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 47-year-old male who this past began to notice left sided chest discomfort. he reported that it had no pattern in that and did not seem to be related to any activity at all. it lasted for seconds to minutes and resolves spontaneously. he decided to seek medical attention. the patient was under a large amount of stress and then started taking aspirin and noted a significant decrease in the frequency of these episodes. he then went for a testing under dr. and exercise stress test revealed some abnormal changes with a 1.5 mm to depression in v4 through v6 and inferiorly; he was thus referred for a cardiac catheterization. past medical history: the patient's past medical history is as follows: 1. hypertension. 2. hypercholesterolemia. 3. depression. 4. obesity. 5. renal calculi with lithotripsy in . 6. pericarditis in . past surgical history: status post nasal surgery. allergies: no known drug allergies. medications: medications on admission are as follows: 1. mevacor 40 mg daily. 2. lopid 600 mg b.i.d. 3. trazodone 100 mg at bedtime. 4. aspirin 325 mg daily. 5. nicotine patch periodically. family history: the patient's family history is as follows: positive family history of coronary artery disease. father had several mis, the first was at the age of 59. social history: the patient is single, lives alone. he is an accountant. he smokes one pack a day and drinks some moderate amount of alcohol. review of systems: as above. the patient admits to chest discomfort. he denies any history of cva, tia, shortness of breath, gi bleed, melena, or any other medical problems. physical examination: the patient is 5 foot 10 inches and 210 pounds. vital signs are as follows: blood pressure is 143/92, pulse 80 regular, respiratory rate 18, and o2 saturation is 99 percent on room air. neurologically the patient is alert and well oriented and in no acute distress. he is well-developed and well-nourished. lungs sounds are clear to auscultation bilaterally. heart is regular rate and rhythm, positive s1 and s2, no murmurs. abdomen is soft, nontender, and nondistended. extremities are warm, no cyanosis, no erythema, pulses are well felt peripherally, he had no carotid bruits. preoperative laboratory data: white blood count 4.8, hematocrit of 40.9, and platelet count 218. pt 12.8, ptt 25.8, and inr 1. sodium 135, potassium 4.3, chloride 101, bicarbonates 26, bun 18, creatinine 0.8, glucose 101, alt 27, ast 41, cpk 76, total bilirubin 0.7, albumin 4.1, and magnesium 2.1. ekg: preoperative ekg showed heart rate of 74 and normal sinus rhythm. cardiac catheterization on , revealed 80 percent stenosis of the lmca, lad 70 percent arteriostenosis, lca 75 percent arteriostenosis, ejection fraction of 60 percent with mild inferior hypokinesis, and no mr. hospital course: the hospital course is as follows: on , the patient underwent cardiac catheterization, which revealed that the patient had left main disease and two-vessel disease. cardiothoracic surgery service was then consulted and it was agreed upon that the patient will be brought to the operating room today due to his severe left main disease. he was brought to the operating room on , under the care of attending surgeon dr. . the patient underwent an urgent coronary artery bypass graft times 2. grafts were as follows: main lad saphenous vein graft to om. the patient tolerated the procedure well. cardiopulmonary bypass time was 38 minutes and cross clamp time was 23 minutes. following the surgical procedure, the patient was transferred to csru in stable condition. his heart rate was 84, normal sinus rhythm, his mean arterial pressure was 78, cvp was 6, his pa diastolic pressure was 14, and pa mean was 18. he was being titrated on propofol drips and was receiving no other medications at this time. on postoperative day 1, the patient was extubated overnight. he had some persistent respiratory acidosis. his insulin drips were discontinued. he was receiving neo-synephrine at 0.2 mcg per kilograms per minute and aspirin 81 mg. hemodynamically he appeared stable with t-max of 100, blood pressure of 115/60, heart rate of 78, and normal sinus rhythm, and respiratory rate of 20. his oxygen saturation was 96 percent on nasal cannula. the cvp was 9. cardiac index was 3.73. backup labs were as follows: white blood count 15.2, hematocrit 30.7, and platelet count 237. on physical exam, he was alert and oriented times 3. his heart rate was regular rate and rhythm, no murmurs. lungs were