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: penicillins / atrovent / peanut oil attending: chief complaint: sob, abdominal bloating cad major surgical or invasive procedure: cardiac catherization cabg x 3 (lima->lad, svg->om,pda) history of present illness: 57 yo with etoh abuse, copd, pvd, dm, h/o hiatal hernia who presented to osh on for abd bloating and dyspnea x6-7 weeks. the symptoms started immediately after he quit smoking. he had mild doe at baseline, but now becomes severely dyspneic with minimal activity such as speaking. he also notes new orthopnea and episodic le edema bilaterally. . at osh he had negative cardiac enzymes and a stress test which showed reversible septal defect and partially fixed inferior defect. ef was 18%. egd demonstrated gastritis and duodenitis and his asa was d/c'd. he also had ct abd which showed possible pancreatitis and followed up with mrcp which demonstrated no evidence of gallstone pancreatitis but some fluid around liver possibly c/w hepatitis. . he was transferred for cardiac cath which showed lad 100%, d1 diffuse 60%, lcirc 90% ulcerated, and rca diffuse 90% mid and distal . ros on admission: no cp. +chronic cough which worsened after quitting smoking. +phlegm, no hemoptysis. +claudication r>l le. no regular exercise. no recent uri symptoms past medical history: 1. pvd with angiogram at showing lle disease > rle (per patient) 2. dm, diet controlled,noncompliant 3. hypertension 4. hyperlipidemia 5. copd 6. hiatal hernia 7. gastritis 8. etoh abuse social history: tob: >60pack years, quit 7 weeks ago etoh: drinks/night 4 nights a week. no h/o alcoholism, w/d, or blackouts. works as traveling salesman family history: father: died mi in 40s mother: chf in 80s physical exam: on admission: vs: afebrile, 142/110, 100, 99%ra gen - frequent cough, nad heent - mmm, anicteric chest - diminished bs throughout, no focal rales, no wheezes cv - reg rate, no mrg abd - soft, nt/nd, +bs, ?mild ascites, no stigmata of chronic liver dz ext - no edema, superficial ulcer right shin neuro - a&o x3 on discharge: vs: afebrile, 104/73, 73,95%ra gen-nad chest - diminished bs throughout, no focal rales, no wheezes cv - reg rate, no mrg abd - soft, nt/nd, +bs ext - no edema, superficial ulcer right shin neuro - a&o x3 skin - msi c/d/i, no erythema, drainage. lle svg sites c/d/i pertinent results: carotid u/s : significant bilateral superficial femoral artery occlusive disease. on the left, there may be some component of proximal common femoral artery or iliac artery disease in addition. 05:45pm blood wbc-5.3 rbc-4.51* hgb-13.6* hct-40.3 mcv-89 mch-30.1 mchc-33.7 rdw-14.4 plt ct-178 06:20am blood wbc-8.6 rbc-3.59* hgb-10.6* hct-33.1* mcv-92 mch-29.5 mchc-32.0 rdw-14.3 plt ct-298 05:45pm blood pt-13.9* inr(pt)-1.3 05:58am blood pt-15.5* inr(pt)-1.6 05:45pm blood glucose-181* urean-16 creat-1.1 na-135 k-4.0 cl-101 hco3-24 angap-14 05:58am blood glucose-84 urean-19 creat-1.2 na-139 k-4.3 cl-95* hco3-33* angap-15 05:45am blood mg-1.8 11:55am blood %hba1c-10.9* -done -done 11:00pm urine blood-neg nitrite-neg protein-neg glucose-tr ketone-neg bilirub-neg urobiln-1 ph-5.0 leuks-neg brief hospital course: pt. was initially seen on hd #2. felt pt would be best suited for bypass surgery, but first needed work-up. work-up included pft's, carotid u/s, echo, abi, and heart failure consult. after work-up, pt was brought to the or on hd #4 and underwent a cabg. please see op note. pt. tolerated the procedure well and was transferred to the csru in stable condition. after surgery, he was extubated by post op day 1. he remained on levophed and milrinone, which were weaned to off by post op day three. chest tubes, pacing wires, and foley catheter were all removed per protocol. he was transferred to the step down unit on post op day 5. an echocardiogram on pod #6 showed severe left ventricular hypokinesis, and mildly dyskinetic apex and ef 20% (improved from pre-op by 5%). he was started on anticoagulation with coumadin for low ef on pod #7. he improved slowly with no complications and was ready for discharge on pod #9. medications on admission: meds (at home): 1. albuterol prn meds (transfer): 1. lopressor 25 daily 2. lipitor 10 daily 3. protonix 40 4. albuterol prn 5. asa (d/c'd gastritis) discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. pantoprazole sodium 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. warfarin sodium 1 mg tablet sig: three (3) tablet po daily (daily): x1, check inr friday . disp:*30 tablet(s)* refills:*2* 7. atorvastatin calcium 10 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: home care services discharge diagnosis: cornary artery disease s/p coronary artery bypass graft pmh: hypertension, hyperlipidemia, chronic ostructive pulmonary disease, diabetes mellitus, peripheral vascular disease, gastritis, pancreatitis, hiatal hernia, etoh abuse. discharge condition: good. discharge instructions: shower daily,wash incision with mild soap and water, pat dry no lifting more than 10 pounds.no driving until follow up appointment,or while taking narcotics. call with temperature greater than 101.5, redness or drainage from incision, or weight gain greater 2 pounds in one day or five in one week. followup instructions: dr. 6 weeks dr. @ 2 weeks dr. 1-2 weeks dr. 1-2 weeks 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 diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified diaphragmatic hernia without mention of obstruction or gangrene diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled chronic pancreatitis 

Answer: The patient is high likely exposed to