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: asymptomatic, positive stress test major surgical or invasive procedure: three vessel coronary artery bypass grafting(left internal mammary to left anterior descending, vein grafts to diagonal and obtuse marginal) cardiac catheterization history of present illness: mr. is a 57 yo spanish speaking man with dm2, known cad, esrd on hd who presents to for elective catheterization after a positive stress test. his stress test was notable for st depressions in the inferolateral leads while imaging showed moderate reversible anterior and septal defects. he has never experienced any cardiac symptoms. past medical history: coronary artery disease - s/p pci in , history of nstemi, esrd - on hemodialysis and s/p avf, nephrotic syndrome with hypoalbuminemia, diabetes mellitus, hypertension, hypercholesterolemia, retinopathy, iron deficiency anemia, bells palsy, history of rhabdomyolysis, history of left lobe pneumonia, s/p hydrocele repair social history: he is from el , and was a former sheet metal worker. he now works as an electrician. he smoked previously, about 1 -packs-per-day for 10 years, but quit about 15 years ago. he stopped using alcohol on . previously he drank approximately 2 beers/week. he lives with his wife. family history: notable for diabetes in both his mother and father. his father also had hypertension. there is no history of kidney disease in his family. physical exam: t 96.8, bp 161/73, p 60, r 16, sat 98% ra gen: nad, pleasant, conversant heent: ncat, perrl neck: could not assess jvd given lying flat post-cath cor: s1s2, rrr, no r/g/m pulm: ctab anteriorly (could not assess posterior given lying flat post cath abd: soft, nt, nd, obese, +bs, r groin c/d/i, nt, no hematoma or bruit ext: no c/c/e, 2+ pt pulses bilaterally gu: foley catheter in place with no urine in bag. pertinent results: 07:10am blood hct-29.3* 09:10am blood wbc-7.3 rbc-3.19* hgb-9.8* hct-29.3* mcv-92 mch-30.6 mchc-33.3 rdw-16.1* plt ct-104* 07:10am blood urean-26* creat-5.9* na-141 k-4.4 09:10am blood calcium-8.7 phos-3.7 mg-2.0 06:00am blood caltibc-182* ferritn-817* trf-140* 10:00am blood %hba1c-5.4 -done -done brief hospital course: mr. was admitted and underwent cardiac catheterization. angiography showed a right dominant system revealed and two vessel cad. the lmca had a 30% stenosis. the lad had an 80% mid lesion and a long 70% lesion on both ends of previosuly placed stent. the first diagonal had an 80% ostial stenosis and second diagonal had an 80% ostial stenosis. the lcx had a 70% distal stenosis. the rca was a dominant vessel with a 30% mid vessel stenosis. left ventriculography revealed a normal ef of 60%. there was no transaortic gradient upon pullback of the catheter from the lv to the aorta. based on the above results, cardiac surgery was consulted and further evaluation was performed. plavix was discontinued in anticipation of surgery. preoperative workup was essentially unremarkable and he was eventually cleared for surgery. he remained pain free on medical therapy. on , dr. performed three vessel coronary artery bypass grafting. the operation was uneventful and he was brought to the csru for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated. he was transfused to maintain hematocrit near 30%. he successfully weaned from inotropic support and transferred to the sdu on postoperative day two. he remained on his regular dialysis schedule and continued to be followed closely by the renal service. he tolerated beta blockade and remained in a normal sinus rhythm throughout his hospital stay. he experienced no atrial or ventricular arrhythmias. over several days, medical therapy was optimized and he continued to make clinical improvements. his hospital course was rather routine and he was cleared for discharge to home on postoperative day five. at discharge, his bp was 112/60 with a hr of 73. his oxygen sat was 96% on room air. all surgical wounds were clean dry and intact. his discharge chest x-ray was notable for bilateral pleural effusions, left greater than right associated with bibasilar atelectasis. medications on admission: asa 325 renagel 800mg x 4 tabs tid avandia 4mg po bid atenolol 100mg po qday norvasc 5mg po qday plavix 75mg po qday pravachol 20mg po qday discharge medications: 1. pravastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. rosiglitazone 2 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 7. sevelamer 800 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 6-8 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: caregroup discharge diagnosis: coronary artery disease - s/p cabg, post op pleural effusion, esrd - on hemodialysis, nephrotic syndrome, diabetes mellitus, hypertension, hypercholesterolemia, retinopathy, anemia, bells palsy, s/p pci, s/p avf, s/p hydrocele repair discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. followup instructions: cardiac surgeon, dr. in weeks - call for appt. local pcp, . in weeks - call for appt. local cardiologist, dr. in weeks - call for appt. 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 angiocardiography of left heart structures left heart cardiac catheterization hemodialysis transfusion of packed cells diagnoses: end stage renal disease nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified pleural effusion percutaneous transluminal coronary angioplasty status hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease old myocardial infarction other complications due to other cardiac device, implant, and graft diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy 

Answer: The patient is high likely exposed to