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: patient recorded as having no known allergies to drugs attending: chief complaint: dyspnea major surgical or invasive procedure: cabgx3, lima to lad, svg to om, svg to pda history of present illness: 53 year old man w/ hx of: rca and cx stenting complicated by abrupt closure of both vessels/mi-> repeat pci. last cathed at and found to have 3vd- 80% rca, 70% plad, 80% cx, 90% om2. no intervention done at that time. was not cabg candidate at that time due to carotid disease. carotid angio in with significant disease bilaterally but not treated. . had a fight with his wife on night of presentation to osh. threw milk at his wife. were called, and he was handcuffed and dragged down stairs, at which time he had chest pain. states that he has been having exertional cp x 1 mo when climbing stairs. describes pain as sharp, radiation up to l jaw and down l arm. relieved with rest after several minutes up to 1 hour. occas cp at rest. . ptca at osh again showed 3vd, transferred to for possible cabg. ruled out at osh. past medical history: cad, s/p rca & cx stenting in ' carotid artery stenosis pvd hyperlipidemia + tobacco insulin dependent diabetes (dx'ed when 35 y/o) claudication retinopathy le/right hand neuropathy hx of severe back pain, herniated disc bipolar d/o h/o tias social history: previously employed as brick layer. quit smoking in . family history: non-contrib physical exam: vs - t 98.6, bp 156/75, hr 59, rr 22, po 96% ra gen - comfortable, nad heent - mmm, op clr, bilat carotid bruits cv - rrr, no m/r/g chest - ctab anteriorly abd - obest, soft, nt ext - r groin catheter sheath intact, distal pulses 1+, extremities warm neuro - non-focal pertinent results: cardiac cath (): 1. selective coronary angiography of this right dominant system revealed three vessel disease. the lmca was a short, ectatic vessel with no apparent flow-limiting lesions. the proximal lad was mildly calcified with a tubular 60% stenosis. there was nild diffuse disease in the remainder of the lad. the lcx had an eccentric 80-90% stenosis at its origin and was mildly diffusely diseased for the rest of its course. om1 had mild diffuse disease and a 60% stenosis at its origin. the dominant rca had an 80% stenosis in its proximal segment, a 90% stenosis in its mid segment, and a 90% stenosis in its distal segment prior to the crux. there was timi 2 flow into a pda with mild diffuse disease. 2. limited resting hemodynamics revealed severely elevated left sided filling pressures (lvedp 35 mmhg). brief hospital course: mr. was admitted to the on for further management of his worsening shortness of breath. he was taken to the catheterization lab where he was found to have a short calcified left main coronary artery, 70% stenosed proximal left anterior descending artery, and a 60% stenosed dominant proximal right coronary artery and a distal 90% stenosis of the same artery, his left circumflex artery had a 90% eccentric lesion. given the severity of his disease, the cardiac surgical service was consulted for surgical revascularization. he was worked-up in the usual preoperative manner. on , mr. was taken to the operating room. cabg was performed, lima to lad, svg to om, svg to pda. he was on cardiopulmonary bypass for 67 minutes and cross clamped for 52 minutes. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day (pod) one, he awoke neurologically intact and was extubated. on pod 2 his pressors were weaned and he was transferred to the cardiac stepdown unit. beta blockade, plavix, coumadin thromboembolism prophylaxis, and aspirin were resumed. he was gently diuresed towards his preoperative weight. on pod 3 chest tubes, and epicardial wires were removed. the physical therapy service was consulted to assist him with postoperative strength and mobility. his oxygen saturations improved to 100% on room air. social work was consulted regarding assessment of needs and availability of verteran resources after discharge to assist with psychosocial issues. case management was consulted regarding placement of mr. in a veterans homeless shelter due to domestic issues with his spouse. was discharged with an inr of 2.6 after coumadin 7.5mg for four daily doses. his inr and coumadin dosage will be followed by dr. , pcp. arrangements were made for drawing his inr on and results to be called in to the pcp. . was discharged to home in good condition on pod 6 with sternal precautions, cardiac/diabetic diet, and follow up with his pcp and cardiologist in weeks. medications on admission: 70/30 insulin 70u qam, 30 qpm plavix 75 qd neurontin 300-300-900 tid atenolol 25 qd protonix 40 qd coumadin 7 qam b12 suppl folate qd clonazepam 0.5 tid prn sl nitro prn percocets prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 8. cyanocobalamin 100 mcg tablet sig: 0.5 tablet po daily (daily). disp:*15 tablet(s)* refills:*2* 9. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. clonazepam 0.5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) as needed. disp:*30 tablet(s)* refills:*0* 11. coumadin 7.5 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* 12. gabapentin 300 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 13. gabapentin 300 mg tablet sig: three (3) tablet po at bedtime. disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: cad, htn, hypercholesteremia, h/o tia, iddm, gerd, chronic pain syndrome, pvd, colon polyps, diverticulosis discharge condition: good discharge instructions: shower, wash incisions with mild soap and water and pat dry. no lotions, creams or powders to incisions. call with fever >101.5, redness or drainage from incision, or weight gain more than 2 pounds in one day or five pounds in one week. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon. followup instructions: dr. , in four weeks dr. in weeks dr. in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization transfusion of packed cells transfusion of other serum diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atherosclerosis of native arteries of the extremities with intermittent claudication benign neoplasm of colon bipolar disorder, unspecified diverticulosis of colon (without mention of hemorrhage) heart disease, unspecified 

Answer: The patient is high likely exposed to