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: patient recorded as having no known allergies to drugs attending: chief complaint: angina, sob major surgical or invasive procedure: cabg x5/maze/stapling of left atrial appendage (lima to lad, svg to diag, sequenced to om, svg to pda, svg to pl) history of present illness: 73 yo male with + stress test first admitted on for cardiac cath. this showed 90% lad, 90% diag 1, 80% om1, 100% rca. prior stress echo showed ef 15-20%. pt returns for cabg with dr. . past medical history: cad, s/p anterior wall stemi in stents to proximal and mid lad chf, ef 20% (tte ) hypertension hyperlipidemia chronic renal insufficiency, baseline cr ~2.0 gi bleed in setting of elevated inr bipolar disorder paroxysmal afib icd placed -has never fired cholecystectomy appendectomy tonsillectomy hiatal hernia mva right leg trauma mild pancreatitis d/t tegretol nephrogenic diabetes insipidus l4-5 disc fusion social history: lives alone. former etoh abuse, stable with aa. former smoker (35 years/<1ppd). no children. family history: (+) fhx cad: both parents had mi's in their 70's. physical exam: hr 60 rr 15 137/76 5'" 104.3 kg skin/heent unremarkable neck full rom with no bruit appreciated ctab rrr no murmur abd soft, nt, nd, + bs extrems warm and well-perfused with no edema right fem cath site, left fem np 2+ bilat. dp/radials pts non-palp. no varicosities neuro grossly intact pertinent results: 03:30pm blood wbc-11.0 rbc-3.12* hgb-9.6* hct-26.9* mcv-86 mch-30.9 mchc-35.9* rdw-14.6 plt ct-200 09:00am blood pt-18.3* inr(pt)-1.7* 03:30pm blood plt ct-200 03:04am blood fibrino-224 03:30pm blood glucose-111* urean-40* creat-2.1* na-138 k-5.1 cl-106 hco3-25 angap-12 10:22pm blood alt-38 ast-93* alkphos-72 amylase-125* totbili-0.3 12:39am blood lipase-51 03:30pm blood calcium-9.0 phos-3.6 mg-2.6 final report indication: evaluate for infiltrate or effusion. comparison: . technique: pa and lateral chest. findings: since the previous examination, the mediastinal drains, left-sided chest tube, endotracheal tube, nasogastric tube, right internal jugular venous access sheath and pulmonary artery catheter has been removed. there is stable postoperative widening of the cardiomediastinal silhouette. small right pleural effusion is unchanged and small left pleural effusion is slightly increased. there is no pneumothorax. impression: bilateral pleural effusions, increased on the left. status post removal of multiple lines and tubes. no pneumothorax. the study and the report were reviewed by the staff radiologist. dr. r.m. sun dr. approved: mon 11:09 am procedure date: brief hospital course: admitted and underwent cabg x5/maze/stapling of left atrial appendage.transferred to the csru in stable condition on epinephrine, phenylephrine and propofol drips. off all drips on pod #1 after corrected acidemia and 3 units prbcs overnight. extubated that afternoon and coumadin/amiodarone started for post-maze. ep consulted , chest tubes removed,and pt. transferred to the floor to begin increasing his activity level.pacing wires removed without incident on pod #3.amiodarone decreased per ep recs. he continued to make good progress on the floor while waiting for his inr to rise.cleared for discharge to home with vna services on pod #6. he is to have first blood draw on th. and coumadin dosing/inr follow up with dr. as per discharge instructions. medications on admission: asa 81 mg daily plavix 75 ng daily diovan 80 mg daily metoprolol 50 mg zocor 80 mg daily lasix 20 mg daily lithium 150 mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. 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* 3. 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* 4. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. lithium carbonate 150 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 7. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours). disp:*2 mdi* refills:*1* 8. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily) for 1 months. disp:*30 tablet(s)* refills:*0* 10. lasix 20 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 11. warfarin 1 mg tablet sig: three (3) tablet po once a day for 2 days: 3 mg on & , then inr to be drawn, results called to dr. for continued coumadin dosing . disp:*120 tablet(s)* refills:*0* 12. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 13. aerobid 250 mcg/actuation aerosol sig: one (1) puff inhalation twice a day. disp:*1 mdi* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: cad afib mi chf prior coronary stents elev. chol cri prior gi bleed htn icd bipolar disorder s/p orif left leg discharge condition: stable discharge instructions: may shower over incisions and pat dry no lotions, creams or powders on any incision no driving for one month no lifting greater than 10 pounds for 10 weeks call for fever greater than 100, redness or drainage first blod draw.thurs with inr to be called to dr. at ;fax ; daily coumadin dosing per dr. followup instructions: first blood draw thursday, with coumadin dosing per dr. follow up with dr. in weeks follow up with dr. in 4 weeks make an appointment with dr. for 4 weeks. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries excision or destruction of other lesion or tissue of heart, endovascular approach transfusion of packed cells diagnoses: end stage renal disease coronary atherosclerosis of native coronary artery intermediate coronary syndrome congestive heart failure, unspecified atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other specified forms of chronic ischemic heart disease automatic implantable cardiac defibrillator in situ bipolar disorder, unspecified 

Answer: The patient is high likely exposed to