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: the patient denies edema and lightheadedness, but reports two-pillow orthopnea and occasional paroxysmal nocturnal dyspnea. he has a long history of bilateral claudication and he gets symptoms after walking five minutes at a slow pace. coronary artery disease risks are cholesterol, diabetes and family history. he has not had a history of hypertension, nor a history of smoking. past medical history: 1. elevated lipids. 2. myocardial infarction. 3. bilateral claudication. 4. in a percutaneous transluminal coronary angioplasty to the lad and lcx, in 12/90 percutaneous transluminal coronary angioplasty to the lcx and om, in 2/93 percutaneous transluminal coronary angioplasty to lcx and om, percutaneous transluminal coronary angioplasty to the rca. past surgical history: 1. coronary artery bypass graft with vein graft to the obtuse marginal 2. 2. abdominal aortic aneurysm repair in . 3. femoral popliteal bypass. allergies: he has no known drug allergies, no shellfish and no dye allergies. medications: 1. humulin 45 nph units subcutaneous q a.m. and 4 units subcutaneous q p.m. 2. regular insulin 4 units . 3. lasix 120 mg . 4. zestril 20 mg qid. 5. trental 400 mg tid. 6. procardia xl 30 mg qd. 7. pravachol 20 mg qd. 8. aspirin 325 mg po qd. review of systems: negative for cerebrovascular accident, transient ischemic attack and melena. social history: he is married and lives with his wife who works for the school system in the dietary department. labs: his white blood cell count was 10.7. his hematocrit was 37.2. his ptt was 12.6. his platelet count was 190. sodium 142, potassium 4.6, chloride 103, bicarbonate 26, bun 24, creatinine 1.4. physical exam: general: he is a moderately obese male with no apparent distress, however he was obviously anxious. head, ears, eyes, nose and throat: within normal limits. lungs: clear. he had a healed sternal scar. heart: regular rate and rhythm. abdomen: soft with an aortobifemoral scar. he had right saphenectomy vein harvest scar and a right femoral popliteal scar. extremities: left lower extremity had no major varicosities. skin: okay. there was no edema. his pulses were 2+ carotids bilaterally without bruits. radials were 2+ bilaterally and there was no palpable dp pulse on either the right or the left. neurologic: nonfocal. imaging: his electrocardiogram demonstrated a regular rate with a bundle branch block. there were global t-wave changes. the patient was admitted therefore to undergo a coronary artery bypass grafting. this was a redo procedure. he had a left internal mammary artery to left anterior descending and saphenous vein graft to the distal lad performed. this was done by dr. and the patient was transported in the atrial paced mode from the operating room to the cardiothoracic intensive care unit on neo-synephrine drip with a mean arterial pressure of 58, cvp of 13, pad of 15, of 20. the patient was weaned to extubation on postoperative day #1. the site was advanced. on postoperative day #2 he was pan cultured for a fever of 101.5??????. he was improved later on that day. his chest tubes were removed. he was diuresed. follow up of his cultures revealed no growth in the blood or urine cultures. there was only oropharyngeal flora in the sputum. his chest x-ray demonstrated small bilateral pleural effusions. swan was in place. there was no pneumothorax seen on either side. saw the patient and recommended changes in his insulin. on postoperative day #3, the patient was found to be very upset. this was reported by the patient later on and his daughter to be reaction to percocet and has been seen in the past. the patient was therefore taken off of all pure narcotic agents and placed on strictly tylenol for pain control. he was supplemented with nubain, a narcotic agonist-antagonist medication. his exercise capacity was good and he was seen ambulating in the multiple times during the day. the patient was seen by physical therapy and found to have a slight increase in his systolic blood pressure over his resting systolic blood pressure while he was exercising. he has a sliding scale provided by the clinic. on postoperative day #5, he had been ambulating sufficiently in the and was seen by physical therapy. they noted an increase in his systolic blood pressure during ambulation over his resting systolic blood pressure and plans were made to increase his lopressor dose to 50 mg po bid from 25 mg po bid. plans were therefore made to discharge the patient. disposition: discharge to home. discharge condition: good discharge medications: 1. lasix 120 mg po bid. 2. zestril 20 mg po qd. 3. procardia xl 30 mg po qd. 4. pravachol 20 mg po qd. 5. asa 81 mg po qd. 6. lopressor 50 mg po bid. 7. tylenol 1 gm po q8h prn pain. 8. nph insulin 40 units subcutaneous q a.m., 50 units subcutaneous q hs. 9. sliding scale of regular insulin. 0 to 100 give nothing, 100 to 150 2 units, 151 to 200 3 units, 201 to 250 4 units, 251 to 300 5 units, 301 to 350 6 units, 351 to 400 7 units and greater than 400 10 units and call the primary m.d. follow up instructions: the patient is to follow up with wound check at the far six nursing area in approximately one week. he should follow up with his primary care physician in one to two weeks and he should make arrangements to follow up with dr. for a postoperative wound check with the attending surgeon in approximately four weeks. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization (aorto)coronary bypass of one coronary artery diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled coronary atherosclerosis of autologous vein bypass graft atherosclerosis of native arteries of the extremities with intermittent claudication other and unspecified angina pectoris occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction embolism and thrombosis of iliac artery heart disease, unspecified 

Answer: The patient is high likely exposed to