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: recurrent chest pain major surgical or invasive procedure: three vessel coronary artery bypass grafting utilizing lima to lad, vein graft to om, vein graft to diagonal. history of present illness: this is a 71 year old male with longstanding history of coronary disease. he suffered an inferior mi in . he underwent ptca of circumflex in , with stenting to his lad and ptca to diagonal in . he has had no chest pain until . his chest pain was relieved with sublingual nitro. he continued to experience recurrent angina. he sought medical attention at osh and was eventually transferred to for cardiac catheterization on . angiography showed a right dominant system. the lad system had a 60% stenosis in the first diagonal, the circumflex had 50% complex lesion at the om1 origin with serial 70% stenoses in the mid vessel. the rca had a proximal occlusion. echocardiogram on revealed an lvef of 40-45%. he had normal aortic and mitral valve leaflets with only 1+ mitral regurgitation. his aortic root and ascending aorta were mildly dilated, measuring 4.3 and 3.7 cm respectively. further evaluation included a carotid ultrasound which found normal internal carotid arteries. workup was otherwise uneventful and he was eventually discharged and scheduled for elective cabg on past medical history: coronary artery disease with prior history of mi and pci, diabetes mellitus, hypertension, chronic renal insufficiency, hypercholesterolemia, hypothyroidism, gerd, bph, arthritis social history: rare etoh, quit tobacco over 10 years ago. he is retired and lives alone. family history: significant for coronary disease. mother died of mi at age 78. brother underwent cabg in his 60's. father also had "heart problems". physical exam: vitals: bp 141/82, p 59, rr 18, sat 95%ra general: elderly male in no acute distress heent: oropharynx benign, mmm neck: supple, no jvd heart: regular rate, s1s2, no murmur or rub lungs: clear bilaterally abdomen: obese, soft, nd, nt, normoactive bowel sounds ext: warm, + pedal edema pulses: 1+ distal pulses, no carotid or femoral bruits neuro: alert and oriented, no focal motor deficits noted pertinent results: 07:10am blood hct-31.9* 06:30am blood wbc-9.8 rbc-3.52* hgb-9.8* hct-30.4* mcv-87 mch-28.0 mchc-32.3 rdw-16.2* plt ct-248# 07:10am blood urean-47* creat-2.0* k-3.8 06:50am blood urean-44* creat-1.9* k-3.7 brief hospital course: mr. was admitted the day before surgery for diuresis and regulation of blood sugar. his admission creatinine was 1.6. he remained pain free on medical therapy and underwent three vessel coronary artery bypass grafting on . there were no complications and he was taken to the csru for further invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without difficulty. he maintained adequate urine output but his creatinine rose, peaking to 2.4 on pod #2. the renal service was consulted. his acute on chronic renal insufficiency was attributed to acute tubular necrosis secondary to intraoperative hypotension. it was recommended to keep his sbp > 110 mmhg. medications were adjusted appropriately. his renal function is expected to return to baseline. he otherwise maintained stable hemodynamics and eventually transferred to the sdu on pod #3. he experienced occasional ventricular ectopy(asymptomatic) for which betablockade was resumed and advanced as tolerated. k and mg levels were also monitored closely and repleted per protocol. he remained in a normal sinus rhythm. he continued to respond well to lasix and his renal function continued to improve. he worked daily with physical therapy and made steady progress. by discharge, his creatinine improve to 1.9. at discharge he was with oxygen saturations of 95 on 2l. he was ready for discharge on pod 6. medications on admission: asa 81 qd, flomax 0.4 qd, hctz 100 qd, klorocon 10 qd, lantus, novolog, levoxyl 150 mcg qd, lipitor 20 qd, propanolol 10 , prilsec 20 qd discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 4. tamsulosin 0.4 mg capsule, sust. release 24hr sig: one (1) capsule, sust. release 24hr po hs (at bedtime). 5. levothyroxine sodium 100 mcg tablet sig: 1.5 tablets po daily (daily). 6. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 8. hydromorphone 2 mg tablet sig: 1-2 tablets po q3-4h (every 3 to 4 hours) as needed. 9. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: one (1) inhalation every 4-6 hours. 10. hydrochlorothiazide 100 mg tablet sig: one (1) tablet po once a day. 11. insulin glargine 100 unit/ml solution sig: forty (40) units subcutaneous once a day: 40 units qd. 12. potassium chloride 10 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day. discharge disposition: extended care facility: life care center of discharge diagnosis: coronary artery disease - s/p cabg, diabetes mellitus, hypertension, acute on chronic renal insufficiency, hypercholesterolemia, hypothyroidism, gerd, bph, arthritis discharge condition: good discharge instructions: patient may shower. no baths, creams or lotions. no driving for one month. no lifting more than 10 lbs for at least 10 weeks. monitor incisions for signs of infection. followup instructions: dr. in 4 weeks local cardiologist, dr. in weeks local pcp, . in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries transfusion of packed cells diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia acute kidney failure with lesion of tubular necrosis unspecified essential hypertension unspecified acquired hypothyroidism old myocardial infarction diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to