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: positive exercise tolerance test major surgical or invasive procedure: cabgx3(lima->lad, svg->om1, pda) cardiac catheterization history of present illness: mr. is a splendid 48 year old gentleman with a three month history of intermittant dyspnea and chest pressure. he underwent a stress mibi which was positive for apical and adjoining anteroseptal wall ischemia. he was subsequently transferred to the for a cardiac catheterization. past medical history: coronary artery disease percutaneous coronary intervention diabetes mellitus hypercholesterolemia hypertension social history: married with 5 children. works as a janitor. never smoked. drinks beverages every few weeks. family history: mother with stroke at age 72. two brothers with strokes at ages 53 and 48. physical exam: temp: 98.5 bp: 118/58 pulse: 62 weight: 178 gen: middle aged hispanic man in no distress heent: perrl, eomi, anicteric sclera. oropharynx clear. neck: no jugular venous distention cardiac: rrr, normal s1-s2. no murmur. lungs: clear abdomen: normoactive bowel sounds, soft, nontender, nondistended ext: no edema, pulses 2+ throughout. no varicosities, no edema pertinent results: 10:35pm wbc-8.4 rbc-4.79 hgb-15.0 hct-42.0 mcv-88 mch-31.4 mchc-35.8* rdw-12.5 10:35pm plt count-218 05:30am blood pt-13.3 ptt-72.2* inr(pt)-1.1 05:30am blood glucose-96 urean-16 creat-0.8 na-142 k-4.0 cl-105 hco3-29 angap-12 11:50am blood alt-40 ast-19 alkphos-66 amylase-53 totbili-0.9 dirbili-0.2 indbili-0.7 09:50am blood glucose-186* urean-18 creat-0.8 na-136 k-4.6 cl-99 hco3-28 angap-14 09:50am blood wbc-10.9 rbc-3.23* hgb-9.6* hct-28.3* mcv-88 mch-29.7 mchc-33.9 rdw-13.9 plt ct-435# 09:50am blood glucose-186* urean-18 creat-0.8 na-136 k-4.6 cl-99 hco3-28 angap-14 cxr normal chest radiograph. cxr no pneumothorax. left-sided pleural effusion with reactive collapse/atelectasis. cardiac catheterization 1. two vessel coronary artery disease including left main coronary artery disease. 2. normal left ventricular systolic function. 3. moderate left ventricular diastolic function. ekg sinus rhythm nonspecific st segment elevation - clinical correlation is suggested no previous tracing elevation - repeat if myocardial injury is suspected possible old inferior myocardial infarction since previous tracing, further st-t wave changes noted brief hospital course: mr. was admitted to the medical center on for a cardiac catheterization. this revealed a 70% stenosed left main coronary artery, an occluded left anterior descending artery and a 50% stenosed right coronary artery. the ejection fraction was noted to be 64%. due to the severity of his disease, heparin was started and the cardiac surgical service was consulted for surgical management. mr. was worked-up in the usual preoperative manner. on , mr. was taken to the operating room where he underwent coronary artery bypass grafting to three vessels. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, mr. e neurologically intact and was extubated. he was slowly weaned from pressor support over the next three days. the physical therapy service was consulted for assistance with his postoperative strength and mobility. he was gently diuresed towards his preoperative weight. on postoperative day four, mr. was transferred to the cardiac surgical step down unit for further recovery. his drains and epicardial pacing wires were removed per protocol. toradol was used for treatment of his sternal pain with good effect. the diabetes service was consulted for assistance with his diabetes medications as his blood sugars remained high on his preoperative regimen. mr. continued to make steady progress and was discharged home on postoperative day seven. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: accupril 20mg daily amitriptyline 100mg at bedtime lipitor 80mg daily nitroglycerin as needed toprol xl 100mg daily glucovance 5/500mg twice daily aspirin 81mg daily discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. furosemide 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 3. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 7 days. disp:*14 capsule, sustained release(s)* refills:*0* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 6. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. glyburide-metformin 5-500 mg tablet sig: one (1) tablet po breakfast (breakfast): 2 po at dinner. disp:*90 tablet(s)* refills:*2* 9. lipitor 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. amitriptyline hcl 100 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*0* 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 12. lancets regular misc sig: one (1) miscell. four times a day. disp:*1 months supply* refills:*2* 13. one touch ultra test strip sig: one (1) miscell. four times a day. disp:*1 months supply* refills:*2* discharge disposition: home with service facility: multicultural vna discharge diagnosis: coronary artery disease. discharge condition: good. discharge instructions: follow medications on discharge instructions. you may not drive for 4 weeks. you may not lift more than 10 lbs for 3 months. you should shower, let water flow over wounds, pat dry with a towel. followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 6 weeks. make an appointment with clinic for diabetic teaching @ procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia other and unspecified angina pectoris other abnormal blood chemistry other specified hypotension 

Answer: The patient is high likely exposed to