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 pain/past cardiac arrest major surgical or invasive procedure: coronary bypass grafting x4 with pedicled left internal mammary artery to the left anterior descending coronary; pedicled right internal mammary artery through the transverse sinus to the first obtuse marginal coronary artery; reverse saphenous vein single graft from the aorta to the first diagonal coronary; as well as reverse saphenous vein single graft from the aorta to the distal right coronary artery history of present illness: this is a 57 year with an stemi/vf arrest in , status post drug eluting stent to the proximal left anterior descending artery and angioplasty of the ostium of the second diagonal artery. at the time of angiography, he was noted to have an 80% mid rca stenosis that was not intervened on. stress testing in was notable for mild inferior wall ischemia without symptoms. repeat stress testing on showed a modest decrease in the patient's exercise tolerance but no evidence of inferior ischemia that was seen in . lvef was normal. repeat catheterization on revealed significant left main and right coronary artery disease. he has now been referred for coronary artery bypass grafting. past medical history: -coronary artery disease s/p myocardial infartion complicated by vf arrest s/p lad des/diagonal 2 ptca ( hospital) -anxiety/panic disorder -depression -hepatitis c -gastroesophageal reflux disease/barrettt's esophagous -recovered alcoholic, no alcohol in 30 years -age 20-gun shot wound to the right forearm, s/p surgery social history: last dental exam: upper dentures. lower native teeth w/o issue lives with: wife and has one daughter contact upon discharge: (wife): (cell) occupation: patient works the night shift for the doing track maintenance etoh: none currently. recovering alcoholic x29 years tobacco: quit family history: mother cad died s/p cabg at age 81 physical exam: pulse:60 resp: 16 o2 sat: 99% ra b/p right: 124/69 left: height: 5'7" weight:87kg general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally 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: cath site left:+2 dp right: +2 left:+2 pt : +2 left:+2 radial right: +2 left:+2 carotid bruit right: none left:none pertinent results: echo pre-cpb:1. the left atrium and right atrium are normal in cavity size. no thrombus is seen in the left atrial appendage. no spontaneous echo contrast is seen in the body of the right atrium or right atrial appendage. no atrial septal defect is seen by 2d or color doppler. 2. there is mild symmetric left ventricular hypertrophy. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the descending thoracic aorta. an epiaortic scan was done. 5. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened . there is no aortic valve stenosis. no aortic regurgitation is seen. 6. the mitral valve appears structurally normal with trivial mitral regurgitation. dr. was notified in person of the results. post-cpb: on infusion of phenylephrine. sinus rhythm. well-preserved biventricular systolic function post cpb. lvef= 70%. trace mr. aortic contour is normal post decannulation. head ct: there is no evidence of acute hemorrhage, edema, mass effect, or major vascular territory infarction. -white matter differentiation is preserved. incidental note is made of cavum septum pellucidum et vergae, a normal variant. the ventricles and sulci are normal in size. the visualized paranasal sinuses are clear. no osseous abnormality is identified. 01:17pm blood wbc-13.6*# rbc-3.19* hgb-10.1* hct-30.4* mcv-95 mch-31.6 mchc-33.2 rdw-12.8 plt ct-138* 04:45am blood wbc-9.1 rbc-2.94* hgb-9.4* hct-27.7* mcv-94 mch-31.8 mchc-33.8 rdw-12.7 plt ct-116* 02:52pm blood pt-14.1* ptt-36.0* inr(pt)-1.2* 02:52pm blood urean-15 creat-0.8 cl-117* hco3-23 04:45am blood glucose-99 urean-14 creat-0.9 na-141 k-4.0 cl-106 hco3-29 angap-10 04:30am blood pt-28.2* ptt-66.8* inr(pt)-2.8* brief hospital course: mr. was admitted to the on for elective surgical management of his coronary artery disease. he was taken directly to the operating room where he underwent coronary artery bypass grafting to four vessels. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. over the next several hours, mr. 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. he was gently diuresed towards his preoperative weight. chest tubes and epicardial pacing wires were removed per protocol. on post-op day two there appeared to be a possible left facial droop (patient himself did not have any subjective complaints). stat head ct and neurology were consulted. of note, he has dentures and after removal the asymmetry disappears greatly, probably suggesting some mechanical component. neurology noted though after a review of old photograph, that there was some asymmetry of the face with left angle of mouth droopier than right. head ct scan is normal but suspected that he had a small perioperative subcortical infarct, not seen on ct. he was started on coumadin for atrial fibrillation and was in sinus rhythm on oral amidarone at the time of discharge. per the stroke team, he could continue on coumadin (for afib) without plavix but if coumadin was to be discontinued, he would need to restart on plavix for questionable neurologic event. the physical therapy service was consulted for assistance with his postoperative strength and mobility. mr. continued to make steady progress and was discharged home on postoperative day 6. vna is to draw inr and call results in to dr. at (. he will follow-up with dr. , dr. , dr. and dr. as an outpatient. medications on admission: plavix 75 mg - stopped as of lexapro 10 mg daily nexium 40 mg daily lorazepam 1 mg as needed metoprolol succinate (not taking as prescribed: pt. stopped taking recently d/t hypotension noted on home machine) - 25 mg daily simvastatin 40 mg daily aspirin 81 mg daily discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. 4. nexium 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 5. simvastatin 40 mg tablet sig: one (1) tablet po at bedtime. 6. lexapro 10 mg tablet sig: one (1) tablet po once a day: at 2pm. 7. lorazepam 1 mg tablet sig: one (1) tablet po three times a day as needed for anxiety. 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 9. coumadin 2.5 mg tablet sig: one (1) tablet po once a day: take 1 tab on and then as directed for inr goal 2-2.5. disp:*60 tablet(s)* refills:*0* 10. escitalopram 10 mg tablet sig: one (1) tablet po at 1400 daily (). disp:*30 tablet(s)* refills:*0* 11. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*1* 12. simvastatin 40 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). disp:*30 tablet(s)* refills:*1* 13. hydromorphone 2 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*30 tablet(s)* refills:*0* 14. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): x 1 week then 200 mg po bid x 2 weeks then 200 mg x 1 week then discontinue. disp:*50 tablet(s)* refills:*0* 15. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours): take with food. disp:*30 tablet(s)* refills:*0* 16. lasix 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 17. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 18. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna of southeastern mass. discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts past medical history: -myocardial infartion complicated by vf arrest s/p lad des/diagonal 2 ptca ( hospital) -anxiety/panic disorder -depression -hepatitis c -gastroesophageal reflux disease/barrettt's esophagous -recovered alcoholic, no alcohol in 30 years -age 20-gun shot wound to the right forearm, s/p surgery discharge condition: alert and oriented x3, nonfocal. ambulating with steady gait. incisional pain managed with oral analgesics. incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema: discharge instructions: 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. 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, until follow up with surgeon. 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 of sternal wound. **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 1pm please call to schedule appointments with: primary care: dr. () in weeks cardiologist: dr. in weeks neurologist: dr. in weeks vna to draw inr on and call dr. with results for inr goal 2-2.5 for atrial fibrillation **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: coronary atherosclerosis of native coronary artery chronic hepatitis c without mention of hepatic coma other and unspecified alcohol dependence, in remission atrial fibrillation depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status old myocardial infarction barrett's esophagus iatrogenic cerebrovascular infarction or hemorrhage facial weakness 

Answer: The patient is high likely exposed to