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: the patient is a 62-year-old gentleman with known coronary artery disease (status post myocardial infarction in and status post percutaneous transluminal coronary angioplasty with a stent in also to the distal right coronary artery and posterior left ventricular branch). the patient was admitted to an outside hospital on with chest pain over a 5-day period and ruled in for a myocardial infarction. his cardiac catheterization showed 3-vessel disease with an ejection fraction of 55% at the outside hospital, and he was transferred to for coronary bypass surgery. past medical history: 1. myocardial infarction. 2. hypercholesterolemia. 3. insulin-dependent diabetes mellitus. 4. status post laparoscopic cholecystectomy in . 5. hypertension. 6. question chronic renal insufficiency (with a baseline creatinine of 1.3). medications on admission: (medications at home on admission were as follows) 1. nph insulin 45 units subcutaneously twice per day. 2. lipitor 80 mg by mouth once per day. 3. aspirin. 4. norvasc. medications in hospital: 1. zocor. 2. lopressor 25 mg by mouth twice per day. 3. heparin. 4. intravenous integrilin. physical examination on presentation: on physical examination, the patient's heart rate was 72 (in sinus rhythm), his blood pressure was 139/65, his respiratory rate was 19, and his oxygen saturation was 98%. at the time of examination the patient was on an integrilin drip at 2, a nitroglycerin drip at 0.3 mcg/kg per minute, and heparin at 1200 units per hour. pertinent laboratory values on presentation: preoperative laboratories were as follows. the patient's white blood cell count was 11, his hematocrit was 43.4, and his platelet count was 303,000. sodium was 137, potassium was 4, chloride was 105, bicarbonate was 21, blood urea nitrogen was 13, creatinine was 0.8, and blood glucose was 156. in general, the patient was alert and oriented. he had excellent strength in all four extremities. he was a spanish-speaking gentleman. his lungs were clear bilaterally. cardiovascular examination revealed his heart was regular in rate and rhythm. no murmurs or rubs. he had several well-healed 2-cm surgical scars from his laparoscopic cholecystectomy. he had bowel sounds. his abdomen was soft with mild tenderness to deep palpation over the epigastric area. the abdomen was nondistended, and there was no hepatosplenomegaly. extremity examination revealed the extremities were warm with no varicosities. he had no cyanosis, clubbing, or edema. he had peripheral pulses present for femoral, popliteal, dorsalis pedis, posterior tibialis pulses, and radial arteries. he had no bruits in his carotid. concise summary of hospital course: the patient was seen by cardiothoracic surgery and referred to dr. . he was continued on his heparin, nitroglycerin, and integrilin drips. a bedside echocardiogram was done preoperatively by cardiology which showed a depressed left ventricular function and anteroapical septal hypokinesis, but no severe mitral regurgitation or effusion. please refer to the complete report. the patient remained in house prior to surgery on dr. service for the next few days prior to his operation. his sheaths were pulled. his creatinine was stable at 0.9. additional laboratories came back with an aspartate aminotransferase of 27, alanine-aminotransferase of 27, and a total bilirubin of 0.9. the patient remained in the cardiothoracic surgery recovery unit for monitoring on his heparin, nitroglycerin, and integrilin drips. on , his heparin was held for an elevated partial thromboplastin time. adjustments were made in his medication. he had a carotid study done which showed no significant stenoses on preoperatively. please refer to the radiology report. preoperatively, his prothrombin time was 13.4, his inr was 1.2, with a partial thromboplastin time of 75 on heparin. he continued to receive his beta blocker. on , the patient underwent coronary artery bypass grafting times four by dr. with a left internal mammary artery to the left anterior descending artery, a vein graft to the posterior descending artery, a vein graft to the obtuse marginal, and a vein graft to the diagonal. the patient was transferred to the cardiothoracic intensive care unit on a milrinone drip at 0.5 mcg/kg per minute and a levophed drip at 0.025 mcg/kg per minute in stable condition. on postoperative day one, the patient's levophed was weaned off. he remained on a milrinone drip and an insulin drip. temperature maximum was 99.5 degrees fahrenheit, his blood pressure was 140/62, in sinus rhythm at 91. his lungs were clear. his