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: shortness of breath major surgical or invasive procedure: coronary artery bypass x 3 (lima-lad, svg-om, svg-plv), mitral valve repair (28mm ring) history of present illness: this 58 year old white male with silent mi on echocardiography and an abnormal stress test presented for cardiac catheterization recently. significant mitral regurgitation and triple vessel coronary disease were found. asked to evaluate for surgical revascularization past medical history: hypertension hyperlipidemia silent mi moderate mitral regurgitation tia glaucoma sleep apnea (does not use cpap) renal insufficiency social history: lives with:alone occupation:service tech tobacco:1ppd x 25 years etoh:denies family history: +cad in parents and younger brother physical exam: pulse:65 resp:18 o2 sat: 99%ra b/p right:181/93 left:180/86 height:5'" weight:185 lbs 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 extremities: warm, well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: palp left: palp dp right: palp left: palp pt : palp left: palp radial right: palp left: palp carotid bruit right:(-) left:(-) pertinent results: pre bypass the left atrium is elongated. no spontaneous echo contrast is seen in the left atrial appendage. a patent foramen ovale is present. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with inferior wall hypokinesis. overall left ventricular systolic function is mildly depressed (lvef= 40-50 %). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened with some tethering at the belly of the anterior leaflet an eccentric, posteriorly directed jet of moderate to severe (3+) mitral regurgitation is seen. there is no pericardial effusion. dr. notified of findings intraoperatively on at 0810 post bypass s/p cabg and mitral valve repair w/ half ring. left ventricular function remains unchanged with inferior hypokinesis and ef 40-50%. trace mitral regurgitation. no evidence of mitral stensis with mean gradient of 3 mmhg. aorta intact. brief hospital course: the patient was admitted to the hospital and brought to the operating room on where the patient underwent coronary artery bypass x 3 and mitral valve repair with a 28mm ring. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. cefazolin was used for surgical antibiotic prophylaxis. pod 1 found the patient extubated and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support by pod 1. the patient was transferred to the telemetry floor for further recovery. he did develop some confusion on pod 2 and narcotics were discontinued. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. hypertension was managed with lopressor and lisinopril. norvasc was added for additional blood pressure control. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. he did develop a leukocytosis, which was followed. blood cultures revealed no growth. by the time of discharge the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged onpod 4 in good condition with appropriate follow up instructions. medications on admission: buproprion 150mg po bid for 3 days, then 1 tab (pt not taking yet, he is still smoking) lisinopril 40mg po daily metoprolol succinate 100mg po daily simvastatin 40mg po daily asa 81mg po daily nicotine patch-not using yet as he is still smoking discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily) for 2 weeks. disp:*14 tablet(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours). 6. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain for 4 weeks. disp:*50 tablet(s)* refills:*0* 7. lisinopril 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 8. metoprolol tartrate 100 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*2* 9. amlodipine 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch transdermal once a day for 4 weeks. disp:*30 patches* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease mitral regurgitation s/p coronary artery bypass s/p mitral valve repair discharge condition: alert and oriented x3, nonfocal ambulating, gait steady sternal pain managed with ultram prn 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 followup instructions: dr. 6, , 1pm () please schedule appointments with: primary care dr. () in weeks cardiologist dr. () in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries annuloplasty diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery mitral valve disorders unspecified essential hypertension hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified pulmonary collapse other and unspecified hyperlipidemia old myocardial infarction personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits drug-induced delirium unspecified sedatives and hypnotics causing adverse effects in therapeutic use chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to