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: past medical history: 1. hypercholesterolemia. 2. bilateral effusion of ankles. 3. status post gi bleed secondary to nsaid use where he did have positive ulcer confirmed by egd. allergies: nsaids or ii inhibitors, although he is able to tolerate a baby aspirin without any complications. medications on admission: 1. univasc 90 mg po qd. 2. lipitor 40 mg po qd. 3. aspirin 81 mg po qd. 4. multivitamin qd. family history: significant for a brother with coronary artery disease, having had a myocardial infarction at the age of 63, and his father also expired as a result of myocardial infarction. social history: he is retired and lives with his wife. does not nor has not ever smoked. he drinks a glass of wine a day. review of systems: significant for him wearing glasses. he has no dysphagia. he does exhibit shortness of breath with exertion. he has experienced palpitations and chest tightness. he has had gi bleed with a negative colonoscopy, but positive egd which showed an ulcer. he does have gait problems as a result of his ankle effusion. he has had no cvas or tias. physical exam: he was a well-appearing male in no apparent distress, looking younger than his stated age. his vital signs included a heart rate of 64, blood pressure 156/48 on the right, and 147/50 on the left. his skin was intact with no signs of rashes or infections. heent - perrl, anicteric sclerae, and eomi. his neck was supple with no jvd, no thyromegaly. his chest was clear to auscultation bilaterally with no wheezing, rales or rhonchi. his heart had a regular rate and rhythm with a iii/vi systolic ejection murmur. his abdomen was soft, nontender, nondistended with positive bowel sounds and no masses. his extremities were warm and well-perfused with no clubbing, cyanosis or edema, and shows no varicosities. his neuro exam showed him to have bilateral lower extremity strength, and his cranial nerves ii through xii were grossly intact. his pulses showed him to have 2+ bilateral pulses in the femoral arteries, dorsalis pedis arteries, posterior tibialis arteries, and radial arteries. he does not show any signs of carotid bruit. his ekg on admission showed a sinus rhythm with a 1?????? av block and pr interval of 308. his chest x-ray showed no acute disease. hospital course: on day of admission, , he underwent aortic valve replacement with a #27 mm pericardial ce valve and coronary artery bypass grafting x 1 with a saphenous vein graft to the pda. the surgery was performed by dr. with dr. and , np as assistants. the surgery was performed under general endotracheal anesthesia with cardiopulmonary bypass time of 103 minutes, and a crossclamp time of 87 minutes. the patient tolerated the procedure well and was transferred to the surgical recovery unit with two atrial and two ventricular pacing wires, two mediastinal and one left pleural chest tube, av-paced at 90 beats per minute, on a propofol drip. he, in the overnight period, maintained a mean arterial pressure of 65 with a cvp of 12, pad of 15. in the overnight period, he did well. he was extubated without difficulty and remained hemodynamically stable with a cardiac output 7.78 and a cardiac index of 3.65. he did have his chest tubes discontinued on the first postoperative day without difficulty. he had his swan removed, and he was transferred to the surgical floor on this day. on postoperative day #2, he began working more with physical therapy, and cardiac rehab was initiated. he did have a chest x-ray which showed no sign of pneumothorax and a very small bilateral effusion. on postoperative day #3, he had his pacing wires dc'd without incident and continued with cardiac rehab. his hospital course was uneventful, and it was felt, on postoperative day #4, that he would be ready to be discharged to home. discharge exam: showed his vital signs to be stable, with a temp of 99.2, heart rate 84, blood pressure 120/80. his lungs were clear to auscultation bilaterally. his heart regular rate and rhythm. his abdomen was soft, nontender, nondistended with positive bowel sounds. his extremities showed no clubbing, cyanosis or edema. his wounds were healing well, and his sternum was stable. discharge labs: include a white count of 8.9, hematocrit 26.5%, platelet count 137,000, sodium 138, potassium 3.9, chloride 103, bicarb 29, bun 17, creatinine 0.8, blood glucose 108. discharge medications: 1. aspirin 81 mg po qd. 2. lipitor 40 mg po qd. 3. lopressor 25 mg po bid. 4. lasix 40 mg po qd x 5 days. 5. potassium chloride 20 meq po qd x 5 days. 6. percocet 1-2 tabs po q 4 h prn pain. discharge diagnoses: 1. status post aortic valve replacement with a #27 ce valve and coronary artery bypass grafting x 1 on . 2. status post bilateral effusion of ankles. 3. hypercholesterolemia. 4. gastrointestinal bleed due to nonsteroidal anti-inflammatory drugs with positive ulcer by esophagogastroduodenoscopy. fop plans: 1. follow-up with his primary care physician, . , in 1 week. 2. follow with his cardiologist, dr. , in 2 weeks. 3. follow with dr. in 4 weeks. discharge instructions: he should follow a cardiac diet. , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft continuous intra-arterial blood gas monitoring diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia cardiac complications, not elsewhere classified aortic valve disorders other and unspecified angina pectoris first degree atrioventricular block 

Answer: The patient is high likely exposed to