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: past medical history: 1. diabetes mellitus type 2. 2. hypertension. 3. hypercholesterolemia. 4. hypothyroidism. 5. coronary artery disease. past surgical history: status post tonsillectomy and adenoidectomy. allergies: shellfish and dye. medications on admission: 1. levothyroxine 100 mcg p.o. once daily. 2. atorvastatin 10 mg p.o. once daily. 3. insulin nph 26 units q.a.m. history of present illness: the patient is a 52 year old diabetic man who has been told to have routine ett over years. the study from , revealed moderate defect in the apical wall, apical portion of anterior wall, apical portion of septal wall, partially reversible. the ejection fraction was 50%. symptomatically, the patient denied any chest discomfort or shortness of breath. in , he had a cardiac catheterization. left anterior descending had a long segment with 90% stenosis which was treated with stents. the circumflex had 70% stenosis which was also treated with stent and ramus and right coronary artery had no disease. several months ago, the patient began to notice some mild shortness of breath after climbing one flight of stairs. he does not report any chest pain, but felt occasional epigastric discomfort that involved significant exertion, i.e. playing basketball with his children. stress echocardiogram from , was stopped due to fatigue. imaging revealed ischemia of the distal septum extending to apex. ejection fraction was noted to be 53%. physical examination: on admission, the patient is a pleasant, cooperative male in no acute distress. cardiovascular - regular rate and rhythm, no murmurs. respiratory - crackles at the bases bilaterally. the abdomen is soft, nontender, nondistended. extremities are warm and well perfused. blood pressure is 110/60, pulse 90. blood sugar 110 to 457. laboratory data: hematocrit 35.9, blood urea nitrogen 16, creatinine 1.9, potassium 4.5. hospital course: the patient had a cardiac catheterization on , which showed total occlusion of left anterior descending proximal to the stent and collaterals distant to stent, diffuse 95% in-stent stenosis of left circumflex. the patient was admitted to medicine service and preoperatively was afebrile, pain free and vital signs were stable. the patient was taken to the operating room on , where coronary artery bypass graft times two with left internal mammary artery to left anterior descending and saphenous vein graft to om was performed. the operation went without complications. pacing wires as well as chest tubes were placed intraoperatively. the patient was transferred to cardiac surgery intensive care unit in stable condition. postoperative day number one, the patient was extubated successfully without complications. he was afebrile. he was started on lopressor and transferred to regular floor in stable condition. postoperative day number two, the patient had a low grade fever of 100.9. his wires were removed without complication. he is ambulating. he is complaining of intermittent nausea and occasional vomiting which were relieved by zofran. his liver function tests and amylase and lipase were all within normal limits. his abdominal examination was unremarkable. the patient's blood sugar is running between 300 and 400 on 24 units of nph. his nph was increased to 40 units in the morning and consultation was requested. he was put on more strict regular insulin sliding scale with blood checks every four hours. postoperative day number three, the patient was afebrile with stable vital signs. he still has some occasional nausea and vomiting. the patient stated that he recently quit smoking abruptly and he was started on nicoderm patch which relieved some of his symptoms. postoperative day number three, the patient's blood sugar was between 70 and 210. he required very little sliding scale insulin. postoperative day number five, the patient was afebrile with stable vital signs. his blood sugar is running between 100 and 200. his nausea and dizziness has resolved. no concerns and no active issues at this point. condition on discharge: good. discharge status: the patient is discharged home. follow-up: the patient should follow-up with dr. in six weeks. the patient will follow-up with diabetes center for his diabetic education and insulin management. medications on discharge: 1. lopressor 25 mg p.o. twice a day. 2. enteric coated aspirin 325 mg p.o. once daily. 3. levothyroxine 100 mcg p.o. once daily. 4. atorvastatin 10 mg p.o. once daily. 5. reglan 10 mg p.o. three times a day. 6. nicotine patch 14 mg transdermal once daily. 7. percocet one to two tablets p.o. q4-6hours p.r.n. 8. motrin 400 mg p.o. q8hours p.r.n. 9. tylenol 650 mg p.o. q6hours p.r.n. 10. docusate 100 mg p.o. twice a day. 11. insulin nph 40 units subcutaneous q.a.m. discharge diagnoses: 1. coronary artery disease, status post coronary artery bypass graft. 2. diabetes mellitus. 3. hypertension. 4. hyperlipidemia. , m.d. dictated by: medquist36 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: tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism coronary atherosclerosis of unspecified type of vessel, native or graft percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia old myocardial infarction 

Answer: The patient is high likely exposed to