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: patient is an 88-year-old man with a history of coronary artery disease, status post prior cabg in , paroxysmal atrial fibrillation, peripheral vascular disease, pulmonary hypertension, who presents status post episode of amaurosis fugax. in terms of his coronary artery disease, he denies any angina or need for nitroglycerin. his last cardiac catheterization was in for increased edema. at that time, his ef was noted to be 55%. he had 2+ mr and severe tricuspid regurgitation. angiography revealed native three vessel disease, a patent lima, and occluded graft. the patient had an echocardiogram on which revealed an ejection fraction of 55%, dilated atria, 2+ mitral regurgitation, 2+ tricuspid regurgitation, significant pulmonary regurgitation. in terms of his atrial fibrillation, the patient is currently managed on sotalol and coumadin. he was referred for d-c cardioversion in , but was found to be in sinus rhythm on presentation to the . since that time, he has been going in and out of atrial fibrillation. in , the patient had an episode of amaurosis fugax of the right eye. he has not had any further neurologic symptoms since then. a ct scan of the patient's head was negative. carotid ultrasounds in revealed an 80-99% stenosis of the right carotid. the left carotid was without significant disease. he was referred to dr. for carotid stenting. the patient also has boop and is currently on prednisone 5 mg q.d. he has dyspnea when climbing stairs or bending down to pickup things. past medical history: 1. boop. 2. coronary artery disease status post cabg in . 3. right sided heart failure. 4. hypertension. 5. hyperlipidemia. 6. paroxysmal atrial fibrillation. 7. peripheral vascular disease/claudication. 8. pacemaker implantation in . 9. left carotid endarterectomy. 10. hyperlipidemia. 11. hypertension. 12. chronic right loculated pleural effusion. 13. invasive squamous cell carcinoma of his left vocal cord status post xrt in . 14. chronic renal insufficiency. 15. anemia. 16. transient ischemic attack. allergies: amiodarone with pulmonary toxicity. physical examination: blood pressure 117/52, heart rate 70. general: patient was alert and oriented in no apparent distress. heent: oropharynx was clear. mucous membranes were moist. neck: normal thyroid, no appreciable lymphadenopathy. lungs are clear to auscultation bilaterally. cardiovascular: regular rate and rhythm with 2/6 systolic murmur heard best at apex. abdomen is soft, nontender, nondistended, normoactive bowel sounds. extremities: no clubbing, cyanosis, or edema. skin: no rashes. neurologic: patient was alert and oriented times three. cranial nerves ii through xii were intact. strength was in upper and lower extremities. admission laboratories: significant for an inr of 1.8. hospital course: patient was admitted for elective carotid stenting. he was seen by the neurology team, who recommended no further imaging studies of his carotid. mri was not indicated as the patient had a pacemaker. they recommended proceeding with the scheduled carotid stenting. thus taken to the catheterization laboratory. initial angiography demonstrating 90% stenosis at the bifurcation of the right external and internal carotid arteries. patient was heparinized. a crosssail balloon was used to predilate the stenosis, then a precise stent was deployed across the stenosis. the patient tolerated the procedure well with no neurologic incident. patient was then admitted to the ccu team for further observation. the patient remained asymptomatic, but did have an episode of hypotension with a systolic blood pressure in the 80s. during this time, he was mentating well and was without complaint. a neo-synephrine drip was started which brought his pressures up to a systolic pressure of 120. neo-synephrine was then gradually weaned off. patient's blood pressure remained stable and there are no further events. it was thus the consensus of the cardiology team that the patient was stable for discharge home. the patient was thus discharged home with a plan for him to return to see dr. , who is to restart his antihypertensive medications. condition on discharge: stable. discharge status: home. discharge diagnoses: 1. coronary artery disease. 2. status post right carotid stenting for 99% stenosis. 3. bronchiolitis obliterans-organizing pneumonia on prednisone therapy. 4. hypertension. 5. hyperlipidemia. 6. paroxysmal atrial fibrillation. 7. peripheral vascular disease/claudication. 8. status post pacemaker implantation. 9. status post left carotid endarterectomy. 10. status post episode of amaurosis fugax. discharge medications: 1. plavix 75 mg p.o. q.d. 2. aspirin 81 mg p.o. q.d. 3. calcium. 4. prednisone 5 mg p.o. q.d. 5. iron. 6. atorvastatin 10 mg p.o. q.d. 7. cyanocobalamin 50 mcg p.o. q.d. 8. warfarin 8 mg p.o. q.d. 9. pantoprazole 40 mg p.o. q.d. , m.d. dictated by: medquist36 procedure: angioplasty of other non-coronary vessel(s) arteriography of cerebral arteries insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension coronary atherosclerosis of autologous vein bypass graft atrial fibrillation peripheral vascular disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction other and unspecified hyperlipidemia other specified alveolar and parietoalveolar pneumonopathies 

Answer: The patient is high likely exposed to