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: glucotrol attending: chief complaint: exertional dyspnea/ abnormal exercise stress test major surgical or invasive procedure: cardiac catheterization coronary artery bypass grafting x 3 (lima-lad,svg-om, svg-drca), resection of left atrial appendage, partial maze left heart catheterization and coronary angiography history of present illness: this is a 55 year old male who has a history of atrial fibrillation, hypertension, hyperlipidemia and diabetes who was cardioverted in the spring of he reverted to atrial fibrillation in and has developed shortness of breath on exertion. he underwent a nuclear stress test on where he was able to exercise 4 minutes 15 seconds on protocol to a peak heart rate of 96 and stopped due to chest pain and dyspnea. he achieved 58% of maximum predicted heart rate, the ef was 64%. nuclear imaging demonstrated a reversible defect but the test was thought to be suboptimal. he underwent an echo which showed normal biventricular size and systolic function, no valve abnormalities, but did have moderately severe left atrial dilatation. he was told to take his last dose of coumadin on and he was found to have a creatinine of 1.9 and is being admitted for prehydration in preparation for cath tomorrow. on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. cardiac review of systems is notable for absence of chest pain, paroxysmal nocturnal dyspnea, orthopnea, palpitations, syncope or presyncope. patient does report doe and chest tighntess with exertion. past medical history: cardiac risk factors: diabetes mellitus dyslipidemia hypertension obesity other past history: afib s/p rhinoplasty osteoarthritis social history: social history is significant for the absence of current tobacco use. there is social alcohol use. retired us army- 20 years family history: there is no family history of premature coronary artery disease or sudden death. mother had dm and cad, father had rheumatic fever. physical exam: alert and oriented heent- unremarkable lungs- sl. decreased breath sounds at bases.no rales or rhonchii cor- sr at 80. bp 110-120/60s exts- 1+ leg edema. wounds clean and dry. venous stasis changes pretibially- bilaterally wounds- cleans and dry. sternum stable. pertinent results: 06:49pm pt-13.3 ptt-24.8 inr(pt)-1.1 06:49pm glucose-97 urea n-14 creat-1.5* sodium-137 potassium-4.2 chloride-99 total co2-29 anion gap-13 06:49pm wbc-6.6 rbc-4.44* hgb-13.2* hct-39.4* mcv-89 mch-29.8 mchc-33.6 rdw-13.5 06:49pm plt count-224 brief hospital course: mr. was admitted for hydration and cardiac catheterization. catheterization on demonstrated triple vessel disease with preserved left ventricular function. he had venous stasis changes with mild cellulitis of the lower legs (pretibial) and was kept in house for antibiotics and vein mapping. unasyn was begun for the cellulitis, which improved somewhat preoperatively. on he went to the operating room where coronary revascularization, a partial maze and left atrial ligation was performed (se operative note for details).he weaned from cardiopulmonary bypass on neo-synephrine and propofol easily. he remained stable on transfer to the icu and was extubated easily on the day of surgery and pressors were weaned to off. he was transferred to the floor on pod 2. his cts were removed on pod 2 and pacing wires and right leg jp drain on pod3. he was begun on diuretics, his statin was resumed as was his atenolol. he reverted to af at a controlled rate. coumadin was resumed for his rhythm. at discharge wounds are healing well, the pretibial cellulitis has resolved and his venous stasis changes are at baseline according to the patient. he is ambulatory and is returning home with vna assistance. medications, instructions and follow up directions have been discussed with him. his coumadin will be controlled by dr. as before hospitalization.(stopped ) medications on admission: metformin 1000mg , atenolol 50mg qd, lisinopril 40mgqd, sotalol 80mgqd,hctz 25mgqd, actos 30mgqd, glyburide 10mgqd, zocor 40mgqd, disalcid 500mg prn, androgel 5mgqd, asa 325mgqd, lantus insulin 26-30 units qhs discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. pioglitazone 15 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 3. sotalol 80 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours). disp:*30 tab sust.rel. particle/crystal(s)* refills:*2* 7. furosemide 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 8. glyburide 5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 9. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 10. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 11. metformin 500 mg tablet sig: two (2) tablet po twice a day. disp:*120 tablet(s)* refills:*2* 12. atenolol 50 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 13. warfarin 2.5 mg tablet sig: as directed tablet po once a day: daily dose as directed. disp:*100 tablet(s)* refills:*2* 14. lantus 100 unit/ml solution sig: 26-30 units subcutaneous at bedtime. disp:*1 * refills:*2* 15. androgel sig: one (1) 5 mgm topical once a day. disp:*1 * refills:*2* 16. hydroxyzine hcl 10 mg tablet sig: one (1) tablet po every 4-6 hours as needed for itching. disp:*50 tablet(s)* refills:*1* discharge disposition: home with service facility: diversified vna discharge diagnosis: coronary artery disease diabetes mellitus obesity atrial fibrillation hypertension s/p coronary artey bypass grafting, resection left atrial appendage,partial maze hyperlididemia discharge condition: good discharge instructions: no driving for 4 weeks and off all narcotics no lifting more than 10 pounds for 10 weeks shower daily, no baths or swimming no lotions, creams or powders to incisions take all medications as prescribed report any drainage from or redness of incisions report any temperature greater than 101 followup instructions: dr. in 4 weeks () dr. in weeks dr. in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnostic ultrasound of heart excision or destruction of other lesion or tissue of heart, open approach diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation chronic kidney disease, unspecified other and unspecified hyperlipidemia cellulitis and abscess of leg, except foot osteoarthrosis, unspecified whether generalized or localized, site unspecified obesity, unspecified diastolic heart failure, unspecified venous (peripheral) insufficiency, unspecified ulcer of calf 

Answer: The patient is high likely exposed to