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 angina major surgical or invasive procedure: coronary artery bypass x 3 (lima-lad, svg-om, svg-pda) history of present illness: mr. 84 year old male with known coronary artery disease since . cath in showed multivessel disease, not amenable to pci and he was medically managed. over the last several months he has noticed worsening exertional chest pain and dyspnea on exertion. he was admitted to outside hospital in with congestive heart failure. he denies symptoms at rest, and currently denies orthopnea, pnd, pedal edema, palpitations, syncope and pre-syncope. given the progression of his exertional symptoms, he was referred to dr. for surgical revascularization. past medical history: coronary artery disease, ischemic cardiomyopathy atrial fibrillation hypertension abdominal aortic aneurysm s/p endovascular stent hypercholesterolemia history of atrioventricular block osteoarthritis history of asbestos exposure past surgical history s/p endovascular repair of aaa s/p repair of endoleak of aaa s/p left inguinal hernia repair s/p right total knee replacement s/p left ankle fusion past cardiac procedures: s/p pacemaker #aexch282840 social history: lives with: wife cigarettes: non-smoker etoh: rare illicit drug use: denies family history: non-contributory physical exam: bp 106/74 hr 70 rr 16 sat 98% ht 70 inches wt 190lbs general: elderly male in wheelchair in no acute distress skin: dry intact - multiple bruises noted heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade soft systolic murmur noted at llsb abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: trace edema varicosities: gsv appeared suitable. no obvious varicosities on standing but parts of the gsv appeared mildy dilated in both lower extremities 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: 06:00am blood wbc-7.5 rbc-4.00* hgb-11.3* hct-34.8* mcv-87 mch-28.2 mchc-32.4 rdw-15.9* plt ct-112* 02:14am blood wbc-8.8 rbc-4.04* hgb-11.3* hct-34.2* mcv-85 mch-28.0 mchc-33.1 rdw-16.0* plt ct-101*# 06:00am blood pt-15.1* inr(pt)-1.4* 02:14am blood pt-18.3* ptt-39.1* inr(pt)-1.7* 02:11am blood pt-20.3* ptt-42.3* inr(pt)-1.9* 04:37am blood pt-17.1* ptt-41.4* inr(pt)-1.6* 04:18pm blood pt-15.7* ptt-37.1* inr(pt)-1.5* 01:11pm blood pt-17.9* ptt-48.3* inr(pt)-1.7* 11:24am blood pt-20.0* ptt-47.9* inr(pt)-1.9* 04:10am blood pt-15.0* ptt-76.6* inr(pt)-1.4* 11:30am blood pt-17.2* ptt-150* inr(pt)-1.6* 06:00am blood glucose-111* urean-36* creat-1.2 na-136 k-4.1 cl-99 hco3-26 angap-15 02:14am blood glucose-128* urean-24* creat-1.2 na-130* k-3.6 cl-96 hco3-26 angap-12 brief hospital course: the patient was brought to the operating room on where the patient underwent cabg x 3 with dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. he required multiple blood products in the immediate post-op period. he had vtac in the or and was placed on amiodarone. permanent pacemaker was interrogated. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. he continued to have runs of vtac and was placed on po amio. coumadin was also resumed for chronic afib. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to livecare of the in good condition with appropriate follow up instructions. medications on admission: preadmission medications listed are correct and complete. information was obtained from patient. 1. metoprolol tartrate 25 mg po daily 2. aspirin 81 mg po daily 3. pravastatin 40 mg po daily 4. furosemide 20 mg po daily 5. ferrous sulfate 325 mg po daily 6. glucosamine 1500 complex *nf* (glucosamine-chondroit-vit c-mn) unknown oral daily 7. warfarin dose is unknown po daily16 discharge medications: 1. aspirin 81 mg po daily 2. metoprolol tartrate 25 mg po bid hold for hr < 55 or sbp < 90 and call medical provider. 3. pravastatin 40 mg po daily 4. warfarin md to order daily dose po daily md to dose for goal inr , dx: afib 5. acetaminophen 650 mg po q4h:prn pain/fever 6. oxycodone-acetaminophen (5mg-325mg) tab po q4h:prn pain 7. pantoprazole 40 mg po q24h 8. furosemide 40 mg po daily duration: 10 days 40mg daily x 10 days, then resume 20mg daily (home dose) 9. potassium chloride 20 meq po daily duration: 10 days hold for k > 4.5 10. ferrous sulfate 325 mg po daily 11. glucosamine 1500 complex *nf* (glucosamine-chondroit-vit c-mn) 1500 units oral daily discharge disposition: extended care facility: life care center of the - discharge diagnosis: coronary artery disease, ischemic cardiomyopathy atrial fibrillation hypertension abdominal aortic aneurysm s/p endovascular stent hypercholesterolemia history of atrioventricular block osteoarthritis history of asbestos exposure past surgical history s/p endovascular repair of aaa s/p repair of endoleak of aaa s/p left inguinal hernia repair s/p right total knee replacement s/p left ankle fusion past cardiac procedures: s/p pacemaker #aexch282840 discharge condition: alert and oriented x3 nonfocal ambulating, deconditioned sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage 2+ le edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: the cardiac surgery office will call you with the following appointments: surgeon dr. cardiologist dr. please call to schedule the following: primary care dr. ,tharwat a in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr coumadin for afib goal inr first draw then please do inr checks monday, wednesday, and friday for 2 weeks then decrease as directed by dr. **arrange for coumadin follow-up prior to discharge from rehab** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries artificial pacemaker rate check diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation peripheral vascular disease, unspecified mitral valve insufficiency and aortic valve insufficiency paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease 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 long-term (current) use of anticoagulants cardiac pacemaker in situ diseases of tricuspid valve chronic diastolic heart failure 

Answer: The patient is high likely exposed to