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: this is a 71-year-old gentleman who presented to an outside hospital complaining of several hours of substernal chest pain associated with shortness of breath and orthopnea. he was initially diagnosed with a chronic obstructive pulmonary disease exacerbation and started on antibiotics, steroids, and lasix. he ultimately developed recurrent chest pain relieved by sublingual nitroglycerin. his ecg revealed inferior t-wave inversions and lateral st segment depressions worse from previous. he is transferred to the for further workup. past medical history: 1. gastric ulcers. 2. varicose veins. 3. appendicitis status post appendectomy. 4. left inguinal hernia status post herniorrhaphy. outside medications: zantac. medications on transfer: 1. heparin iv drip. 2. integrilin iv drip. 3. nitroglycerin iv drip. allergies: he has no allergies. examination at time of admission: temperature 97.8, heart rate 78-89, blood pressure 91-118/53-64. respiratory rate is 21, sating 96% on 4 liters nasal cannula. he is alert and oriented times three. his neck was supple without bruit. his heart had a regular, rate, and rhythm without murmurs. his abdomen was soft, nontender, nondistended. chest was clear to auscultation bilaterally. notable laboratories: white count of 12.5, hematocrit of 33.8, platelets of 180. cks at the outside hospital were 565, mbs were 53, and troponins were 12.4. hospital course: the patient was admitted to the medicine service and underwent a cardiac catheterization on the . he had an intra-aortic balloon pump placed and the results of the catheterization demonstrated three vessel disease with an anomalous circumflex. his lad had a proximal lesion 90%, the d1 and d2 both had 90% ostial lesions. he continued to be stabilized on the cardiac medicine service without incident until he was brought to the operating room on , where he underwent a cabg x2 with a lima to the lad and a left radial artery to the ramus. he also underwent an aortic valve replacement with 21 mm - valve. his preoperative echocardiogram done in the or demonstrated a lv ejection fraction of 20%. postoperatively, it was 25-30% on significant inotropy medications. he was transferred to the cardiothoracic surgery recovery unit, intubated on milrinone at 0.4, neo at 1.0, and nitroglycerin at 0.5. on postoperative day one, he was extubated without complication. his intra-aortic balloon pump was left in and the neo-synephrine was weaned off. he had an extra unit of blood for a hematocrit of 25.5. on postoperative day two, the balloon was discontinued. he had an issue with multiple pac's and therefore, the patient was started on amio drip. postoperative day three, the balloon pump was out. he is on milrinone at 0.4, amio at 0.5, and we restarted his captopril and lasix. we continued to do a slow wean on his milrinone, which unfortunately dropped his spo2 down to ................, so it was restarted at 0.40. over the next several days in the intensive care unit, we were able to wean off the milrinone, increase his captopril, restart his lasix. he developed a bit of alkalosis for which he got a few doses of diamox which improved. he continued to improve and was transferred out to the floor on postoperative day eight. the remainder of his hospital course was uneventful, and he was discharged to a rehab facility on . exam at the time of discharge: the patient's neck is supple, no lymphadenopathy. no carotid bruits. chest is clear. belly is soft, nontender, and nondistended. he had a regular heart rhythm. extremities still have a fair amount of edema. medications at time of discharge: 1. lasix 20 mg po q12 x5 days. 2. potassium chloride 20 meq po qid x5 days. 3. colace 100 mg po bid. 4. ec-asa 81 mg po q day. 5. percocet 1-2 tablets po q4h prn pain. 6. isosorbide mononitrate 60 mg po q day. 7. amiodarone 400 mg po bid. 8. captopril 100 mg po tid. 9. digoxin 0.125 mg po q day. 10. protonix 40 mg po q day. 11. coumadin dose according to patient's inr. 12. carvedilol 3.125 po bid. discharge diagnosis: coronary artery disease status post coronary artery bypass graft x2. dr., 02-248 dictated by: medquist36 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 angiocardiography of left heart structures injection or infusion of platelet inhibitor (aorto)coronary bypass of one coronary artery arterial catheterization open and other replacement of aortic valve with tissue graft implant of pulsation balloon diagnoses: coronary atherosclerosis of native coronary artery chronic airway obstruction, not elsewhere classified aortic valve disorders cardiogenic shock acute myocardial infarction of inferolateral wall, initial episode of care 

Answer: The patient is high likely exposed to