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: mr. has a history of a non-q wave myocardial infarction in and . he had a cardiac catheterization revealing left anterior descending and left circumflex disease. there is also 20% left main disease. at that time, he had an angioplasty of the left anterior descending and circumflex with a 30% stenosis residual in both at that time. he reports that he has done well for the past 15 years from a cardiac standpoint. he is status post cervical spine surgery in , which was complicated by postoperative dysphagia. this dysphagia has persisted over the past year resulting in a 30 pound weight loss, weakness and activity intolerance. he denies chest pain but does report that over the past several weeks he has been getting dyspnea on exertion. he had a routine stress test on of . he was able to exercise for seven minutes on protocol. during exercise, there was 1 mm horizontal downsloping with st depressions and t wave inversion in leads i and v2. in addition, there was 0.5 to 1.0 mm upsloping and st elevation inferiorly and in the lateral precordial leads. echocardiogram showed basilar inferior hypokinesis at rest. with exercise there was severe hypokinesis at the distal septum apex and inferior wall. ejection fraction was estimated at 50%. the patient was referred for cardiac catheterization to evaluate coronary artery disease. the patient underwent a cardiac catheterization which showed significant left main disease of 70% and diffuse three vessel disease with an ejection fraction of 51%. please see catheterization report for full details. past medical history: 1. cervical spine surgery. 2. peripheral vascular disease. 3. coronary artery disease. 4. hypertension. 5. diabetes mellitus. 6. left lower extremity vascular surgery. medications prior to admission: 1. aspirin 325 mg q. day. 2. atenolol 25 q. day. 3. zestril 40 q. day. 4. glyburide 10 q. a.m. and 5 q. p.m. 5. metformin 500 twice a day. 6. folic acid one three times a day. 7. b6 100 mg q. day. 8. b12 1 mg q. day. 9. multivitamin one q. day. 10. vitamin e 400 international units q. day. 11. calcium, no amount quantified. allergies: he is allergic to codeine which causes nausea. laboratory: white blood cell count 7.1, hematocrit 31. sodium 140, potassium 4.7, chloride 105, co2 26, bun 37, creatinine 1.0, inr 1.1. social history: retired, married; lives with his wife. hospital course: on , the patient was admitted to the operating room where he underwent coronary artery bypass grafting. please see operating room report for full details. in summary, the patient had a coronary artery bypass graft times four with a left internal mammary artery to the left anterior descending, saphenous vein graft to the diagonal and to obtuse marginal 3 sequentially and saphenous vein graft to the pda. he tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, the patient had a mean arterial pressure of 70; he was in sinus rhythm at 76 beats per minute. cvp was 5 and his pad was 10. he had levophed at 0.02 mics per kilogram per minute and propofol at 30 micrograms per kilogram per minute. the patient did well in the immediate postoperative period. during the course of his surgical day, he was weaned from his cardiac active medications, his anesthesia was reversed and he was weaned from the ventilator and successfully extubated on postoperative day two. his swan-ganz line, his arterial line and his chest tubes were removed. he was started on beta blockade and diuretics and transferred to the floor for continuing postoperative care. once on the floor, with the assistance of physical therapy and the nursing staff, the patient's activity level was gradually increased. his medications were adjusted and on postoperative day five, it was decided that the patient was stable and ready for discharge to home. the patient's postoperative course was complicated by two issues. 1. atrial fibrillation for which the patient was treated with lopressor following which he converted to normal sinus rhythm. 2. right sided hand numbness: which was noted following awakening from surgery and persisted throughout postoperative day five. the patient was seen by neurology and will have follow-up with neurology in the future. he was also seen by occupational therapy and was provided with exercises to increase in strength and functioning of his right hand. at the time of discharge, the patient's physical examination is as follows: vital signs were temperature 98.1 f.; heart rate 73 and sinus rhythm; blood pressure 127/51; respiratory rate 16; o2 saturation 100% on room air. weight preoperatively 172 pounds; at discharge 176.5 pounds. laboratory data was white blood cell count of 7.4, hematocrit 29.9, platelets 146. sodium 140, potassium 3.8, chloride 100, co2 27, bun 29, creatinine 1.0, glucose 116. on physical examination he was alert and oriented times three. he moves all extremities. he continues to complain of right hand numbness; strength in the right hand is four over five; left hand is five over five. respiratory: clear to auscultation bilaterally. cardiovascular: regular rate and rhythm, s1, s2, no murmurs, rubs or gallops. sternum was stable. incision with steri-strips, open to air, clean and dry. abdomen soft, nontender, nondistended, with normoactive bowel sounds. extremities are warm and well perfused with no cyanosis, clubbing or edema. right leg saphenous vein graft incision site with steri-strips open to air, clean and dry. discharge medications: 1. metoprolol 75 mg twice a day. 2. lasix 20 mg q. day times ten days. 3. potassium chloride 20 meq q. day times ten days. 4. aspirin 325 mg q. day. 5. glyburide 10 mg q. a.m. and 5 mg q. p.m. 6. metformin 500 mg twice a day. 7. percocet 5/325 one to two tablets p.o. q. four hours p.r.n. disposition: the patient is to be discharged to home. discharge instructions: 1. to follow-up in the clinic in two weeks. 2. follow-up with dr. in four weeks. 3. follow-up with his primary care provider in three to four weeks. 4. follow-up with neurology as prescribed by the neurology service. , 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 diagnostic ultrasound of heart diagnoses: 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 atrial fibrillation personal history of tobacco use percutaneous transluminal coronary angioplasty status disturbance of skin sensation 

Answer: The patient is high likely exposed to