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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: urgent coronary artery bypass grafting x2 left internal mammary artery to left anterior descending coronary artery and reversed saphenous vein single graft from the aorta to the posterior descending coronary artery. endoscopic left greater saphenous vein harvesting. history of present illness: 51 year old male has a history of coronary artery disease and had an angioplasty and stent in 9/. he also has a history of hypercholesteremia and had exertional chest pain for the past 4-5 days which resolved with rest. he presented to his pcp and was referred to dr. . he had a cardiac cath at lgh yesterday which revealed: lad: 80-90%, rca: dom., 70% ., and a lvef of 55%. he was transferred for surgical evaluation. past medical history: hypercholesteremia cad-s/p ptca and stent to lad in , s/p cardiac cath h/o postoperative seizures after sdh s/p r subdural hematoma with evacuation social history: lives with: wife and daughter occupation: auto mechanic cigarettes: smoked yes last cigarette 25 yrs ago hx: 10 pk yr etoh: drinks/week family history: father mi < 55 2 brothers with cabg in their 40's. physical exam: pulse:97 resp: 18 o2 sat: 97% on 2 liters nc b/p right: 111/63 left: height: 5'3" weight: 184 lbs general: 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 bowel sounds + extremities: warm , well-perfused edema _no____ varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: no left: no pertinent results: 08:44am blood wbc-8.3 rbc-3.95* hgb-12.7* hct-34.8* mcv-88 mch-32.1* mchc-36.4* rdw-12.8 plt ct-141* 09:25pm blood wbc-7.7 rbc-4.07* hgb-12.4* hct-35.8* mcv-88 mch-30.4 mchc-34.6 rdw-12.9 plt ct-132* 01:43am blood wbc-7.5 rbc-4.14* hgb-12.6* hct-36.2* mcv-87 mch-30.5 mchc-34.9 rdw-12.8 plt ct-145* 08:44am blood glucose-127* urean-18 creat-0.9 na-133 k-4.1 cl-97 hco3-29 angap-11 09:25pm blood glucose-136* urean-14 creat-1.0 na-134 k-4.4 cl-100 hco3-27 angap-11 01:43am blood glucose-103* urean-11 creat-0.9 na-136 k-4.3 cl-103 hco3-25 angap-12 12:56pm blood urean-10 creat-0.8 na-137 k-4.0 cl-107 hco3-26 angap-8 01:00pm blood wbc-8.2 rbc-3.84* hgb-11.8* hct-34.4* mcv-90 mch-30.8 mchc-34.4 rdw-12.6 plt ct-139* 06:30am blood urean-21* creat-0.8 na-135 k-4.3 cl-99 tte pre bypass: the left atrium is mildly dilated. no spontaneous echo contrast is seen in the left atrial appendage. left ventricular wall thicknesses are normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the aortic arch and the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. post bypass: patient is a paced on phenylepherine infusion. preserved biventricular function. lvef 55%. aortic contours intact. remaining exam is unchanged. cardiology report ecg study date of 2:38:02 pm sinus rhythm. inferior t wave inversions in leads iii and avf, possibly non-specific, although cannot exclude inferior non-q wave myocardial infarction. compared to the previous tracing of there is no interval change. intervals axes rate pr qrs qt/qtc p qrs t 92 154 88 -19 brief hospital course: transferred in for surgical evaluation on and was stable overnight until the next day when he started to have chest pain. intravenous nitro and heparin were instituted, but they had to be titrated up for recurrent chest pain. it was felt that the he should proceed with coronary revascularization on due to recalcitrant chest pain on maximal medical therapy. he was brought to the operating room on where the patient underwent urgent coronary artery bypass grafting. see operative report for further details. overall the he tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. in the first twenty four hours he was weaned from sedation, awoke neurologically intact and was extubated without complications. on post operative day one he was started on betablockers for heart rate and lasix for diuresis, both were adjusted over the next few days. his pain medication was adjusted for improved pain control with good response. he was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the he was evaluated by the physical therapy service for assistance with strength and mobility. he continued to require intravenous diuresis for volume overload and remained until post operative day five when he was ambulating on room air with oxygen saturations 92-96 %, he was discharged home with services in good condition with appropriate follow up instructions and to continue on oral lasix, plan for follow up wound check thrusday . medications on admission: sl ntg prn atenolol 50 mg po daily simvistatin 40 mg po qhs imdur 30 mg po daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*1* 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:*1* 4. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 7. lasix 40 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*1* 9. potassium chloride 10 meq capsule, extended release sig: one (1) capsule, extended release po once a day for 2 weeks. disp:*14 capsule, extended release(s)* refills:*0* discharge disposition: home with service facility: , discharge diagnosis: coronary artery disease s/p cabg unstable angina hypercholesteremia postoperative seizures after subdural hematoma discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with dilaudid incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema trace bilateral lower extremities discharge instructions: 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 please 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks 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 medical building a cardiac surgery office wound check on 10:15 surgeon: dr. on 1:15 cardiologist:dr. at 12:00pm please call to schedule appointments with your 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 one coronary artery diagnoses: thrombocytopenia, unspecified anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified pleural effusion percutaneous transluminal coronary angioplasty status other fluid overload 

Answer: The patient is high likely exposed to