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 a 65 year old male with a history of three vessel coronary artery disease with coronary artery bypass graft in , hypertension, and hyperlipidemia, who presented to his primary care physician's office on with a two month history of crescendo angina and dyspnea on exertion. the patient was sent to the emergency department after an electrocardiogram was found to have new st depressions in v5 and v6 and t-wave inversion in 1, avl, v2-v6. in the emergency department, the patient was given aspirin, heparin, integrilin, and was noted to be pain free. he was subsequently admitted to the c-med service overnight where he was asymptomatic. at this time, the patient had no electrocardiogram changes. ck's were 170 and 140, mb fraction normal, troponin less than 0.01 times 2. the patient went to catheterization on . in the catheterization laboratory, normal filling pressures were demonstrated. left ventricular gram demonstrated ejection fraction of 50-55% with mild anterior/inferior hk. coronary arteries revealed: right dominant with left main coronary artery 40% distal, left anterior descending with a mid-70% lesion, left circumferential 40% proximal lesion, right coronary artery totally occluded to mid-vessel, saphenous vein graft to diagonal graft with an ostial 90% lesion and a 70% mid-lesion, saphenous vein graft to posterior descending artery graft with serial focal stenosis, maximum of 90%. the patient had a free right internal mammary artery to left anterior descending which was occluded. the patient underwent intervention of the saphenous vein graft to diagonal lesion which proved to be a complex intervention, as the case was complicated by no reflow in the distal vasculature following the mid-stent placement. this was successfully treated with intracoronary vasodilator administration and anticoagulation. final angiography demonstrated no residual stenosis, no dissection, and timi 3 flow. the patient was chest pain free at the end of the case, however, a prophylactic intra-aortic balloon pump was placed at that time. subsequent to this initial procedure, the patient had recurrent angina with ischemic electrocardiogram changes and was taken back to the cardiac catheterization laboratory for emergent re-look angiography. angiography at that time revealed a patent saphenous vein graft to diagonal with timi 2 flow, which was treated with intracoronary vasodilation with near normalization of flow to selective left internal mammary artery. angiography revealed a native left internal mammary artery without stenosis. the patient subsequently transferred to the cardiac care unit for further monitoring. past medical history: 1. coronary artery disease status post coronary artery bypass graft times three in at with right internal mammary artery to left anterior descending, saphenous vein graft to diagonal, saphenous vein graft to posterior descending artery, in had exercise treadmill test and mibi showed ejection fraction of 40% and reversible ischemia. 2. hypertension. 3. hyperlipidemia. 4. gout. 5. gastroesophageal reflux disease. 6. percutaneous myocardial revascularization. allergies: no known drug allergies. home medications: 1. allopurinol 300 once daily. 2. aspirin 81 once daily. 3. metoprolol 50 once daily. 4. prilosec 20 once daily. 5. lipitor 20 once daily. family history: brother died of myocardial infarction at 62, mother and father lived to be 80 each. social history: lives with wife and daughter. quit tobacco in after a 60 pack year history. no alcohol history. physical examination: temperature 97; heart rate 56; blood pressure 178/90; respiratory rate 10; oxygen saturation rate 100% on 4 liters. general: pleasant, in no acute distress. head, eyes, ears, nose and throat: moist mucous membranes, oropharynx clear. neck: no jugular venous distention, no lad, no carotid bruits. cardiovascular: regular rate and rhythm, normal s1 s2, no murmurs, rubs, or gallops. lungs: clear to auscultation anterolaterally, no wheezes. abdomen: soft, obese, non-tender. extremities: no cyanosis, clubbing or edema, 1+ dorsalis pedis pulses. labs: complete blood count 6.0/40.3/159; k 4.4; bun and creatinine 15/1.1; ck 144; mb 4, troponin less than 0.01; electrocardiogram from admission showed sinus bradycardia, normal axis, new t-wave inversion and 1 avl v2-v6 and depression in v5 and v6, an old 0. elevation in 2, 3, and avs; electrocardiogram status post catheterization showed sinus bradycardia with resolution of t-wave inversion anterolaterally; echocardiogram from revealed left ventricular ejection fraction of 55%. hospital course: 1. coronary artery disease. as detailed in the history of present illness, the patient had an initial catheterization with a complicated intervention of saphenous vein graft to diagonal lesion, complicated by no re-flow which was treated with intracoronary vasodilation and placement of an intra-aortic balloon pump. the patient was taken back to the catheterization laboratory for emergent re-look after recurrent angina and ischemic electrocardiogram changes and was found to have a patent stent in the saphenous vein graft to diagonal. subsequent to the patient's re-look catheterization, he remained chest pain free. his cks peaked at 786. he was taken back to the catheterization laboratory on for a planned intervention of previously detected saphenous vein graft to posterior descending artery lesion which was successfully stented. 2. pump. the patient had the intra-aortic balloon pump discontinued on without incident. 3. rhythm. the patient had an isolated episode of aivr felt to be secondary to reperfusion. he remained in normal sinus rhythm throughout the rest of the stay. 4. history of coronary artery bypass graft. the patient was noted to have an atypical anatomy with a free right internal mammary artery to left anterior descending. outside operative notes were obtained which documented that the left internal mammary artery was not used during the time of initial surgery as it was found to be a small suboptimal vessel. 5. renal. the patient's creatinine remained stable, status post multiple dye loads and was 1.0 at the time of discharge. discharge condition: the patient was in stable condition, chest pain free, and not requiring simple oxygen at the time of discharge. discharge status: the patient was discharged to home. discharge diagnosis: 1. coronary artery disease status post pci graft times two (saphenous vein graft to diagonal, and saphenous vein graft to right coronary artery). 2. hypertension. 3. gout. 4. hyperlipidemia. 5. gastroesophageal reflux disease. discharge medications: 1. allopurinol 300 mg by mouth once daily. 2. prilosec 20 mg by mouth once daily. 3. toprol-xl 50 mg by mouth once daily. 4. lipitor 20 mg by mouth once daily. 5. plavix 75 mg by mouth once daily. 6. aspirin 81 mg by mouth once daily. 7. lisinopril 10 mg by mouth once daily. follow-up: the patient was to follow-up with his primary care physician, , in two weeks. , m.d. dictated by: medquist36 d: 11:50 t: 21:27 job#: procedure: insertion of non-drug-eluting coronary artery stent(s) combined right and left heart cardiac catheterization coronary arteriography using two catheters coronary arteriography using two catheters angiocardiography of left heart structures injection or infusion of platelet inhibitor injection or infusion of platelet inhibitor left heart cardiac catheterization aortography implant of pulsation balloon nonoperative removal of heart assist system insertion of drug-eluting coronary artery stent(s) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension coronary atherosclerosis of autologous vein bypass graft cardiac complications, not elsewhere classified gout, unspecified other and unspecified hyperlipidemia coronary atherosclerosis of nonautologous biological bypass graft 

Answer: The patient is high likely exposed to