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: a 58-year-old male with history of coronary artery disease status post coronary artery bypass graft in with lima to lad, and saphenous vein graft to right coronary artery as well as saphenous vein graft to ramus intermedius and obtuse marginal, also a history of diabetes mellitus, hypertension, remote tobacco history, hypercholesterolemia, and hepatitis b from a blood transfusion with recent angioplasty and stent placement now transferred from with instent restenosis. in , he underwent angioplasty and stent placement to his saphenous vein graft to ramus graft. attempted stent of the native circumflex and om-2 was complicated at that time by dissection and abrupt closure. he has done well since then since , when he developed chest pain, had a positive stress test, and underwent cardiac catheterization in that showed three vessel disease with 90% occlusion in the proximal left anterior descending, 70% of the mid left anterior descending artery and om-1, and diffuse 80% in the om-2 with a total occlusion of the right coronary artery. rotational atherectomy, angioplasty, and stent of the distal saphenous vein graft to pda at the anastomosis site extending into the native pda was done on . since then, he has been chest pain free until 2-3 days prior to admission, when he experienced angina with minimal exertion escalating. he presented to the hospital, where there were no electrocardiogram changes, but he had a troponin leak of 1.3. he was transferred to for catheterization to evaluate for instent restenosis. he describes this chest pain as pressure substernal, nonradiating associated with shortness of breath, increasing to with exertion. he denies any nausea, vomiting, diaphoresis or palpitations associated with it. while in catheterization laboratory here he was found to have severe instent restenosis at the ostium with a pda and anastomosis site of saphenous vein graft as well as severe instent restenosis of the saphenous vein graft anastomosis with pda. during catheterization, attempt to cross the posterolateral artery with unsuccessful with one hour of significant decrease in flow and st elevations in the inferior leads, but flow was able to be reestablished to the posterolateral. balloon inflation was also performed on the right coronary artery, however, the small posterior descending artery was totally occluded, and unable to be opened. the patient became chest pain free at the end of the catheterization. he was transferred to cardiac care unit for observation after the myocardial infarction of the posterior descending artery distribution. also of note during the catheterization course, brachytherapy was attempted, but unsuccessful. systolic blood pressure dropped to the 80s, and he was started on dopamine, but quickly weaned off. on transfer to the cardiac care unit, he had dull right sided chest pain started after catheterization. he reports it is unlike his anginal pain. he denies shortness of breath, nausea, vomiting, diaphoresis, lower extremity edema, orthopnea, or pnd. past medical history: 1. insulin dependent-diabetes mellitus diagnosed in , initially controlled on oral hypoglycemics, but has been on insulin since . 2. hepatitis c from transfusion from his cabg. last biopsy showed stage iii fibrosis and grade ii inflammation. 3. coronary artery disease described in the history of present illness. 4. hypertension since age 18. 5. lumbar disk disease. 6. kidney stones. 7. hypercholesterolemia. 8. upper gastrointestinal bleed in , diagnosed with h. pylori treated with antibiotics. allergies: he has no known drug allergies. medications at home: 1. humalog 75/25, 58 units q am, 38 units q pm. 2. vasotec 10 mg po q day. 3. toprol xl 50 mg po q day. 4. folic acid 1 mg po q day. 5. lipitor 40 mg po q day. 6. prilosec 15 mg po q day. 7. norvasc 2.5 mg po q day. 8. aspirin 325 mg po q day. 9. plavix 75 mg po q day. 10. multivitamin once a day. social history: he lives alone. he does not smoke. he does not drink. he walks regularly. quit tobacco years ago. he smoked cigars, but not cigarettes. family history: no family history of coronary artery disease. grandmother has diabetes. medications on transfer: 1. protonix 40. 2. norvasc 2.5. 3. toprol xl 50 q day. 4. plavix onhold. 5. enalapril 20. 6. humalog. 7. folic acid. 8. tylenol. 9. fioricet. 10. nitropaste. physical examination: on physical exam, he is afebrile, temperature is 97.5, blood pressure 123/69, heart rate 93, respiratory rate 16. he is sating 98% on 2 liters nasal cannula in no acute distress, eating dinner. mucous membranes moist. no carotid bruits. no oral lesions. his chest was clear to auscultation bilaterally, anteriorly, and laterally. heart was a regular, rate, and rhythm with a 1/6 systolic murmur at the base with s4 gallop. point of maximal impulse is at the anterior axillary line. abdomen was soft, distended, nontender, and normoactive bowel sounds. liver span 8 cm. no edema in his extremities. no hematoma at the groin site. he is alert and oriented times three. laboratory data: white count 6.8, hematocrit 31.8, platelets 95, 84% neutrophils, 11% lymphocytes, inr 1.3. ptt 33.2. chemistries: sodium 135, potassium 4.0, chloride 102, bicarbonate 20, bun 13, creatinine 0.7, glucose 251. calcium 8.6, phosphate 3.4, magnesium 1.5, cks peaked at 1757 and decreased to 173. ck mb peaked at 151 and decreased to 4. troponin was greater than 50. chest x-ray showed no changes. echocardiogram post-mi showed mildly dilated left atrium, ejection fraction of 50-55%, posterior hypokinesis, 1+ mitral regurgitation. electrocardiogram was normal sinus rhythm at 100 beats per minute, axis about 0 degrees, q's in ii, iii, and avf, st elevations about 2 mm in ii, iii, and avf, 1- depressions in i and avl. patient remained stable and was quickly weaned off dopamine. continued on aspirin and plavix with decreasing enzymes. he was started on a beta blocker and maintained on his ace inhibitor. he remained asymptomatic, and was evaluated by physical therapy, who felt that he was safe to go home. condition on discharge: good. discharge instructions: continue with cardiac rehabilitation as an outpatient. discharge diagnosis: 1. anterior myocardial infarction, status post coronary artery bypass graft, status post stent placement. 2. diabetes mellitus type 2. 3. hyperlipidemia. follow-up instructions: he is to followup up with his primary care physician and his cardiologist to have a followup echocardiogram in six weeks. major procedures: cardiac catheterization and angioplasty. discharge medications: 1. aspirin 325 mg po q day. 2. plavix 75 mg po q day. 3. enalapril 10 mg po q day. 4. folic acid 1 mg po q day. 5. lipitor 40 mg po q hs. 6. protonix 40 mg po q day. 7. multivitamin one caplet po q day. 8. toprol xl 100 mg po q day. , m.d. dictated by: medquist36 procedure: coronary arteriography using two catheters left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension chronic hepatitis c without mention of hepatic coma coronary atherosclerosis of autologous vein bypass graft personal history of tobacco use acute myocardial infarction of other inferior wall, initial episode of care other complications due to other cardiac device, implant, and graft diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to