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. is a 55 year old man with a history of coronary artery disease, hypertension, hypercholesterolemia, type 2 diabetes mellitus and ongoing tobacco use who was admitted to the coronary care unit left circumflex artery. the patient's coronary history dates back to when he presented with unstable angina. he underwent percutaneous transluminal coronary angioplasty of the left posterolateral artery at that time. he developed recurrent symptoms in . re-catheterization at that time showed restenosis of the same region. he therefore underwent stenting of the left the patient had been feeling well until approximately one and a half months prior to admission when he developed increasing dyspnea on exertion with two flights of stairs. he denied chest pain, palpitations, nausea or vomiting. he has also denied orthopnea, paroxysmal nocturnal dyspnea, or leg edema. he was sent for a nuclear stress test and exercised eight minutes and 15 seconds to a 75% maximum predicted heart rate with no chest pain or ekg changes. nuclear images showed inferoposterior hypokinesis to akinesis with severe inferoseptal hypokinesis. the patient underwent elective cardiac catheterization on the day of admission which showed a left dominant system with 80% proximal left circumflex lesions followed by a total occlusion. the patient then underwent a complicated intervention with stents of the left circumflex artery resulting in a distal edge dissection and jailing of the obtuse marginal branch. the jailed segment was corrected with a stent. following this, thrombus was noted in the left circumflex stent which was corrected with heparin and angioject. a second stent was placed in the left circumflex artery to correct the edge dissection. again thrombus was noted in the left circumflex artery and the patient underwent a second angioject with intracoronary injection of adenosine, diltiazem and nitroglycerin. at the end of the case, a distal cut-off was noted involving the distal left circumflex artery and left pda. the patient experienced no chest pain during the case. he received a total of 19,000 units of heparin, 900 micrograms of adenosine, 300 micrograms of diltiazem, 125 micrograms of fentanyl, 400 micrograms of nitroglycerin, versed and integrilin. he also received 851 cc optiray dye during the catheterization. a left ventriculogram indicated an ejection fraction of 30% with inferior akinesis and distal inferior hypokinesis. past medical history: 1. coronary artery disease status post percutaneous transluminal coronary angioplasty of the left posterolateral artery in 12/95 and status post stent of the left posterolateral artery in 03/95 for restenosis. 2. hypertension. 3. hypercholesterolemia. 4. diabetes mellitus type 2. 5. status post knee surgery. 6. tobacco use. medications on admission: 1. glyburide/metformin 2.5/500 mg p.o. twice a day. 2. prilosec 20 mg p.o. q. day. 3. actos 30 mg p.o. q. day. 4. lipitor 40 mg p.o. q. day. 5. diltiazem cd 240 mg p.o. q. day. 6. aspirin 81 mg p.o. q. day. allergies: no known drug allergies. social history: the patient is married with two grown children. he currently smokes one half pack per day of tobacco and has smoked as much as two packs per day. he denies alcohol or illicit drug use. family history: notable for history of coronary artery disease in the patient's mother and diabetes mellitus in the patient's brother. physical examination: the patient was afebrile with a heart rate in the 70s, blood pressure of 100 to 120 over 50 to 60, respiratory rate of 13, oxygen saturation 98% on two liters nasal cannula. in general, this is an obese 55 year old man in no acute distress, lying supine in bed following catheterization. heent examination indicated normocephalic, atraumatic. pupils were equal, round and reactive to light. extraocular muscles were intact. oropharynx was clear and dry. neck was supple with no bruits and no jugular venous distention. the chest was clear to auscultation anteriorly. cardiovascular examination indicated regular rhythm, normal s1 and s2. no murmurs, gallops or rubs. the abdomen was obese, soft, not tender, not distended, with normal bowel sounds. the patient's right groin was without hematoma, tenderness or bruit. the patient had good distal pulses and no peripheral edema. laboratory: studies were notable for an ekg which indicated sinus rhythm at 64 with normal axis, normal intervals, left atrial enlargement, q waves in leads ii, iii and avf and some t wave flattening in leads i, avl, and v5 through v6. chem-7 and cbc were unremarkable with the exception of a hematocrit of 37.2. ck was 99. hospital course: the patient was admitted to the cardiac care unit for observation following complicated catheterization and revascularization of the left circumflex artery and concurrent dye load of 850 cc. the patient remained hemodynamically stable overnight. he was started on a heparin drip as well as beta blocker, ace inhibitors, plavix and aspirin. on hospital day number two, the patient was transferred to the floor. serial cks were flat and his creatinine was stable at 0.8. he remained without any complaints of chest pain. heparin drip was discontinued on the day of discharge. the patient was to follow-up with his cardiologist, dr. , on , at 11:45 a.m. discharge diagnoses: 1. coronary artery disease. 2. status post cardiac catheterization with stenting of the left circumflex artery. 3. hypertension. 4. hypercholesterolemia. 5. type 2 diabetes mellitus. 6. tobacco abuse. discharge medications: 1. atenolol 25 mg p.o. q. p.m. 2. lisinopril 2.5 mg p.o. q. a.m. 3. glyburide/metformin 2.5/500 mg p.o. twice a day. 4. prilosec 20 mg p.o. q. day. 5. actos 30 mg p.o. q. day. 6. lipitor 40 mg p.o. q. h.s. 7. enteric coated aspirin 325 mg p.o. q. day. 8. sublingual nitroglycerin 0.4 mg p.o. q. five minutes p.r.n. 9. plavix 75 mg p.o. q. day times 30 days. condition at discharge: the patient was discharged to home in good condition. discharge instructions: 1. he was to follow-up with dr. . 2. it was also strongly suggested that the patient stop smoking cigarettes and follow up with dr. and his primary care physician in this regard. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled percutaneous transluminal coronary angioplasty status 

Answer: The patient is high likely exposed to