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: the patient is a 43-year-old gentleman with a known history of hypertension and a positive family history of coronary artery disease had some epigastric pain and belching for a few weeks. he went to his doctor who performed electrocardiogram which showed tachycardia with a question of inverted t waves and diffuse anterolateral st depressions with t wave inversions. he came for catheterization at which showed an ejection fraction of 38%, normal left main, 80% lesion of the left anterior descending artery, 90% lesion of first diagonal, 100% circumflex lesion, and a 100% ostial occlusion of right coronary artery. dr. of cardiothoracic surgery was consulted. past medical history: (past medical history was as follows) 1. hypertension. 2. status post laminectomy times two in and in . 3. gastroesophageal reflux disease. 4. pancreatitis. medications on admission: 1. prilosec 20 mg p.o. once per day. 2. percocet one tablet p.o. q.a.m. and q.p.m. allergies: codeine (with question of nausea); otherwise no known drug allergies. physical examination on presentation: on examination, his neck was supple. his carotid pulses were 1+ bilaterally and without bruits. his heart was regular in rate and rhythm. no murmurs. his lungs were clear to auscultation bilaterally. his abdomen was obese. benign with no hepatosplenomegaly and positive bowel sounds. extremities revealed no cyanosis, clubbing, or edema. pulses were 1+ bilaterally. nonfocal neurologic examination. pertinent laboratory values on presentation: preoperative laboratories were as follows; white blood cell count was 10, hematocrit was 39.8, and platelet count was 277. prothrombin time was 13.3, partial thromboplastin time was 29.4, and inr was 1.2. sodium was 136, potassium was 4.1, chloride was 102, bicarbonate was 24, blood urea nitrogen was 9, creatinine was 0.8, and blood glucose was 107. pertinent radiology/imaging: electrocardiogram showed a tachycardic sinus rhythm with q wave in leads ii, iii, and avf as well as left ventricular hypertrophy. st depressions and t wave inversions in v1 through v6. a preoperative chest x-ray showed a normal chest impression with no acute cardiopulmonary disease. hospital course: he was seen by dr. . on , the patient underwent coronary artery bypass grafting times three with left internal mammary artery to left anterior descending artery, and a vein graft to the obtuse marginal and a vein graft to the diagonal left anterior descending artery. the patient was taken to the cardiothoracic intensive care unit in stable condition. on postoperative day one, there were no events overnight. blood pressure was 97/56. sinus tachycardia at 109. the patient remained on the ventilator. postoperative laboratories were as follows. sodium was 135, potassium was 4.2, chloride was 103, bicarbonate was 25, blood urea nitrogen was 8, creatinine was 0.7, and blood glucose was 101. he remained in stable condition in the intensive care unit. he was off neo-synephrine and was started on a beta blocker as well as lasix diuresis when the neo-synephrine was off. on postoperative day two, the patient was extubated and was saturating 97% on 2 liters. his aspirin was begun also. his vancomycin perioperative antibiotics were continued. he remained on a nitroglycerin drip. he was alert without any neurologic deficits. he remained just slightly tachycardic. he was saturating well with a blood pressure of 101/53. his examination was otherwise benign. he was seen by physical therapy for evaluation and transferred out to the floor. he swan-ganz catheter was discontinued. his arterial line was discontinued. he was given additional lopressor to slow his heart rate which was in the 110s. his lopressor orally was increased. he was also started on nicoderm and ativan for his smoking. on postoperative day three, he continued to work with physical therapy and was ambulating on the floor. his pain was managed with oral medications. his incisions looked good. his blood pressure was 100/65. he was saturating 93% on room air. on postoperative day four, his blood pressure was 106/54 with a heart rate of 100. his lungs were clear bilaterally. his chest was stable with no click. he was doing very well. his lopressor was increased to 100 mg p.o. twice per day. he was doing a level iv with plans that if he did level v he could be discharged. the pacing wires were removed. discharge status: discharge status was to home on . condition at discharge: condition on discharge was stable. discharge instructions/followup: 1. the patient received instructions to follow up with dr. office for a postoperative appointment in six weeks. 2. the patient was to follow up with his primary care physician (dr. ) in about 7 to 10 days. discharge diagnoses: 1. status post coronary artery bypass graft times three. 2. coronary artery disease. 3. hypertension. 4. pancreatitis. 5. gastroesophageal reflux disease. 6. status post laminectomy times two. medications on discharge: (discharge medications were as follows) 1. percocet 5/325 one to two tablets p.o. q.4h. as needed (for pain). 2. aspirin 325 mg p.o. once per day. 3. colace 100 mg p.o. twice per day (for 10 days). 4. nicotine 21-mg 24-hour patch one patch q.24h. transdermally once per day. 5. metoprolol 100 mg p.o. twice per day. 6. lasix 20 mg p.o. twice per day (for five days). 7. ibuprofen 400 mg p.o. q.6h. as needed (for 10 days). , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension 

Answer: The patient is high likely exposed to