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: the patient is a 72 year-old male with chest pain and a history of coronary artery disease. he presented to the emergency room on the morning of admission with complaints of exertional substernal chest pain to 5 out of 10. the pain was nonradiating with no associated symptoms. the patient reports that this was similar to the episode he had in prior to his coronary artery bypass graft. the patient took four sublingual nitroglycerin at home with no relief. he also had an aspirin and three sublingual nitroglycerin in route with ems with no relief. the patient was given morphine and a gi cocktail in the emergency room and had relief of his pain. an electrocardiogram done at that time showed new inferior st changes and he was transferred to the for cardiac catheterization. at baseline the patient walks flights of stairs without pain or dyspnea. he denies orthopnea or paroxysmal nocturnal dyspnea. the patient denies nausea or vomiting. as his chest pain continued on this episode the patient did experience some mild diaphoresis. the patient denies abdominal pain and also denies constipation. past medical history: 1. coronary artery disease with myocardial infarction and coronary artery bypass graft in , saphenous vein graft to left anterior descending coronary artery, d1 and d2, saphenous vein graft to lcx, saphenous vein graft to obtuse marginal, status post myocardial infarction in with a catheterization at with patent saphenous vein graft to right coronary artery, saphenous vein graft to left anterior descending coronary artery, but occluded saphenous vein graft to obtuse marginal one and obtuse marginal two. ejection fraction at that time was 50%. 2. peptic ulcer disease. 3. chronic degenerative joint disease. 4. status post vein stripping in the lower extremities. 5. status post appendectomy. 6. status post pilonidal cyst removal. 7. atrial fibrillation - on coumadin. allergies: no known drug allergies. medications: 1. aspirin q day. 2. prevacid 30 q day. 3. coumadin one q day. 4. inderal 10 b.i.d. 5. diltiazem 120 q day. 6. lasix 120 q day. 7. captopril 12.5 t.i.d. 8. vitamin c. 9. b-12. 10. potassium chloride 20 q day. 11. niaspan 500 q day. social history: the patient is a retired pharmacist retired in . he denies tobacco, occasional alcohol. he is married and lives with his wife and has one child. physical examination on admission: blood pressure 149/75, pulse 57, respirations 15, satting 99% on 2 liters. this is an elderly gentleman in no acute distress, well appearing. cardiovascular examination was regular rate and rhythm. normal s1 and s2 with a 2 out of 6 systolic murmur heard best at the sternal border. lungs were clear to auscultation bilaterally. extremities dorsalis pedis pulse were 2+ bilaterally with 1+ edema on the right and none on the left. jvd to the angle of the jaw. laboratory values on admission: significant for a white blood cell count of 5.8, hematocrit 39.8. chem 7 was within normal limits. troponin i .06. ckmb 2.5. hospital course: 1. cardiac: patient with known coronary artery disease. the patient underwent a cardiac catheterization after his inr fell below 1.6. the patient was given vitamin k to lower his inr and reverse coumadin. the patient's cardiac catheterization revealed a wedge of 37, pa pressures 75/40, lvedp of 30, cardiac output was 4.8. the patient had a right dominant system. his saphenous vein graft to left anterior descending coronary artery had a 90% stenosis, which underwent angioplasty and stent. his saphenous vein graft to right coronary artery was 80%, which was also stented. as on prior cardiac catheterizations the patient had an occluded saphenous vein graft to obtuse marginal one and obtuse marginal two. given the patient's elevated wedge pressure and inability to diurese the patient prior to catheterization in order to preserve renal function the patient was transferred to the cardiac care unit for intravenous nitroprusside to diurese the patient given his elevated wedge pressure. the patient was diuresed in the intensive care unit setting and then transferred back to the floor in stable condition. an echocardiogram was done, which showed an ejection fraction of 35 to 40%, tr gradient of 37. he had inferolateral akinesis, 2+ mitral regurgitation and 1+ tricuspid regurgitation. he also had inferior hypokinesis. during his time in the intensive care unit the patient had episodes of nsvt. given the episodes of nsvt the patient had a single wire icd placed on . the patient tolerated this procedure without incident. the patient was further diuresed with intravenous lasix and then changed to his home lasix dose of 120 mg q day. the patient's blood pressure medications had been changed to an ace inhibitor. he was titrated up on lisinopril at 20 mg q day. he was also started on toprol xl 25 mg q day. in addition to this the patient was maintained on aspirin, started on a statin and after a stent placed on plavix. the patient's rhythm remained in atrial fibrillation. the patient was instructed to restart his coumadin at the time of discharge and follow up with his primary care physician for further monitoring of his inr. 2. gastrointestinal: history of peptic ulcer disease the patient had no evidence of gastrointestinal bleeding and was continued on his prevacid. 3. genitourinary: the patient had evidence of blood in his urine, however, this cleared as the stream continued. this blood seemed to be due to a small abrasion at the urethral meatus. the patient was instructed to monitor this and follow up with his primary care physician as needed. 4. hematology: the patient's hematocrit remained stable throughout his hospital course. the patient did experience a hematoma at the right groin at the site of cardiac catheterization. he had good distal pulses. no bruits. stable hematoma at the time of discharge. condition on discharge: stable status post icd and stent. discharge status: to home. discharge diagnoses: 1. unstable angina. 2. congestive heart failure. 3. coronary artery disease native and to saphenous vein graft. 4. chronic ischemic heart disease. 5. atrial fibrillation. 6. hypertension. 7. hypokalemia. discharge medications: 1. aspirin 325 mg q day. 2. lasix 120 mg q day. 3. lansoprazole 30 q day. 4. multivitamin q day. 5. atorvastatin 10 q day. 6. plavix 75 q day. 7. toprol xl 25 q day. 8. lisinopril 20 q day. 9. coumadin 1 mg q day. 10. keflex 500 mg po q.i.d. for six doses. follow up plans: the patient was instructed to follow up with his electrophysiologist. he will follow up on . the patient was also instructed to follow up with his primary care physician within week following discharge for further monitoring of his inr as he becomes therapeutic. the patient was also instructed to follow up with his primary cardiologist within the next two weeks. in addition to this the patient was instructed to monitor his weight eery day and to call his physician should he have a weight increase of more then five pounds. , m.d. dictated by: medquist36 procedure: combined right and left heart cardiac catheterization coronary arteriography using two catheters injection or infusion of platelet inhibitor other and unspecified coronary arteriography implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome mitral valve disorders congestive heart failure, unspecified coronary atherosclerosis of autologous vein bypass graft atrial fibrillation hematoma complicating a procedure paroxysmal ventricular tachycardia 

Answer: The patient is high likely exposed to