate was 26, blood urea nitrogen was 14, and creatinine was 0.7. magnesium was 2.1 and calcium was 9.4. prothrombin time was 15.3, partial thromboplastin time was 57.2, and inr was 1.6. hospital course by issue/system: the patient is a 59-year-old male status post inferoposterolateral myocardial infarction in who, upon catheterization at that time, revealed 100% right coronary artery, 100% mid left circumflex, and mild-to-moderate diffuse left anterior descending artery disease. subsequently, the patient was treated and medically managed. however, the patient developed acute shortness of breath, elevated bnt, and persantine thallium demonstrated mixed inferolateral defect with corresponding cardiac catheterization revealing 60% to 70% left main disease, left anterior descending artery with 80% disease, with an ejection fraction in the high 40% range. given these findings, the patient was admitted to the cardiothoracic surgery service, and the patient was successfully screened for coronary artery bypass graft. on , the patient underwent an uncomplicated coronary artery bypass graft times five (with left internal mammary artery to the diagonal, saphenous vein graft to right coronary artery, saphenous vein graft to second obtuse marginal, saphenous vein graft to first obtuse marginal to left anterior descending artery). postoperatively, the patient was taken to the cardiothoracic surgery recovery unit for close monitoring and was promptly extubated without difficulty. the patient maintained good oxygen saturations on 3 liters nasal cannula and maintained good urine output after weaning off of pressors. by postoperative day one, the patient was initiated on a cardiac diet. electrophysiology was consulted for a check of the permanent pacemaker. electrophysiology consultation revealed that the parameters were in the acceptable range with evidence of full energy charge in the implantable cardioverter-defibrillator. by postoperative day two, the patient again required a moderate amount of neo-synephrine for blood pressure support, and the patient developed rapid atrial fibrillation to which the patient was initiated on an amiodarone drip. at this time, beta blockers were also increased, and the chest tube was also removed. by postoperative day four, the patient was completely weaned off of pressors. as the patient maintained good oxygen saturations along with good pressures without further support. the decision was made to transfer the patient to the floor. at this time, the patient's amiodarone was discontinued as the patient maintained a sinus rhythm, and sotalol was re-initiated. given the history of the patient's intermittent atrial fibrillation, the patient was initiated on heparin for anticoagulation, and coumadin was also administered. by postoperative day seven, heparin anticoagulation was therapeutic and the dosing of labetalol and sotalol were staggered to reduce any provocation of orthostasis. immediately prior to initiating the full dosing of lopressor, the patient developed lightheadedness and alerted the staff of feeling weak. this event was evaluated and was determined to be probable to the administration of both sotalol and labetalol. after consulting with electrophysiology, the decision was made to decrease the sotalol dosage to 120 mg from 160 mg p.o. twice per day, and the staggering regimen of lopressor was maintained. at this time, no further episodes of lightheadedness were noted by the patient and the patient achieved level v physical therapy status without difficulty. given the fact that the patient was doing so well, the patient was discharged on with instructions to follow up with dr. of cardiology. condition at discharge: condition on discharge was good. discharge status: discharge status was to home. discharge diagnoses: status post coronary artery bypass graft (with left internal mammary artery to diagonal, saphenous vein graft to right coronary artery, saphenous vein graft to second obtuse marginal, saphenous vein graft to first obtuse marginal to left anterior descending artery). medications on discharge: 1. colace 100 mg p.o. twice per day 2. oxycodone/acetaminophen 5/325 mg one to two tablets p.o. q.4-6h. as needed (for pain). 3. pravastatin 50 mg p.o. once per day. 4. ascorbic acid 500 mg p.o. twice per day. 5. ferrous sulfate 325 mg p.o. once per day. 6. bupropion 100 mg p.o. twice per day. 7. galantamine 8 mg p.o. twice per day. 8. aspirin 81 mg p.o. once per day. 9. labetalol 100 mg p.o. twice per day. 10. sotalol 120 mg p.o. twice per day. 11. bumex 1 mg p.o. once per day. 12. coumadin 7.5 mg p.o. times one dose on . discharge instructions/followup: 1. the patient will require a prothrombin time and inr check every monday, wednesday, and friday. the patient was to call dr. (telephone number ) for coumadin dosing information. 2. the patient was to follow up with dr. in four weeks. 3. the patient was to follow up with dr. in one to two weeks. 4. the patient was to follow up with dr. in one to two weeks. , m.d. dictated by: medquist36 d: 09:34 t: 09:46 job#: procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures (aorto)coronary bypass of four or more coronary arteries catheter based invasive electrophysiologic testing diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation paroxysmal ventricular tachycardia other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to