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 an 87-year-old male with multiple medical problems which include a 3-vessel coronary artery bypass graft in , type 2 diabetes mellitus, peripheral vascular disease, and a recent transient ischemic attack. over the past two days, the patient reported shortness of breath. last night he experienced 8/10 chest pain and diaphoresis. he went to hospital this morning and was found to have an anterior st-elevation myocardial infarction. he was transferred to for cardiac catheterization. in the catheterization laboratory the patient was found to have a total occlusion of the mid left anterior descending artery, a total occlusion of first obtuse marginal and second obtuse marginal, total occlusion of posterolateral right coronary artery, and saphenous vein graft to left anterior descending artery graft was totally occluded as well. the saphenous vein graft to left anterior descending artery graft was noted to have large thrombus burden. there were thromboses aspirated with an angio-jet device, yet the saphenous vein graft remained occluded. the patient was transferred to the coronary care unit on an intra-aortic balloon pump and dobutamine. his electrocardiogram disclosed evidence of an intraventricular conduction delay, a new right bundle-branch block, and st segment elevations across the precordium. past medical history: 1. myocardial infarction in . 2. a 3-vessel coronary artery bypass graft in . 3. left endarterectomy. 4. status post right and left total hip replacements. 5. spinal stenosis. 6. colon cancer. 7. emphysema. 8. type 2 diabetes. 9. cerebrovascular accident in . 10. peripheral vascular disease. 11. basal cell carcinoma. allergies: no known drug allergies. medications on admission: 1. zestril 20 mg p.o. twice per day. 2. atenolol 25 mg p.o. once per day. 3. norvasc 7.5 mg p.o. once per day. 4. allopurinol 300 mg p.o. once per day. 5. enteric-coated aspirin 325 mg p.o. once per day. 6. lasix 40 mg p.o. once per day. 7. zocor 40 mg p.o. once per day. 8. glucotrol 5 mg p.o. three times per day. 9. multivitamin one tablet p.o. every day. social history: the patient was employed as a salesman. he is now retired. he is a former smoker. he quit 12 years ago. physical examination on presentation: general physical examination revealed alert and awake. in no apparent distress. vital signs revealed temperature was 97.6, blood pressure was 116/74, heart rate was 77, respiratory rate was 17, and oxygen saturation was 97% on 5 liters. head, eyes, ears, nose, and throat examination revealed normocephalic and atraumatic. pupils were equal, round, and reactive to light. the mucous membranes were moist. the oropharynx was clear. neck examination revealed jugular venous pulsation at mandible. heart examination revealed a 2/6 systolic murmur. a positive third heart sound. a regular rate and rhythm. the lungs were clear to auscultation anteriorly. the abdomen was soft, nontender, and nondistended. positive bowel sounds. extremity examination revealed no cyanosis, clubbing, or edema. good distal pulses. swan-ganz catheter in right groin. intra-aortic balloon pump in the left groin. neurologic examination revealed alert and oriented times three. cranial nerves ii through xii were grossly intact. otherwise a nonfocal examination. pertinent radiology/imaging: electrocardiogram status post catheterization revealed a normal sinus rhythm at 78 beats per minute, a prolonged p-r interval, axis was indeterminate, a new right bundle-branch block, st segment elevations in leads v2 through v5. pertinent laboratory values on presentation: laboratory data revealed white blood cell count was 13.8, hematocrit was 41.4, and platelets were 174. blood urea nitrogen was 48 and creatinine was 1.7. creatine kinase was 4337, mb was 331, index was 7.6, and troponin was greater than 50. impression: this is an 87-year-old male with diabetes, coronary artery disease (status post coronary artery bypass graft), and chronic obstructive pulmonary disease who was transferred to the coronary care unit status post catheterization with disclosed 2-vessel coronary artery disease. the patient was noted to have a totally occluded saphenous vein graft to left anterior descending artery with large thrombus burden. an unsuccessful percutaneous transluminal coronary angioplasty of occluded saphenous vein graft to left anterior descending artery. the patient now on an intra-aortic balloon pump and on a dobutamine drip. hospital course by issue/system: 1. cardiovascular system: (a) ischemia: catheterization as noted above. the patient with a large anterior wall myocardial infarction with unsuccessful percutaneous transluminal coronary angioplasty of saphenous vein graft to left anterior descending artery. the patient with elevated creatine kinases and st segment elevations anteriorly. the patient was maintained on aspirin, intra-aortic balloon pump, and a statin. (b) pump: the patient was maintained on dobutamine and intra-aortic balloon pump. the patient's hemodynamics were followed q.4h. multiple unsuccessful attempts were made to wean the intra-aortic balloon pump, but on the balloon pump was discontinued. pressors were discontinued on as well. the patient maintained his blood pressure with systolic blood pressures from 80 to 100 following discontinuation of the balloon pump. an echocardiogram revealed an ejection fraction of 20%. the apex was heavily trabeculated, but there was no thrombus. no ventricular septal defect, 1+ mitral regurgitation, 1 to the patient tricuspid regurgitation, left ventricular hypertrophy was present. (c) rhythm: upon admission, there was concern for complete heart block given prolonged p-r interval and new right bundle-branch block. a temporary pacing wire was placed. the patient did not require pacing , this was ultimately discontinued. the patient was monitored on telemetry during his hospital stay. (d) anticoagulation: the patient was continued on heparin while intra-aortic balloon pump was in place. 2. neurologic issues: the patient was noted to have waxing and mental status during his hospital stay. a neurology consultation was placed for evaluation of his neurologic symptoms. the impression by the neurology service was that the patient's waxing and mental status was due to cerebral hypoperfusion from his poor ejection fraction. the neurology service recommended keeping his blood pressure as high as possible. 3. renal issues: the patient's renal function remained stable from admission until . 4. endocrine issues: the patient was initially maintained on an insulin drip. on , the insulin drip was discontinued. on , he was put back on his outpatient diabetes medication. , m.d. dictated by: medquist36 procedure: coronary arteriography using two catheters injection or infusion of platelet inhibitor insertion of temporary transvenous pacemaker system aortography implant of pulsation balloon removal of external heart assist system(s) or device(s) right heart cardiac catheterization intracoronary artery thrombolytic infusion diagnoses: thrombocytopenia, unspecified subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified coronary atherosclerosis of autologous vein bypass graft cardiogenic shock right bundle branch block 

Answer: The patient is high likely exposed to