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: penicillin. admission medications: 1. insulin sliding scale. 2. valsartan. 3. hydrochlorothiazide. 4. aspirin 81 mg. physical examination on admission: vital signs: the patient was afebrile, heart rate in the 70s, blood pressure 154/70, breathing 16 times. general: the patient was in no acute distress, was alert and oriented times three. heent: moist mucous membranes. neck: no jvd. no cervical lymphadenopathy. lungs: clear to auscultation bilaterally with no rales, rhonchi, or crackles. heart: regular rate and rhythm. no murmurs, rubs, or gallops. abdomen: soft, nontender, nondistended. there was no hepatosplenomegaly. there was no guarding or rebound. genitalia: the patient has normal external male genitalia. extremities: there were no deformities in his extremities. neurologic: he was intact throughout. cranial nerves ii through xii were intact. vascular: palpable dps bilaterally. palpable femoral arteries bilaterally. palpable carotid arteries with no bruits auscultated. laboratory/radiologic data: the ekg showed a normal sinus rhythm with t wave in leads i, iii, and avf, no q waves seen. echocardiogram was not done. laboratory values at the outside hospital showed a hematocrit of 40.1, platelet count 166,000. bun and creatinine 15 and 1.3. troponin 0.79, ck 539. cardiac catheterization showed left ca %, diffuse lad 70% proximal, rca 60%, and circumflex many 80% lesions. assessment and plan: this is a 67-year-old diabetic male with high-risk for acute coronary syndrome, transient st elevations on background of severe three vessel disease. the patient was admitted to the cardiology service after cardiac catheterization with intra-aortic balloon pump placed. cardiothoracic surgery was consulted. the patient was placed on iv heparin, beta blockers, aspirin, statin, checked his lipids. an echocardiogram was ordered. the patient was hydrated with half normal saline. mucomyst was given post cardiac catheterization. on , cardiac surgery consulted on the patient and it was felt that the patient would be most suited with coronary artery bypass grafting. on hospital day number one, postprocedure day number one, the patient remained on the intra-aortic pump, wanted a second opinion, was unclear if surgery. the patient's laboratory values were stable. the vital signs were all within normal limits. the patient was continued on a heparin drip, aspirin, beta blocker. on hospital day number two, the patient was brought to the operating room for cabg times four, intra-aortic balloon pump. the patient tolerated the procedure well and was transferred to the crsu in stable condition. postoperatively, the patient was maintained on an intra-aortic balloon pump with plans to wean. the patient was on a propofol drip for sedation while intubated. the patient was on a nitroglycerin drip for blood pressure control and insulin drip for elevated blood sugars. the plan was to slowly wean intra-aortic balloon pump, monitor cardiac index, pulmonary toilet, pain control, continue insulin drip pending blood sugars. on postoperative day number one, the patient was continued on insulin and nitroglycerin drips. the patient was afebrile, heart rates in the 100s, in sinus tachycardia. otherwise, the patient's vital signs were stable. the patient was weaned off the ventilator overnight with good gases. the patient was continued on oxygen therapy by nasal cannula. on postoperative day number two, the patient's intra-aortic balloon pump was removed. the patient was started on oral pain medicines. the patient was afebrile with stable vital signs. chest tubes were removed. diuresis was continued. the patient was out of bed to a chair. pulmonary toilet was continued. pain control. electrolytes and blood sugars were monitored. the patient's diet was advanced. the foley was removed on postoperative day number three in the evening. on postoperative day number three, the patient was confused overnight. the patient was on no drips. the patient had received some haldol overnight with good effect. the patient was afebrile with a temperature maximum of 99.2, otherwise the vital signs were stable. the patient was diuresed with an output of negative 2 liters. the patient's laboratory values were all within normal limits. the patient's foley was removed on postoperative day number three and the patient was transferred to the floor. on postoperative day number four, the patient was working with physical therapy, already ambulating with physical therapy and was being set up for discharge home. the patient was slightly tachycardiac and was given 5 mg of iv lopressor with good response. the patient's p.o. dose of metoprolol was increased to 100 b.i.d. otherwise, the patient's vital signs were stable. the patient's diuresis was slowly weaned and the patient's lasix was changed to once a day dosing. the patient's wires were removed on postoperative day number five. on postoperative day number five, the patient was ambulating with physical therapy down stairs. chest x-ray obtained showed small bilateral pleural effusions and some residual atelectasis; however, was improved from prior chest x-ray. the patient's laboratory values showed a white count of 8.9, hematocrit 27.1. the patient's electrolytes were all within normal limits. the patient's bun and creatinine was 19 and 1.3 which is stable from admission bun and creatinine. the patient was experiencing some pain at the incision site and was given oral pain medicines. ekg was checked to be sure that it was not ischemic pain. there were no changes in ekg pattern. as discussed, the patient will be discharged to home with his wife. disposition: the patient was discharged to home in stable condition on a regular diet, ambulating on his own. discharge medications: 1. percocet 5/325 one to two tablets q. four to six hours as needed for pain. 2. aspirin 325 mg one tablet p.o. q.d. 3. valsartan 40 mg tablet p.o. b.i.d. 4. colace 100 mg tablet p.o. b.i.d. 5. nicotine patch 21 mg transdermal patch q.d. 6. lasix 20 mg p.o. q.d. for seven days. 7. potassium chloride 20 meq p.o. q.d. for seven days. 8. toprol 100 mg p.o. b.i.d. 9. protonix 40 mg p.o. q.d. 10. insulin sliding scale. follow-up: the patient is to follow-up with dr. in one to two weeks, dr. in one to two weeks, and with dr. in six weeks. discharge diagnosis: 1. status post coronary artery bypass graft times four. 2. hypertension. 3. diabetes mellitus. condition on discharge: the patient was discharged home in stable condition, tolerating a regular diet, and ambulating. , m.d. dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization diagnostic ultrasound of heart implant of pulsation balloon diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension personal history of malignant neoplasm of prostate personal history of noncompliance with medical treatment, presenting hazards to health diabetes with unspecified complication, type i [juvenile type], uncontrolled 

Answer: The patient is high likely exposed to