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 80-year-old man with known coronary artery disease. he reports having shortness of breath with exertion since , but this has gotten worse over the past month. he states that he has dyspnea after climbing one flight of stairs, with carrying ten pound trash barrels. he denies any chest pain. he denies claudication, orthopnea, paroxysmal nocturnal dyspnea, edema or lightheadedness. the patient is now referred for cardiac catheterization. a previous cardiac catheterization had shown a 70% apical lad lesion, 90% circumflex lesion with a subtotally occluding om2, a 40-80% proximal rca lesion and a 60% mrca lesion. the patient had stenting of the om1, distal circumflex/om3 and ptca of the small om2. persantine/myoview in was negative for angina and an uninterpretable ekg. negative for perfusion defects with a calculated ejection fraction of 50-55%. past medical history: 1. peripheral vascular disease. 2. nonhealing left foot ulcer. 3. nephrolithiasis. 4. small bowel obstruction. 5. left superficial femoral artery to posterior tibial bypass . 6. vein patch angioplasty of bypass . 7. laparoscopic cholecystectomy . medications: 1. accupril 10 mg q. day. 2. lopressor 25 mg b.i.d. 3. glucophage 1000 mg b.i.d. 4. aspirin 325 mg q. day. 5. insulin nph 52 units q. a.m., 22 units q. p.m. 6. insulin regular 8 units q. a.m. allergies: no known drug allergies. physical examination: the patient is an elderly gentleman in no acute distress. vital signs are stable, afebrile. heent is atraumatic, normocephalic. extraocular movements intact. pupils equal, round and reactive to light. anicteric. throat is clear. neck is supple, midline with no masses or lymphadenopathy. chest is clear to auscultation bilaterally. cardiovascular is regular rate and rhythm without murmur, rub or gallop. abdomen is soft, non-tender, non-distended without mass or organomegaly. extremities are warm, noncyanotic, nonedematous. there are venous stasis changes in the legs. the patient also has scars consistent with his left sfa to pt bypass grafts. neuro is grossly intact. labs on admission: cbc: 9.4/12.2/35.9/159. chemistries: 142/4.6/104/27/22/0.9. inr 1.1. hospital course: the patient was admitted for cardiac catheterization which revealed calculated ejection fraction of approximately 50% and normal wall motion. findings showed codominant coronary artery system with severe two vessel coronary artery disease and severe aortic valve stenosis. there was also found to be biventricular diastolic dysfunction and moderate pulmonary hypertension. the patient was recommended for urgent revascularization surgery. on , the patient was taken to the operating room for coronary artery bypass graft times one with composite saphenous vein graft of the left radial artery to the left posterior descending artery, he also had aortic valve replacement performed with a 19 mm pericardial - valve. the patient tolerated the procedure well with no complications. on postoperative day zero, the patient was transfused two units of packed red blood cells for an hematocrit of 21.7 in the csru. the patient was also noted to have increased chest tube outputs for which he was given protamine, four units packed red blood cells and two units of platelets. the patient remained intubated and had very thick secretions which were frequently suctioned. the patient was extubated on postoperative day one, but reintubated subsequent to difficulty with respiration. the patient was again extubated on postoperative day two and seemed to tolerate this well. levophed and dobutamine were both weaned off. on postoperative day four, the patient was transferred to the floor without further complication. he was noted to be quite edematous and his remaining hospital course essentially dealt with his diuresis. he was initially found to be poorly responsive to lasix and his lasix dose was increased to 8 mg b.i.d. he remained unresponsive to this with only slightly negative i&o balance. chest x-ray showed the patient was moderately wet and a bedside echocardiogram revealed that there was a high transaortic gradient but no wall motion abnormalities. mild mitral regurgitation was also detected at that time. lasix was increased to 120 mg b.i.d. on postoperative day seven and a formal echocardiogram was performed. formal echocardiogram again showed a high transaortic gradient as well as very mild global hypokinesis of the left ventricle. no focal wall motion abnormalities. aggressive diuresis was continued at 120 mg of lasix p.o. b.i.d. the patient responded to this well and had improvement in his clinical symptoms of extremity edema as well as wheezing. the patient continued to work with physical therapy and was ultimately discharged on postoperative day nine tolerating a regular diet, adequate pain control on p.o. pain medications and showing improvement in his clinical symptoms of volume overload. the patient had no further anginal symptoms during his hospital stay or at the time of discharge. physical examination on discharge: general: no acute distress. vital signs are stable, afebrile. chest clear to auscultation bilaterally. cardiovascular is regular rate and rhythm with a 2/6 systolic ejection murmur. the patient's abdomen is soft, non-tender, non-distended. the patient does have 1+ peripheral edema. there is no sternal click or sternal discharge. there is mild serosanguinous drainage from the right lower extremity saphenous vein graft wound. there is only minimal erythema. condition at discharge: good. disposition: to home. diet: cardiac and diabetic. medications: 1. lopressor 50 mg b.i.d. 2. lasix 120 mg b.i.d. times ten days. 3. keflex 500 mg b.i.d. times ten days (renal dose). 4. potassium chloride 20 meq b.i.d. times ten days. 5. colace 100 mg b.i.d. 6. aspirin 325 mg q. day. 7. glucophage 500 mg b.i.d. 8. percocet 5/325 one to two q. 4h. p.r.n. 9. amiodarone 400 mg b.i.d. 10. isosorbide mononitrate 60 mg q. day. 11. nph insulin 15 units q. a.m. and 10 units q. p.m. discharge instructions: the patient is to continue elevating his legs at rest and ambulating and incentive spirometry. he is to follow up with cardiology in one to two weeks' time and address the need for continued diuresis as well as adjustment of cardiac medications at that time. the patient should follow up in four weeks with dr. . , m.d. dictated by: medquist36 procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled aortic valve disorders peripheral vascular disease, unspecified percutaneous transluminal coronary angioplasty status old myocardial infarction primary pulmonary hypertension 

Answer: The patient is high likely exposed to