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: mr. is a 53-year-old man who was admitted to the hospital in , where he ruled in for an mi. a subsequent cath showed 50 to 70 percent lad and 90 percent d1 with an lvedp of 30. cardiac echo done at that time showed mild as with a peak gradient of 21, mild mr and an ef of 55 percent. past medical history: significant for hypertension, hypercholesterolemia, peripheral vascular disease, abdominal aortic aneurysm 4.5 cm, per patient report, adrenal mass on the left, bilateral renal artery stenosis, right axillary to bifemoral bypass in , complicated by an occlusion for which the patient has been on coumadin since that time and ptsd. medications prior to admission: 1. imdur 120 every day. 2. lipitor 80 every day. 3. zetia 10 mg every day. 4. lasix 20 every day. 5. coumadin 12 every day. 6. aspirin 81 every day. 7. zantac 150 b.i.d. 8. atenolol 50 every day. 9. nifedipine sr 60 every day. 10. ferrous sulfate 325 every day. 11. sublingual nitroglycerin. allergies: no known drug allergies. social history: he is a retired grounds keeper. he lives with his wife and his granddaughter. has cad on both sides of his parents as well as several aunts and uncles. denies alcohol use. tobacco: one pack per day. physical examination: vital signs 98.4; 67 sinus rhythm; 140/58, respiratory rate 18, oxygen saturation 96 percent on room air. general: 53 year old man, in no acute distress. skin: unremarkable. heent: pupils equally round and reactive to light. extraocular movements intact. neck is supple. mucous membranes moist. no thyromegaly. no jvd. lungs: clear to auscultation bilaterally. cardiac: regular rate and rhythm, s1-s2 with no murmur. abdomen: soft, nontender, nondistended with normoactive bowel sounds. extremities: warm and well perfused with no edema and no varicosities. neurologic is grossly intact. nonfocal exam. pulses: femoral two plus bilaterally. dorsalis pedis non palpable. posterior tibial one plus bilaterally and radial two plus bilaterally. laboratory data: white count 8.3, hematocrit 39.7, platelets 293, pt 12.7, ptt 27.7, inr 1.0, sodium 142; potassium 4.5, chloride 106, co2 25, bun 14, creatinine 1.0, glucose 97, alt 55, ast 23, alkaline phos 86, total bili 0.5, albumin 4.7. ekg sinus rhythm at 57 beats per minute. nonspecific st changes. ua is negative. chest x-ray with no acute cardiopulmonary processes. hospital course: as stated previously, the patient had a past medical history of cad and was admitted one day prior to coronary artery bypass grafting. on , the patient was brought to the operating room. please see the or report for full details. in summary, he had a coronary artery bypass graft times two with lima to the diagonal and saphenous vein graft to the posterior descending artery. his bypass time was 63 minutes with a cross clamp time of 50 minutes. he tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, the patient was in sinus rhythm at 98 beats per minute with a cvp of 10 and a pad of 16. he had phenylephrine at 0.5 mcg/kilogram per minute and propofol at 20 mcg per kilogram per minute. the patient did well in the immediate postoperative period. his anesthesia was reversed. he was weaned from the ventilator and successfully extubated. throughout the operative day, the patient remained hemodynamically stable. on postoperative day one, the patient continued to do well. he continued to be hemodynamically stable. his swan-ganz catheter and central line were discontinued. diuretics were begun and he was transferred to the floor for continuing postoperative care and cardiac rehabilitation. on postoperative day number two, the patient continued to be hemodynamically stable. his chest tubes were removed. his activity level was advanced with the assistance of the physical therapy department. on postoperative day three, the patient again remained hemodynamically stable. his temporary pacing wires were removed and he was begun on coumadin, given his preoperative occlusion of his axillary bifemoral bypass. over the next several days, the patient had an uneventful hospital course. his activity level was increased with the assistance of the physical therapy staff as well as nursing staff. the patient's coumadin dose was adjusted, awaiting the patient to have a therapeutic inr. he remained on heparin infusion during that period of time and on postoperative day nine, it was decided that the patient was stable and ready to be discharged to home. physical examination: at the time of this dictation, the patient's physical exam is as follows. temperature 98.6, heart rate 77 sinus rhythm, blood pressure 130/60, respiratory rate 20, o2 sat 94 percent on room air. laboratory data: potassium 3.9, bun 15, creatinine 1.1, pt 16.6, ptt 66.5, inr 1.7. on physical examination, the patient was in no acute distress. neurologic: alert and oriented times three. moves all extremities. follows commands. nonfocal exam. pulmonary: expiratory wheezes bilaterally. cardiac: regular rate and rhythm, s1-s2 with no murmur. sternum is stable. incision with no drainage or erythema. abdomen is soft, nontender, nondistended with normoactive bowel sounds. extremities: warm and well-perfused with 2 plus edema. small amount of serous drainage on the right saphenous vein graft harvest site. the patient's condition at the time of discharge is good. he is to be discharged to home with vna. he is to have follow- up with , m.d. in two to three weeks. he is also to have his inr checked on friday the 12th and monday, the 15th, with results called into dr. office. he is also to have follow-up with dr. in six weeks and follow-up with dr. in two to three weeks. discharge diagnoses: 1. cad status post coronary artery bypass grafting times two with lima to the diagonal; saphenous vein graft to the pda. 2. peripheral vascular disease, status post right axillary bifemoral bypass, complicated by occlusion. 3. hypertension. 4. hypercholesterolemia. 5. abdominal aortic aneurysm. 6. ptsd. discharge medications: 1. potassium chloride 20 meq twice a day times two weeks and then 20 meq every day. 2. colace 100 mg b.i.d. 3. aspirin 81 mg every day 4. oxycodone 40 mg sustained release, one tablet every 12 hours times 10 days. 5. oxycodone 5 mg tablets, one to two tablets every four to six hours prn as needed for pain. 6. ezetimibe 10 mg every day. 7. ferrous sulfate 325 mg every day. 8. multi-vitamin, one tablet every day. 9. ascorbic acid 400 mg twice a day. 10. nicotine patch 14 mg, one patch for 24 hours times 2 weeks. 11. combivent one to two puffs every six hours. 12. metoprolol 100 mg b.i.d. 13. amlodipine 10 mg every day. 14. lasix 40 mg twice a day times 14 days and then every day. 15. warfarin as directed, to meet a target inr of 2.5. the patient has received 12.5 mg every day for the last 3 days. 16. lipitor 80 mg every day. 17. zantac 150 mg b.i.d. , m.d. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension unspecified viral hepatitis c without hepatic coma atherosclerosis of native arteries of the extremities with intermittent claudication abdominal aneurysm without mention of rupture 

Answer: The patient is high likely exposed to