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: this is a 59-year-old gentleman who had a known history of coronary artery disease, status post myocardial infarction with a left anterior descending stent in following ventricular fibrillation arrest. he reported having done very well until the past couple of months with now increasing left neck tightness with exertion that resolved with rest. the patient denied chest pain, shortness of breath, fatigue, nausea, vomiting, or edema. a stress test performed on showed a large severe anteroapical, septal, and inferior ischemia areas and apical hypokinesis with an ejection fraction of 60 percent. the patient was brought into the hospital on and brought immediately to the cardiac catheterization laboratory. catheterization revealed a 95 percent right coronary artery lesion, a tight 99 percent proximal left anterior descending lesion, and an 80 percent first obtuse marginal lesion. the patient was referred to dr. for urgent coronary artery bypass grafting. past medical history: 1. myocardial infarction. 2. coronary artery disease with a left anterior descending stent in . 3. ventricular fibrillation arrest. 4. hypertension. 5. hypercholesterolemia. 6. varicose veins. past surgical history: includes tonsillectomy, right wrist ganglion wound, and appendectomy. allergies: the patient has no known drug allergies. medications on admission: aspirin 325 mg by mouth once daily, lipitor 10 mg by mouth once daily, lisinopril 10 mg by mouth once daily, atenolol 25 mg by mouth once daily, and viagra as needed. social history: the patient lives in with his son. works full time as a banker. he quit smoking in with greater than a 10-pack-year history. he has had no alcohol in three years. family history: he had a positive family history with both his father and brother dying of myocardial infarctions at young ages and mother with mitral stenosis. physical examination on admission: he was 5 feet 11 inches, weight was 200 pounds, in sinus rhythm at 50, with a blood pressure of 88 systolic (diastolic not recorded), his respiratory rate was 13, and saturating 97 percent on room air. he was lying flat in bed in no apparent distress. alert and oriented times three. appropriate and grossly neurologically intact. he had fine rales in his right base. the left lung was clear. heart was regular in rate and rhythm with s1 and s2 tones. no murmurs, rubs, or gallops. the abdomen was soft, nontender, and nondistended. there were positive bowel sounds. the extremities were warm and well perfused with no edema. he had positive varicosities in his right lower extremity. the pulses on the right were 2 plus dorsalis pedis, 2 plus posterior tibial. on the left, pulses were 1 plus radial, 2 plus dorsalis pedis, and 2 plus posterior tibial. preoperative laboratory data on admission: white blood cell count was 7, hematocrit was 38.4, and platelet count was 166,000. sodium was 139, potassium was 3.9, chloride was 103, bicarbonate was 25, blood urea nitrogen was 18, creatinine was 0.8, with a blood sugar of 143. prothrombin time was 12.8, partial thromboplastin time was 25, and inr was 1. alanine-aminotransferase was 18, aspartate aminotransferase was 16, alkaline phosphatase was 53, amylase was 64, total bilirubin was 0.7, and albumin was 4.2. hemoglobin a1c was 6.1 percent preoperatively. radiology: preoperative electrocardiogram showed a sinus rhythm at 64 with a probable old inferior myocardial infarction. please refer to the electrocardiogram report dated . summary of hospital course: on , in the late afternoon the patient was taken to the operating room and had a coronary artery bypass graft times three by dr. with a left internal mammary artery to the left anterior descending, a right internal mammary artery to the right coronary artery, and a vein graft to the obtuse marginal. he was transferred to the cardiothoracic intensive care unit in stable condition. on postoperative day one, the patient had been extubated overnight. he was in a sinus rhythm at 92 with a blood pressure of 100/66. he was saturating 98 percent on 4 liters nasal cannula. he was on an insulin drip at 3 units an hour and a neo-synephrine drip at 1.5 mcg/kg/minute. the patient was in no distress. his heart was regular in rate and rhythm. chest tubes remained in place. he had decreased breath sounds at both bases. his abdomen was soft. he had 1 plus peripheral edema. postoperative laboratories as follows. white blood cell count was 11.7, his hematocrit was 28.9, and platelet count was 169,000. sodium was 141, potassium was 4.3, chloride was 108, bicarbonate was 25, blood urea nitrogen was 11, creatinine was 0.6, and blood glucose was 74 (on his insulin drip). his neo-synephrine was weaned over the course of the day. he did receive a 500-cc saline bolus to help boost his blood pressure slightly and help wean the neo-synephrine. oxygen was weaned. chest tubes remained in place with a plan to transfer the patient to the floor when he was completely weaned off his neo-synephrine. he remained in the intensive care unit. on postoperative day two, the patient an episode of rapid atrial fibrillation into the 140s with a drop in his blood pressure to 82/30. he received an amiodarone 150-mg bolus. he otherwise remained hemodynamically stable after that with a normalizing blood pressure of 107/62 and a heart rate back in a sinus rhythm at 84. overnight, he was started on an amiodarone drip at 0.5 mg/minute. his