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: exertional angina major surgical or invasive procedure: - coronary artery bypass grafting x4 with the left internal mammary artery to left anterior descending artery, and reverse saphenous vein grafts to the posterior descending artery, second obtuse marginal artery, and diagonal artery. history of present illness: 63 yo male with new onset angina in past few months. nuclear ett revealed fixed inferior and infero-lat. defects. cardiac cath yesterday revealed three vessel coronary artery disease. referred for surgery. past medical history: hypertension hyperlipidemia obesity diabetes mellitus type 2 nephrolithiasis (s/p lithotripsy) remote bil. patellar fxs social history: lives with: wife occupation:contractor/engineer ( spends many months in ) tobacco: never etoh: drinks per week when overseas; rarely here denies recr. drugs family history: mother with pe/cva physical exam: pulse:56 reg b/p right: 142/80 left: 150/82 height: 6'0" weight:273# general:obese skin: dry intact ; multiple soft tissue nodules including left anterior thigh, right wrist, left pre-auricular mass,partially mobile 1.5cm x 1.5 cm heent: perrla eomi anicteric sclera neck: supple full rom no jvd chest: lungs clear bilaterally heart: rrr irregular murmur-none abdomen: soft non-distended non-tender bowel sounds + obese, no hsm extremities: warm , well-perfused edema-none varicosities: none neuro: grossly intact; mae strengths; nonfocal exam pulses: femoral right: 2+ ( angioseal drsg , mild ecchymosis) left:2+ dp right: 1+ left:1+ pt : np left: np radial right: 2+ left: 1+ carotid bruit right: none left:none pertinent results: - echo pre-cpb: 1. the left atrium is normal in size. no thrombus is seen in the left atrial appendage. 2. a left-to-right shunt across the interatrial septum is seen at rest. a small secundum atrial septal defect is present. 3. left ventricular wall thicknesses and cavity size are normal. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with inferior hypokinesis. 4. . right ventricular chamber size and free wall motion are normal. right ventricular chamber size is normal. 5. there are simple atheroma in the aortic root. there are simple atheroma in the ascending aorta. there are simple atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. 7. the mitral valve appears structurally normal with trivial mitral regurgitation. physiologic mitral regurgitation is seen (within normal limits). 8. there is no pericardial effusion. dr. was notified in person of the results. post-cpb: on infusion of phenylephrine. a pacing for slow sinus rhythm. preserved biventricular systolic function. lvef is now 50%.. ai and mr . aortic contour is normal post decannulation. brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. over the next several hours, mr. neurologically intact and was extubated. beta blockade, aspirin and a statin were resumed. on postoperative day one, mr. was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. mr. continued to make steady progress and was discharged home on postoperative day 5. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: lipitor 10 mg daily asa 10 mg daily spironolactone 25 mg daily lisinopril 40 mg daily amlodipine 10 mg daily glyburide 5 mg metformin 1000 mg folic acid 1 mg discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). 3. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 5. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). tablet(s) 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever, pain. 7. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 8. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. spironolactone 25 mg tablet sig: one (1) tablet po once a day. 10. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: area vna discharge diagnosis: coronary artery disease s/p cabg hyperlipidemia hypertension diabetes discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema discharge instructions: 1) 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 2) please no lotions, cream, powder, or ointments to incisions 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart 4) no driving for approximately one month until follow up with surgeon 5) no lifting more than 10 pounds for 10 weeks 6) please call with any questions or concerns followup instructions: you are scheduled for the following appointments surgeon: dr. wednesday 1:30pm please call to schedule appointments with your: primary care dr. in weeks cardiologist dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled pulmonary collapse other and unspecified hyperlipidemia other and unspecified angina pectoris obesity, unspecified 

Answer: The patient is high likely exposed to