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 gentleman was admitted directly from , a 69-year-old patient of dr. , with a history of remote myocardial infarction in . he presented with an episode of the angina symptoms last evening and ruled-in for non-st elevation myocardial infarction with elevated troponins at . he had recurrent substernal chest pain the morning of the 20th and was transferred in to for cath plus/minus pci. he was given three sublingual nitroglycerins en route, but required morphine for pain relief. symptoms also occurred at rest. cardiac catheterization was done in which found noncritical cad and no pci was indicated at that time. he had been active and without any symptoms until yesterday. per the transfer note from , a chest ct angio was negative for pulmonary embolism. his most significant recent medical event included being postop from arthroscopic surgery for a torn right medial meniscus approximately one week ago. he states that the procedure was uncomplicated. past medical history: coronary artery disease. myocardial infarction. hypertension. status post right knee arthroscopic surgery one week prior to admission. allergies: no known drug allergies. admission medications: 1. aspirin 81 mg po once daily. 2. cardizem cd 180 mg po once daily. 3. lisinopril 10 mg po once daily. 4. folic acid once daily. 5. vitamin e once daily. doses were not listed. family history: no family history of premature coronary artery disease. social history: he was married and was a semi-retired dentist who had no tobacco or alcohol history. he did not admit to any symptoms of tia, cva, melanoma, or gi bleed. exam: he was 5 feet 9 inches tall, 162 pounds. he had scattered crackles at both bases of his lungs. his heart was regular rate and rhythm with no murmur, rub or gallop. he had no femoral bruits, and had 2 plus bilateral lower extremity dp pulses. he was alert and oriented x 3 with a nonfocal exam. hospital course: he was taken to the cardiac cath lab which showed a right dominant system and no obstructive disease of his left main, a 90 percent lad lesion, a 90 percent diagonal lesion, a totally occluded circumflex, a 50 percent mid-rca lesion, and 90 percent ostial pda lesion. he was seen by dr. in consult from dr. to evaluate him for coronary artery bypass surgery. his exam was unremarkable by dr. . he also had peripheral pulses with varicosities, and no significant mitral regurgitation. he discussed coronary surgery with the patient. the patient was monitored by the cmi service. preop labs: count 8.1, hematocrit 37.7, platelet count 246,000, pt 12.6, ptt 27.7, inr 1.0. urinalysis had a small amount of ketones, but was negative for infection. sodium 139, k 3.7, chloride 102, bicarb 29, bun 13, creatinine 0.6 with a blood sugar of 147, alt 33, ast 95, alkaline phosphatase 62, total bilirubin 0.5, albumin 3.9, cholesterol 164, hba1c 5.6 percent, triglycerides 47, hdl 61, cholesterol/hd ratio 2.7, calculated ldl 94. preop chest x-ray showed bibasilar atelectasis with no evidence of chf or pneumonia. on the , the patient went to the or with dr. for coronary artery bypass grafting x 4 with a lima to the lad, a vein graft to the diagonal, a vein graft to the om, a vein graft to the rca, and a vein graft to the pda. he was transferred to the cardiothoracic icu in stable condition on a neo-synephrine drip at 0.03 mcg/kg/min, and a propofol drip at 20 mcg/kg/min. last tee in the or showed an ef of 50 percent with mild mr. was followed by dr. of cardiology. on postoperative day 1, the patient had been extubated overnight and was doing well. he was in sinus rhythm with a blood pressure of 125/61, in sinus rhythm at 72, a cardiac index of 3.06. he was on neo-synephrine drip at 0.2 mcg/kg/min. he continued with his perioperative vancomycin and oral aspirin was started. the patient was doing very well. he was alert and oriented x 3. his diet was advanced, and it was determined that if his pressors could be weaned off, he could be transferred out to the floor, but he remained in the icu overnight. on postoperative day 2, he was transferred out to the floor, and he was alert and oriented. he was given some ativan for feeling anxious. his exam was unremarkable. he remained in sinus rhythm with a good blood pressure. he had decreased breath sounds bilaterally. his incisions were clean, dry and intact. his beta blockade was started with lopressor 12.5 mg po bid. he continued with lasix diuresis and his perioperative vancomycin. his chest tubes were discontinued. his foley was discontinued. he was encouraged to ambulate with the nurses and physical therapy, and to cough and deep breathe, and work on pulmonary toilet. he was seen by case management. he remained in sinus rhythm and was evaluated by pt at that time. on postoperative day 3, he remained in sinus rhythm. he had some slight oozing with some cloudy fluid at his midsternal incision with no erythema. his pacing wires were discontinued. he was started on ancef 1 gram q 8 h for start of a presumed cellulitis of his sternal incision. he remained afebrile and was doing well on the 25. his hematocrit dropped slightly from 26.1 to 24.6, but there appeared to be no evidence symptomatically at all with symptoms for a requirement for blood. his heart was regular rate and rhythm. his heart rate was 85, with blood pressure 110/60, satting 93 percent on room air. he continued to work with physical therapy. he was given percocet and tylenol po for pain. his appetite was good. his lung sounds were clear although diminished a little bit at the bases, and he continued to progress and was out of bed independently. he continued to increase his activity level and ambulated four or five times on the day prior to discharge. he was given milk of magnesia, as he had complained of not having a bowel movement yet. his lungs were clear bilaterally on the evening of the 26th, and said that he felt "great." his metoprolol was increased, and his ancef was changed to keflex, as his sternal wound was looking much improved. the patient did level 5 on , and it was determined that it was reasonable for him to go home by dr. , and the patient had discharge labs done with a count of 7.4, hematocrit 28, platelet count 369, glucose 146, bun 13, creatinine 0.8, sodium 135, k 4.3, chloride 98, and bicarb 30. on the 27, the patient was discharged to home in stable condition with vna services with the following discharge diagnoses: discharge diagnoses: status post coronary artery bypass grafting x 5. myocardial infarction. hypertension. status post right knee arthroscopic surgery. discharge instructions: to follow-up with dr. in approximately 7-10 days postdischarge, his primary care physician, to see dr. in the office in approximately 1 month for his postop surgical visit. discharge medications: 1. lasix 20 mg po bid for 7 days. 2. colace 100 mg po bid. 3. enteric-coated aspirin 81 mg po once daily. 4. percocet 5/325, 1-2 tablets po prn q 4 h for pain. 5. lipitor 10 mg po once daily. 6. metoprolol 25 mg po bid. 7. keflex 500 mg po q 6 h for 7 days. 8. potassium chloride 20 meq po once daily for 7 days. the patient was discharged to home in stable condition on . , procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery left heart cardiac catheterization coronary arteriography using a single catheter (aorto)coronary bypass of four or more coronary arteries angiocardiography of right heart structures diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension 

Answer: The patient is high likely exposed to