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: penicillins attending: chief complaint: chest pain major surgical or invasive procedure: three vessel coronary artery bypass grafting(left internal mammary artery to left anterior descending artery with saphenous vein grafts to right coronary artery and ramus) cardiac catheterization history of present illness: this is a 65 yr old spanish speaking male who presented to outside hospital with acute coronary syndrome. he had st elevations on ekg and was treated with asa, ntg, morphine and ativan. patient remained pain free all night and his st elevations resolved when his symptoms resolved. he noted diaphoresis and sob during his episode of cp but denied these symptoms since that time. he also noted mild constipation along with some luq abdominal pain that was intermittant and has been treated w/ colace and tums to good effect. on morning of transfer, he still had flipped t waves anteriorly and remained cp free. troponin bumped to 8.27 on morning of transfer with a ck of 742. patient was transferred on ntg at 25mcg/min, heparin gtt at 700u/hr, integrillin gtt at 9cc/hr (s/p bolus of 5cc at 1150am), plavix 300 bolus, and asa 325. past medical history: hypertension, hyperlipidemia, gerd, active smoker social history: active smoker - one pack per day. denies alcohol/drugs. he lives with his wife and is spanish speaking. family history: no premature coronary disease physical exam: vitals: 9 16 98ra gen: wnwd man in nad heent: eomi, mmm cv: rrr, s1/s2 wnl, -m/r/g lung: cta b/l abd: s/nt/nd, +bs groin: cath site c/d/i, dressing in place w/out oozing ext: -c/c/e pertinent results: 06:05am blood wbc-10.8 rbc-3.86* hgb-11.8* hct-34.6* mcv-90 mch-30.5 mchc-34.0 rdw-13.3 plt ct-330 06:00am blood urean-8 creat-0.8 k-4.5 05:15am blood alt-20 ast-46* alkphos-99 totbili-1.4 06:00am blood mg-2.0 05:37am blood triglyc-99 hdl-39 chol/hd-4.5 ldlcalc-118 06:05am blood wbc-10.8 rbc-3.86* hgb-11.8* hct-34.6* mcv-90 mch-30.5 mchc-34.0 rdw-13.3 plt ct-330 06:05am blood plt ct-330 06:00am blood urean-8 creat-0.8 k-4.5 05:15am blood alt-20 ast-46* alkphos-99 totbili-1.4 06:00am blood mg-2.0 cardiac catheterization 1. selective coronary angiography demonstrated two vessel coronary artery disease in this right dominant circulation. the lmca had a 40% distal stenosis. the lad had a 90% ulcerated ostial stenosis. the d1 had a 90% proximal vessel stenosis. the d2 and mid to distal lad were without flow limiting disease. the lcx gave off one large om branch that was without flow limiting disease. there were left to right collaterals from the distal lcx circulation to the distal rca. the rca was totally occluded in the mid vessel. there were right to right collaterals from the proximal rca to the distal rca across the atrium. 2. limited resting hemodynamics demonstrated elevated left sided filling pressures with lvedp of 15mmhg. there was no transaortic gradient seen on catheter pullback from lv to ascending aorta. 3. left ventriculography demonstrated preserved systolic function with calculated lvef of 62%. no mitral regurgitation seen. 4. successful deployment of angioseal device in right common femoral artery without complications. cxr no radiographic evidence of acute cardiopulmonary disease. cxr status post sternotomy, with mediastinal clips. there is mild prominence of the cardiomediastinal silhouette, consistent with recent surgery. there is a small left apical pneumothorax, even smaller than on the film from one day earlier. there is left lower lobe collapse and/or consolidation and atelectasis at the left base, with elevation of the left hemidiaphragm. there is small amount of pleural fluid and/or thickening at the right base. no chf is identified. ekg sinus bradycardia inferior infarct - age undetermined lateral st-t changes offer additional evidence of ischemia ekg sinus rhythm first degree a-v delay inferior infarct - age undetermined since previous tracing of , first degree a-v delay and further inferior t wave changes present brief hospital course: following his acute myocardial infarction, mr. was admitted and underwent cardiac catheterization which revealed two vessel coronary artery disease and preserved left ventricular function. angiography showed a right dominant system with 40% distal left main lesion; 90% ostial stenosis of left anterior descending; 90% lesion in first diagonal; total occlusion of the mid right coronary and a normal circumflex. ventriculogram revealed no mitral regurgitation and a lvef of 65%. based on the above results, cardiac surgery was consulted and further evaluation was performed. he remained pain free on intravenous therapy. workup was essentially unremarkable and he was cleared for surgery. on, dr. performed three vessel coronary artery bypass grafting. his operative course was uneventful and he transferred to the csru for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. he maintained stable hemodynamics as he weaned from inotropic support. on postoperative day one, he transferred to the sdu. he remained in a normal sinus rhythm. beta blockade was advanced as tolerated. he responded well to lasix and by discharge, was near his preoperative weight with room air saturations of 96%. all pacing wires and chest tube were removed without complication. over several days, he made clinical improvement and steady progress with physical therapy. he was cleared for discharge on postoperative day six. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: tums, colace discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po once a day for 1 weeks. disp:*7 tablet(s)* refills:*0* 2. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 1 weeks. disp:*14 capsule, sustained release(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. 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:*2* 6. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. 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* 8. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 9. atorvastatin calcium 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: acute mi cad - s/p cabg htn hyperlipidemia gerd discharge condition: good. discharge instructions: shower, no baths, wash incision with mild soap and water and pat dry. no lotions, creams, powders. call with temperature more than 101.5, redness or drainage from incision. call with weight gain more than 2 pounds in one day or five in one week. no heavy lifting, no driving until follow up with surgeon. p instructions: dr. 4 weeks dr. 2 weeks dr. 2 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter transfusion of packed cells transfusion of other serum transfusion of platelets diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care 

Answer: The patient is high likely exposed to