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: recurrent angina major surgical or invasive procedure: left heart catheterization, coronary angiography coronary artery bypass grafts x 1 (svg-drca) history of present illness: mr. is a 56 year old male with known coronary disease, suffering a non st myocardial infarction in . angioplasty with a bare metal stent was accomplished then. he has anomolous origin of the right coronary from the left cusp and recently developed recurrent pain. a stress test was positive for pain without perfusion defects. he was admitted for catheterization which revealed in stent stenosis which was not ammenable to percutaneous intervention. past medical history: coronary artery disease/myocardial infarction s/p rca stent degenerative joint disease noninsulin dependent diabetes mellitus anxiety disorder hyperlipidemia hypertension s/p bilateral total knee replacements s/p appendectomy in his teens social history: tobacco history: none etoh: none illicit drugs: none lives by himself, unemployed secondary to disability family history: there is no family history of premature coronary artery disease. physical exam: admission: vs: t 98.3 105/60 85 19 97% ra fs 102 . general: well appearing man in no distress. 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 not elevated 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+ pertinent results: cath: 1. selective coronary angiography of this right-dominant ystem revealed single vessel coronary artery disease. the lmca had no ignificant stenoses. the lad had a 30% ostial stenosis. the lcx had a 30%ostial stenosis. the rca arose from the left coronary cusp and had 60-70%instent restenosis; the vessel was best cannulated with an al3 catheter. 2. limited resting hemodynamics demonstrated elevated left ventricular filling pressures with an lvedp of 28 mmhg. no gradient was seen across the aortic valve. echo: the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal for the patient's body size. overall left ventricular systolic function is low normal (lvef 50-55%). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). transmitral doppler velocity is consistent with impaired ventricular relaxation. the right ventricular cavity is mildly dilated with borderline normal free wall function. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the prosthetic mitral valve leaflets are thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. pulmonary artery catheter is seen in pa. post cpb: good biventricular function. no changes in valve function. aortic contours intact. remaining exam unchanged. all findings discussed with surgeons at the time of the exam. 11:25pm blood wbc-6.2 rbc-3.92* hgb-11.4* hct-35.0* mcv-89 mch-29.2 mchc-32.7 rdw-13.8 plt ct-306 05:15am blood wbc-5.4 rbc-3.23* hgb-9.6* hct-29.2* mcv-90 mch-29.8 mchc-33.0 rdw-13.7 plt ct-288 05:45am blood pt-12.3 ptt-29.4 inr(pt)-1.0 11:40am blood pt-13.9* ptt-32.5 inr(pt)-1.2* 11:25pm blood glucose-96 urean-24* creat-1.0 na-140 k-4.7 cl-105 hco3-26 angap-14 05:15am blood glucose-121* urean-16 creat-0.7 na-137 k-4.5 cl-103 hco3-26 angap-13 04:45am blood alt-17 ast-18 ld(ldh)-171 alkphos-75 totbili-0.3 05:15am blood calcium-9.1 phos-3.7 mg-2.0 05:45am blood %hba1c-6.5* brief hospital course: following cardiac catheterization he was admitted receiving medical management and remained chest pain free. catheterization revealed in-stent disease and intervention in the lab was not feasible due to anatomy. he was referred for surgical intervention. he underwent usual pre-operative work-up and on he was taken to the operating room where a single vein graft was placed to the right coronary artery. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. later on op day he was weaned from sedation, awoke neurologically intact and extubated. his chest tubes and epicardial pacing wires were removed according to protocols. he was transferred to the floor on post-op day one. beta blockers and diuretics were initiated and he was titrated towards pre-op weight. physical therapy worked with the patient for mobility and strengthening. on post-op day two he had several bouts of atrial fibrillation which was converted back to sinus rhythm with amiodarone and lopressor. the rest of his post-op course was uneventful and he was discharged to rehab for additional pt with the appropriate medications and follow-up appointments. medications on admission: byetta 5mcg , actos 45mg, morphine sr 100 , ir 15mg prn, aspirin 81mg qd, lipitor 80mg, metoprolol 25mg , lisinopril 40mg, colace, ibuprofen 800mg prn, metformin 850 mg daily discharge medications: 1. byetta 5 mcg/0.02 ml pen injector sig: one (1) subcutaneous twice a day. 2. actos 45 mg tablet sig: one (1) tablet po once a day. 3. morphine 100 mg tablet sustained release sig: one (1) tablet sustained release po q12h (every 12 hours). 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 6. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). 7. docusate sodium 100 mg capsule sig: two (2) capsule po bid (2 times a day). 8. ibuprofen 800 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. 9. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 10. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 11. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. 12. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg x 5 days. then, 200mg x 7 days. then 200mg qd until stopped by cardiologist. 13. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. 14. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 5 days. 15. metformin 850 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: tba discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 1 degenerative joint disease noninsulin dependent diabetes mellitus anxiety disorder hyperlipidemia hypertension s/p bilateral total knee replacements s/p appendectomy in his teens discharge condition: good discharge instructions: shower daily, no baths or swimming no lotions, creams or powders to incisions no driving for 4 weeks and off all narcotics no lifting more than 10 pounds for 10 weeks report any redness of, or drainage from incisions report any fever greater than 100.5 report any weight gain greater than 2 pounds a day or 5 pounds a week take all medications as directed followup instructions: dr. in 4 weeks () 6 wound clinic in 2 weeks dr. in weeks () dr. in 2 weeks please call for appointments procedure: venous catheterization, not elsewhere classified extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization (aorto)coronary bypass of one coronary artery 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 atrial fibrillation percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia other and unspecified angina pectoris old myocardial infarction cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other complications due to other cardiac device, implant, and graft coronary artery anomaly 

Answer: The patient is high likely exposed to