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: this is a 70-year-old male with no known previous diagnosed coronary artery disease and a history of diabetes mellitus who was transferred from for cardiac catheterization after he developed shortness of breath with difficulty breathing. he had been noticing increasing dyspnea on exertion. when he presented to hospital he was found to be in congestive heart failure. he was then started on lasix, an ace inhibitor and enteric coated aspirin. it was thought that the shortness of breath was secondary to ischemia. the patient was transferred to on the for a cardiac catheterization for subsequent work up after he had an electrocardiogram that showed recent t-wave inversions in v4 to 6. the patient had noticed a prior episode about two weeks before presentation and again six months prior. the patient had had no chest pain, palpitations, diaphoresis, nausea or vomiting. past medical history: 1. diabetes mellitus 2. hypertension 3. hypercholesterolemia 4. vitiligo 5. chronic renal insufficiency 6. anxiety medications on presentation: 1. lipitor 20 mg q hs 2. enalapril 25 mg 3. metoprolol 50 mg 4. aspirin 325 mg po qd 5. lorazepam prn 6. lovenox 80 mg physical exam: vital signs: his temperature was 97.3??????, pulse 66, blood pressure 175/85, saturating 97% on three liters o2 by nasal cannula. appearance: pleasant middle aged white male lying comfortably in bed. neck: jugular venous distention about 7 cm, no carotid bruits. lungs: slight basilar crackles bilaterally. heart: regular rate and rhythm. abdomen: soft, nontender, 2+ groin pulses, no bruits. extremities: trace bilateral edema. labs: his white blood count was 9.0, hematocrit 36.5, platelets count 163. pt 13.3, ptt 41.9, inr 1.2, calcium 8.8, magnesium 1.7, phosphate 3.9. alt 9, ast 9. his troponin was 0.22. his cks were negative. imaging: electrocardiogram showed normal sinus rhythm, no ischemic sts. echocardiogram done on the showed an ejection fraction of 30% with left ventricular hypertrophy. cardiac catheterization done the showed three vessel coronary artery disease. he was taken to the operating room on where a five vessel coronary artery bypass graft was performed. he tolerated the procedure well. it was found postoperatively that the patient was found postoperatively to have some upper and lower extremity weakness with decreased bilateral hand grips. over the course of the next few days, his neurologic status noted some improvement, however he continued to have some clumsiness on his left side. neurology was consulted and he was thought to have had a perioperative stroke. head ct was performed and he a had a bilateral complex duplex study done. head ct showed multiple chronic lacunar infarcts with a possible lesion in the right parietal area. carotid duplex showed greater than 90% right ica stenosis with significant plaque and 60% to 69% stenosis on the left internal carotid artery with moderate plaque. the patient was continued on aspirin which he had been on pre and postoperatively. he was transfused to keep his hematocrit above 30 and blood pressure was managed above 140 systolic. the patient otherwise had an uncomplicated postoperative recovery with respect to his cardiac status and is found to be stable for discharge to an acute rehabilitation facility. discharge diagnoses: 1. status post five vessel coronary bypass grafting 2. perioperative stroke 3. diabetes mellitus 4. hypertension 5. hypercholesterolemia 6. vitiligo 7. chronic renal insufficiency follow up: the patient is to follow up with vascular surgery in three weeks and follow up with neurology, dr. , #, in six to eight weeks. the patient is to follow up with dr. in three to four weeks. discharge medications: 1. lipitor 20 mg q hs 2. enalapril 25 mg 3. aspirin 325 mg po qd 4. lovenox 80 mg subcutaneous 5. colace 100 mg po bid 6. captopril 12.5 mg po qid 7. lopressor 75 mg po bid 8. tylenol 650 mg po q4h prn pain 9. milk of magnesia 30 mg po q hs prn 10. lorazepam 0.5 mg po q8h prn anxiety the patient has been accepted at the on nursing and rehabilitation center which should receive a copy of this dictation. , m.d. dictated by: medquist36 d: 11:39 t: 12:39 job#: 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 four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypopotassemia other specified forms of chronic ischemic heart disease iatrogenic cerebrovascular infarction or hemorrhage cardiac dysrhythmia, unspecified vitiligo vitiligo 

Answer: The patient is high likely exposed to