neo-synephrine was weaned from 1.25 to 0.8 mcg/kg/minute. he remained in a sinus rhythm. his chest tubes were discontinued. he received 2 units of packed red blood cells which brought his hematocrit up to 28. he was saturating 96 percent on 4 liters nasal cannula. he still had decreased breath sounds at his bases. the incisions were clean, dry, and intact. his pacing wires were discontinued. he was allowed out of bed with physical therapy but remained in the intensive care unit as he remained on a neo-synephrine drip. he was alert and oriented and was following commands appropriately. later that day, the patient was transferred out to the floor on to begin his ambulation and working with physical therapy; which he began right away. he was receiving oral percocet for sternal discomfort and incisional pain. on postoperative day five, he had a scant amount of sternal drainage of the distal portion of his incision and some difficulty voiding the prior day. flomax was started to help assist him in this process. he had no incisional erythema, though. his foley catheter was discontinued. a voiding check was performed again. a central venous line was discontinued. beta blockade continued with lopressor 12.5 mg by mouth twice daily. lasix diuresis continued orally. the patient was continued on amiodarone and plavix. the patient continued to work with physical therapy. attempts were also made to wean down his oxygen via nasal cannula. he was ambulating with a level iii on . discharge planning was begun with the patient planning to stay with his sister postoperatively. the patient continued to walk and work with the nurses that evening. on postoperative day six, he also had a slight sternal dressing that was unremarkable. his white count was 4.9, hematocrit was 26.5, and creatinine was stable at 0.8. he was receiving percocet as needed for incisional discomfort. he did have the sternal drainage - a small amount - from the lower pole of his sternal incision but none the following morning, and he was encouraged to continue to ambulate, and discharge planning continued. he was also seen by case management who worked out that he would have visiting nurses association services while he was staying with his sister. was also seen by the clinical nutrition team. the patient was evaluated for a rash on his back and upper buttocks. the patient said this was not uncommon. he had experienced this before. it possibly might have been related to one of his medications. examination showed small diffuse papules nonvesicular erythematous area on the superior portion of his buttocks and mid back. it appeared to be a probable dermatitis which was stable. the patient was seen by dr. and was also treated with benadryl. his examination was also otherwise unremarkable. on postoperative day six, the date of discharge, he was alert and oriented. his lungs were clear bilaterally. his heart was regular in rate and rhythm. he had good bowel sounds. his incisions were clean, dry, and intact with no erythema and no sternal drainage. his amiodarone was decreased to 400 mg twice daily, and the patient was discharged to home with visiting nurses association services to stay with his sister. discharge followup: discharge instructions for followup were given to the patient. he was instructed to follow up with dr. - his primary care physician approximately one to two weeks post discharge. he was instructed to follow up with dr. - his cardiologist - in approximately two to three weeks post discharge and to see dr. in the office in approximately six weeks post discharge for his postoperative surgical visit. discharge diagnoses: 1. status post coronary artery bypass grafting times three. 2. status post myocardial infarction with left anterior descending stent. 3. status post ventricular fibrillation arrest. 4. hypertension. 5. hypercholesterolemia. 6. varicose veins - right lower extremity. medications on discharge: 1. atenolol 25 mg by mouth once daily. 2. potassium chloride 20 meq by mouth twice daily (times six days). 3. colace 100 mg by mouth twice daily. 4. enteric coated aspirin 325 mg by mouth once daily. 5. plavix 75 mg by mouth once daily. 6. amiodarone 400 mg by mouth twice daily for seven days, then amiodarone 400 mg by mouth once daily for one week, then amiodarone 200 mg by mouth once daily. 7. lipitor 10 mg by mouth once daily. 8. multivitamin one capsule by mouth once daily. 9. polysaccharide-iron complex 150 mg by mouth once daily. 10. vitamin c 500 mg by mouth twice daily. 11. tamsulosin hydrochloride sustained-release 0.4 mg by mouth once daily at bedtime. 12. ibuprofen 600 mg by mouth q.8h. as needed (take with food). 13. percocet 5/325 one to two tablets by mouth q.4-6h. as needed (for pain). 14. lasix 20 mg by mouth twice daily (times seven days). condition on discharge: stable. discharge status: the patient was discharge home on . , procedure: extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters intraoperative cardiac pacemaker left heart cardiac catheterization (aorto)coronary bypass of one coronary artery double internal mammary-coronary artery bypass transfusion of packed cells diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of tobacco use percutaneous transluminal coronary angioplasty status other and unspecified angina pectoris old myocardial infarction family history of ischemic heart disease rash and other nonspecific skin eruption 

Answer: The patient is high likely exposed to