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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: cardiac cath coronary artery bypass graft x3: left internal mammary artery to left anterior descending artery; and saphenous vein grafts to obtuse marginal-1 and posterior descending artery history of present illness: 74-year-old male with history of hypertension, accelerated junctional rhythm causing symptoms during exertion much improved following aggressive blood pressure control,and crohns disease that presents after nuclear stress test today showed 3 mm st segment depression inferolaterally. he was admitted for cardiac cath which revealed severe coronary artery disease and is now referred for surgery. past medical history: benign prostatic hypertrophy crohn's disease hypertension macular degeneration osteoporosis osteoarthritis (back) back surgery with rod (as teenager) bilateral rotator cuffs bilateral carpal tunnel release skin cancer excised from lower lip social history: he quit smoking in . he retired as a vice-president of a construction company. he has been married for 29 years. he has not drunk any alcohol for the past 15 years or so. lives with wife and daughter. dental exam: mos. ago family history: mother had some type of cervical or perhaps bladder cancer. there is no family history of colon cancer. father and one sister had a history of alcoholism. his other sister is otherwise well. he has three healthy children ages 51, 45, and 43 along with four grandchildren, all in good health. physical exam: pulse: 56 resp: 16 o2 sat: 100%ra b/p right: left: 129/57 height: weight: 73.6kg general: nad, wgwn, appears stated age 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- none varicosities: none neuro: grossly intact pulses: femoral right: 2+ **mynx closure device** left: 2+ dp right: 1+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: left: no bruits pertinent results: nuclear perfusion: 1. normal myocardial perfusion at the level of exercise achieved and in the setting of ischemic ecg changes. ef of 63% at stress and 66% at rest. cardiac cath: 1. selective coronary angiography of this right dominant system revealed three vessel coronary artery disease. the lmca had a hazy distal 60-70% stenosis. the lad and lcx were free of angiographically significant disease. the rca had serial 70% stenoses from its mid-portion to distal vesel. carotid u/s: plaque at the ostia of the internal carotid arteries but no evidence of a hemodynamically significant stenosis. flow in the vertebral arteries is prograde on both sides. echo: pre bypass: the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. trivial mitral regurgitation is seen. post bypass: preserved biventricular function, lvef>55%. mr remains trace. no aortic dissection seen, though incidental note is made of shadowing in the proximal aortic root near the right coronary cusp- can not exclude mass or throumbus, no luminal irregularities- discussed with and shown to dr. . remaining exam is unchanged, all findings discussed with surgeons at the time of the exam. brief hospital course: as mentioned in the hpi, mr. is a 74-year-old male with history of hypertension, accelerated junctional rhythm and crohns disease that presents after abnormal nuclear stress test with cardiac cath showing left main and rca cad. patient underwent usual pre-operative work-up for bypass surgery while receiving appropriate medical management prior to surgery. on he was brought to the operating room where he underwent a coronary artery bypass graft x 3. please see operative for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. later that day he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one beta-blockers and diuretics were started and he was gently diuresed towards his pre-op weight. later on this day he was transferred to the step-down unit for further care. chest tubes and epicardial pacing wires were removed per protocol. on post-op day two he had an episode of atrial fibrillation which was treated with amiodarone and lopressor with conversion back to sinus rhythm. he otherwise made good recovery while working with physical therapy for strength and mobility. on post-op day five he was discharged home with the appropriate medications and follow-up appointments. medications on admission: alendronate 70 mg tablet 1 tablet(s) by mouth weekly (sat) chlorthalidone 12.5 mg tablet daily folic acid 1 mg tablet by mouth daily hydrocortisone 100 mg/60 ml enema rectally every third night (patient takes about every ten days, last time on ) lisinopril 40 mg tablet 1 tablet(s) by mouth daily terazosin 5 mg capsule 1 capsule(s) by mouth at bedtime aspirin 81 mg tablet 1 (one) tablet(s) by mouth once a day bifidobacterium infantis calcium citrate-vitamin d3 multivitamin study medication for macular degeneration at (unknown formulation) discharge medications: 1. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po q12h (every 12 hours). disp:*10 tablet, er particles/crystals(s)* refills:*0* 2. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 10 days. disp:*10 tablet(s)* refills:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 7. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 8. alendronate 70 mg tablet sig: one (1) tablet po qsat (every saturday). disp:*8 tablet(s)* refills:*2* 9. terazosin 5 mg capsule sig: one (1) capsule po hs (at bedtime). disp:*30 capsule(s)* refills:*2* 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 11. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 12. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 past medical history: benign prostatic hypertrophy crohn's disease hypertension macular degeneration osteoporosis osteoarthritis (back) back surgery with rod (as teenager) bilateral rotator cuffs bilateral carpal tunnel release skin cancer excised from lower lip discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. on at 1:30pm cardiologist: dr. at 3:30pm 6 wound check on tuesday at 11am with midlevel # please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md 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 left heart cardiac catheterization diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of tobacco use hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) chronic kidney disease, stage iii (moderate) regional enteritis of unspecified site osteoporosis, unspecified macular degeneration (senile), unspecified other antihypertensive agents causing adverse effects in therapeutic use examination of participant in clinical trial other nonspecific abnormal results of function study of cardiovascular system 

Answer: The patient is high likely exposed to