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 64-year-old male with history of coronary artery disease status post recent non-st elevation myocardial infarction at the end of as well as stenting of the left anterior descending artery with two stents, who presents with left sided chest pain/pressure beginning approximately 10 pm on the night before admission. onset of the chest pain was at rest, and the pain was somewhat improved with protonix and one sublingual nitroglycerin, but the sensation persisted, and the patient eventually called ems. he was given aspirin and sublingual nitroglycerin by ems with resolution of his symptoms. patient says that the pain/pressure is the same sensation he had at the time of his non-st elevation myocardial infarction. patient denied radiation of the pain, shortness of breath, back, or abdominal pain, cough, nausea, or vomiting, palpitations. patient was pain free at the time of evaluation in the emergency department. heparin was started in the emergency department. past medical history: 1. recent non-st elevation myocardial infarction with a troponin of 29 and a ck peak of 90. catheterization showed three-vessel disease and two stents were placed in the left anterior descending artery. he had chest pain after this procedure, and was taken back to the catheterization laboratory, but the catheterization was cut short by a gi bleed. catheterization on showed 70% proximal and 95% mid left anterior descending artery stenosis, 70% left circumflex lesion, 80% om-2 lesion, and 80% right coronary artery lesion. echocardiogram showed left atrial enlargement, right atrial enlargement, left ventricular hypertrophy, ejection fraction greater than 55%, and 1+ aortic regurgitation. 2. hyperlipidemia. 3. end-stage renal disease with dialysis on monday, wednesday, friday. 4. pancreatitis. 5. congestive obstructive pulmonary disease. 6. hypertension. 7. diverticulosis. 8. cerebrovascular accident in with residual left sided weakness. 9. prior history of upper gastrointestinal bleed at . 10. fistula repair . medications: 1. plavix 75 mg po q day. 2. enalapril 20 mg po q day. 3. labetalol 200 mg po q day. 4. isordil 20 mg tid. 5. clonidine patch q monday. 6. renagel. 7. nephrocaps. 8. protonix 40 mg . 9. sublingual nitroglycerin. allergies: none. social history: patient comes from , and he lives with his daughter and his wife. denies any smoking. physical examination: the patient is a well-developed, thin, elderly appearing man. temperature is 99.0, blood pressure 88/63, heart rate of 81, respiratory rate of 16, and sating 98% on 3 liters. oropharynx was clear. mucous membranes were moist. there was no jugular venous distention. lungs were clear bilaterally except for a few crackles at the bases. heart rate was irregularly, irregular. there were no murmurs, rubs, or gallops. abdomen was soft, nontender, and nondistended. extremities had no peripheral edema. rectal was guaiac negative with no masses. at the time of admission, electrocardiogram showed q waves in lead iii, atrial fibrillation at a rate of approximately 70, possibly alternating with flutter with variable block. chest x-ray showed no infiltrates and no effusions. ck was 46 and troponin was 1.8. hospital course: 1. cardiac: the patient's history was suggestive of unstable angina, and the patient was continued on a heparin drip and underwent cardiac catheterization, which showed significant three vessel disease with 80% instent restenosis in the proximal left anterior descending artery stent and 50% in the distal stent. at this point, the patient was pain free and the case was discussed with cardiothoracic surgery. at the time of this dictation, cardiothoracic surgery was planning a coronary artery bypass graft after evaluation of the carotid arteries by ultrasound. patient's blood pressure was treated with labetalol, clonidine, enalapril, and norvasc. patient had a second episode of chest pain on that had a component of radiation to his back. he therefore underwent ct scan of his chest and abdomen to rule out any dissection of his aorta. these examinations were all negative for dissection. patient presented in atrial fibrillation, with a relatively slow ventricular response. the patient spontaneously converted to a normal sinus rhythm while in the hospital without any further intervention. 2. renal: renal service was consulted to assist in the management of this patient with end-stage renal disease. patient received dialysis after his cardiac catheterization and then returned to his normal schedule of hemodialysis. his renagel was increased to 1600 mg tid. 3. gi: patient's stool was guaiacked on admission and after his heparin had been running for a day. both of these stools guaiacks were negative, and he was continually followed for evidence of bleeding. the gi service was consulted, and felt that the patient should be catheterized from a cardiac standpoint despite any possible concerns over gastrointestinal bleeding. they suggested treating gastrointestinal bleeding as it grows and not delaying treatment of the patient's coronary artery disease because of considerations of gastrointestinal bleeding. 4. hematologic: the patient was noted to have a baseline anemia at the time of admission, and this was thought to be due to a combination prior gastrointestinal bleeding as well as end-stage renal disease. at the time of this dictation, iron studies were pending, and there was no evidence of gastrointestinal bleeding. discharge was still in the planning stage at the point of this dictation. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization coronary arteriography using a single catheter hemodialysis angioplasty of other non-coronary vessel(s) angiocardiography of right heart structures diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome chronic airway obstruction, not elsewhere classified atrial fibrillation aortic valve disorders hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia other complications due to other cardiac device, implant, and graft other complications due to renal dialysis device, implant, and graft 

Answer: The patient is high likely exposed to