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: amoxicillin / biaxin attending: chief complaint: worsening chest pain and dyspnea on exertion major surgical or invasive procedure: redo sternotomy. off pump single vessel coronary artery bypass grafting utilzing saphenous vein graft to left anterior descending artery cardiac catheterization cardiac catheterization with percutaneous intervention history of present illness: 81 y/ with a pmhx of cad s/p mi in , s/p cabg in (3 svgs as below), htn, cri, paf admitted to for precath hydration in am tomorrow. pt has a month h/o worsening cp and dyspnea on exertion, even occuring with slight exertion over the past week. pt had a cabg in and was doing well without any cp or sob on exertion until 4 months ago when he began to develop worsening cp/sob on exertion. pt now having cp/exertion with slight exertion including several steps, or 1 flight of stairs. pt had a p-mibi today which a showed reversible, moderate to severe apical defect involving the lad territory along with septal akinesis and an ef of 62%. pt was admitted to today for precath hydration due to his h/o cri. denies any palpitations, lh/dizziness, orthopnea, pnd. no other c/o today. eating/drinking/urinating well. past medical history: 1. cad s/p mi in s/p cabg in (svg -> distal rca, svg -> lad, svg -> om1). ett today with reversible apical defect in lad territory (see full report below). 2. htn 3. paf 50yrs ago, not on coumadin 4. spinal stenosis, not able to ambulate s cane 5. cri baseline cr 1.6-1.8 6. bilat kidney stones 7. diverticulitis 8. bladder ca s/p excision 9. prostate ca s/p prostatectomy 10. intermittant gout 11. gb stones social history: pt is a retired neurologist, lives at home with wife. h/o. etoh: 1 drink/night. denies ivdu. family history: m/f healthy, b cabg , s healthy, b died of prostate ca physical exam: gen: nad, sitting/talking comfortably heent: perrl. eomi. mmm. neck: supple. no elevated jvp. cv: regular, nml s1,s2. no s3 or murmur. resp: ctab. no c/w/r. abd: soft, ntnd. +bs. no hsm. ext: no edema bilat. dp/pt/femoral pulses 2+ bilat. neuro: aaox3. moves all extremities spontaneously. pertinent results: 05:20am blood wbc-5.8 rbc-3.34* hgb-10.6* hct-30.0* mcv-90 mch-31.7 mchc-35.3* rdw-13.8 plt ct-219 12:15pm blood pt-12.6 ptt-26.9 inr(pt)-1.1 05:20am blood glucose-121* urean-29* creat-1.5* na-142 k-3.9 cl-105 hco3-28 angap-13 03:36pm blood %hba1c-5.3 -done -done brief hospital course: following a persantine mibi that showed a reversible, moderate to severe apical defect, he was admitted to the for hydration prior to cardiac catheterization. selective coronary angiography on revealed a right dominant system with severe three vessel including left main disease and occluded vein grafts. the lmca was diffusely diseased with a a 90% distal stenosis. the lad had severe diffuse disease with a 90% ostial stenosis and a 80% stenosis in the mid lad after a large d1. the d1 was diffusely diseased. the lcx had a 70% ostial stenosis with diffuse disease in the proximal and mid portions. it gave off a large om with a mid-vessel 90% focal stenosis. the rca had 70% ostial stenosis with a 40% stenosis in the mid vessel and diffuse 0% stenoses in the pda. supravalvular aortography did not demonstrate any patent vein grafts and given his chronic renal insufficiency, left ventriculography was not performed. based on the above results, cardiac surgery was consulted and further evaluation was performed. an echocardiogram showed normal left ventricular function(greater than 55%) with mild to moderate mitral regurgitation. the aortic valves were mildly thickened with only mild aortic insufficiency. the aortic root was normal diameter and the ascending aorta was mildly dilated, measuring 3.7 centimeters. a carotid ultrasound showed mild to moderate stenoses of both internal carotid arteries, measuring between 40-59%. vein mapping also revealed suitable greater saphenous vein in his left leg. his preoperative course was otherwise uneventful. he remained stable on medical therapy and was eventually cleared for surgery. on , dr. performed a redo sternotomy and off pump coronary artery bypass grafting. due to severe adhesions from prior operation, incomplete revascularization was performed. this was decided prior to the operation with near future plans for percutaneous intervention. for surgical details, please see seperate operative report. after the operation, he was brought to the csru for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated. he experienced episodes of paroxysmal atrial fibrillation but otherwise maintained stable hemodynamics. on postoperative day three, he returned to the cardiac cath lab for percutaneous intervention. successful stenting of the left main, circumflex, first diagonal and right coronary artery was performed without complication. he was subsequently started on plavix which he will need to continue for at least 12 months. he remained in hospital awaiting a therapeutic inr. he converted to a nsr. he was transfused one unit prbcs on for a hct of 26 with a post transfusion hct of 29. echo today revealed a slightly depressed lv, + mr, 2+tr. inr today is 2.2 he was ready for discharge to rehab on . he will need follow up and dosing of his coumadin. medications on admission: niacin 500" plavix 75' lisinopril 20' toprol xl 100' lipitor 10' asa 325' nitro patch 0.1mg/hr q72 ranitidine 300' prilosec 20' halcion 0.125mcg' discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 3. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). 4. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). 5. triazolam 0.25 mg tablet sig: one (1) tablet po hs prn (). 6. coumadin 1 mg tablet sig: 0.5 tablet po once a day: please check inr qd and dose coumadin for goal inr 2.0-2.5. 7. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain. 8. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 10 days: x 10 days then qd. 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 10. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 11. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 12. disopyramide 100 mg capsule, sustained release sig: one (1) capsule, sustained release po q12h (every 12 hours). 13. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 14. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. discharge disposition: extended care facility: - discharge diagnosis: coronary artery disease - s/p redo cabg, s/p percutaneous intervention; postoperative atrial fibrillation; hypertension; history of paroxsymal atrial fibrillation; spinal stenosis; chronic renal insufficiency; diverticular disease; bladder cancer - s/p excision; prostate cancer - s/p prostatectomy; gout; cholelithiasis; history of nephrolithiasis discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. followup instructions: cardiac surgeon, dr. in weeks. local pcp weeks. local cardiologist in weeks. procedure: coronary arteriography using two catheters coronary arteriography using two catheters left heart cardiac catheterization left heart cardiac catheterization diagnostic ultrasound of heart (aorto)coronary bypass of one coronary artery monitoring of cardiac output by other technique transfusion of packed cells transfusion of other serum suture of cranial and peripheral nerves procedure on four or more vessels insertion of drug-eluting coronary artery stent(s) excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] insertion of four or more vascular stents diagnoses: anemia, unspecified unspecified essential hypertension coronary atherosclerosis of autologous vein bypass graft cardiac complications, not elsewhere classified atrial fibrillation personal history of malignant neoplasm of prostate chronic kidney disease, unspecified other and unspecified angina pectoris old myocardial infarction personal history of malignant neoplasm of bladder personal history of urinary calculi pulmonary congestion and hypostasis spinal stenosis, unspecified region tricuspid valve disorders, specified as nonrheumatic 

Answer: The patient is high likely exposed to