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: syncope major surgical or invasive procedure: cardiac catheterization cabg x 3 (lima to lad, svg to diag, svg to om) history of present illness: 66 year-old male who came to complaining of an episode of loss of consciousness while sitting on the toilet. pt had some stomach cramping, got up to go to the bathroom, had some back tightness and while sitting on the toilet became very diaphoretic and subsequently had an episode of loss of consicusness. he does have a h/o vagovasal episodes in the past. of note, he does complain of a few months of intermittent substernal and left-sided chest and back tightness with exertion. no associated sob. at the osh 1st set of trop was negative, while second trop i postive at 0.35, 7.046, 24.696 and ck of 126, . patient was loaded with 300mg of plavix in ed and was given aspirin and plavix prior to transfer. pt was transferred directly to the catherization lab were severe two vessel disease was noted with a long mid-lad occulsion and a mid-lcx occulsion. decision was made not to intervene with stenting, but to have pt evaluated by c- for possible cabg. on arrival to the floor, patient is chest pain free without complaint. past medical history: 1. cardiac risk factors: -diabetes, +dyslipidemia, -hypertension 2. cardiac history: -cabg: none -percutaneous coronary interventions: none -pacing/icd: none 3. other past medical history: - erectile dysfunction - rhinitis social history: -tobacco history: never smoker -etoh: occasional -illicit drugs: none family history: father died of colon cancer at 57. no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: physical exam on admission: 75.3 kg 67" vs: bp= 148/79 hr= 68 rr=20 o2 sat=97% on ra general: 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, no elevation of jvd. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: 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+ physical exam on discharge: pertinent results: labs on admission: 03:20pm blood wbc-11.8* rbc-4.43* hgb-14.6 hct-41.5 mcv-94 mch-32.9* mchc-35.1* rdw-12.7 plt ct-175 03:20pm blood pt-13.6* inr(pt)-1.2* 03:20pm blood glucose-139* urean-12 creat-0.9 na-137 k-3.6 cl-101 hco3-29 angap-11 03:20pm blood alt-42* ast-160* alkphos-65 amylase-59 totbili-2.1* 04:29am blood calcium-8.8 phos-2.4* mg-1.9 cholest-161 03:20pm blood %hba1c-5.9 eag-123 04:29am blood triglyc-58 hdl-63 chol/hd-2.6 ldlcalc-86 conclusions pre-bypass: 1. left atrium: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. 2. left ventricle: there is mild 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%). 3. right ventricle: right ventricular chamber size and free wall motion are normal. 4. aorta: there are simple atheroma in the aortic arch. 5. aortic valve: the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. trace aortic regurgitation is seen. 6. mitral valve: the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results at time of surgery. post-bypass: on infusion of phenylephrine briefly. a-paced for slow sinus rhythm. preserved biventricular systolic function after cpb. lvef is now 65%. mr remains +. the aortic contour is normal post decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 11:35 06:20am blood wbc-11.5* rbc-3.42* hgb-11.3* hct-31.4* mcv-92 mch-33.0* mchc-35.9* rdw-12.8 plt ct-167 06:20am blood glucose-118* urean-18 creat-1.0 na-136 k-4.4 cl-98 hco3-28 angap-14 brief hospital course: 66 year old male who came to osh after syncopal episode at home and a few weeks of exertional chest pain and ruled in for an nstemi, transferred for cardiac catherization which showed severe two vessel cad not ammenable to pci. workup at osh revealed markedly elevated troponins and he was found to have severe two vessel cad (mid lad and mid lcx) that was not amenable to stenting. csurg agreed with plan for cabg, and this was postponed until because of his plavix load at the osh. given the tightness of his coronary lesions, he was placed on a heparin gtt until cabg on tuesday when surgery was performed.he underwent coronary artery bypass grafting x3(left internal mammary artery->left anterior descending artery/saphenous vein to diag and obtuse marginal).please see operative report for further details. he tolerated the procedure well and was transferred to the cvicu in stable condition, intubated and sedated on titrated phenylephrine and propofol drips. he awoke neurologically intact and extubated later that day. chest tubes and pacing wires removed per protocol. beta blockade/statin/ aspirin and diuresis were titrated. pod#1 he was transferred to the step down unit to begin increasing his activity level. physical therapy was consulted for evaluation of strength and mobility. the remainder of his postoperative course was essentially uneventful and on pod#4 he was cleared for discharge to home. all follow up appointments were advised. medications on admission: - fluticasone 50 mcg nasal spray 1-2 puffs daily - hydrocortisone cream 2.5% topical prn 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. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 4. simvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 5. fluticasone 50 mcg/actuation spray, suspension sig: two (2) spray nasal (2 times a day). disp:*5 bottles* refills:*0* 6. 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:*1* 7. metoprolol tartrate 25 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 8. lasix 40 mg tablet sig: one (1) tablet po once a day for 14 days. disp:*14 tablet(s)* refills:*0* 9. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 14 days. disp:*28 tablet extended release(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p cabg x3 hyperlipidemia, erectile dysfunction, rhinitis, nstemi discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics 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 have been scheduled for the following appointments: your surgeon dr. on wed. @ 1:30 pm in the medical office building wound check on @ 10:15 am in the medical office building your new cardiologist dr. in weeks on @ 10:30 am please call and schedule an appointment to see your primary care doctor: dr. in 4 weeks . 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: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to