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 is a 61-year-old white male dermatologist with history of chest pain since . he had a positive exercise treadmill test that ultimately prompted him to undergo a percutaneous angioplasty with stent in . in he was ultimately restented and then in underwent iridium with stenting. he had recurrence of chest pain in and went back to the cath lab ultimately in showing 100% left circumflex disease stenosis, oblique marginal i 100%, oblique marginal ii 100% and right coronary artery 90% stenosed. past medical history: hypertension, periodic movements of sleep, hypercholesterolemia, tophaceous gout, aphthous stomatitis, gerd as well as acoustic neuroma in the left ear 15 years ago. past surgical history: appendectomy. allergies: benzoin. medications: on admission, atenolol 50 mg q a.m. and 100 mg q h.s., clomipramine 50 mg q h.s., accupril 40 mg q a.m., lipitor 20 mg po q day, allopurinol 100 mg po bid, colchicine .6 mg po q day, zantac 150 mg po bid, aspirin 325 mg po q day, discontinued prior to admission. given the diagnosis of significant multiple stent restenosis, the patient was therefore opted for elective coronary artery bypass graft due to failure of percutaneous interventions and now patient having unstable angina. he was admitted on . hospital course: dr. took him to the operating room and performed a coronary artery bypass graft times five including a lima to the lad, a right saphenous vein graft sequentially from the om2 to the diagonal, a right saphenous vein graft to om1 and right saphenous vein graft to the rca. the patient had his pericardium left opened, he had arterial line upon leaving the operating room including a swan ganz catheter. he had two ventricular and two atrial wires as well as two mediastinal chest tubes and one left pleural tube. mean arterial pressure was 79. he had a right atrial pressure of 6. he was on neo-synephrine and propofol. he was transported to the cardiac surgical recovery unit where he was rapidly extubated on the night of operation. his hemodynamic parameters stayed stable. he had his neo-synephrine weaned off for blood pressure support. ultimately he was found to be in 106 sinus tach on the morning after surgery with blood pressure of 103/47. he was 100% on nasal cannula with a blood gas of 7.42, 34, 207, 23 and -1. hematocrit postoperative day #1 was 31. bun and creatinine were 27 and 1.4. he was started on cardiac diet, was given lasix, aspirin and lopressor and transferred to the floor. he worked with physical therapy and was ambulating at a level ii by postoperative day #1. also on postoperative day #1 the patient did go into atrial fibrillation with rapid ventricular response to 130's and this was controlled with oral and iv lopressor as well as starting on amiodarone po. at discharge he was in sinus rhythm and his rhythm was converted to a sinus rhythm after only approximately 10 hours of atrial fibrillation. on postoperative day #2 his foley catheter was removed, he had his chest tubes discontinued and he was ambulating again, working aggressively on pulmonary toilet and overall physical reconditioning. he was tolerating a cardiac diet without any difficulty. additionally his bowel habits were normal. psych consultation was obtained during this hospital stay because patient had requested to see in house staff psychiatry secondary to his history of generalized anxiety disorder. as a consequence, psychiatry suggested to continue clomipramine. if the patient complained of any worsening anxiety he could try to increase doses to 50 mg and then to 100 mg if he remained symptomatic. thyroid function tests were also to continue to be checked. however, this could be done at a later time as now patient additionally they had recommended that he remove any anticholinergic or benzodiazepines as they could potentially exacerbate any of his sleep apnea symptoms which would therefore make him more anxious. additional consultation was obtained from cardiology as the patient was requesting to see a cardiologist regarding his anti-hyperlipidemic therapy. in house cardiology recommended that he just pursue a low fat, low cholesterol diet, low carbohydrate diet to eliminate his hypertriglyceridemia. he did not recommend to increase the lipitor dose and ultimately said he could follow-up as an outpatient as well. by postoperative day #4 the patient was ambulating at a level 5, tolerating a full diet, his sternum was stable, there was no erythema or exudate. his right lower extremity and saphenous vein graft site was clean, dry and intact. the patient's vitals were temperature 99.0, pulse 80 and sinus rhythm and blood pressure 104/58. discharge medications: lasix 20 mg po q day times one week, kcl 20 meq po q day times one week, colace 100 mg po bid, zantac 150 mg po bid, lopressor 50 mg po bid, amiodarone 400 mg po tid times one week, then 400 mg po bid times one week, then 400 mg po q day times two weeks and then to stop, percocet as needed for pain, lipitor 20 mg po q day. additionally, the patient will be allowed to resume his colchicine at a dose of .6 mg po q day, allopurinol 100 mg po bid. condition on discharge: to home. discharge status: afebrile, sinus rhythm, sternum stable with no drainage. discharge diagnoses: significant coronary artery disease, status post restenosis after multiple percutaneous interventions for trial at attempt to open stented grafts. he is status post cabg times five, history of coronary artery disease, history of generalized anxiety disorder, history of hyperlipidemia, history of gout, history of gerd. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia unspecified essential hypertension atrial fibrillation 

Answer: The patient is high likely exposed to