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 60-year-old male with a significant history of coronary artery disease who presented to the with a positive stress test on for cardiac catheterization. his cardiac catheterization revealed 3-vessel disease and a right-dominant system. left main coronary appeared angiographically normal. the left anterior descending artery had 90% stenosis, the left circumflex had a 90% proximal stenosis, the right coronary artery was completely occluded proximally with distal collateral filling from the conus branch and left-to-right collaterals. hemodynamics showed elevated left ventricular end-diastolic pressure and systolic arterial hypertension. he was subsequently referred for a coronary artery bypass graft which was performed on with left internal mammary artery to left anterior descending artery, saphenous vein graft to first obtuse marginal, saphenous vein graft to first diagonal. his left circumflex was not grafted because of poor touchdown sites; therefore, he was taken to the catheterization laboratory where they performed a successful percutaneous transluminal coronary angioplasty/stenting of the proximal and middle circumflex. his postoperative course was complicated by atrial fibrillation which was originally treated with amiodarone but switched to procainamide due to transaminitis. thereafter he converted to normal sinus rhythm. he was treated with aspirin and plavix and discharged on . after discharge, the patient was home for a few hours and developed shortness of breath and bradycardia and was brought back to the emergency room. upon arrival to the emergency room he was intubated secondary to poor oxygenation from congestive heart failure. he was admitted to the cardiothoracic surgery service, and his cardiac enzymes were cycled. a.m. enzymes revealed a creatine kinase of 310. he was then taken to the catheterization laboratory where he was found to have a thrombosed left circumflex stent distal to the obtuse marginal graft. the lesion received angio-jet and an intra-aortic balloon pump was placed, and the patient was transferred to the coronary care unit. past medical history: 1. hypertension. 2. coronary artery disease. 3. status post hip fracture. allergies: no known drug allergies. medications on admission: procainamide 750 mg and 500 mg alternating doses p.o. q.i.d., plavix 75 mg p.o. q.d., lasix 20 mg p.o. q.d. times five days, lipitor 20 mg p.o. q.d., lopressor 12.5 mg p.o. b.i.d., percocet p.r.n., 20 meq p.o. b.i.d. times five days. physical examination on presentation: on admission temperature was 99.3, pulse of 109, blood pressure 102/42, oxygen saturation 100% on cpap with pressure support of 10, peep of 5, fio2 50%, tidal volume 450 cc with a respiratory rate of 19 on propofol and dopamine and integrilin drips. in general, the patient was intubated and sedated. head, ears, nose, eyes and throat revealed pupils were equal and reactive to light. no jugular venous distention. sclerae were anicteric. bilateral carotid bruits. heart had sinus tachycardia, a holosystolic murmur radiating to the axilla. lungs were clear to auscultation anteriorly. the abdomen was soft, hyperactive bowel sounds. extremities revealed pulses by doppler, surgical incision on the lower extremities healing well. lines: a right arterial and venous sheaths, left arch sheath. laboratory data on presentation: white blood cell count 15.4, hematocrit 25.8, platelets 358. sodium 137, potassium 4, chloride 101, bicarbonate 11, creatinine 0.9, bun 11. inr 1.4, ptt 32.6, pt 14.3. magnesium 1.5. creatine phosphokinase 310, mb 20. urinalysis had positive nitrites, moderate bacteria. radiology/imaging: electrocardiogram from revealed sinus bradycardia with normal axis and intervals, new t wave inversions in i, avl, ii, iii, and avf, v2 through v6 with st depressions in v4. , post intervention revealed normal sinus rhythm at 102 with no changes from prior electrocardiograms. hospital course: while on the coronary care unit the patient was successfully extubated and intra-aortic balloon pump was removed. the patient's course in the coronary care unit was complicated by two episodes of paroxysmal atrial fibrillation which was converted with intravenous procainamide and dc cardioversion. he was eventually switched to oral procainamide and remained in normal sinus rhythm throughout the rest of his stay in the coronary care unit. he will need to be reassessed for potential anticoagulation if he were to convert to atrial fibrillation. additionally, he had episodes of chest pain which were not associated with any electrocardiogram changes and relieved by sublingual nitroglycerin. he was noted to have a pericardial friction rub and was treated with indomethacin. once his vitals stabilized he was resumed on lopressor and captopril. at the time of discharge he remained free of chest pain. his urinary tract infection was treated with 7-day course of ciprofloxacin; blood culture bottles grew coagulase-negative staphylococcus. he was treated with vancomycin for four days, but that was discontinued in light of no fever spikes and other culture bottles showing no growth. surveillance cultures were drawn 48 hours after discontinuing vancomycin. they had not grown anything at the time of discharge. it was likely that the one positive blood culture was due to a skin contaminant. per interventional cardiology recommendation, the patient was to be continued on plavix 150 mg p.o. for two month. from and endocrine standpoint the patient continued to have elevated serum glucose levels. he was put on an insulin sliding-scale while in the hospital. however, he will need to be evaluated for diabetes on an outpatient basis since he has clearly demonstrated fasting blood sugars greater than 126 on several occasions. the patient was seen by physical therapy, and they evaluated him as having good potential for returning to baseline functional status. he will need to be enrolled in a cardiac rehabilitation program upon return to his home in bermuda. medications on discharge: 1. lopressor 100 mg p.o. b.i.d. 2. procainamide 500 mg p.o. q.i.d. 3. plavix 150 mg p.o. q.d. 4. aspirin 325 mg p.o. q.d. 5. captopril 37.5 mg p.o. t.i.d. discharge diagnoses: 1. myocardial infarction secondary to in-stent thrombosis of left circumflex stent, status post angio-jet and restenting. 2. paroxysmal atrial fibrillation. condition at discharge: condition on discharge was stable. discharge status: home. , m.d. dictated by: medquist36 d: 21:23 t: 07:28 job#: procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization injection or infusion of platelet inhibitor coronary arteriography using a single catheter atrial cardioversion implant of pulsation balloon removal of external heart assist system(s) or device(s) diagnoses: subendocardial infarction, initial episode of care urinary tract infection, site not specified congestive heart failure, unspecified atrial fibrillation aortocoronary bypass status bacteremia cardiogenic shock other complications due to other cardiac device, implant, and graft postmyocardial infarction syndrome 

Answer: The patient is high likely exposed to