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: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: exertional chest discomfort, abnormal ett major surgical or invasive procedure: three vessel coronary artery bypass grafting - lima to lad, vein graft to diagonal, vein graft to pda history of present illness: this is a pleasant cantonese-speaking gentleman whounderwent an ett on here at . the patient exercised for 5.5 minutes of protocol to an aphr of 94%. patient experienced anginal symptoms with uninterpretable ekg changes at the achieved workload. images showed severe inferior and inferolateral wall perfusion defect with a small amount of reversibility. mild, reversible distal anterior wall and apical perfusion defect. transient increased dilatation of lv cavity with stress. global hypokinesis with calculated ef of 19%. the patient reports that this past winter, he developed a chest discomfort that radiated to both shoulders when walking outside. to relieve the discomfort he would go indoors and take one sublingual nitroquick with good results. since this time, he has continued to experience chest and bilateral shoulder discomfort with walking or when he becomes nervous. the patient also reports occasionally experiencing sob and mild diaphoresis with these episodes. he denies any associated nausea or vomiting. the patient is now referred for a cardiac cath to further evaluate. past medical history: stomach surgery gynecomastia, l breast lump by u/s social history: married. came from in . worked in for an herbal pharmacy. family history: no premature cad. physical exam: vitals: bp 150/ 58, p 56, sat 100% general: wdwn male in no acute distress heent: oropharynx benign neck: supple, no jvd. + left carotid bruit heart: rrr, no rub or murmur lungs: clear bilaterally abdomen: benign ext: warm, no edema pulses: 2+ distally neuro: alert and oriented otherwise nonfocal pertinent results: 06:50am blood hct-30.6* 06:40am blood wbc-9.4 rbc-4.02* hgb-11.5* hct-35.3* mcv-88 mch-28.6 mchc-32.5 rdw-13.5 plt ct-296 06:50am blood urean-23* creat-1.0 k-4.3 06:40am blood mg-2.2 brief hospital course: mr. was admitted and underwent cardiac cath which revealed severe three vessel disease and depressed lv function. angiography showed a 50% left main lesion; the lad had proximal and mid 80% lesions; the first diagonal had a 90% stenosis; the circumflex was diffusely diseased; the obtuse marginal had a 90% lesion; and the dominant rca had a proximal 90% stenosis. left ventriculography showed no mitral regurgitation and a lvef of 25%. based on the above results, cardiac surgery was consulted and further evaluation was performed. a carotid ultrasound found a significant left-sided plaque with a 70-79% carotid stenosis. on the right, there was less than 40% carotid stenosis. a transthoracic echocardiogram showed that the overall left ventricular systolic function was moderately depressed. there posterolateral and posterior walls were thinned and akinetic. the lvef was estimated at 40%. there was only mild mr. workup was otherwise unremarkable and he was cleared for surgery. on , dr. performed three vessel coronary artery bypass grafting with repair of lv aneurysm. after the operation, he was brought to the csru. on pod#1, he was noted to have left sided paralysis for which a head ct scan was obtained. neurology was concomitantly consulted. the ct scan showed findings consistent with a right middle cerebral artery territory infarction which was likely in an early subacute phase and involved the right posterior frontal and anterior parietal lobes. given the history, anticoagulation was not recommended by neurology as this stroke did not appear to be embolic. he was kept somewhat hypertensive and transfused with prbcs to maintain hematocrit over 30%. he was weaned from his drips and extuated by pod#2, and transferred to the floor by pod #5. swallow evaluation showed aspiration of thin liquids. diarrhea was cdiff negative. he was transferred to the telemetry floor, and has remained hemodynamically stable. his lasix and potassium were discontinued since he appears to now be euvolemic. he is ready to begin rehabilitation. medications on admission: ecasa, lisinopril, lipitor, lopressor, nitroquick discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 4. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). 5. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. heparin sodium (porcine) 5,000 unit/ml solution sig: one (1) injection tid (3 times a day). discharge disposition: extended care facility: & rehab center - discharge diagnosis: coronary artery disease with history of inferior myocardial infarction; postoperative stroke; elevated cholesterol; carotid disease discharge condition: good discharge instructions: no driving for one month. patient may shower, no baths, creams or lotions. no lifting more than 10 lbs for at least 10 weeks. followup instructions: dr. in 4 weeks dr. in 2 weeks(cardiologist) dr. in 2 weeks(pcp) procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures diagnostic ultrasound of heart transfusion of packed cells excision of aneurysm of heart transfusion of other serum transfusion of platelets diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia late effects of cerebrovascular disease, hemiplegia affecting unspecified side cerebral artery occlusion, unspecified with cerebral infarction combined systolic and diastolic heart failure, unspecified iatrogenic cerebrovascular infarction or hemorrhage aneurysm of heart (wall) 

Answer: The patient is high likely exposed to