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: sulfa (sulfonamides) attending: chief complaint: chest pain major surgical or invasive procedure: - coronary artery bypass grafting to four vessels. left internal mammary->left anterior descending artery, saphenous vein graft->diagonal artery, saphenous vein graft->ramus artery, saphenous vein graft->obtuse marginal) - cardiac catheterization history of present illness: the patient is a 60 year old man with a history of hyperlipidemia, obstructive sleep apnea on cpap, and strong family history or coronary artery disease who presented to the emergency department with 5 days of chest pain. he was transferred to for possible catheterization given worsening chest pain and elevated troponin. past medical history: hyperlipidemia, obstructive sleep apnea, nephrolithiasis, osteoarthritis, rhinitis, s/p tonsillectomy, s/p rhinoplasty, s/p bilateral cataract removal social history: denies tobacco use. admits to social etoh use. denies illicit drug use. family history: 1 brother with mi at 37. 1 brother multiple before 50. mother mi at 50, died of cad. father died after multiple , cvas. physical exam: vs: 69 20 108/77 5'", 102kg gen: well-developed, well-nourished male in no acute distress skin: unremarkable heent: unremarkable neck: supple, full range of motion chest: decreased breath sounds bilateral bases heart: regular rate and rhythm, -murmur abd: soft, non-tender, non-distended, +bowel sounds ext: warm, well-perfused, -edema, -varicosities neuro: grossly intact, alert and oriented x 3 pertinent results: cath: 1. coronary angiography revealed lmca and one vessel coronary artery disease. the lmca had an ostial 60% eccentric lesion. this was interrogated with pressure wire with lowest ffr of 0.86 with adenosine infusion. there was an occluded d1 with severely diseased branch at the site of the occlusion. there was a 50% lad stenosis just after the d1; otherwise minor disease. the lcx and rca had minimal disease. 2. limited resting hemodynamics revealed moderately elevated left sided filling pressures with lvedp of 29 mmhg. there was mild systemic arterial hypertension with sbp of 133 mmhg and dbp of 74 mmhg. 3. left ventriculography revealed no mitral regurgitation. the lvef was calculated to be 56% with lateral akinesis and otherwise normal motion. 4. succesful right femoral artery closure with mynx device. chest cta: 1. no pulmonary embolus. 2. mild dilatation of the aortic root measuring up to 4.4 cm in transverse dimension. otherwise unremarkable aorta. echo: prebypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses are normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. mild (1+) aortic regurgitation is seen. 6. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. 7. dr. was notified in person of the results on at 1000am. post bypass: 1. patient is in sinus rhythm. 2. biventricular systolic function is unchanged. 3. 2+ mitral regurgitation present. 4. aorta intact post decannulation. 08:30am blood wbc-9.0 rbc-2.70* hgb-8.4* hct-24.7* mcv-92 mch-30.9 mchc-33.8 rdw-13.4 plt ct-364 07:50am blood wbc-8.9 rbc-2.73* hgb-8.5* hct-24.3* mcv-89 mch-31.1 mchc-34.8 rdw-13.1 plt ct-267 09:15pm blood wbc-6.8# rbc-4.12* hgb-13.0* hct-36.2* mcv-88# mch-31.5 mchc-35.9*# rdw-12.7 plt ct-246 07:50am blood glucose-112* urean-19 creat-1.2 na-137 k-4.4 cl-103 hco3-22 angap-16 09:15pm blood glucose-103 urean-14 creat-1.1 na-140 k-3.7 cl-104 hco3-25 angap-15 brief hospital course: as mentioned in the hpi, mr. was transferred to and underwent cardiac cath on . cath revealed 60% left main coronary artery lesion. following cath he received appropriate work-up prior to surgery and waited several days for plavix to wash-out. on he was brought to the operating room where he underwent coronary artery bypass graft x 4. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. on post-op day one he was started on beta-blockers and diuretics and gently diuresed towards his pre-op weight. also on this day his chest tubes were removed and he was transferred to the telemetry floor for further care. on post-op day two he had episode of rapid atrial fibrillation and was started on amiodarone with increase dosage of beta-blockers. and converted back to sinus rhythm. epicardial pacing wires were removed on post-op day three. he continued to improve and was cleared by physical therapy and discharged to home on pod 4. medications on admission: heparin gtt, nitro prn, aspirin, lopressor 12.5mg , simvastatin 80mg qd, plavix 75mg qd, fluticasone nasal spray discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. zocor 80 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*0* 3. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*30 tablet(s)* refills:*0* 4. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): take 2 tablets twice daily for one week, then one tablet twice daily for one week, then one tablet once daily for one week, then stop. disp:*120 tablet(s)* refills:*0* 5. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 5 days. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. 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:*0* discharge disposition: home with service facility: .will be set up by insurance discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 myocardial infarction pmh: hyperlipidemia, obstructive sleep apnea, nephrolithiasis, osteoarthritis, rhinitis, s/p tonsillectomy, s/p rhinoplasty, s/p bilateral cataract removal discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: dr. in 4 weeks dr. in weeks dr. in weeks 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 angiocardiography of left heart structures left heart cardiac catheterization diagnoses: obstructive sleep apnea (adult)(pediatric) subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery mitral valve disorders atrial fibrillation other and unspecified hyperlipidemia 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 right bundle branch block osteoarthrosis, localized, not specified whether primary or secondary, hand acute post-thoracotomy pain 

Answer: The patient is high likely exposed to