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: this 53 year old gentleman, who is a known insulin dependent diabetic, was referred in from with increasing symptoms of shortness of breath and fatigue for the past year. he has no warning symptoms of chest pain or pressure. his stress echocardiogram in showed multiple wall motion abnormalities. he then had a positive ett and referred in to dr. for cardiac catheterization. catheterization on , showed 50% left main lesion, 80% left anterior descending lesion, 80% right coronary artery lesion and ejection fraction of 55%. past medical history: 1. insulin dependent diabetes mellitus with an insulin pump. 2. hypertension. 3. hypercholesterolemia. 4. gastroparesis. 5. peripheral neuropathy to all four extremities and left face. 6. macular degeneration. past surgical history: bilateral laser surgeries to his eyes. medications on admission: 1. aspirin 81 mg p.o. once daily. 2. toprol xl 100 mg p.o. once daily. 3. viagra p.r.n. 4. multivitamin once daily. 5. cozaar 50 mg p.o. once daily. 6. reglan 20 mg p.o. three times a day. 7. zocor 20 mg p.o. once daily. 8. insulin pump with alternating basal rate. allergies: dilantin which produces hives. physical examination: on examination, he is five foot nine inches, 200 pounds, heart rate 93, blood pressure left arm 148/102, right arm 165/83. he had no jugular venous distention. his heart was regular rate and rhythm, normal s1 and s2 with no murmur. he had no carotid bruits that could be appreciated. his lungs were clear bilaterally. his abdominal examination was benign. his extremities were cool but well perfused. he had no cyanosis, clubbing or edema. he had peripheral pulses present in bilateral radials, femorals, dorsalis pedis and posterior tibials. he had a normal neurologic examination with the exception of slight left face numbness. laboratory data: white blood cell count 8.2, hematocrit 43.2, platelet count 331,000. sodium 141, potassium 4.3, chloride 105, co2 24, blood urea nitrogen 15, creatinine 1.0 with an inr of 1.2. hospital course: he was referred to dr. from cardiothoracic surgery where he underwent a coronary artery bypass graft times three with a left internal mammary artery to the left anterior descending, left radial artery to the right coronary artery and a vein graft to the om. he was transferred to the cardiothoracic intensive care unit in stable condition. date of operation was . on postoperative day one, he had been extubated and on a nitroglycerin drip at 0.5 for radial artery coverage and continued on his perioperative vancomycin. postoperative laboratories were a white count of 12.4, hematocrit 28.3, platelet count 203, sodium 138, potassium 3.9, chloride 110, co2 22, blood urea nitrogen 8, creatinine 0.7. his examination was benign with the exception of decreased breath sounds at the bases. his chest incision was clean, dry and intact. on neurologic examination, he was alert and on morphine with good respiratory saturations. his diet was advanced and he was transferred out to the floor. he was seen by diabetes fellow for tighter management of his insulin pump. on postoperative day two, he had no events overnight. he continued on his perioperative vancomycin. he had a good blood pressure of 115/58, sinus tachycardia at 103, and his hematocrit was steady at 26.6. blood urea nitrogen was 11, creatinine 0.7. he had decreased breath sounds at the bases again. all incisions were clean, dry and intact. his sternum was stable. his diet was advanced. he had good urine output. he was switched over from an insulin drip back to his insulin pump recommendations. he was seen by physical therapy for evaluation and continued to ambulate on the floor. on postoperative day three, he had temperature maximum of 101.1 and was hemodynamically stable with a blood pressure of 100/50. he was back on his oral medications. his laboratory values remained stable. his lopressor was increased to 75 mg p.o. twice a day to take his tachycardia back down. he was again visited by the diabetes fellow. on postoperative day four, , he was discharged to home in stable condition with instructions to follow-up with dr. in his office in four weeks and dr. in three to four weeks. on the day of discharge, he was alert and oriented, following all commands. his lungs were clear bilaterally. his heart was regular rate and rhythm. he was approximately three kilograms above his preoperative weight. his blood urea nitrogen was 10 with a creatinine of 0.8. the sternum was stable. all incisions were clean, dry and intact. his left forearm incision also had steri-strips on it and it was clean and intact. medications on discharge: 1. imdur 60 mg p.o. once daily times three months. 2. aspirin 325 mg p.o. once daily. 3. ranitidine 150 mg p.o. twice a day. 4. simvastatin 20 mg p.o. once daily. 5. lasix 20 mg p.o. once daily for number of days to be determined. 6. potassium chloride 20 meq p.o. once daily, also for predetermined number of days, to be evaluated at discharge. 7. metoprolol 100 mg p.o. twice a day. 8. insulin via his own insulin pump. 9. percocet one to two tablets p.o. p.r.n. q4hours. discharge diagnoses: 1. status post coronary artery bypass grafting times three. 2. insulin dependent diabetes mellitus. 3. hypertension. 4. hypercholesterolemia. 5. gastroparesis. 6. peripheral neuropathy. 7. macular degeneration. discharge status: the patient was discharged to home in with instructions to follow-up with his surgeon and dr. . condition on discharge: the patient was discharged in stable condition 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 coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension polyneuropathy in diabetes diabetes with neurological manifestations, type i [juvenile type], not stated as uncontrolled gastroparesis 

Answer: The patient is high likely exposed to