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: chest pain, near syncope major surgical or invasive procedure: cardiac catheterization atrial flutter radio frequency ablation placement of left carotid stent three vessel coronary artery bypass grafting(left internal mammary artery to left anterior descending, vein grafts to plv and obtuse marginal) history of present illness: mr. is a 74 year old male who was transferred with nstemi for cardiac catheterization. he had one hour of chest pressure the night prior to admission that resolved spontaneously. on the morning of admission, he developed lightheadedness and near syncope while playing golf. he denied chest pressure and shortness of breath. pt was diaphoretic at home before he went to play golf. he has never felt this type of lightheadedness before. patient reports having palpatations rarely, when lying down in certain positions. he was brought to needhan er where he was found to have new rapid atrial flutter. he ruled in for a nstemi with a troponin of 0.2, cpk 161, mb 22, index 14.2. he was treated with aspirin, plavix, iv heparin, lopressor and digoxin. he was stablized on intravenous therapy and urgently transferred to the for further evaluation and treatment. past medical history: history of pulmonary embolus, hypertension, hyperlipidemia, benign prostatic hypertrophy, diverticulosis, trigeminal neuralgia, psoriasis, shoulder arthritis, atrial flutter social history: - current nonsmoker, quit 30 years ago. smoked 30 years, max 4pks/day - social drinker, 2 wines, 2 beers per weel - active, goes to gym 3x daily family history: - denies family history of premature coronary artery disease or sudden death. - dad died of an mi in 70's physical exam: vs - 97.1, 139/85, 80, 18, 96 on ra gen: middle aged male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 5 cm. cv: irregularly irregular pmi located in 5th intercostal space, midclavicular line. no m/r/g. no thrills, lifts. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no c/c/e. no femoral bruits. skin: dry, psoratic skin b/l le. no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 05:15pm blood wbc-7.5 rbc-4.12* hgb-13.8* hct-41.8 mcv-102* mch-33.4* mchc-32.9 rdw-12.7 plt ct-297 05:15pm blood glucose-123* urean-25* creat-0.9 na-134 k-3.9 cl-104 hco3-23 angap-11 05:15pm blood alt-13 ast-34 alkphos-52 amylase-30 totbili-1.2 05:15pm blood albumin-3.5 05:15pm blood %hba1c-5.0 09:30am blood ck-mb-notdone ctropnt-0.19* 09:30am blood triglyc-101 hdl-66 chol/hd-2.8 ldlcalc-97 cardiac catheterization: 1. coronary angiography in this right dominant system demonstrates three vessel coronary artery disease. the lmca had a distal 40% stenosis. the lad was moderately calcified with a mid complex ulcerated 70% stenosis at d1 after s1, a mid 70% stenosis after d2, and a likely long intramyocardial mid lad after d2. the d2 had a 90% stenosis. there was a diffusely diseased av groove cx to 45% with a mid 80% stenosis prior to large diffusely diseased lpl. the ramus was diffusely diseased to 40%. the rca was mildly calcified with a proximal 60% stenosis and diffuse disease distally to 80%. there was a large rpl with 50% stenosis in av groove rca just after a modest-sized rpda. 2. resting hemodynamics revealed normal systemic arterial systolic blood pressure of 134 mmhg but arterial diastolic hypertension with dbp of 103 mmhg. 3. lv gram: ef 65% with no wall motion abnormality. cartoid ultrasound: there is a 1-39% right ica stenosis and an 80-99% left ica stenosis with antegrade flow in both vertebral arteries. cardiac ultrasound: the left atrium is moderately dilated. the right atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. 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. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. head ct scan: there is no intra- or extra-axial hemorrhage, shift of normally midline structures, mass effect or hydrocephalus. no vascular territorial infarct is identified. the -white matter differentiation is preserved. the ventricles and sulci are normal in caliber and configuration. the visualized paranasal sinuses and mastoid air cells are well aerated. groin ultrasound: two small common femoral artery pseudoaneurysms in the left groin, each approximately 2 cm. report echo study date of patient/test information: indication: intraop cabg evaluate lv function, valves, aortic atheroma height: (in) 72 weight (lb): 186 bsa (m2): 2.07 m2 bp (mm hg): 121/70 hr (bpm): 58 status: inpatient date/time: at 15:44 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw1-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. measurements: left atrium - long axis dimension: *7.0 cm (nl <= 4.0 cm) left atrium - four chamber length: 5.2 cm (nl <= 5.2 cm) right atrium - four chamber length: *6.6 cm (nl <= 5.0 cm) left ventricle - inferolateral thickness: *1.6 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 5.0 cm (nl <= 5.6 cm) left ventricle - systolic dimension: 3.2 cm left ventricle - fractional shortening: 0.36 (nl >= 0.29) left ventricle - ejection fraction: 55% to 65% (nl >=55%) left ventricle - peak resting lvot gradient: 3 mm hg (nl <= 10 mm hg) aorta - valve level: 2.5 cm (nl <= 3.6 cm) aorta - ascending: *3.6 cm (nl <= 3.4 cm) aorta - arch: 2.8 cm (nl <= 3.0 cm) aorta - descending thoracic: *3.0 cm (nl <= 2.5 cm) aortic valve - peak velocity: 1.2 m/sec (nl <= 2.0 m/sec) aortic valve - peak gradient: 6 mm hg aortic valve - mean gradient: 5 mm hg aortic valve - lvot peak vel: 0.86 m/sec aortic valve - valve area: *2.9 cm2 (nl >= 3.0 cm2) mitral valve - peak velocity: 0.6 m/sec mitral valve - mean gradient: 1 mm hg mitral valve - e wave: 0.6 m/sec mitral valve - a wave: 0.6 m/sec mitral valve - e/a ratio: 1.00 interpretation: findings: left atrium: marked la enlargement. mild spontaneous echo contrast in the body of the la. no thrombus in the laa. right atrium/interatrial septum: moderately dilated ra. left ventricle: moderate symmetric lvh. normal lv cavity size. normal regional lv systolic function. overall normal lvef (>55%). lv wall motion: basal anterior - normal; mid anterior - normal; basal anteroseptal - normal; mid anteroseptal - normal; basal inferoseptal - normal; mid inferoseptal - normal; basal inferior - normal; mid inferior - normal; basal inferolateral - normal; mid inferolateral - normal; basal anterolateral - normal; mid anterolateral - normal; anterior apex - normal; septal apex - normal; inferior apex - normal; lateral apex - normal; apex - normal; right ventricle: normal rv chamber size and free wall motion. aorta: mildly dilated aortic sinus. normal ascending aorta diameter. focal calcifications in ascending aorta. normal aortic arch diameter. simple atheroma in aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. no as. