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 49 year-old man with a past medical history of hypertension, hypercholesterolemia who is admitted by his primary care physician after inferolateral electrocardiogram changes. the patient presented to his primary care physician's office for routine physical and follow up for his hemorrhoids. he did tell his primary care physician about episodes of some left arm tightness over the past six weeks when walking from his office to his car. he denies any symptoms when walking around the reservoir with his wife. also noted symptoms while at rest. he denies chest pain except for one episode of left arm tightness walking to car. no orthopnea. no paroxysmal nocturnal dyspnea. he does report occasional ankle swelling noticed by wife on vacation. there is no dyspnea on exertion. he denies any fevers or chills, upper respiratory symptoms, cough, abdominal pain, nausea, vomiting, black stools and he did have some bright red blood per rectum about three weeks ago secondary to his hemorrhoids. he is due for a banding procedure for his hemorrhoids next week. he denies any dysuria. past medical history: 1. hemorrhoids. 2. hypertension. 3. hypercholesterolemia. 4. hyperplastic colonic polyps. medications on admission: 1. lipitor 10 mg once a day. 2. aspirin 325 mg once a day. allergies: no known drug allergies. family history: his father died of coronary artery disease in his 70s. social history: he quit smoking about 20 years ago. he never used cocaine. he uses occasional ethanol. he does work long hours as an attorney. his wife is a social worker at the outpatient hiv unit. physical examination: he is afebrile. heart rate 57 to 64. blood pressure 104/57 to 176/100. respiratory rate 16. oxygen saturation 99% on room air. general, he is comfortably alert, oriented times three and in no acute distress. head and neck mucous membranes are moist. no lymphadenopathy. no jvd. no carotid bruits. cardiovascular regular rate and rhythm. s1 and s2. no murmurs, rubs or gallops. his lungs are clear to auscultation bilaterally. no rales, wheezes or rhonchi. his abdomen is soft, bowel sounds positive, nontender, nondistended. no hepatosplenomegaly. extremities have no edema and he has 2+ equal pulses. laboratory values: within normal limits. chest x-ray shows no pleural effusions, but increased pulmonary vasculature in the upper lung zones. electrocardiogram showed st depression in lead 2 and avf. urinalysis was negative. his troponin was less then .01 and his ck was 74. hospital course: the patient was admitted for a workup of atypical chest pain and for a cardiac evaluation. he was admitted to the telemetry service initially. on hospital day two he underwent an exercise stress test, which was discontinued secondary to inferolateral electrocardiogram changes. he had st depressions in v3 to v6 and 2, 3 and avf while he was exercising. he was given one sublingual nitroglycerin, which resolved the pain. on , he underwent cardiac catheterization, which showed a good left ventricular function, but a three vessel coronary artery disease. at this point cardiothoracic surgery was consulted for a possibility of a coronary artery bypass graft procedure. on after mr. was preopped and consented for the coronary artery bypass graft procedure he was taken to the operating room. please refer to the previously dictated operative note by dr. from . of note in this procedure first off the patient was a difficult intubation. secondly the left internal mammary coronary artery was grafted onto the distal left anterior descending coronary artery in the usual fashion and a saphenous vein graft was used to form three other anastomoses. the patient tolerated the procedure well and he was transferred to the csru without complications. later in the evening of his first procedure the patient had a gcs of 15 and was doing well so he was extubated without complications in the operating room. on postoperative day one the rest of his drainage tubes were pulled and he did very well to the point that he was transferred to the floor on postoperative day two where he had a relatively unremarkable course. his major floor issues were physical therapy. he underwent physical therapy and by the time of discharge he was walking at least 500 feet about the floor. his diet was advanced as tolerated and by the time of discharge he was tolerating a regular diet without nausea, vomiting or abdominal pain. he was diuresed with lasix to a weight of 93.9 kilograms, which was approximately 4 kilograms from his preoperative weight. mr. was discharged to home on in good condition with services. discharge diagnoses: 1. status post coronary artery bypass graft. 2. status post cardiac catheterization. 3. status post positive exercise stress test. 4. unstable angina. 5. hypertension. 6. hypercholesterolemia. 7. hemorrhoids. discharge medications: 1. aspirin 325 mg po q.d. 2. percocet one to two tablets every four hours as needed for pain. 3. plavix 75 mg po q.d. for one month. 4. lipitor 10 mg once a day. 5. ativan 0.5 mg q.h.s. as needed for sleep. 6. metoprolol 100 mg po twice a day. 7. colace 100 mg po twice a day. he has orders for potassium chloride and for lasix for one week, however, these will not be continued as an outpatient. he is recommended to have a low fat, low cholesterol, no added salt diet. he is recommended to have follow up with dr. his primary care physician in one to two weeks and dr. in four weeks. , m.d. dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension anxiety state, unspecified unspecified hemorrhoids without mention of complication 

Answer: The patient is high likely exposed to