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: lisinopril attending: chief complaint: shortness of breath major surgical or invasive procedure: - coronary artery bypass grafting x3(lima-lad,svg-om-pda sequentially) history of present illness: this 81 year old male recently presented with heart failure, an indeterminate troponin check and a significant drop in his ef to 25% by nuclear study which also demononstrated an inferorapical infarct with a small area of inferior apical ischemia. he states he has been experiencing increasing shortness of breath with minimal exertion. he was then referred for coronary angiogram. he was found to have progression of left main disease and was referred to cardiac surgery for revascularization. he was admitted for elective operation. past medical history: coronary artery disease s/p stent ischemic cardiomyopathy ef 34% peripheral vascular disease hypertension hyperlipidemia asthma chronic obstructive pulmonary disease on home oxygenation pacemaker secondary to complete heart block noninsulin dependent diabetes mellitus gastroesophageal refluxanxiety arthritis in back s/p right lung resection for benign disease social history: last dental exam:edentulous lives with:wife, partners nurse contact: (wife) cell# occupation:retired iron worker cigarettes: smoked no yes hx:quit 14 years ago and smoked ppd x50 years other tobacco use:occasional cigars years ago etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use:denies family history: premature coronary artery disease- grandfather had multiple mi's physical exam: pulse:85 resp:18 o2 sat:95/ra b/p right:129/83 left:134/94 height:5'.5" weight:202 lbs general: nad, aaox3 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 extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 1+ left: 1+ carotid bruit right: none left: none pertinent results: echo pre bypass the left atrium is dilated. 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 is moderately dilated. there is severe regional left ventricular systolic dysfunction with apical akinesis, and severe hypokinesis of the mid to distal anterior, anterolateral, and anteroseptal walls. there is mild to moderate global hypokinesis on top of that. overall ejection fraction is about 25%. no masses or thrombi are seen in the left ventricle. the right ventricular cavity is dilated with mild global free wall hypokinesis and focal severe hypokinesis of the apical free wall. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly to modertaely thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. mild to moderate (+) mitral regurgitation is seen. the mitral regurgitation has a slight anterior lean to it suggesting slightly worse poterior leaflet restriction. moderate to severe tricuspid regurgitation is seen. significant pulmonic regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. post bypass the patient is av paced and receiving norepinephrine and milrinone by infusion. biventricular systolic function is globally improved from the pre-bypass period. the apical right ventricular free was is improved but mild global rv hypokineis remains. the left ventricle has improvement in global function but regional wall motion abnormalities noted pre-bypass persist. ef is about 35%. the tricuspid regurgitation is somewhat improved - now moderate. the rest of valvular function appears unchanged from pre-bypass. the thoracic aorta is intact after decannulation. 03:13am blood wbc-4.9 rbc-3.60* hgb-9.6* hct-31.2* mcv-87 mch-26.8* mchc-30.9* rdw-17.0* plt ct-145* 11:39am blood wbc-9.2# rbc-3.28*# hgb-8.4*# hct-28.4*# mcv-87 mch-25.5* mchc-29.4* rdw-16.5* plt ct-146* 03:13am blood glucose-89 urean-35* creat-1.6* na-131* k-3.2* cl-90* hco3-32 angap-12 02:25am blood glucose-71 urean-32* creat-1.7* na-131* k-3.6 cl-94* hco3-26 angap-15 03:13am blood wbc-4.9 rbc-3.60* hgb-9.6* hct-31.2* mcv-87 mch-26.8* mchc-30.9* rdw-17.0* plt ct-145* 11:39am blood wbc-9.2# rbc-3.28*# hgb-8.4*# hct-28.4*# mcv-87 mch-25.5* mchc-29.4* rdw-16.5* plt ct-146* 02:55am blood pt-12.0 ptt-25.8 inr(pt)-1.1 11:39am blood pt-15.1* ptt-29.9 inr(pt)-1.4* 04:41am blood glucose-78 urean-36* creat-1.5* na-132* k-3.4 cl-94* hco3-31 angap-10 12:45pm blood urean-23* creat-1.0 na-138 k-4.5 cl-111* hco3-21* angap-11 brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken directly to the operating room where he underwent coronary artery bypass grafting x3(lima-lad,svg-om-pda sequentially) with dr.. cardiopulmonary bypass time=78 minutes. cross clamp time=63 minutes. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. he required several days of milrinone and pressor support due to left ventricular dysfunction. these were weaned over several days and after load reductuion with hydralazine substituted. post operatively he awoke neurologically intact and was extubated. he developed atrial fibrillation for which amiodarone was started, with restoration of sinus rhythm. he was seen by physical therapy for mobility and strength and he was transferred to the step down unit for further recovery. he was aggressively diuresed and developed a contraction alkalosis which was treated with potassium chloride and acetazolamide. mr. continued to make steady progress. he desired to return home as he has home oxygen, the vna already sees him twice a week and his sons will stay with him around the clock. on pod# 8 he was cleared by dr. for discharge to home with vna. all follow up appointments were advised. medications on admission: albuterol sulfate nebulizer prn, plavix 75',fluticasone furoate dose uncertain,furosemide 40', glipizide 5', lorazepam 0.5" prn, metformin 500", metoprolol 25', ntg 0.4 prn, simvastatin 20', spiriva 18 mcg cap daily, aspirin 325', prilosec dose unknown (otc) discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 4 weeks. disp:*50 tablet(s)* refills:*0* 2. fluticasone-salmeterol 100-50 mcg/dose disk with device sig: one (1) disk with device inhalation (2 times a day). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for temperature >38.0. 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q4h (every 4 hours) as needed for wheeze. 8. amiodarone 200 mg tablet sig: as directed tablet po bid (2 times a day): 400mg(two tablets) twice daily for two weeks, then 200mg(one tablet) twice daily for two weeks, then 200mg (one tablet) daily until directed to discontinue. disp:*100 tablet(s)* refills:*2* 9. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). 10. hydralazine 10 mg tablet sig: two (2) tablet po four times a day. 11. metoprolol succinate 25 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po daily (daily). disp:*30 tablet extended release 24 hr(s)* refills:*2* 12. glipizide 5 mg tablet sig: one (1) tablet po once a day. 13. prilosec 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts s/p coronary stent ischemic cardiomyopathy ef 34% peripheral vascular disease hypertension hyperlipidemia asthma chronic obstructive pulmonary disease- on home oxygen s/p pacemaker secondary to complete heart block noninsulin dependent diabetes mellitus gastroesophageal reflux anxiety arthritis in back s/p ;ateral total knee replacements hyperlipidemia s/p right lung resection for benign lesion discharge condition: alert and oriented x3 nonfocal ambulating, deconditioned incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema : none 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 provided. 4) no driving for approximately one month and while taking narcotics. driving will be discussed at follow up appointment with surgeon when you will likely be cleared 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. on () on at 1:15pm please call to schedule appointments with your: cardiologist: dr. 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: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries systemic arterial pressure monitoring diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hyposmolality and/or hyponatremia atrial fibrillation other chronic pulmonary heart diseases peripheral vascular disease, unspecified personal history of tobacco use percutaneous transluminal coronary angioplasty status other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia anxiety state, unspecified alkalosis old myocardial infarction cardiac pacemaker in situ chronic obstructive asthma, unspecified acute on chronic systolic heart failure knee joint replacement cardiotonic glycosides and drugs of similar action causing adverse effects in therapeutic use other secondary thrombocytopenia 

Answer: The patient is high likely exposed to