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: codeine / percocet / simvastatin attending: chief complaint: severe 3-vessel coronary artery disease/ dyspnea on exertion major surgical or invasive procedure: coronary artery bypass grafting x2: left internal mammary artery to left anterior descending coronary; reverse saphenous vein single graft from aorta to the third obtuse marginal coronary artery. history of present illness: 56 year old diabetic male with significant medical history of hyperlipidemia and coronary artery disease s/p multiple pci's of the lad. he reports dyspnea after minimal exertion relieved with rest. this has been ongoing for years. he has modified daily activities to avoid symptoms. he completed a stress test on , he exercised for 4 minutes according to the standard protocol achieving a peak hr of 115 bpm and bp of 182/68 mm hg stopping due to dyspnea. there were non-specific st changes at peak exercise. imaging revealed anterior, septal and apical ischemia. it also showed mildly increased lv filling pressures during exercise and a normal lvef despite septal hypokinesis. he was referred for cardiac catheterization for further evaluation which showed significant in stent restenosis in proximal lad, 80% mid stenosis in large dominant cx,and mild diffuse disease in small rca. he was referred to cardiac surgery for revascularization. past medical history: hyperlipidemia cad bms x 3 to lad bms to isr lad 2.5 x 13mm pixel stent to ramus ptca isr proximal lad iddm retinopathy neuropathy gerd left pleural lipoma left shoulder arthritis-planning to start physical therapy vitreous hemorrhage s/p left eye vitrectomy right eye vitrectomy c/b retinal detachment right eye surgery right eye surgery now with decreased vision right hip surgery at age 14 social history: race:caucasian last dental exam:a few years ago lives with:wife occupation: teacher/driver's ed teacher tobacco:denies etoh:moderate family history: paternal uncles with premature cad and sister with cad in her 60's. physical exam: pulse:58 resp:18 o2 sat:98/ra b/p right:148/65 left:164/71 height:5'" weight:260lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:cath site left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right: no left: no pertinent results: 09:15am blood wbc-12.7* rbc-3.41* hgb-10.5* hct-29.7* mcv-87 mch-30.7 mchc-35.2* rdw-13.3 plt ct-191 05:40am blood urean-23* creat-0.7 na-137 k-4.1 cl-103 05:40am blood mg-2.1 brief hospital course: the patient was admitted to the hospital and brought to the operating room on where the patient underwent a coronary artery bypass grafting x2 with left internal mammary artery to left anterior descending coronary; reverse saphenous vein single graft from aorta to the third obtuse marginal coronary artery. see operative note for full details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. lantus insulin doses were adjusted due to hyperglycemia. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with visiting nurse services in good condition with appropriate follow up instructions. medications on admission: atenolol - (prescribed by other provider) - 50 mg tablet - 1 tablet(s) by mouth qam atorvastatin - (prescribed by other provider) - 80 mg tablet - 1 tablet(s) by mouth qam bimatoprost - (prescribed by other provider) - 0.01 % drops - one drop each eye daily at bedtime brimonidine-timolol - (prescribed by other provider) - 0.2 %-0.5 % drops - one drop left eye twice a day insulin aspart - (prescribed by other provider) - 100 unit/ml insulin pen - 22 units at breakfast, 10-22 units at 12pm, 32 units at dinner insulin glargine - (prescribed by other provider) - 100 unit/ml solution - 50 units twice a day metformin - (prescribed by other provider) - 500 mg tablet - one tablet(s) by mouth every am and two tablets every pm. ld pre procedure per dr. . medications - otc aspirin - (prescribed by other provider) - 81 mg tablet, chewable - 1 tablet(s) by mouth daily discharge medications: 1. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 7. timolol maleate 0.5 % drops sig: one (1) drop ophthalmic (2 times a day). 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 9. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*30 tablet(s)* refills:*0* 10. metformin 500 mg tablet sig: 0.5 tablet po qam (once a day (in the morning)). 11. metformin 500 mg tablet sig: one (1) tablet po qpm (once a day (in the evening)). tablet(s) 12. furosemide 40 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 13. potassium chloride 10 meq tablet extended release sig: one (1) tablet extended release po once a day for 10 days. disp:*10 tablet extended release(s)* refills:*0* 14. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 15. insulin glargine 100 unit/ml solution sig: fifty (50) units subcutaneous q am. disp:*15 units* refills:*0* 16. insulin glargine 100 unit/ml solution sig: forty (40) units subcutaneous at bedtime. disp:*15 * refills:*0* 17. insulin aspart 100 unit/ml solution sig: 10-32 units subcutaneous three times a day: 22 units at breakfast, units at 12 pm, 32 units at dinner - check fs tid and adjust according to bs results and food intake. disp:*15 * refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with dilaudid incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. 1 + edema left> right discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr on at 1:45 pm cardiologist: dr at 4/22 at 9:15 am please call to schedule appointments with your primary care dr. in weeks wound check in 1 week in lowr on at 10:30 am **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia long-term (current) use of insulin other complications due to other cardiac device, implant, and graft family history of ischemic heart disease obesity, unspecified diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy gastroparesis osteoarthrosis, unspecified whether generalized or localized, shoulder region 

Answer: The patient is high likely exposed to