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: myocardial infarction major surgical or invasive procedure: - coronary bypass grafting x4 with left internal mammary artery to left anterior descending artery and reverse saphenous vein grafts to the posterior descending artery, obtuse marginal artery and first diagonal artery. history of present illness: is a 56 year old man who presented to with upper back pain. he is without a significant past medical history but has not seen a physician in twenty years. he ruled in for a inferoposterior/lateral myocardial infarction and a cath revealed three vessel coronary artery disease. he was transferred to for evaluation for cadiac surgery. past medical history: coronary artery disease myocardial infaction social history: lives with:alone occupation:on disability for 21 yrs for depression/anxiety tobacco:2-2.5 packs per day, smokes marijuana frequently etoh:less than weekly family history: mother with congestive failure physical exam: pulse: 70 resp: 16 o2 sat: 97 b/p right:138/93 height: 55 weight:99 kg general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally distant breath sounds heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: left: pertinent results: echo pre cpb: no mass/thrombus is seen in the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly depressed (lvef= 50%) with a thinned and akinetic inferiobasal wall. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear mildly thickened with good leaflet excursion and no aortic regurgitation. trivial mitral regurgitation is seen. post cpb: aortic contours intact the mr is now mild(slightly increased compared to prebypass) there is preserved rv systolic function the lvef is now 35%; there is hypokinesis of the inferior, inferolateral and inferoseptal wall. pre-op labs 03:02pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 05:04pm pt-13.3 ptt-24.3 inr(pt)-1.1 05:04pm plt count-204 05:04pm wbc-14.8* rbc-5.52 hgb-17.0 hct-51.2 mcv-93 mch-30.7 mchc-33.1 rdw-13.5 05:04pm %hba1c-5.9 eag-123 05:04pm albumin-4.7 magnesium-2.0 05:04pm ck-mb-58* mb indx-5.0 ctropnt-1.08* 05:04pm lipase-18 05:04pm alt(sgpt)-71* ast(sgot)-140* ld(ldh)-819* ck(cpk)-1170* alk phos-76 amylase-47 tot bili-0.6 05:04pm glucose-163* urea n-13 creat-1.0 sodium-137 potassium-4.1 chloride-102 total co2-23 anion gap-16 05:04pm blood ck-mb-58* mb indx-5.0 ctropnt-1.08* 12:16am blood ck-mb-37* mb indx-4.8 ctropnt-1.01* 09:25am blood ck-mb-27* mb indx-4.5 ctropnt-1.22* discharge labs: 05:00am blood wbc-10.9 rbc-3.53* hgb-11.3* hct-32.2* mcv-91 mch-32.1* mchc-35.2* rdw-13.6 plt ct-112* 05:00am blood plt ct-112* 05:00am blood glucose-111* urean-17 creat-1.0 na-138 k-4.0 cl-103 hco3-27 angap-12 05:20am blood wbc-11.0 rbc-4.01* hgb-13.0* hct-36.5* mcv-91 mch-32.3* mchc-35.5* rdw-13.9 plt ct-265# 05:20am blood glucose-104* urean-23* creat-1.0 na-140 k-4.0 cl-101 hco3-26 angap-17 brief hospital course: mr. was admitted to the on via transfer from for surgical management of his coronary artery disease. he was worked-up by the cardiac surgical service in the routine preoperative manner. plavix was stopped and allowed to washout. on , he was taken to the operating room where he underwent coronary artery bypass grafting. please see operative note for details, in summary he had: coronary bypass grafting x4 with left internal mammary artery to left anterior descending artery and reverse saphenous vein grafts to the posterior descending artery, obtuse marginal artery and first diagonal artery. his bypass time was 139 minutes, with a crossclamp time of 104 minutes. he tolerated the procedure well and postoperatively he was taken to the intensive care unit for monitoring and recovery. over the next several hours, he awoke neurologically intact and was extubated. beta blockade, aspirin and a statin were resumed. on postoperative day one, he was transferred to the step down unit for further recovery. all tubes lines and drains were removed per cardiac surgery protocol. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength an mobility. the remainder of his post-operative course was uneventful. by post-operative day #4 he was ready for discharge to house rehab. all follow-up appointments were advised.pt. needs a pcp and has been instructed to see this provider in few weeks. medications on admission: none discharge medications: 1. 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* 2. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*2* 5. bupropion hcl 150 mg tablet sustained release sig: one (1) tablet sustained release po bid (2 times a day). disp:*60 tablet sustained release(s)* refills:*2* 6. percocet 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 7. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day) for 5 days: please dispense 5 day supply. disp:*100 ml(s)* refills:*0* 8. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. discharge disposition: extended care facility: house nursing home - discharge diagnosis: coronary artery disease s/p coronary bypass grafting x4 myocardial infarction 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive 5) no lifting more than 10 pounds for 10 weeks 6) please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. wednesday , 1:15pm, 2a cardiologist: dr. on at 12:40pm. please obtain a primary care provider and see him or her 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 diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery tobacco use disorder candidiasis of mouth dysthymic disorder acute myocardial infarction of inferoposterior wall, initial episode of care 

Answer: The patient is high likely exposed to