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 major surgical or invasive procedure: cardiac catherization s/p coronary artery bypass graft x3 (left internal mammary artery > left anterior descending, saphenous vein graft > ramus, saphenous vein graft > obtuse marginal) history of present illness: the patient is a 66 year old male with a history of cad s/p des to lad in , hyperlipidemia, borderline diabetes who presented to an osh with chest pain and was transferred for cardiac catheterization. the patient was in his usual state of health and chest pain free until the day prior to admission, when he was welding a piece of metal in his car which lit a and caught on fire. he used a fire extinguisher in the garage to try to put out the fire, but the extinguisher ran out. he then made trips carrying 5 gallon pales full of water to finally put out the fire. this episode occurred at 3:30 pm, and immediately after he noticed a band of chest pressure from "nipple to nipple." the pain peaked at 8/10 and did not radiate. he initially felt sob after running with the pales, but did not feel sob once he had settled down. he also felt sweaty because he was running with his work jacket, but no diaphoresis after that. he denied nausea/vomiting. he also noticed a burning "harsh feeling" in his throat, which he thought was secondary to smoke inhalation. he ate 2 dinner rolls at home which helped with his throat pain, but his chest pain persisted so his family drove him to the osh ed. he took asa for the 7 days prior to this episode. past medical history: 1. coronary artery disesase - cath (): lad mid 80% stenosis, stented with drug eluting stent as part of the endeavor-iv study. lm, lcx, rca normal. 2. hyperlipidemia: lipid panel () chol: 179, tg 279, hdl 39, ldl 102 3. hypertension 4. borderline diabetes: hga1c 6.9% 11/06 5. epididymitis 6. s/p appendectomy 7. s/p 3 prior hernia repairs 8. s/p removal of a lipoma from his back 9. anemia, baseline hct 35-38 social history: tobacco denies etoh occassional drink works as a charter bus driver and occasionally must lift luggage to and from his bus. he is married with two adult children. family history: there is no family history of premature coronary artery disease or sudden death. his father died of a stroke at age 68 and also had hypertension. his mother died at the age of 62 due to metastatic lung cancer. physical exam: vs - t 97.3, bp 119/63, hr 57, rr 18, sao2 99% on 2l gen: wdwn middle aged male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with no evidence of jvd. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. soft r carotid bruit. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: quiet bs. soft, nt, distended/obese abdomen. no hsm or tenderness. ext: no lower extremity edema. skin: no stasis dermatitis, ulcers, scars, or xanthomas. . pulses: right: radial 2+ dp 1+ pt 1+ left: radial 2+ dp 1+ pt 1+ pertinent results: 07:15am blood wbc-8.9 rbc-3.13* hgb-9.1* hct-27.5* mcv-88 mch-29.2 mchc-33.3 rdw-14.4 plt ct-362 07:15am blood pt-14.1* inr(pt)-1.2* 07:15am blood glucose-128* urean-25* creat-1.2 na-139 k-4.5 cl-99 hco3-30 angap-15 radiology final report chest (portable ap) 1:09 pm chest (portable ap) reason: ? effusion medical condition: 66 year old man with s/p cabg reason for this examination: ? effusion clinical history: status post cabg, evaluate for effusion. chest ap: heart is enlarged. some blunting of the left costophrenic angle and loss of the left hemidiaphragm suggest the presence of a left pleural effusion. the right side appears clear. atelectasis is still present at the left base. impression: left effusion and atelectasis persist. dr. . echocardiography report , (complete) done at 3:16:26 pm final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 66 m hgt (in): 68 bp (mm hg): 120/60 wgt (lb): 225 hr (bpm): 45 bsa (m2): 2.15 m2 indication: coronary artery bypass grafting icd-9 codes: 440.0, 413.9 test information date/time: at 15:16 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 #: 2008aw04-: machine: echocardiographic measurements results measurements normal range left ventricle - diastolic dimension: 4.7 cm <= 5.6 cm left ventricle - ejection fraction: 55% >= 55% aortic valve - peak velocity: 1.0 m/sec <= 2.0 m/sec findings left atrium: no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. right atrium/interatrial septum: normal ra size. left ventricle: mild symmetric lvh with normal cavity size and regional/global systolic function (lvef>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. simple atheroma in aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. trace ar. mitral valve: normal mitral valve leaflets with trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. pericardium: no pericardial effusion. 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. resting bradycardia (hr<60bpm). results conclusions pre-bypass: 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. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. post_bypass: preserved normal biventricular systolic function. overall lvef 55%. trivial mr. . trace ai. intact thoracic aorta post decannulation electronically signed by , md, interpreting physician 15:20 brief hospital course: transferred for outside hospital after ruling in for nstemi for cardiac catherization. cardiac catherization revealed coronary atery disease and he was referred to cardiac surgery for surgical evaluation. he underwent preoperative work up and went to the operating for coronary artery bypass graft. see operative for further details. he was transferred to the icu for hemodynamic monitoring. in the first 24 hours sedation was weaned, he woke neurologically intact and he was extubated without incidence. he was transferred to the post op floor on pod 1. he was started on beta blockers and gently diuresised towards his preoperative weight. physical therapy worked with him for strength and mobiliy. on pod 2 he went into atrial fibrillation that converted with beta blockers. he continued to have intermittent afib and was started on amiodorone. he converted to sr and was discharged to home on pod#5 in stable condition. dr. was called regarding coumadin follow up and the pt. will have an inr drawn on . medications on admission: current medications: aspirin 325mg daily atenolol 25 mg daily lisinopril 10 mg daily ezetimibe 10 mg daily lipitor 40mg daily discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). :*30 tablet, delayed release (e.c.)(s)* refills:*0* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). :*30 tablet(s)* refills:*0* 3. hydromorphone 2 mg tablet sig: 1-2 tablets po every 6-8 hours as needed. :*60 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). :*60 capsule(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). :*30 tablet(s)* refills:*2* 6. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). :*30 tablet(s)* refills:*2* 7. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). :*60 tablet(s)* refills:*2* 8. furosemide 40 mg tablet sig: one (1) tablet po once a day for 10 days. :*10 tablet(s)* refills:*0* 9. potassium chloride 20 meq packet sig: one (1) packet po once a day for 10 days: please take with lasix. :*10 packet(s)* refills:*0* 10. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 7 days: then decrease to 1 tab twice daily for 7 days, then decrease to 1 tab daily until follow up with md. :*90 tablet(s)* refills:*0* 11. warfarin 2.5 mg tablet sig: two (2) tablet po qpm: take as directed by md. daily dose may vary according to inr. :*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna southeastern ma discharge diagnosis: coronary artery disease s/p cabg atrial fibrillation (post op) nstemi hypercholesterolemia diabetes mellitus type 2 discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: provider: , md phone: date/time: 11:00 please call to schedule appointments with dr in 4 weeks dr in weeks wound check 6 please schedule with rn procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries intraoperative cardiac pacemaker left heart cardiac catheterization diagnostic ultrasound of heart diagnoses: subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation percutaneous transluminal coronary angioplasty status 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 other postprocedural status other symptoms involving cardiovascular system 

Answer: The patient is high likely exposed to