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: percocet attending: chief complaint: chest pain major surgical or invasive procedure: cath- cabg- history of present illness: patient is a 59yo male with multiple cardiac risk factors presenting with chest pain during cath procedure today. balloon pump placed and pain resolved. currently is asymptomatic and stable. . he reports recent worsening of this "chest sensation" in the last month. said in the last week, he has used his nitro 4-5x/day. up until one month ago, he "never" used his nitro. reports some additional anxiety since he got the stress test results back and thinks that is contributing to his increased use of nitro. denies having any chest pressure, just this sensation which is described as follows: starts with a tightened sensation in his throat that progresses down to his heart. does not occur at rest. denies any radiation of pain, jaw claudication, syncope, shortness of breath, diaphoresis, or palpitations. says this is the same sensation he had while in the cath lab today and when he got to the ccu. at this time, he is not having any chest pain. . admitted to ccu with plans to undergo cabg on . . on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. hhe denies recent fevers, chills or rigors. he reports denies exertional buttock and calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for absence of chest pain at present, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. . past medical history: past medical history: 1. cardiac risk factors: (-)diabetes, (+) dyslipidemia, (+) hypertension 2. cardiac history: -cabg: planned for -percutaneous coronary interventions: none -pacing/icd: none -positive stress test 3. other past medical history: peripheral vascular disease- b/l lower extremities social history: he is currently laid off, but he used to work inmodification of vehicles for people with disabilities. functional activity, he continues to go to the gym doing mostly weight training because his claudication prevents him from doing walking, running, or other aerobics. intentionally lost 30 pounds and 3 inches of his waist line over the past three years. he follows a low-fat diet. family history: his mother died at age 85. his father is 88 with heart disease and lung cancer. father had a cabg in his 70s physical exam: general: wdwn man in nad. oriented x3. 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 no jvp. cardiac: rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. difficult to auscultate given balloon pump 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: slightly cool to palpation. right cooler than left pulses dopplerable. no signs of erythema, ulcers. no edema. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ popliteal 2+ dp/pt doppler : carotid 2+ popliteal 2+ dp/pt doppler pertinent results: 02:15pm blood %hba1c-5.3 02:15pm blood triglyc-162* hdl-69 chol/hd-3.1 ldlcalc-111 cardiac cath: lad: ostial 95%. heavy calcium mid vessel 95%, distal 50%, d1 and d2 with origin 50%. lcx: mid vessel 50%. om2 has total occlusion with collaterals from lad filling the distal vessel. lplv has proximal 20% stenosis. rca: total occlusion with collaterals from lca. echocardiography report , (complete) done at 9:09:21 am final referring physician information , c. , status: inpatient dob: age (years): 59 m hgt (in): 66 bp (mm hg): / wgt (lb): 190 hr (bpm): bsa (m2): 1.96 m2 indication: intraoperative tee for cabg icd-9 codes: 440.0, 410.92 test information date/time: at 09:09 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 #: 2009aw1-: machine: aw1 echocardiographic measurements results measurements normal range left ventricle - inferolateral thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *6.0 cm <= 5.6 cm left ventricle - ejection fraction: 30% to 35% >= 55% aorta - ascending: 3.3 cm <= 3.4 cm aorta - descending thoracic: 1.9 cm <= 2.5 cm findings left atrium: no spontaneous echo contrast or thrombus in the body of the laa. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness. moderately dilated lv cavity. moderate regional lv systolic dysfunction. moderately depressed lvef. right ventricle: borderline normal rv systolic function. aorta: focal calcifications in aortic root. normal ascending aorta diameter. simple atheroma in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. trivial mr. tricuspid valve: tricuspid valve not well visualized. mild tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. no 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. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions pre bypass no spontaneous echo contrast or thrombus is seen in the body of 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 is moderately dilated. there is moderate regional left ventricular systolic dysfunction with mid-distal anterior, anteroseptal and apical severe hypokinesis/akinesis. no apical thrombus is seen. overall left ventricular systolic function is moderately depressed (lvef= 30-35%%). the right ventricle displays borderline normal free wall function. 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. trivial mitral regurgitation is seen. there is no pericardial effusion. an intra-aortic balloon (iab) is seen with its tip at the level of the distal aortic arch/proximal descending aortic transition area. dr. was notified in person of the results in the operating room at the time of the study. post bypass the patient is receiving epinephrine by infusion. there is normal right ventricular systolic function. the focal abnormalities of the apical, anterior, and anteropseptal walls noted in the pre-bypass study are improved and now display mild hypokinesis. the left ventricular systolic function is now in the 40 to 45% range. valvular function is unchanged. the thoracic aorta appears intact. the iab remains as noted in the pre-bypass study. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 13:39 brief hospital course: angina- patient experienced angina while undergoing cath procedure on . cath showed 3vd. intra-aortic balloon placed to improved coronary flow. upon admission to floor, nitro gtt was restarted. heparin iv as well as iabp heparin protocol started. he had residual pain that resolved upon resuming nitro gtt. ekg initially showed isolated ste in v2 with t-wave inversion in avl and v3. enzymes trended. denied any chest pain overnight. was seen and evaluated by ct . mr. was taken to the or for cabg x4 (lima-lad, svg-diag, svg-om, svg-pda)on . iabp was removed post-opeeratively. immediately after surgery mr. was admitted to the cvicu intubated, sedated and on epi and levo. mr. was extubated on pod#1 and epi and levo were weaned off. chest tubes were removed and mr. was transferred to the floor on pod#2. he was started on diuresis, betablockade and stain therapy. pacing wires were removed on pod#3. he was evaluated by physical therapy and cleared for d/c home on pod#4. medications on admission: simvastatin 40', candesartan 32', doxycycline 20', imdur 30', chlorthalidone 25', fluoxetine 40', dicyclomine 10', ntg-sl .4/prn, , 81', paxil 40' discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 2. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 7 days. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 4. 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* 5. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*65 tablet(s)* refills:*0* 7. paroxetine hcl 20 mg tablet sig: two (2) tablet po daily (daily). 8. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 9. oral 10. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical qid (4 times a day) as needed for itching. discharge disposition: home with service facility: discharge diagnosis: coronary artery disease dyslipidemia peripheral vascular disease depression hypertension discharge condition: good discharge instructions: please shower daily including washing incisions, 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, and while taking narcotics no lifting more than 10 pounds for 10 weeks please call with any questions or concerns dr. 4 weeks () dr. 1 week dr. weeks please call for appointments wound check appointment 6 as instructed by nurse () sternal precautions no lifting greater than 10 pounds for 10 weeks no driving for 1 month and off narcotics cardipulmonary assessment wound care medication compliance follow up appointment compliance instructions: dr. in 3 weeks at for wound check and post-op follow-up : dr. 3 weeks dr. 2 weeks followup instructions: dr. in 4 weeks () dr. ,theverthudiyil k. in 1 week dr. in weeks please call for appointments wound check appointment 6 as instructed by nurse () procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization aortography implant of pulsation balloon diagnoses: acidosis other iatrogenic hypotension coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder unspecified essential hypertension hyposmolality and/or hyponatremia atherosclerosis of native arteries of the extremities with intermittent claudication other and unspecified angina pectoris old myocardial infarction chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to