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: a 75-year-old man with a history of coronary artery disease status post a myocardial infarction in as well as hypertension, hypercholesterolemia, diabetes mellitus with shortness of breath times two days. the patient reports he has had chest pains four to five times a year. can only walk about a half a block at a time before he gets short of breath. has two pillow orthopnea and a history of lower extremity edema in the past. he also reports fever and chills with cough although it is nonproductive. two days prior to admission at the outside hospital, patient ruled in for a myocardial infarction with a peak ck of 520 and troponin-i of 15.4. he was started on aspirin, beta blocker, heparin and a statin. treated for pneumonia with levaquin and ceftriaxone. patient transferred to for cardiac catheterization with an ekg that showed lateral st depressions. catheterization revealed severe three vessel disease. following cardiac catheterization the patient was to be evaluated for coronary artery bypass grafting by cardiothoracic surgery. past medical history: 1. coronary artery disease status post myocardial infarction in . 2. chronic obstructive pulmonary disease. 3. insulin-dependent diabetes mellitus. 4. bladder cancer. 5. hypertension. 6. hypercholesterolemia. allergies: no known drug allergies. medications on admission: include: 1. aspirin 325 q. day. 2. nph 35 q. a.m. and 15 q. p.m. 3. lisinopril no dose provided. 4. neurontin 300 q. hs. 5. prednisone 40 q. day which was started the day prior to admission. 6. protonix 40 q. day. 7. lovenox 80 b.i.d. 8. lopressor 50 b.i.d. 9. lovastatin 40 q. day. social history: the patient lives with his wife. his son lives nearby. remote tobacco history. quit in . prior to that he had a 150 pack years. occasional etoh use. family history: mother died at 75 of heart disease. father died at 66 also of heart disease as well as emphysema. physical examination: temperature 97.9, heart rate 80, blood pressure 110/47, respiratory rate 20, oxygen saturation 95% on three liters. general: no acute distress, alert and oriented times three. heent: mucus membranes are moist. jugular venous distention is at 12. cardiovascular: regular rate and rhythm, no murmurs, rubs or gallops. pulmonary: bibasilar crackles. abdomen is soft, non-tender, non-distended with positive bowel sounds. extremities with no edema. one plus pulses bilaterally and no bruits. laboratory data: white count 17.9, hematocrit 32, platelet count 309,000. sodium 129, potassium 4.3, chloride 98, co2 23, bun 27, creatinine 1.3, glucose 195. radiology: chest x-ray was consistent with mild congestive heart failure. catheterization: his catheterization showed a wedge of 21, cardiac output of 6, left main 60% ostial stenosis, 80% distal stenosis, left anterior descending artery with proximal occlusion, circumflex large om1 with 50% proximal disease, right coronary artery with 90% mid disease and a small vessel. no ventriculogram was done due to severe pulmonary hypertension. echocardiogram: the day following transfer to he underwent an echocardiogram which showed an ejection fraction of 30% with mild to moderate mitral regurgitation and moderate tricuspid regurgitation as well as moderate pulmonary hypertension. carotid ultrasound: additionally, patient had carotid ultrasound which showed no significant lesions in right or left carotids. hospital course: the patient was seen by cardiac surgery and accepted for surgery once his potential infectious disease issues were fully sorted out. the patient was followed by the medical service while these issues were resolved and on he was brought to the operating room where he underwent coronary artery bypass grafting. please see the operating room report for full details. in summary, the patient had coronary artery bypass grafting times two with the left internal mammary artery to the left anterior descending artery and a saphenous vein graft to the obtuse marginal. his bypass time was 59 minutes with a crossclamp time of 39 minutes. 