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: patient is a 74-year-old male who is referred by his cardiologist/primary care doctor, dr. for complaints of exertional dyspnea and syncope. the patient had been experiencing shortness of breath and lightheadedness with three presyncopal episodes since . these occurred with exertion such as daily chores like carrying trash to the curb. the patient had a persantine myoview test performed on which revealed a small mild inferobasilar infarct with small anterior adjacent ischemia. the ejection fraction was 57%. patient denies claudication, orthopnea, pnd, or edema. patient now presents for cardiac catheterization. past medical history: 1. hypertension. 2. hypercholesterolemia. 3. twenty pack year smoker, quit approximately 30 years ago. 4. type 2 diabetes mellitus. 5. family history of coronary artery disease. 6. hypothyroidism secondary to thyroidectomy for thyroid cancer. 7. chronic atrial fibrillation. medications: 1. glucophage 1,000 mg . 2. glyburide 2.5 mg q day. 3. lipitor 20 mg q day. 4. atenolol 100 mg q day. 5. imdur 90 mg q day. 6. diltiazem 120 mg q day. 7. coumadin 5 mg q day, last dose . 8. cozaar 100 mg q day. 9. protonix 40 mg q day. 10. levoxyl 0.125 mg q day. 11. nitroglycerin patch 0.2 mg/hour. 12. potassium chloride 10 meq q day. 13. lasix 20 mg q day. physical examination: the patient is a pleasant-elderly man in no acute distress. heent is atraumatic, normocephalic. extraocular movements are intact. pupils are equal, round, and reactive to light. anicteric. throat is clear. neck is supple, midline without masses or lymphadenopathy. chest was clear to auscultation bilaterally. cardiovascular is regular, rate, and rhythm without murmurs, rubs, or gallops. abdomen is soft, nontender, nondistended, obese without masses or organomegaly. extremities are warm, noncyanotic, nonedematous x4. neurologic is grossly intact. height is 5 foot 6 inches, weight 194 pounds. laboratories on admission: complete blood count: 8.3/11.0/32.8/188. chemistry: 141/4.7/108/27/30/1.4. inr is 1.24. hospital course: the patient presented for cardiac catheterization secondary to his positive persantine stress test. cardiac catheterization revealed mild-to-moderate mitral regurgitation with an ejection fraction of 50%. he had a right dominant coronary artery system with severe three-vessel disease. recommendation was made for revascularization and the cardiothoracic surgery service was consulted. patient was added on as an urgent coronary artery bypass graft. this was performed on x2 with lima to the left anterior descending artery, saphenous vein graft to the om. on the postoperative period, the patient was in the intensive care unit for closer monitoring. he was extubated overnight on postoperative day #0. patient had unremarkable postoperative course and was transferred to the floor on postoperative day #2. subsequent to this, the patient was cleared by physical therapy for home discharge on postoperative day #3. the patient was maintained on therapeutic anticoagulation using a heparin drip and the coumadin was restarted. patient was ultimately discharged after his inr became therapeutic, occurred on postoperative day #7. there were no other complications, and the patient was discharged tolerating regular diet, and in adequate pain control on po pain medications and without any anginal symptoms or dyspnea on exertion. discharge condition: good, inr 2.2. disposition: home. diet: cardiac and diabetic. medications: 1. aspirin 325 mg q day. 2. percocet 3/325 q4h prn. 3. colace 100 mg . 4. glucophage 1,000 mg . 5. glyburide 2.5 mg q day. 6. lipitor 20 mg q day. 7. levoxyl 125 mcg q day. 8. lopressor 100 mg . 9. lasix 20 mg q day x10 days. 10. potassium chloride 20 meq q day x10 days. 11. coumadin 7.5 mg on monday, wednesday, friday, 5 mg all other days of the week. discharge instructions: the patient was to followup with his cardiologist in weeks time. he should address the need for diuretics as well as adjustment of cardiac medications at that time. the patient should followup with dr. in six weeks. , m.d. dictated by: medquist36 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 one coronary artery diagnoses: coronary atherosclerosis of native coronary artery mitral valve disorders unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hematoma complicating a procedure old myocardial infarction orthostatic hypotension postsurgical hypothyroidism 

Answer: The patient is high likely exposed to