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: fish product derivatives attending: chief complaint: several weeks of increasing dyspnea on exertion. major surgical or invasive procedure: s/p cabgx5(free lima->lad and diag 2(y graft), svg->om1, om2, diag 1) history of present illness: this 71 year old russian speaking male and several weeks of worsening chest pain. he presented to his primary care physician's office and she sent him to the mwmc ed. he was admitted and had a positive exercise tolerance test. he underwent cardiac cath which revealed: 60-70% lm stenosis, 75-80% stenosis of the first and second diagonals, 75% stenosis of the om1 and om2, and occluded rca. he was transferred to for cabg. past medical history: hypertension s/p appendectomy h/o seizures at age 20 social history: the patient lives with his wife and is retired. he does not smoke and rarely drinks alcohol. family history: the patient's father died of coronary artery disease. physical exam: discharge: vitals: 98.5 148/80 68sr 20 97% 2l nc neuro: alert, oriented, non-focal pulmonary: lungs clear to auscultation bilaterally cardiac: regular rate and rhythm sternal incision: no drainage or erythema, sternum stable abdomen: normoactive bowel sounds. soft and nontender. extremities: warm with trace edema leg incision: clean and dry pertinent results: echocardiography report , (complete) done at 1:47:44 pm final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 71 m hgt (in): 67 bp (mm hg): 123/67 wgt (lb): 185 hr (bpm): 63 bsa (m2): 1.96 m2 indication: intraoperative tee for cabg procedure. hypertension. left ventricular function. preoperative assessment. icd-9 codes: 402.90, 786.05, 786.51, 440.0, 424.0 test information date/time: at 13:47 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 #: 2008aw5-: machine: aw5 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.1 cm <= 5.6 cm left ventricle - ejection fraction: 45% >= 55% aorta - ascending: 3.0 cm <= 3.4 cm findings 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. normal lv cavity size. mild regional lv systolic dysfunction. mildly depressed lvef. no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. pulmonic valve/pulmonary artery: mild pr. 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. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions prebypass 1. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. 3. there is mild regional left ventricular systolic dysfunction with hypokinesia of the apex, apical portion of the anterior wall and the apical portion of the anterior septum.. overall left ventricular systolic function is mildly depressed (lvef= 45 %). 4. right ventricular chamber size and free wall motion are normal. 5. there are simple atheroma in the descending thoracic aorta. 6. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. 7. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 8. dr. was notified in person of the results on at 1230pm. postbypass 1. patient on no infusions 2. left venticular function appears mildly improved, with improvement of apical segments 3. aorta walls are smooth after decannulation i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 09:35 carotid series complete study date of 9:08 am , r. csurg fa6a sched carotid series complete clip # reason: preop cabg medical condition: 71 year old man preop cabg reason for this examination: carotid stenosis- please do first thing-going to or 2nd case today -thank you! final report history: pre-assessment for cardiac bypass. findings: there is minimal isoechoic plaque involving the right ica and minimal heterogeneous calcific plaque involving the left ica. the peak systolic velocities bilaterally are normal as are the ica/cca ratios. there is antegrade flow involving the left vertebral artery, the right vertebral artery is not visualized, presumed hypoplastic or occluded. impression: 1. no significant ica stenosis bilaterally (graded as less than 40% bilaterally). 2. non-visualized right vertebral artery, presumed hypoplastic or occluded. dr. approved: fri 2:43 pm imaging lab 09:19pm pt-13.2 ptt-25.9 inr(pt)-1.1 09:19pm plt count-214 09:19pm wbc-12.2* rbc-5.11 hgb-16.0 hct-44.7 mcv-88 mch-31.4 mchc-35.9* rdw-13.4 09:19pm %hba1c-6.3* 09:19pm albumin-4.6 calcium-9.6 magnesium-2.0 09:19pm ck-mb-4 ctropnt-<0.01 09:19pm lipase-39 09:19pm alt(sgpt)-36 ast(sgot)-25 ld(ldh)-184 alk phos-60 amylase-103* tot bili-0.9 09:19pm estgfr-using this 09:19pm glucose-102 urea n-20 creat-1.1 sodium-140 potassium-3.8 chloride-102 total co2-27 anion gap-15 brief hospital course: mr was transferred from mwmc after his catheterization revealed severe coronary artery disease. he was evaluated in the usual pre-operative manner. he was brought to the or on with dr and underwent coronary artery bypass grafting x 5. please see operative note for complete details. post-operatively he was brought to the cvicu for invasive hemodynamic monitoring. he was weaned from his drips and extubated on post-operative day 1. he was transferred down to the stepdown floor on the same day. he was gently diuresed towards his pre-operative weight. physical therapy was consulted to work on strength and balance. he continued to progress well and was cleared to be discharged on post-operative day 5. medications on admission: none discharge medications: 1. 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* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. 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* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*50 tablet(s)* refills:*0* 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. lasix 20 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home with service facility: family care extended discharge diagnosis: coronary artery disease. hypertension discharge condition: good. discharge instructions: take medications as directed on discharge instructions. do not drive for 4 weeks. do not lift more than 10 lbs. for 2 months. shower daily, let water flow over wounds, pat dry with a towel. do not use creams, lotions, or powders on wounds. call our office for temp>101.5, sternal drainage. followup instructions: make an appointment with dr. for 1-2 weeks. make an appointment with dr. for 2-3 weeks. make an appointment with dr. for 2 weeks at office. md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries transfusion of packed cells diagnoses: acidosis coronary atherosclerosis of native coronary artery unspecified essential hypertension other acquired absence of organ family history of ischemic heart disease epilepsy, unspecified, without mention of intractable epilepsy chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to