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 was av paced at a rate of 87 beats per minute. his mean arterial pressure was 69 and cvp was 11. he had epinephrine at 0.2 mcg/kg/min, nitroglycerin at 0.3 mcg/kg/min and propofol at 10 mcg/kg/min. the patient did well in the immediate postoperative period. his anesthesia was reversed. he was weaned from the ventilator and successfully extubated over the course of postoperative day. his propofol, epinephrine and nitroglycerin were all weaned to off. he was, however, started on a neo-synephrine drip to maintain an adequate blood pressure. on postoperative day one the patient remained hemodynamically stable, however, he was noted to have some heart block with occasional episodes of wenckebach, therefore, he remained in the intensive care unit. additionally, the patient continued to require low dose neo-synephrine to maintain an adequate blood pressure. on postoperative day two the patient continued to be hemodynamically stable. his heart rhythm was a first degree av block. his chest tubes were discontinued. he was weaned from his neo-synephrine drip and diuresis was begun. on postoperative day three the patient continued to be hemodynamically stable. he was noted to have episodes of atrial fibrillation that were rate controlled with a ventricular response in the 90-100 range. he was begun on beta blockers, did not convert to a sinus rhythm until after receiving amiodarone. following conversion to sinus rhythm, the patient's amiodarone was discontinued given his history of heart block. on postoperative day four the patient continued to progress slowly. he remained hemodynamically stable and he was transferred to two for continuing postoperative care and cardiac rehabilitation. over the next several days the hospital course was uneventful. he remained on two where he worked with the nursing staff and physical therapy to increase his level of activity. his foley catheter was discontinued on postoperative day four and he failed to void and, therefore, his foley catheter was reinserted. a review of the patient's past history indicated that he had had bladder surgery in and had been straight cathing himself daily since that time. on postoperative day seven it was decided that the patient would most likely be stable and ready to be transferred to rehabilitation on the following day. physical examination at discharge: vital signs: temperature 98.1, heart rate 79 sinus rhythm, blood pressure 126/40, respiratory rate 20, oxygen saturation 100% on room air. weight preoperatively 81.6 kilos, at discharge 78 kilos. laboratory data: hematocrit 30.2, sodium 137, potassium 3.9, chloride 102, co2 24, bun 16, creatinine 1.0, glucose 110. alert and oriented times three. moves all extremities. follows commands. respiratory: clear to auscultation bilaterally. cardiac: regular rate and rhythm, s1, s2, sternum is stable. incision with steri-strips open to air, clean and dry. abdomen is soft, non-tender, non-distended with positive bowel sounds. extremities are warm and well-perfused. right saphenous vein graft site with steri-strips open to air, clean and dry. discharge medications: include: 1. metoprolol 25 mg b.i.d. 2. lasix 20 mg q. day times ten days. 3. potassium chloride 20 meq q. day times ten days. 4. enteric coated aspirin 325 mg q. day. 5. plavix 75 mg q. day. 6. pantoprazole 40 mg q. day. 7. atorvastatin 40 mg q. day. 8. _____________ 0.4 mg q. hs. 9. flagyl 500 mg t.i.d. times seven days. 10. insulin nph 20 units q. a.m., 8 units q. p.m. 11. regular insulin sliding scale. blood sugar 120 to 140, 3 units; 141 to 160, 4 units; 161 to 180, 5 units; 181 to 200, 6 units; 201 to 220, 7 units; 221 to 240, 8 units. greater than 240 m.d. 12. percocet 5/325 one to two tabs q. 4h. p.r.n. discharge diagnoses: 1. coronary artery disease status post coronary artery bypass grafting times two with the left internal mammary artery to the left anterior descending artery and a saphenous vein graft to obtuse marginal. 2. hypertension. 3. hypercholesterolemia. 4. diabetes mellitus. 5. chronic obstructive pulmonary disease. 6. bladder cancer status post bladder surgery . disposition: the patient is to be discharged to rehabilitation. condition at discharge: good. follow up: he is to have follow up with his primary care physician three to four weeks following his discharge from rehabilitation. follow up with dr. in three to four weeks. follow up with dr. in six weeks. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery mitral valve disorders urinary tract infection, site not specified unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation primary pulmonary hypertension diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled 

Answer: The patient is high likely exposed to