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: penicillins / tetracycline / statins-hmg-coa reductase inhibitors / atorvastatin / moxifloxacin attending: chief complaint: chest pain at rest major surgical or invasive procedure: urgent five vessel coronary artery bypass grafting(left internal mammary artery to left anterior descending with saphenous vein grafts to diagonal, ramus, obtuse marginal and pda) on iabp history of present illness: this is a 62 year old male with known coronary disease who presents with a six month history of worsening chest pain. in the last week he has been experiencing chest pain at rest during sleep, and then during the day had severe chest pain. he was refered to the emergency department by his primary care physician. the ed there were no ekg changes and cardiac enzymes were normal. he underwent cardiac catheterization which revealed severe three vessel coronary artery disease including a critical left main lesion. in iabp was placed, he was started on intravenous therapy and urgently med-flighted to the for surgical intervention. on arrival, he remained pain free with stable hemodynamics. past medical history: coronary artery disease history of myocardial infarction , s/p angioplasty temporomandibular joint syndrome chronic low back pain, sciatica hypertension hyperlipidemia social history: race: caucasian lives with: spouse : lifetime nonsmoker etoh: 3 ounces of alcohol daily family history: no premature history of coronary artery disease physical exam: preoperative exam - bp 138/76 hr 59 rr 16 sat 98% 2l general: lying supine, iabp in place, in no acute distress skin: dry intact heent: ncat perrla eomi neck: supple full rom jvd chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema/varicosities: none , iabp in rle neuro: grossly intact pulses: femoral right: iabp left: +2 dp right: +2 left: +2 pt : +2 left: +2 radial right: +2 left: +2 carotid bruit: none pertinent results: intraop tee: pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is mildly depressed (lvef= 40 - 45 %). the inferior wall , inferior septum and posterior walls are hypokinetic. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. moderate to severe (3+) mitral regurgitation is seen. the jet is central. there is no evidence of flail or of ruptured chordae. there is no pericardial effusion. post-cpb: the patient is on no pressors or inotropes. nsr. iabp @ 1:1. preserved biventricular systolic fxn. inferior wall remains hypokinetic. mr is now 2+. no ai. aorta intact. 06:50am blood wbc-9.8 rbc-3.72* hgb-12.3* hct-35.3* mcv-95 mch-32.9* mchc-34.7 rdw-13.0 plt ct-180 06:50am blood na-132* k-4.5 cl-95* 09:40am blood glucose-178* urean-22* creat-1.0 na-136 k-4.4 cl-99 hco3-31 angap-10 brief hospital course: following , patient was taken directly to the operating room where urgent coronary artery bypass grafting was performed. for surgical details, please see operative note. following the operation, patient was brought to the cvicu for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. on postoperative day one, the iabp was weaned and removed without complication. chest tubes and jp drain from left leg were removed without incident per cardiac surgery protocol. he maintained stable hemodynamics and transferred to the sdu on postoperative day 1. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. pacing wires were discontinued without complication on post operative day 3. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home with vna following in good condition with appropriate follow up instructions. medications on admission: medications at home: atenolol 200 mg in am and 100 mg in pm isordil 10 mg three times a day lisinopril 20 mg daily aspirin 325 mg daily sublingual nitroglycerin motrin 800 mg three times a day - over the last 6 months discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. niacin 500 mg capsule, sustained release sig: one (1) capsule, sustained release po qhs (once a day (at bedtime)). disp:*60 capsule, sustained release(s)* refills:*2* 6. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime): x 30 d. disp:*30 capsule, sust. release 24 hr(s)* refills:*0* 7. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) for 10 days. disp:*10 tablet(s)* refills:*0* 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 10 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p urgent five vessel coronary artery bypass grafting hypertension dyslipidemia discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. trace edema 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks **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 surgeon: dr. on wed th at 1:00 pm please call to schedule appointments with: primary care dr. in weeks, call for appt cardiologist 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 four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension other and unspecified hyperlipidemia old myocardial infarction chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to