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 discomfort major surgical or invasive procedure: coronary artery bypass graft x6 (left internal mammary artery -> left anterior descending artery, saphenous vein graft -> diagonal, saphenous vein graft -> obtuse marginal, saphenous vein graft -> ramus, saphenous vein graft -> right coronary artery, saphenous vein graft -> posterior descending artery) history of present illness: this is a 72-year-old patient with recent cardiac symptoms who was investigated and was found to have severe triple-vessel disease on the angiogram with 60% lesion in the left main coronary artery and further diffuse disease in all the 3 arteries. the left ventricular function was well-preserved, and there were no valvular dysfunctions. in view of the findings, he was electively admitted for coronary artery bypass grafting. past medical history: cad s/p cabgx6 hyperlipidemia htn diabetes melanoma (removed from back) bilateral cataract surgery glaucoma social history: married with 3 adult children. he is retired. former postal worker. family history: noncontributory physical exam: hr 63 rr 16 right 200/87 left 192/92 5'" 185 # nad skin/heent unremarkable neck supple, no bruits ctab rrr, no murmur soft, nt, nd warm, well-perfused, no edema or varicosities neuro grossly intact 2+ bil. fem/dp/pt /radials pertinent results: 05:00am blood wbc-6.8 rbc-2.77* hgb-8.8* hct-24.5* mcv-89 mch-31.7 mchc-35.9* rdw-13.5 plt ct-229 09:50am blood hct-24.6* 05:00am blood pt-12.2 ptt-24.5 inr(pt)-1.0 05:00am blood plt ct-229 05:00am blood glucose-170* urean-19 creat-0.8 na-136 k-4.7 cl-100 hco3-28 angap-13 echocardiography report , (complete) done at 11:37:36 am final referring physician information , , status: inpatient dob: age (years): 72 m hgt (in): 70 bp (mm hg): 176/60 wgt (lb): 185 hr (bpm): 56 bsa (m2): 2.02 m2 indication: intraop cabg. evaluate aortic atheroma, mitral valve, left ventricular function icd-9 codes: 440.0, 424.0 test information date/time: at 11:37 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2007aw3-: machine: 3 echocardiographic measurements results measurements normal range left atrium - long axis dimension: *5.7 cm <= 4.0 cm left atrium - four chamber length: *5.7 cm <= 5.2 cm left atrium - peak pulm vein s: 0.5 m/s left atrium - peak pulm vein d: 0.4 m/s left atrium - peak pulm vein a: 0.1 m/s < 0.4 m/s right atrium - four chamber length: *5.2 cm <= 5.0 cm left ventricle - inferolateral thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.2 cm <= 5.6 cm left ventricle - systolic dimension: 1.7 cm left ventricle - fractional shortening: 0.60 >= 0.29 left ventricle - ejection fraction: 55% to 60% >= 55% aorta - annulus: 2.3 cm <= 3.0 cm aorta - sinus level: 3.5 cm <= 3.6 cm aorta - sinotubular ridge: 2.8 cm <= 3.0 cm aorta - ascending: 3.2 cm <= 3.4 cm aorta - arch: 2.7 cm <= 3.0 cm aorta - descending thoracic: 2.3 cm <= 2.5 cm aortic valve - valve area: *2.7 cm2 >= 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 mitral valve - e wave deceleration time: 170 ms 140-250 ms findings left atrium: moderate la enlargement. elongated la. no mass/thrombus in the laa. right atrium/interatrial septum: mildly dilated ra. lipomatous hypertrophy of the interatrial septum. no asd by 2d or color doppler. left ventricle: mild symmetric lvh. normal lv cavity size. normal regional lv systolic function. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. focal calcifications in ascending aorta. normal aortic arch diameter. simple atheroma in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets (3). no as. trace ar. mitral valve: mildly thickened mitral valve leaflets. mild mvp. the mr vena contracta is <0.3cm. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic 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. no tee related complications. the patient was under general anesthesia throughout the procedure. echocardiographic patient. cardiology fellow involved with the patient's care was notified by telephone. results were personally reviewed with the md caring for the patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre bypass: the left atrium is moderately dilated and elongated. no mass/thrombus is seen in the left atrium or left atrial appendage. there is mild symmetric left ventricular hypertrophy. 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. there are simple atheroma in the aortic arch and descending aorta. there are three aortic valve leaflets, which appear mildly thickend, but fully mobile. aortic valve area is calcluated at 2.7 cm2 by the continuity equation. peak gradient 17 mm hg, mean 7 mm hg across the aortic valve. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is mild mitral valve prolapse of the anterior leaflet. mild (1+) mitral regurgitation is seen, even at pressures approaching 180 mm hg systolic and with provocative manuvers. post bypass: pt on phenylepherine infusion, sinus rhythm. preserved biventricular function, lvef >55% with normal wall motion. still trace ai, tr, and pi. mitral regurgitation is now trace to mild. aortic contours are intact. remaing exam is unchanged. all results discussed with surgeons at the time of the exam. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician , : radiology detail - ccc record # final report examination: pa and lateral chest. indication: pleural effusions. pa and lateral views of the chest are obtained on and are compared with the prior radiograph of . allowing for technical differences, there is no major change since the prior examination with likely small bilateral pleural effusions. cardiomediastinal silhouette is unchanged with evidence of prior surgery. the bony structures are unremarkable for the patient's age. impression: no significant change with likely small bilateral pleural effusions. dr. approved: mon 11:29 am ?????? caregroup is. all rights reserved. brief hospital course: admitted and underwent cabg x6 with dr. . transferred to the csru instable condition on propofol and phenylephrine drips. extubated successfully early the next morning. went into rapid afib on pod #2 which converted with amiodarone and lopressor. transferred to the floor on pod #2 to begin increasing his activity level. chest tubes and pacing wires removed without incident. beta blockade titrated and continued to make good progress. cleared for discharge to home with services on pod #5. diabetes teaching including glucometer done with pt. he is to make all follow-up appts. as per discharge instructions. medications on admission: univasc 7.5 mg daily asa 325 mg daily atenolol 25 mg daily lipitor 10 mg daily metformin 500 mg alphagan 0.15% one drop each eye lumigan 0.03% one drop each eye daily discharge medications: 1. aspirin ec 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*0* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 6. senna 8.6 mg tablet sig: 1-2 tablets po twice a day as needed for constipation. disp:*60 tablet(s)* refills:*0* 7. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 10 days. disp:*20 tablet(s)* refills:*0* 8. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 9. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 10. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): take 400mg twice a day for 1 week then decrease to 400mg once a day for 1 week and then decrease to 200mg once a day . disp:*56 tablet(s)* refills:*0* 11. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po twice a day for 10 days. disp:*40 capsule, sustained release(s)* refills:*0* 12. 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* 13. alphagan p 0.15 % drops sig: one (1) gtt ophthalmic twice a day: one gtt each eye . 14. bimatoprost 0.03 % drops sig: one (1) gtt ophthalmic once a day: each eye. 15. lancets & blood glucose strips combo pack sig: one (1) miscellaneous twice a day. disp:*2 packs* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p cabg x6 pmh hypertension hyperlipidemia diabetes melanoma s/p removal of skin lesion on back bilateral cataract surgery glaucoma discharge condition: good discharge instructions: shower, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr in 4 weeks () please call for appointment dr in 1 week () please call for appointment wound check appointment 2 as instructed by nurse () md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation 

Answer: The patient is high likely exposed to