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: no known allergies / adverse drug reactions attending: chief complaint: exertional dyspnea major surgical or invasive procedure: urgent two vessel coronary artery bypass grafting utilizing saphenous vein grafts to left anterior descending and obtuse marginal arteries. history of present illness: this is a 63 year old white male with exertional mid scapular discomfort and mild shortness of breath with mountain climbing, mowing in hot weather since summer. denies diaphoresis, rest symptoms or chest/jaw pain. he underwent a stress echo today, with 6mm downward sloping st depression across anterolateral precordial leads. had anterior chest pain during this. subsequent cardiac catheterization at revealed a critical 90% left main lestion. since catheterization, he has denied chest pain or symptoms. he was urgently transferred to the for surgical revascularization. past medical history: hypertension environmental asthma social history: 15 pack year history of tobacco, quit 15 years ago. no history of excessive etoh and/or abuse. married, lives with his wife. is a ski instructor, and writer. family history: adopted, family history unknown physical exam: pulse: 74 resp:14 o2 sat:98% ra bp right:130/70 left:130/74 height: 66" weight: 79.5kg general: wdwn male in no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: none varicosities: none neuro: grossly intact pulses: femoral right:2 left:2 dp right:1 left:1 pt :1 left:1 radial right:2 left:2 carotid bruit right:none left: none pertinent results: intraop tee report: the patient developed cardiogenic shock from myocardial ischemia several minutes after the inductuion of general anesthesia. due to this, no pre-bypass echocardiographic imaging could be performed. this study is composed of post bypass imaging obtained with the patient receiving epinephrine and norepinephrine by infusion and in sinus rhythm. post bypass no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. the left ventricular cavity size is normal. there is moderate regional left ventricular systolic dysfunction with moderate mid to distal septal and anteroseptal as well as apical hypokinesis. overall left ventricular systolic function is mildly depressed (lvef= 40-45 %). the right ventricular cavity appears somewhat dilated with normal free wall contractility. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). there is no pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. . wbc-7.0 rbc-4.40* hgb-9.6* hct-29.5* rdw-18.7* plt ct-163 wbc-10.5 rbc-4.88 hgb-11.0* hct-33.0* rdw-19.2* plt ct-161 wbc-10.3 rbc-4.67 hgb-10.2* hct-30.9* rdw-18.8* plt ct-119* wbc-10.5 rbc-4.57* hgb-10.2* hct-30.9* rdw-19.3* plt ct-126* wbc-14.1* rbc-4.23* hgb-9.1* hct-28.1* rdw-18.1* plt ct-138* wbc-8.0 rbc-6.26* hgb-12.8* hct-40.0 rdw-16.2* plt ct-212 glucose-83 urean-27* creat-1.1 na-140 k-3.9 cl-98 hco3-33* glucose-124* urean-26* creat-1.1 na-136 k-4.0 cl-97 hco3-32 glucose-109* urean-17 creat-1.0 na-136 k-3.9 cl-101 hco3-28 glucose-124* urean-21* creat-1.4* na-143 k-4.0 cl-109* hco3-23 glucose-105* urean-13 creat-1.0 na-138 k-4.1 cl-103 hco3-24 calcium-8.5 phos-3.3 mg-2.1 albumin-4.7 calcium-9.7 phos-3.8 mg-1.9 brief hospital course: mr. was admitted to the cardiac surgical service. given his critical left main lesion, he remained in the cvicu and was started on intravenous heparin. he remained pain free and stable intravenous therapy. preoperative evaluation was unremarkable and he was cleared for surgery. the following day, dr. performed two vessel coronary artery bypass grafting surgery. operative course was notable for cardiogenic shock from myocardial ischemia several minutes after the inductuion of general anesthesia. this required resuscitative efforts and emergent surgical intervention. for further operative details, please see operative note. following surgery, he was admitted back to the cvicu for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. he maintained stable hemodynamics and weaned from inotropic support without difficulty. on postoperative day two, he transferred to the sdu for further care and recovery. beta blockade was resumed and advanced as tolerated. he remained in a normal sinus rhythm. over several days, he continued to make clinical improvement with diuresis and was eventually cleared for discharge to home on postoperative day four. prior to discharge, all appropriate followup appointements were arranged. medications on admission: lisinopril 5mg daily, aspirin 81mg daily, toprol 25mg daily discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 6-8 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*90 tablet, chewable(s)* refills:*2* 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. lasix 20 mg tablet sig: one (1) tablet po twice a day for 7 days: please take with kcl. disp:*14 tablet(s)* refills:*0* 8. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day for 7 days: please take with lasix. disp:*7 tablet, er particles/crystals(s)* refills:*0* discharge disposition: home with service facility: regional vna discharge diagnosis: coronary artery disease, s/p cabg hypertension cardiac arrest(perioperative) 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. 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 are scheduled for the following appointments surgeon: dr. on at 1:00pm, cardiologist: dr. , appt pending at discharge - please call office to confirm appt date wound check: at 10:15am at , . please call to schedule appointments with your primary care dr. in weeks, . **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries cardiopulmonary resuscitation, not otherwise specified open chest cardiac massage diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension cardiac complications, not elsewhere classified other and unspecified angina pectoris cardiac arrest surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cardiogenic shock extrinsic asthma, unspecified 

Answer: The patient is high likely exposed to