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: patient is a 75-year-old italian male with a known history of coronary artery disease, who presents status post carotid stent placement. on , the patient underwent an exercise stress test. he exercised for nine minutes on protocol and stopped for fatigue. he had uninterpretable ekg changes and no signs of angina. the mibi portion of the examination revealed that the patient had a moderate large completely reversible inferior wall perfusion defect. on the patient underwent a carotid duplex scan which revealed significant plaque of the right carotid artery with a 70-79% stenosis and a 60-69% carotid stenosis on the left. the patient was admitted on for evaluation for possible cabg and mvr/avr. the patient also underwent cardiac catheterization on which revealed two vessel coronary artery disease, severe aortic regurgitation, severe mitral regurgitation, severe tricuspid regurgitation, moderate systolic and diastolic ventricular dysfunction, and mild pulmonary hypertension. given the results of the carotid ultrasound described above, the patient underwent a cardiac catheterization on for stenting of his right carotid lesion. patient underwent successful ptca and stent of the right ica. afterwards, the patient was admitted to the ccu medicine team. at this time, the patient had a change in mental status and appeared to be disoriented. he was treated with haldol. past medical history: 1. lymphoma in . 2. thyroid nodule. 3. coronary artery disease. 4. 3+ mitral regurgitation. 5. 4+ ar. 6. chf with an ejection fraction of 30-40%. 7. carotid stenosis. medications: 1. levoxyl 50 mg q.d. 2. lisinopril 5 mg q.d. 3. aspirin 325 mg q.d. 4. lasix. allergies: no known drug allergies. social history: the patient denies recent history of tobacco or alcohol use. physical examination: vitals: heart rate 123, blood pressure 93/35, respiratory rate 22, o2 saturation 100% on room air. heent: dry mucous membranes, perrl. neck: supple, no lymphadenopathy. pulmonary: no wheezes or crackles appreciated, clear to auscultation bilaterally. cardiac: grade 3/6 systolic murmur heard at the apex. abdomen: soft, nontender, normoactive bowel sounds. extremities: no clubbing, cyanosis, or edema. neurologic: alert and oriented times three, no focal deficits noted on examination. laboratories: cbc and chem-7 were unremarkable. lfts were within normal limits. ekg: tachycardia with a rate of 125, right bundle branch block. prolonged p-r interval. hospital course: the patient was admitted to the ccu service status post his carotid stent. the patient was without complaint of chest pain, shortness of breath, and dyspnea on exertion. he was disoriented for the first 36 hours, however, he returned to baseline thereafter. patient underwent a cardiac catheterization on for elective pci of his lad and rca lesions detected on a prior cardiac catheterization. during this second catheterization, the patient underwent successful stenting of his mid lad lesion and successful ptca and stenting of his proximal rca lesion. both vessels demonstrated no residual stenosis status post procedure. the patient was then followed by the ccu team after this procedure. he continued to be alert and oriented. on , the patient was discharged home. on , the patient was started on amiodarone for an episode of afib. the patient converted back to sinus rhythm with no further episodes of afib. condition on discharge: stable. discharge status: home. discharge diagnoses: 1. coronary artery disease. 2. severe aortic regurgitation. 3. severe mitral regurgitation. 4. carotid stenosis status post right carotid stent placement. 5. status post coronary right coronary artery and left anterior descending artery stent placement. discharge medications: 1. levothyroxine 50 mcg q.d. 2. aspirin 325 mg q.d. 3. clopidogrel 75 mg q.d. 4. amiodarone 400 mg q.d. follow-up plans: patient was scheduled for a follow-up appointment to see dr. the following monday on the cardiac catheterization laboratory. in addition, he was to see dr. in four weeks and his primary cardiologist, dr. in one month. , m.d. dictated by: medquist36 procedure: coronary arteriography using two catheters left heart cardiac catheterization angioplasty of other non-coronary vessel(s) arteriography of cerebral arteries arteriography of other intrathoracic vessels insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) monitoring of cardiac output by other technique insertion of drug-eluting coronary artery stent(s) diagnoses: coronary atherosclerosis of native coronary artery urinary tract infection, site not specified atrial fibrillation mitral valve insufficiency and aortic valve insufficiency rheumatic heart failure (congestive) other malignant lymphomas, unspecified site, extranodal and solid organ sites other and unspecified angina pectoris injury to bladder and urethra, without mention of open wound into cavity 

Answer: The patient is high likely exposed to