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 48-year-old male with severe obesity, insulin-dependent diabetes mellitus, and osteoarthritis, who presented with shortness of breath and chest pain. the patient has a long history of coronary artery disease. the patient had his first cardiac catheterization in , at which time he was diagnosed with 2-vessel coronary artery disease and underwent successful stenting to the rca. in addition, the patient had a stress test in of this year which showed persantine induced anginal type symptoms in the absence of ischemic st segment changes. no definite perfusion defect was identified at the time. the patient presented for this admission with recurrent symptoms of angina. past medical history: 1) coronary artery disease with history of stent to the right coronary artery and left anterior descending artery. 2) obstructive sleep apnea. 3) diabetes mellitus, type 2. 4) degenerative joint disease. 5) hyperlipidemia. 6) hypertension. 7) left sciatica. social history: the patient does not use tobacco, alcohol, or recreational drugs. he lives with his wife. allergies: sulfa. medications on admission: 1) oxycontin. 2) vicodin. 3) lipitor 10 mg q.day. 4) lopressor 50 mg p.o. b.i.d. 5) isordil 10 mg p.o. b.i.d. 6) klonopin. 7) paxil. 8) norvasc 10 mg p.o. q.day. 9) nortriptyline 25 mg p.o. q.day. 10) enalapril 10 mg p.o. b.i.d. 11) nexium. 12) insulin, nph and regular. physical examination: vital signs stable, afebrile. general: obese male in no apparent distress. neck: no jvd, within normal limits. cardiac: regular rate and rhythm, no murmurs. chest: clear to auscultation bilaterally. abdomen: obese but soft and nontender. extremities: no edema. extremities were warm, well-perfused. laboratory studies: white blood cell count 7.4, hematocrit 39.2, platelets 176, pt 13.1, ptt 29, inr 1.2, sodium 136, potassium 3.6, bun 23, creatinine 1.5, glucose 75. summary of hospital course: the patient was admitted to cardiac surgery. at the time, it was thought that a surgical intervention would be the best approach. on , the patient underwent coronary artery bypass graft times three (left internal mammary artery to proximal left anterior descending artery, saphenous vein graft to distal left anterior descending artery, saphenous vein graft to posterior descending coronary artery). the patient tolerated the procedure well. there were no complications. please see the full operative report for detail. upon completion of the operation, the patient was transferred to the intensive care unit in stable condition. in the intensive care unit, the patient remained intubated. he initially required large amount of volume to maintain cardiac output. his propofol and neo were weaned slowly. on postoperative day #2, the patient was extubated. he was started on a beta blocker. the patient tolerated extubation well. he was restarted on his outpatient pain regimen of oxycontin and vicodin. physical therapy was involved in working with the patient. he continued to produce good urine. his diet was advanced as tolerated. on postoperative day #3, the patient's hematocrit was noted to be decreased to 21.7. the patient was transfused with one unit of packed red blood cells. the hematocrit then increased to 28.4 the day before discharge. the patient was transferred to the floor on . his pacing wires were discontinued. his foley catheter was taken out. he continued to work with physical therapy and to use his incentive spirometer. incision remained clean, dry and intact. he remained afebrile with adequate blood pressures and heart rate. he was oxygenating well on room air. the patient was discharged to home on in stable condition. condition on discharge: good. discharge disposition: to home. discharge diagnoses: 1) coronary artery disease, status post cabg x3. 2) obesity. 3) hypertension. 4) hyperlipidemia. 5) diabetes mellitus, type 2. discharge medications: 1) lopressor 100 mg p.o. t.i.d. 2) nexium 40 mg p.o. q.day. 3) lipitor 20 mg p.o. q.day. 4) paxil 20 mg p.o. q.day. 5) actos 45 mg p.o. q.day. 6) detrol 2 mg p.o. b.i.d. 7) vicodin 1-2 tabs p.o. q.4-6 hours p.r.n. pain. 8) topamax 100 mg p.o. b.i.d. 9) enalapril 10 mg once a day. 10) lasix 20 mg p.o. b.i.d. x14 days. 11) potassium chloride 20 meq p.o. b.i.d. x14 days. discharge instructions: the patient is to follow up with his surgeon, dr. , in four weeks. the patient is to follow up with his cardiologist, dr. in approximately two weeks. , 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 diagnostic ultrasound of heart diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other diseases of pharynx, not elsewhere classified unspecified sleep apnea morbid obesity osteoarthrosis, unspecified whether generalized or localized, site unspecified 

Answer: The patient is high likely exposed to