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: allergies: sulfonamides / indocin attending: chief complaint: chest pain for 2 days major surgical or invasive procedure: s/p emergency coronary artery bypass graft x3 (left internal mammary artery -> left anterior descending artery, saphaneous vein graft -> obtuse marginal, saphaneous vein graft -> posterior descending artery) with intra aortic balloon pump history of present illness: 59 yo male with 2 day hiostory of chest pain and some sob presented to er on in the morning. had endoscopy last wek with some nausea and ?gerd. now with substernal cp radiating across left chest and down l arm.started on integrilin and heparin drips, and given 600 mg plavix in er. taken emergently to cath and had iabp placed for acute mi/ severe lm disease. referred to dr. for emergent surgery. past medical history: sleep apnea with cpap depression familial tremor severe gastritis htn gerd social history: quit smoking 3 years ago, 20 pack/yr hx family history: no premature cad physical exam: t 95.6 hr 95 140/114 rr 18 99% 2l nc 192# perrla eomi neck supple, no lymphadenopathy ctab rrr s1 s2 abd soft/nt/nd neuro appropriate pertinent results: 06:45am blood wbc-11.4* rbc-3.28* hgb-9.9* hct-29.5* mcv-90 mch-30.2 mchc-33.6 rdw-13.4 plt ct-340# 06:45am blood plt ct-340# 06:45am blood glucose-111* urean-21* creat-0.8 na-141 k-4.4 cl-105 hco3-26 angap-14 11:45am blood alt-31 ast-73* ck(cpk)-749* alkphos-80 amylase-53 totbili-0.3 11:45am blood ctropnt-0.75* procedure date: indications for catheterization: coronary artery disease, canadian heart class iv, unstable. global ischemia; nstemi; chest pain refractory to medical therapy final diagnosis: 1. three vessel coronary artery disease and lmca disease. 2. acute myocardial infarction, managed by iabp and emergent surgery. comments: 1. selective coronary angiography revealed a right dominant system with severe three vessel disease and 70% distal lmca stenosis. the lad had a proximal aneurysmal 80% lesion. the lcx was proximally totally occluded and thrombotic. the rca had sequential mid and distal 99% stenosis. 2. left ventriculography was deferred. 3. hemodynamic assessment showed normal systemic aortic pressure. 4. placement of the aortic baloon pump. technical factors: total time (lidocaine to test complete) = 0 hour12 minutes. arterial time = 0 hour12 minutes. contrast: non-ionic low osmolar (isovue, optiray...), vol 80 ml, indications - hemodynamic anesthesia: 1% lidocaine subq. anticoagulation: heparin 0 units iv other medication: heparin 1000 u/hr intergrilin 14 cc/hr cardiac cath supplies used: 6f cordis, xblad 3.5 7.5 datascope, iabp 40cc 150cc mallincrodt, optiray 150cc - allegiance, custom sterile pack final report indications: 59-year-old male with chest pain. comparisons: comparison is made to . technique: ap upright single view of the chest. findings: status post median sternotomy. the left chest tube and ng tube have been removed. right ij central line tip is in the mid svc. mild cardiomegaly. there is interval improvement of left lower lobe opacity which could represent atelectasis or consolidation. persistent right infrahilar opacity stable since the prior study. no pneumothorax. small left pleural effusion. impression: 1. interval improvement in left retrocardiac, right infrahilar consolidations. 2. small left pleural effusion is the study and the report were reviewed by the staff radiologist. dr. dr. approved: sat 9:09 am procedure date: echocardiography report , (congenital) done at 4:51:16 pm final referring physician information , w. , status: inpatient dob: age (years): 59 m hgt (in): 69 bp (mm hg): / wgt (lb): 192 hr (bpm): bsa (m2): 2.03 m2 indication: left ventricular function. intra-op tee for emergent cabg icd-9 codes: 745.5, 424.0, 786.05, 786.51 test information date/time: at 16:51 interpret md: , md test type: tee (congenital) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2006aw03-: machine: echocardiographic measurements results measurements normal range left atrium - four chamber length: 4.6 cm <= 5.2 cm left atrium - peak pulm vein s: 0.5 m/s left atrium - peak pulm vein d: 0.4 m/s left atrium - peak pulm vein a: 0.1 m/s < 0.4 m/s left ventricle - septal wall thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *5.9 cm <= 5.6 cm left ventricle - ejection fraction: 30% to 35% >= 55% aorta - valve level: 2.5 cm <= 3.6 cm aorta - ascending: *3.8 cm <= 3.4 cm aortic valve - lvot diam: 2.1 cm mitral valve - e wave: 0.4 m/sec mitral valve - a wave: 0.5 m/sec mitral valve - e/a ratio: 0.80 findings right atrium/interatrial septum: dynamic interatrial septum. pfo is present. left-to-right