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: abnormal stress test/fatigue major surgical or invasive procedure: mv repair(#28 band)cabgx3(lima->lad,svg->pda,svg->om) history of present illness: mr. is a 62-year-old male with worsening symptoms of shortness of breath and angina who underwent cardiac catheterization that showed an occluded right coronary artery and an occluded circumflex coronary artery with diminished left ventricular function. he is presenting for coronary artery bypass surgery with the plan at the time of surgery to assess the mitral valve further. past medical history: past mi diabetes visual distrubance hypertension hyperlipidemia social history: married with 5 children. originally from . he works at a car dealership. family history: brother with mi dying at age 55. father died of stroke at age 56. physical exam: gen: wd/wn in nad neck: supple, no jvd heart: rrr lungs: cta abd: benign ext: 2+ pulses, no edema. no varicosities pertinent results: 04:41am blood wbc-9.9 rbc-3.77* hgb-10.9* hct-31.5* mcv-83 mch-28.9 mchc-34.6 rdw-13.4 plt ct-527* 05:25am blood glucose-103 urean-27* creat-1.4* na-134 k-4.3 cl-95* hco3-29 angap-14 04:41am blood calcium-8.4 phos-4.2 mg-1.9 cxr 1. cardiomegaly with improving congestive heart failure. 2. right pleural effusion and probable loculated small left pleural effusion. 3. improved aeration at the left lung base. picc placement successful placement of a 41 cm long, 4-french single lumen vaxcel picc in the left brachial vein. the tip is in the distal svc. the line is ready for use. echo the left atrium is moderately dilated. left ventricular wall thicknesses and cavity size are normal. there is severe global left ventricular hypokinesis. apical segments are somewhat better preserved (suggestive of non-ischemic myopathy). no masses or thrombi are seen in the left ventricle. right ventricular chamber size is normal with mild global free wall hypokinesis. the aortic root is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. a well-seated mitral valve annuloplasty ring is present. no mitral stenosis is present. there is trivial mitral regurgitation. there is mild pulmonary artery systolic hypertension. the end-diastolic pulmonic regurgitation velocity is increased suggesting pulmonary artery diastolic hypertension. there is no pericardial effusion. ekg sinus rhythm. compared to tracing #1 no significant diagnostic change brief hospital course: mr. was admitted to the on and taken directly to the operating room where he underwent coronary artery bypass grafting to three vessels and a mitral valve repair utilizing a 28 mm band. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on day one, mr. neurologically intact and was extubated. his drains and wires were removed per protocol. he was slow to wean from inotropes given a slowly recovering cardiac index. as mr. had difficult peripheral intravenous access, a picc line was placed. on day seven he was transferred to the cardiac surgical step down unit for further recovery. mr. was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his strength and mobility. the congestive heart failure service was consulted given his ejection fraction of 20%. his medications were adjusted and an ace inhibitor was started. beta blockade was titrated for optimal heart rate and blood pressure support. as his diet improved, his preoperative oral diabetes medications were resumed. mr. continued to make steady progress and was discharged home with a visiting nurse fourteen. he will follow-up with his cardiologist, dr. and his primary care physician as an outpatient. as he was near his preoperative weight without significant peripheral edema, mr. was discharged on 1 week of lasix with follow-up with his cardiologist at that time for further evaluation of diuretic management or need. potassium was switched to once daily as his potassium levels had been on the higher end of normal. he should have liver function studies on follow-up with either his cardiologist or primary care physician given the use of both tricor and lipitor. medications on admission: aspirin 81mg qd detrol 4mg qd glyburide 5mg atenolol 25mg qd avandia 8mg qd metformin 500mg qd tricor 145mg qd discharge medications: 1. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): you may discontinue this when you have stopped taking pain medication. disp:*60 capsule(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*30 tablet(s)* refills:*0* 5. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. metformin 500 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*2* 8. rosiglitazone maleate 2 mg tablet sig: four (4) tablet po daily (daily). disp:*120 tablet(s)* refills:*2* 9. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 10. tricor 145 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 11. detrol 2 mg tablet sig: two (2) tablet po at bedtime. disp:*60 tablet(s)* refills:*2* 12. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 13. glyburide 5 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 14. lisinopril 30 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna south eastern ma discharge diagnosis: s/p mv repair(#28 band)cabgx3(lima->lad,svg->pda,svg->om) pmh:dm, past mi discharge condition: good discharge instructions: 1) keep wounds clean and dry. ok to shower, no bathing or swimming. 2) take all medications as prescribed. 3) call for any fever greater then 100.5, redness or drainage from wounds. 4) call with any weight gain of more then 2 pounds in 24 hours. 5) do not lift more then 10 pounds for 6 weeks. no driving for 4 weeks. 6) do not apply lotions, creams or powders to wound until it has healed. sunblock recommended on incision in sun once it has healed. 7) please follow-up with cardiologist for further medication management in 1 week. you will need to call for appointemnt. 8) call with any questions or concerns. followup instructions: clinic in 2 weeks. building on . follow-up with your primary care physician dr in 2 weeks. follow-up with your cardiologist dr. in 1 week. follow-up with surgeon dr in 4 weeks. please call for appointments. procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart annuloplasty transfusion of packed cells injection or infusion of nesiritide infusion of vasopressor agent diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hyposmolality and/or hyponatremia other and unspecified hyperlipidemia other and unspecified angina pectoris ventricular fibrillation unspecified visual loss 

Answer: The patient is high likely exposed to