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. no pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the posterior pharynx was anesthetized with 2% viscous lidocaine. the patient was under general anesthesia throughout the procedure. conclusions: pre bypass: the left atrium is markedly dilated. mild spontaneous echo contrast is seen in the body of the left atrium. no thrombus is seen in the left atrial appendage. the right atrium is moderately dilated. there is moderate symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. there are simple 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 regurgitation. there is no aortic valve stenosis. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. post bypass: patient is a paced, on phenylepherine infusion. preserved biventricular function, lvef > 55%. no change in wall motion or valve function. aortic contours intact. remaining exam is unchanged. all findings discussed with surgeons at the time of the exam. electronically signed by , md on 21:36. physician: () brief hospital course: mr. remained stable on intravenous therapy and underwent cardiac catheterization which revealed severe three vessel coronary artery disease(see result section). cardiac surgery was consulted and further preoperative evaluation was performed. given his atrial flutter, the ep service was consulted and a flutter ablation was performed on . further pre-op eval. revealed a severe left carotid stenosis and this was stented by dr. on . plavix was started also. two small pseudoaneurysms of the left femoral art. were detected by us study pre-op. he underwent cabg x3 with dr. on . transferred to the csru in stable condition on phenylephrine and propofol drips. extubated the next morning. amiodarone started for afib postop. chest tubes and pacing wires removed without incident.transferred to the floor on pod #3 to begin increasing his activity level. ophthalm. service consulted for visual changes on pod #3 and repeat carotid us done demonstrating a patent stent. coumadin started on pod #4. made good progress and cleared for discharge to home with services on pod #7. coumadin follow up with drs. /. first blood draw tomorrow . pt. to make all appts. as per discharge instructions. medications on admission: home medications: indomethacin 50mg qam indomethacin 25mg qpm cardura 2mg daily hctz 12.5 mwf . transferred on: aspirin 325mg daily s/p metoprolol 5mg ivp s/p digoxin .5mg iv s/p plavix 600mg discharge medications: 1. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 2 days: 400 mg until , then 400 mg daily until , then 200 mg daily ongoing per cardiologist. disp:*50 tablet(s)* refills:*1* 2. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) as needed for carotid stent . disp:*30 tablet(s)* refills:*1* 3. 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* 4. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*0* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 6. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 7. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 8. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. 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* 10. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime). disp:*60 tablet(s)* refills:*0* 11. doxazosin 1 mg tablet sig: two (2) tablet po hs (at bedtime). disp:*60 tablet(s)* refills:*1* 12. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 10 days. disp:*20 tablet(s)* refills:*0* 13. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 10 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* 14. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*1* 15. warfarin 2.5 mg tablet sig: two (2) tablet po today only for 1 days: then all further daily dosing by drs. /. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease - s/p cabg non st elevation myocardial infarction carotid disease - s/p left carotid stenting atrial fibrillation/atrial flutter - s/p rf ablation common femoral pseudoaneurysm renal insufficiency(contrast induced nephropathy) discharge condition: stable discharge instructions: 1)continue plavix as directed by dr. for carotid stent. 2)drs. / will manage warfarin as outpatient. please take warfarin as directed by md. 3)no driving for at least one month. 4)avoid baths. please shower daily. 5)no creams, lotions, or ointments to surgical incisions. 6)please call cardiac surgeon if start to experience fevers, incisional redness or drainage, worsening shortness of breath or excessive weight gain. 7)no lifting more than 10 lbs for at least 10 weeks from surgical date. followup instructions: first blood draw tues with results to be faxed to drs. / at dr. in weeks, call for appt. dr. in 6 weeks, call for appt. dr. in weeks, call for appt dr. in weeks, call for appt 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 angiocardiography of left heart structures left heart cardiac catheterization diagnostic ultrasound of heart excision or destruction of other lesion or tissue of heart, endovascular approach arteriography of cerebral arteries percutaneous angioplasty of extracranial vessel(s) percutaneous insertion of carotid artery stent(s) cranial or peripheral nerve graft insertion of one vascular stent procedure on single vessel diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery acute kidney failure, unspecified cardiac complications, not elsewhere classified atrial fibrillation atrial flutter occlusion and stenosis of carotid artery without mention of cerebral infarction peripheral vascular complications, not elsewhere classified aneurysm of artery of lower extremity 

Answer: The patient is high likely exposed to