heart was regular in rate and rhythm. his dressings were clean, dry, and intact. chest tubes were discontinued. the patient was continued on his perioperative antibiotic. postoperatively, his white blood cell count was 9.6, his hematocrit was 30.1, and his platelet count was 205,000. his potassium was 4.5, blood urea nitrogen was 14, and creatinine was 0.9. the patient was screened by the clinical nutrition team. he was extubated early in the morning on postoperative day one after having been rested overnight on the ventilator. on postoperative day two, the patient had a temperature maximum of 100.8 degrees fahrenheit. he was hemodynamically stable and in sinus rhythm. he was awake and appropriate. he had decreased breath sounds at the left base, but otherwise his examination was unremarkable. his chest tubes were pulled. he was started on captopril and restarted on his lopressor. his hematocrit remained stable at 29.1. he was transferred out to two where he was evaluated by the physical therapy team. he started ambulating out on the floor. he was seen by the case manager. once during the day, on postoperative day two, the patient refused to walk with physical therapy complaining of fatigue. again, a spanish interpreter was present to help make clear the team's wishes for his ambulation. on postoperative day three, he had no specific complaints. his wires were discontinued. his foley catheter was pulled. he remained in a sinus rhythm. he was neurologically appropriate. his hematocrit rose slightly to 31.5 with a white blood cell count of 11.1. his creatinine was stable at 1. his blood sugars were slightly elevated. his nph was increased. he continued with physical therapy and ambulation. over the next day, he complained of a little bit of incisional pain but this was well controlled with percocet. he had no events overnight. he was saturating 92% on room air. his hematocrit was stable, but his creatinine rose from 1 to 1.2 on postoperative day four with plans to recheck his creatinine in the evening and stop his captopril if his creatinine rose precipitously. on postoperative day five, his electrocardiograms the night prior showed a bundle branch block in avf. cardiac enzymes were cycled. he had no chest pain overnight. his troponin was 0.21, with a creatine kinase of 164, and a mb fraction of 3. he was alert and oriented and comfortable in bed. he had decreased breath sounds at the left base with some crackles. his heart was regular in rate and rhythm. it was determined that his electrocardiogram changes were not due to enzymes elevation; not necessarily consistent with chest pain or unstable angina. a repeat electrocardiogram was ordered. he did have one run of ventricular tachycardia of about 150 per minute times nine beats with no previous ventricular ectopy. he was given magnesium 2 g times two doses, and he was encouraged to have aggressive chest physical therapy. and nebulizer treatments, as well as incentive spirometry work to help increase his pulmonary toilet with hopes of discharging him shortly. on postoperative day six, he had a slight left-sided chest rub. his sternal incision was okay. the wound had no erythema. heart was regular in rate and rhythm. he was in a sinus rhythm in the 80s. his temperature maximum was 99.4 degrees fahrenheit. his blood pressure was 140/92. he was saturating 96% on room air. his creatinine stabilized at 1. his potassium was 4.5. he had some slight erythema at his right knee wound from the saphenectomy site, but minimal edema otherwise in his extremities. discharge disposition: the patient was discharged to home on . medications on discharge: 1. metoprolol 20 mg by mouth twice per day. 2. lasix 20 mg by mouth twice per day (times seven days). 3. colace 100 mg by mouth twice per day. 4. aspirin 325 mg by mouth once per day. 5. percocet 5/325-mg tablets one to two tablets by mouth q.4h. as needed (for pain). 6. lipitor 80 mg by mouth once per day. 7. captopril 25 mg by mouth three times per day. discharge diagnoses: 1. status post coronary artery bypass graft times four. 2. status post myocardial infarction times two. 3. status post percutaneous transluminal coronary angioplasty with stent in . 4. hypercholesterolemia. 5. insulin-dependent diabetes mellitus. 6. hypertension. 7. question chronic renal insufficiency. discharge status: the patient was discharged to home. condition at discharge: condition on discharge was stable on . , m.d. dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia old myocardial infarction unspecified disorder of kidney and ureter 

Answer: The patient is high likely exposed to