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 78 year old male with a two to three year history of shortness of breath and chest pain on exertion, who visited his primary care physician for routine physical examination in , at which time he related to his primary care physician the aforementioned episodes of chest pain and shortness of breath. he was subsequently sent for a stress test, as well as an echocardiogram and cardiac catheterization in . the cardiac catheterization showed a 50% lesion in the left anterior descending as well as subtotal occlusion of the diagonal 1 and diagonal 2 arteries. the right coronary artery was also occluded with no collateral flow to the distal portion from the left system. based on these cardiac catheterization results, the patient was referred for coronary artery bypass graft surgery. he currently states that he has chest pain and shortness of breath on exertion, which is relieved by nitroglycerin as well as rest. past medical history: 1. hypertension; 2. gastroesophageal reflux disease; 3. psoriasis; 4. prostate cancer; 5. history of silent myocardial infarction. past surgical history: 1. transurethral radical prostatectomy in ; 2. colonoscopy with removal of rectal polyps in the . medications on admission: 1. aspirin 325 mg q. day; 2. atenolol 25 mg q. day; 3. steroid cream; 4. sublingual nitroglycerin as needed; 5. nitrodur patch; 6. hydrochlorothiazide 50 mg q. day; 7. avapro 75 mg q. day; 8. legatrin prn for leg pain. allergies: the patient has no known drug allergies. social history: the patient denies any history of tobacco use. he states that he has been drinking two to three glasses of liquor per week for approximately 50 years. he lives by himself in , and was a retired letter carrier. family history: non-contributory. physical examination: the height was 5 feet 9 inches, weight 183 lb, heartrate 58 in sinus bradycardia and the blood pressure was 133/69. in general, mr. was a well dressed and well nourished male who had mild shortness of breath but was in no acute distress and appearing his stated age. his skin showed some psoriatic patches on the upper back, no rashes, and good skin turgor. his pupils were equally reactive and reactive to light and accommodation. extraocular muscles were intact. his buccal mucosa was normal as was his dentition. his neck was supple with no jugulovenous distension. he also had no thyromegaly. he did have some left cerebral lymphadenopathy with some tenderness. his heart showed a regular rate and rhythm with normal s1 and s2 and no murmurs, rubs or gallops. his lungs were clear to auscultation bilaterally with no wheezes, rhonchi or rales. his abdomen was soft, nontender, nondistended without rebound or guarding. his extremities were warm, dry and well perfused with no peripheral edema, cyanosis or calf tenderness. he had no varicosities. gross neurological examination showed that gross motor and sensory systems were intact and there were no deficits. on pulse examination, the patient had 2+ carotid pulses with no bruits. he had 2+ femoral, dorsalis pedis and radial pulses bilaterally, and a 2+ posterior tibial pulse on the left and 1+ posterior tibial pulse on the right. hospital course: the patient was admitted to the operating room on where he underwent a coronary artery bypass graft times three. for full details of this procedure please refer to the dictated operative report. in summary, the left internal mammary was anastomosed to the left anterior descending with saphenous vein grafts to the right coronary and diagonal arteries. the patient tolerated the procedure well and was transferred to the cardiosurgical intensive care unit in normal sinus rhythm with a rate of 85 beats/minute, a nitroglycerin drip of 1.5 mg/kg/min, and a propofol drip at 30 mcg/kg/min. later that day, the patient was extubated in the intensive care unit without incident, and was cooperative with deep breathing exercises. over night the patient required volume and hespan for low urine outputs to which he responded well. on postoperative day #1 he was off all drips, and deemed stable and ready to transfer to the regular floor. once on the floor the patient did experience frequent bursts of sinus tachycardia with heartrate to the 120s, which seemed to correlate with incisional discomfort during coughing. the blood pressure remained stable during these episodes and he was asymptomatic other than his incisional pain. he was encouraged to use more pain medication as he had previously been using as he had been refusing multiple doses, and this had good effect when started. by postoperative day #3, the patient had been working with physical therapy, and was deemed safe for discharge to home. diuresis and beta blockade were continued, and beta blockade was titrated in order to better control his heartrate. by postoperative day #5 the patient was doing quite well, and at this time was deemed stable and ready for discharge home. services were arranged in order that they may evaluate the patient for a couple of visits after he first returns home. physical examination on discharge: the patient's temperature was 98.9 f with a heartrate of 80 in sinus rhythm and a blood pressure of 110/70 and a room air oxygen saturation of 96%. his heart showed a regular rate and rhythm. his lungs were clear to auscultation bilaterally. his abdomen was soft, obese, nontender and nondistended. he had continued to have some minimal peripheral edema, however, this had been resolving quite well. medications on discharge: 1. enteric coated aspirin 325 mg q. day 2. colace 100 mg b.i.d. 3. potassium 20 meq q. day for seven days 4. lasix 20 mg q. day for seven days 5. lopressor 75 mg b.i.d. 6. vicodin 1 to 2 tablets every 4 to 6 hours as needed for pain of note, the patient was instructed to resume his preoperative hydrochlorothiazide when his course of lasix was complete. condition on discharge: the patient was stable. discharge instructions: activity was as tolerated. diet was a cardiac heart healthy diet. discharge diagnosis: 1. coronary artery disease, status post coronary artery bypass graft times three on . 2. hypertension 3. gastroesophageal reflux disease 4. psoriasis 5. prostate cancer status post transurethral resection of prostate 6. rectal polyps follow up: the patient was instructed to follow up with his cardiologist or primary care physician in approximately one to two weeks time to review his medications and physical condition. his follow up with dr. was scheduled in three weeks time. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension personal history of malignant neoplasm of prostate other and unspecified angina pectoris old myocardial infarction other psoriasis 

Answer: The patient is high likely exposed to