clear to auscultation. aim was to wean his neo-synephrine and discontinue his swan and also start on lasix. on postoperative day 2, the patient had a decrease in hematocrit overnight. labs this morning showed a hematocrit of 23.4 and increased heart rate. he was tachycardic at 108; therefore, he received 2 units of packed red blood cells. the patient also went for a ct of his abdomen and pelvis to rule out retroperitoneal bleed. the impression of the ct was that there were no retroperitoneal hemorrhage to bilateral pleural effusions without any acute changes at the right lung base and more focal consolidations appear at the left lung base. the patient's t-max was 100.9, blood pressure 112/54, heart rate once again was 108 sinus tachycardia, respiratory rate 16, o2 saturation 95 percent on 3 liters nasal cannula. he was receiving the following medications, aspirin 81 mg, lopressor 37.5 twice daily, and lasix 20 mg twice daily. the patient's physical exam was unremarkable besides plus 1 pedal edema and his dressings appeared to be dry and intact and was to repeat hematocrit; discontinued his chest tubes and foley and transferred him to the floor. on postoperative day 3, the patient appeared to be hemodynamically stable. blood pressure 135/70, heart rate at 97 sinus rhythm, respiratory rate 19, and t-max at 99.4. his hematocrit today was 28.6, which is up from yesterday's 23.4. he was still receiving his aspirin 81 mg. lopressor was increased to 50 mg twice a day and lasix 20 mg twice a day. his physical exam was unremarkable besides 2 plus pedal edema and was to continue with the patient getting out of bed, pt will be discontinued. the patient with epicardial pacing wires and transferred him to far2 inpatient telemetry floor. on postoperative 4, the patient appeared to be doing well. his t-max was 99.8, pulse 96 sinus rhythm, blood pressure 192/52, his weight was 101, and o2 saturation 95 percent on room air. his hematocrit today was 26.6. his physical exam was unremarkable besides some trace pedal edema. his incisions were clean with no erythema or drainage. the patient was continued to getting out of the bed with pt. he was receiving lasix at 20 mg once a day, aspirin up to a 40 mg a day, pantoprazole 600 mg twice a day, lopressor 50 mg twice a day and trazodone 100 mg once a day. the patient appears to be doing fine and is going to be cleared by pt and plans for discharge tomorrow. on postoperative day 5, the patient had no events overnight. hemodynamically he was stable. his hematocrit that day was 25.4, which was down from 26.6. physical exam on the day of discharge, the patient neurologically was alert, oriented, and nonfocal. his lungs had some bibasilar rales. his heart rate was regular rate and rhythm, no murmurs. his sterile incision was clean, dry and intact with no drainage or erythema. his abdomen was soft, nontender, nondistended with bowel sounds. his extremities were warm with trace edema. his leg incisions on both legs and an open incision on his left leg was clean and dry, no erythema, and no drainage. the patient appeared to be doing well. physical therapy cleared the patient for discharge today. the patient was discharged to home with vna services. discharge status: good. discharge diagnoses: the patient's discharge diagnoses are as follows: 1. coronary artery disease status post coronary artery bypass graft or cabg times 2, left internal mammary artery to the left anterior descending, and saphenous vein graft to first obtuse marginal. 2. hypertension. 3. hypercholesterolemia. 4. renal calculi with lithotripsy in . 5. pericarditis in . 6. depression. 7. anxiety. 8. obesity. follow up: the patient was recommended to followup with dr. in 5 to 6 weeks and dr. in 1 to 2 weeks. discharge medications: the patient's discharge medications are as follows: 1. lopressor 50 mg twice daily. 2. colace 100 mg twice daily. 3. aspirin 81 mg daily. 4. percocet 5/325 1 to 2 tablets p.o. q.4 hours p.r.n. 5. trazodone 100 mg at bedtime. 6. pantoprazole 600 mg twice daily. 7. lipitor 40 mg daily. 8. ibuprofen 600 mg q.6 hours p.r.n. for pain. 9. lasix 20 mg twice daily. 10. potassium chloride 10 meq capsules 2 capsules twice daily. , 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 pulmonary artery wedge monitoring transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome tobacco use disorder unspecified essential hypertension depressive disorder, not elsewhere classified obesity, unspecified 

Answer: The patient is high likely exposed to