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 73 year old diabetic male living at since was treated for congestive heart failure at , treated with diuretics and discharged back to , recommended for primary angioplasty as opposed to coronary artery bypass grafting. past medical history: is significant for hypertension, hyperlipidemia, diabetes mellitus, coronary artery disease, anemia, glaucoma, psychosis, anxiety, depression and cerebellar ataxia. patient states an allergy to penicillin which causes a rash. medications on admission: include lasix 80 daily, ativan 1 q 6 hours prn, aspirin 650 q 4 hours prn, trazodone 50 at bedtime, prn, zestril 40 daily, zocor 80 daily, aspirin 81 daily, cosopt 1 drop each eye b.i.d, alphagan 1 drop in the right eye b.i.d, lopressor 75 b.i.d, remeron 30 at bedtime, seroquel 100 daily, senokot 2 tablets at bedtime, nitroglycerine 1 inch to chest wall q 6 hours, cianopramine q month, protonix 40 daily, norvasc 10 daily, glyburide 5 q a.m., clonidine 0.1 q. a.m., buspirone 10 daily, plavix 75 daily social history: disabled, retired, single, factory worker living in facility. legal guardian is his sister, , whose phone number is . patient denies cigarette or alcohol use. physical examination: height 5 feet 4 inches, weight 171 pounds. neurologically alert and oriented. affect is somewhat slow. neck is supple, jugular venous distension to 9. no bruits. lung examination with bibasilar crackles. cardiovascular regular rate and rhythm with a i/vi systolic ejection murmur. abdomen is soft, nontender, nondistended. extremities are warm and well perfused with palpable posterior tibial pulses. no varicosities. laboratory data: white count 5.9, hematocrit 40.8, platelets 205. sodium 143, potassium 4.6, chloride 104, co2 30, bun 22, creatinine 1.1, glucose 161. echocardiogram done in : left ventricular hypertrophy with mild left ventricular systolic dysfunction, trace aortic insufficiency with pulmonary hypertension, ejection fraction of 45 to 50 percent. cardiac catheterization also done in showed normal left main, left anterior descending coronary artery with 70 to 95 percent lesions, circumflex totally occluded and 70 percent right coronary artery. patient was admitted to cardiology service and brought to the catheterization laboratory on the day of admission for assessment of his coronary artery disease given his recent episode of congestive heart failure. catheterization showed an ejection fraction of 60 percent with a proximal left anterior descending coronary artery 90 percent occluded and three vessel disease. they were unable to perform angioplasty at that time and he was referred for coronary artery bypass grafting. the patient was followed by the cardiology service until the when he was brought to the operating room. please see the operating room report for full details. in summary, he had coronary artery bypass grafting times four with a left internal mammary artery to the left anterior descending coronary artery, saphenous vein graft to the obtuse marginal, saphenous vein graft to right coronary artery and saphenous vein graft to the ramus. bypass time was 90 minutes and the crossclamp time was 70 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 atrial paced at 80 beats per minute with a mean arterial pressure of 85 and a pad of 16. he had neo-synephrine at 0.3 mcg per kilogram per minute, insulin at 2 units per hour and propofol at 20 mcg per kilogram per minute. the patient did well in the immediate postoperative period. however, he remained somnolent and therefore remained intubated throughout the evening of his operative day. on postoperative day one the patient was weaned from vasoactive medications. he was weaned from the ventilator and successfully extubated. following extubation his swan ganz catheter was removed and he was begun was on oral medications include beta blockers as well as diuretics. on postoperative day two the patient continued to be hemodynamically stable. his chest tubes were removed and he was transferred to the floor for continuing postoperative care and continuing cardiac rehabilitation. over the next several days the patient had an uneventful postoperative course. his activity level was advanced with the assistance of the nursing staff as well as physical therapy and on postoperative day five it was decided that the patient was stable and ready to be transferred to a rehabilitation facility. at the time of this dictation the patient's physical examination is as follows: temperature 99, heart rate 72, sinus rhythm, blood pressure 114/70, respiratory rate 18, o2 saturation 98 percent on room air. weight preoperatively 77.9 kilograms, at discharge 86.5 kilograms. neurologic: alert and oriented, responsive. respiratory clear to auscultation although somewhat diminished in the bases. cardiac: regular rate and rhythm. sternum is stable. incision with steri-strips, open to air, clean and dry without drainage or erythema. abdomen was soft, nontender, nondistended with normal active bowel sounds. extremities are warm and well perfused with trace edema. left endoscopic hava site incision with steri-strips open to air, clean and dry. upper thigh is ecchymotic. it should be noted that the patient complained of visual as well as auditory hallucinations following the administration of narcotics. upon discontinuation of narcotics the hallucinations resolved. condition on discharge: good. he is to be discharged to transitional care unit following which he will return to . final diagnoses: 1. coronary artery disease, status post coronary artery bypass grafting times four. 2. hypertension. 3. diabetes mellitus. 4. congestive heart failure. 5. hypercholesterolemia. 6. anemia. 7. glaucoma. 8. anxiety/depression/psychosis. patient is to have follow up with dr. in two to three weeks and follow up with dr. in four weeks. discharge medications: include lopressor 25 mg b.i.d, lasix 40 mg daily for two weeks, potassium chloride 20 meq daily for two weeks, colace 100 mg b.i.d, zantac 150 mg b.i.d, plavix 75 mg daily times three months, mirtazepine 30 mg at bedtime, alphagan 1 drop in the right eye b.i.d, cosopt 1 drop in each eye b.i.d, cryptopine 100 mg daily, trazodone 50 mg at bedtime prn, simvastatin 80 mg daily, buspirone 10 10 mg daily, glyburide 5 mg q. a.m., naproxen 500 mg q 8 hours prn and regular insulin sliding scale. , m.d. procedure: venous catheterization, not elsewhere classified 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 (aorto)coronary bypass of four or more coronary arteries diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified glaucoma depressive disorder, not elsewhere classified other and unspecified angina pectoris 

Answer: The patient is high likely exposed to