shunt across the interatrial septum at rest. left ventricle: normal lv wall thickness. mildly dilated lv cavity. moderate regional lv systolic dysfunction. moderately depressed lvef. right ventricle: normal rv chamber size. focal apical hypokinesis of rv free wall. aorta: normal aortic root diameter. focal calcifications in aortic root. mildly dilated ascending aorta. there are complex (>4mm) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: three aortic valve leaflets. no as. trace ar. mitral valve: normal mitral valve leaflets. no ms. mild to moderate (+) mr. tricuspid valve: physiologic tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient was under general anesthesia throughout the procedure. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. see conclusions for post-bypass data conclusions pre-bypass: 1. a patent foramen ovale is present. 2. left ventricular wall thicknesses are normal. the left ventricular cavity is mildly dilated. there is moderate to severe regional left ventricular systolic dysfunction with inferior, lateral and inferolateral hypokinesis. overall left ventricular systolic function is moderately depressed. 3. right ventricular chamber size is normal. there is modertate focal hypokinesis of the apical free wall of the right ventricle. 4. the ascending aorta is mildly dilated. there are complex (>4mm) atheroma in the aortic arch and in the descending thoracic aorta. 5. there are three aortic valve leaflets. there is no aortic valve stenosis. trace aortic regurgitation is seen. 6. the mitral valve leaflets are structurally normal. there is central regurgitant jet by color doppler c/w mild to moderate (2+) mitral regurgitation is seen. 7. there is no pericardial effusion. post-bypass: pt is being apaced and is on an infusion of phenylephrine and epinephrine 1. slight improvement of rv and lv systolic function 2. aorta is intact 3. mr i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician ?????? caregroup is. all rights reserved. brief hospital course: admitted through er to cath lab and then taken emergently to or on for cabg x3 with dr. . transferred to the csru in stable condition on epinephrine, phenylephrine and propofol drips. extubated that night and epinephrine weaned on pod #1. iabp also removed on pod #1. chest tubes removed on pod #2 and transferred to the floor. beta blockade titrated and gentle diuresis started. pacing wires removed on pod #3. he made good progress and was cleared for discharge to home with vna on pod #5. pt. is to make all follow-up appts. as per discharge instructions. medications on admission: asa 81 mg daily diovan topamax klonopin trazedone nexion/zantac norvasc wellbutrin discharge medications: 1. trazodone 100 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. disp:*30 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. topiramate 100 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. clonazepam 1 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) as needed. disp:*30 tablet(s)* refills:*0* 7. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. nexium 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*0* 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 11. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 12. provigil 200 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 13. zantac 150 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*0* 14. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 7 days. disp:*7 tablet(s)* refills:*0* 15. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease mi acute coronary syndrome s/p coronary artery bypass graft primary medical history hypertension depression sleep apnea - with cpap familial tremor gastritis gastric esophageal reflux disease discharge condition: good. discharge instructions: follow medications on discharge instructions. do not drive for 4 weeks. do not lift more than 10 lbs. for 2 months. shower daily, let water flow over wounds, pat dry with a towel. do not use powders, lotions, or creams on wounds. call our office for temp>101.5, sternal drainage. followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 4 weeks. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries injection or infusion of platelet inhibitor left heart cardiac catheterization diagnostic ultrasound of heart non-invasive mechanical ventilation implant of pulsation balloon diagnoses: obstructive sleep apnea (adult)(pediatric) subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux mitral valve disorders unspecified essential hypertension other specified cardiac dysrhythmias essential and other specified forms of tremor 

Answer: The patient is high likely exposed to