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: briefly, this is a 75 year old male with type 2 diabetes mellitus and hypertension, positive smoking history, who presented with dyspnea during the night and some minimal chest discomfort. the patient denied any nausea, vomiting, diaphoresis, and was brought to an outside hospital and found to be in congestive heart failure. he desaturated to 88% on three liters. the ekg showed sinus tachycardia and chest x-ray showed left atrial enlargement. the patient was given lasix and the ekg showed flipped t waves. he has been on heparin, nitroglycerin and lopressor and was transferred here. past medical history: 1. diabetes mellitus type 2. 2. hypertension. 3. high cholesterol. 4. mild copd allergies: he had no known drug allergies. medications: 1. nifedipine 300 mg q. day. 2. avandia 4 mg q. day. 3. metformin 800 mg three times a day. 4. lisinopril 10 mg q. day. 5. glyburide 5 mg twice a day. 6. lipitor 10 mg q. day. physical examination: on physical examination he was afebrile. his vital signs were stable. he was rhonchorous breath sounds throughout. his heart was regular rate and rhythm with a positive murmur at the apex. his abdomen was soft, nontender and nondistended. he had no calf tenderness or swelling. laboratory: his labs at the outside hospital were white blood cell count 13.0, hematocrit of 39, platelets 254, troponin was 0.4. ekg showed normal sinus rhythm with flipped t's in v3 through v6. the patient was admitted for telemetry and followed. hospital course: the patient ruled in for a heart attack and cardiothoracic was consulted. he was found to have multi-vessel disease. the patient was taken to the operating room on , where a coronary artery bypass graft times three and a aortic valve replacement was performed. the patient did well postoperatively and was transferred to the csru for recovery. the patient was slowly extubated and chest tubes were discontinued. the patient was transferred to the floor. wires were removed and foley catheter was also removed. the patient continued to do well, however, prior to chest tube removal, the patient had a slow air leak which required prolonged suction. the patient was transferred to the floor with the chest tube in place and continued to do well. physical therapy was consulted for mobility and for strength and he continued to improve on the floor. he handled a regular diet and chest tube was put on water-seal. after repeated chest x-rays, he still showed continued expansion of the lung. the chest tube was discontinued on after chest x-ray examination post pull chest x-ray which showed no pneumothorax and the patient continued to do well. the patient was discharged to a rehabilitation facility in stable condition. discharge instructions: 1. he was instructed to follow-up with dr. in one to week weeks. 2. he is also instructed to follow-up with dr. from cardiology in two to four weeks. discharge medications: 1. lopressor 12.5 mg p.o. twice a day. 2. metformin 500 mg p.o. three times a day. 3. protonix 40 mg p.o. q. day. 4. lipitor 10 mg p.o. q. day. 5. glyburide 2.5 mg p.o. twice a day. 6. vicodin one to two tablets p.o. q. four hours p.r.n. 7. enteric coated aspirin 325 mg p.o. q. day. 8. lasix 20 mg twice a day. 9. potassium 40 meq p.o. twice a day. discharge status: the patient is discharged to rehabilitation in stable condition and instructed to follow-up with dr. in one to two 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 open and other replacement of aortic valve with tissue graft monitoring of cardiac output by other technique diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled obstructive chronic bronchitis with (acute) exacerbation aortic valve disorders mechanical complication due to other implant and internal device, not elsewhere classified 

Answer: The patient is high likely exposed to