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: norvasc / zestril / coumadin attending: chief complaint: unstable angina/ acs major surgical or invasive procedure: 1. redo sternotomy. 2. coronary artery bypass grafting x3, with reversed saphenous vein graft to the obtuse marginal artery and reversed saphenous y-graft to the left anterior descending artery and diagonal artery. history of present illness: 77 yo male with known coronary artery disease s/p cabg x3 ', hypertension, dyslipidemia, chronic afib (not on warfarin 2' hx retroperitoneal bleed while on coumadin '), cri, who underwent repeat cath 2' unstable angina, stemi. emts in the field performed ecg=st elevations in v1-v3 with twi v1-v4. ntg sl given x3 with resolution of cp/st elevations. he was admitted to mwmc with acute coronary syndrome, positive troponins, and under went an urgent cath which revealed significant multivessel coronary disease and restenosis of bypass grafts. he was placed on heparin drip, pain free, hemodynamically stable and transferrd th for csurg evaluation of redo-sternotomy/cabg. denies current cp,dyspnea, nausea or diaphoresis. past medical history: per hpi,cad s/p cabg x3', chronic afib- no coumadin 2' retroperitoneal bleed ', htn, dyslipidemia, hiatal hernia-nonobstructive schatzki ring, cri baseline 1.68, gerd social history: lives with:wife occupation:retired engineer tobacco:quit smoking 52 years ago etoh:denies family history: non-contributory physical exam: pulse: 50 resp: 18 o2 sat: 96% nc @ 2lpm b/p right:111/62 left: height: 5'7" weight:95 kg general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: (l)le varicosity -(r)le svg 2 segments taken for bypass ' none neuro: grossly intact pulses: femoral right: left: dp right: 2+ left:2+ pt : left: radial right: left: carotid bruit -none right: 2+ left:2+ pertinent results: conclusions pre-cpb: redo cabg 1. the left atrium is markedly dilated. the left atrium is elongated. mild spontaneous echo contrast is seen in the body of the left atrium. no mass/thrombus is seen in the left atrium or left atrial appendage. mild spontaneous echo contrast is present in the left atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). no thrombus is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. left ventricular wall thicknesses and cavity size are normal. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild global left ventricular hypokinesis (lvef = 40 %). there is severe anterior hypokinesis. 4. there are simple atheroma in the aortic root. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. 6. mild to moderate (+) mitral regurgitation is seen. there is a very small pericardial effusion. dr. was notified in person of the results. post-cpb: on infusion of epinephrine, phenylephrine. v-pacing. preserved left ventricular systolic function on inotropic support. lvef = 55%, with improved anterior hypokinesis and mr is now 1 +. rv systolic function is now moderately depressed. tr is mild. aortic contour is normal post decannulation. there is a moderate left pleural effusion. 08:17am blood wbc-10.9 rbc-3.40* hgb-10.3* hct-30.7* mcv-90 mch-30.3 mchc-33.5 rdw-16.2* plt ct-142*# 01:30am blood wbc-12.9* rbc-3.33* hgb-10.1* hct-30.0* mcv-90 mch-30.3 mchc-33.6 rdw-15.6* plt ct-94* 06:20am blood glucose-96 urean-49* creat-1.8* na-137 k-4.0 cl-94* hco3-35* angap-12 08:17am blood glucose-122* urean-43* creat-1.7* na-137 k-3.6 cl-92* hco3-34* angap-15 01:30am blood glucose-102* urean-38* creat-1.7* na-140 k-3.8 cl-95* hco3-34* angap-15 brief hospital course: transferred in from on for pre-op workup. he was continued on heparin drip until surgery. underwent an urgent redo cabg with dr. on with a reverse saphenous vein graft to the diagonal, y graft to the left anterior descending and reverse saphenous vein graft to the obtuse marginal. see operative note for full details. he was transferred to the cvicu in stable condition on titrated epinephrine and phenylephrine and vasopressin drips. milrinone was added postoperatively secondary to a low cardiac index. a left chest tube was placed postoperatively for a left hydropneumothorax. he was extubated on the morning of pod #2. vasoactive medications and inotropes were weaned. he was kept in the intensive care unit for pulmonary toilet issues. he was transferred to the floor on post operative day 4 in stable condition. chest tubes and pacing wires were removed per cardiac surgery protocol. he was working with physical therapy to increase strength and endurance. he was not started on coumadin for chronic atrial fibrillation due to a history of retroperitoneal bleed. he had a preoperative right groin hematoma which was stable with a stable hematocrit at the time of discharge. chest xrays showed a moderate right pneumothorax, which was stable at the time of discharge with the patient oxygenating at 100% on room air and asymptomatic. on post operative day 6 he was ambulating in the halls with assistance, tolerating a full oral diet and his incisions were healing well. it was felt that he was safe for discharge home with visiting nurse services at this time. he was instructed to follow up with his pcp 1 week for chest x-ray to evaluate the right pneumothorax. he was instructed to go to the emergency room with any increase in shortness of breath or pain. medications on admission: zocor 20(1),toprol xl 100(1),diovan 320(1), calcium 500(1), allopurinol 300(1), indapamide 2.591), vit c 400(1), glucosamine, asa 81(1) m-w-f, nexium 20(1) discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 3. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 6. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. combivent 18-103 mcg/actuation aerosol sig: inhalation four times a day as needed for shortness of breath or wheezing. disp:*1 * refills:*0* 8. lasix 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po every twenty-four(24) hours for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 11. valsartan 320 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease, s/p coronary artery bypass s/p cabg x3', chronic afib-no coumadin 2' retroperitoneal bleed ', htn, dyslipidemia, hiatal hernia-nonobstructive schatzki ring, cri baseline 1.68, gerd discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with ultram incisions: sternal - no drainage or erythema, sternum stable leg right-healing well, no erythema or drainage. large area of ecchymosis at medial thigh, soft, nontender, not warm edema 1+ bilateral lower extremities discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: please call to schedule appointments surgeon dr. at mwmc(for dr. in weeks primary care dr. , a. in 1 weeks - needs cxr at follow up to evaluate right pneumothorax cardiologist dr. in 4 weeks please call cardiac surgery if need arises for evaluation or readmission to hospital procedure: insertion of intercostal catheter for drainage (aorto)coronary bypass of three coronary arteries extracorporeal circulation auxiliary to open heart surgery diagnoses: acidosis other iatrogenic hypotension esophageal reflux coronary atherosclerosis of autologous vein bypass graft hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation hematoma complicating a procedure chronic kidney disease, unspecified diaphragmatic hernia without mention of obstruction or gangrene other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure acute myocardial infarction of unspecified site, initial episode of care chronic total occlusion of coronary artery tracheoesophageal fistula, esophageal atresia and stenosis other specified forms of effusion, except tuberculous 

Answer: The patient is high likely exposed to