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: history of present illness: the patient is a 54 year old male without known coronary artery disease. on while in the or for a trigger finger release the patient acutely became hypertensive with bp increase of 168/110. otherwise he was asymptomatic. the surgery was postponed and the patient referred to cardiologist. he underwent a stress test on depression, inferolateral hypokinesis and posterolateral akinesis. referred for a cath on showed three vessel disease, then was referred to cardiac surgery for cabg. as stated before, the patient denies any angina, shortness of breath, palpitations, nausea, vomiting, or edema. past medical history: the patient's past medical history is as follows: hypertension, hypercholesterolemia, left fourth trigger finger and gerd. past surgical history: past surgical history is tonsillectomy, varicocelectomy in 85. allergies: he has no known drug allergies. medications: his medications at home are as follows: 1. zetia, 10 mg daily. 2. toprol, 50 mg daily. 3. lisinopril, 10 mg daily. 4. pepcid, 20 mg . 5. aspirin, 325 mg daily. social history: he lives with his wife. full time as a hearing aid fitter. he does not smoke tobacco and he drinks rarely. family history: he has no known family history of coronary artery disease. physical examination: his height is 5 foot 7, weight 195 pounds. temperature 98.4. blood pressure 148/79. heart rate 100. respiratory rate 18. general: he was lying flat in bed in no acute distress. he was neurologically intact, alert and oriented times three, appropriately responding to questions. his lungs were clear bilaterally. his heart rate was a regular rate and rhythm with a 2/6 systolic ejection murmur loudest at the apex. his abdomen was soft, round, nontender and non-distended with positive bowel sounds. extremities were warm, well perfused without edema or varicosities. his pulses were as follows: radial pulses bilaterally were 2 plus, dp and pt pulses bilaterally were 1 plus. laboratory data: preop labs were as follows: white blood count 7.7, hematocrit 38.1, platelets 246. sodium 137, potassium 4.3, chloride 102, bicarb 27, bun 17, creatinine 1, glucose 212, pt 12.8, ptt 30.9, inr 1, alt 29, ast 24, alk phos 42, amylase 58, total bilirubin 0.5, albumin 4.4. his cardiac cath results were as follows: proximal rca lesion 70 percent, mid rca 70 percent, distal rca 100 percent, left main 80 percent, lad 80 percent, d1 70 percent, left circumflex 100 percent, om1 40 percent. preop chest x-ray showed no cardiopulmonary disease. summary of hospital course: the patient consented to bypass surgery and was brought to the operating room the next day on . after general anesthesia, the patient was sterilely draped and underwent a coronary artery bypass graft times five. please refer to op summary for full surgical details. the grafts were as follows: lima and lad saphenous vein grafted, diag saphenous vein graft to om1 om2 sequence, saphenous vein graft to pda. total cardiopulmonary bypass time was 100 minutes. cross clamp time was 69 minutes. the patient tolerated the procedure well and was transferred to csru in stable condition with a mean arterial pressure of 75, cvp of 11, pa diastolic of 14, pa mean of 20, heart rate of 84, normal sinus rhythm. he was being titrated on propofol and neo-synephrine drip. later that day propofol was weaned. the patient was extubated, awake and alert and neurologically intact. postop day one, lasix and beta blockers were started per protocol. the patient was doing well. postop day two the patient became hypotensive. both lasix and metoprolol were discontinued. bp was 100/59. chest tubes were removed and the patient was transferred to the telemetry floor. postop day number three the patient appeared to be doing very well. his pacing wires were removed. he was encouraged to ambulate. lopressor was restarted the day before and was increased to 25 , as well as lasix. hemodynamically he was stable. postop day number four the patient continued to progress. he was almost at level five. he had some decreased breath sounds in his left lung, otherwise his physical exam was unremarkable. postop day number five the patient was doing well. he was at level five. his physical exam was unremarkable. he was neurologically alert and oriented. his lungs were clear. his heart rate was regular rate and rhythm. his chest was clean, dry and intact. no drainage or erythema. his abdomen was soft and nontender and non-distended. extremities were warm with trace edema. his left saph incision was clean and dry. otherwise he was hemodynamically stable and he was discharged home today with vna services. disposition: the patient was discharged in stable condition. he was discharged home with vna services. discharge diagnoses: 1. coronary artery disease status post coronary artery bypass graft times five. lima and lad saphenous vein graft to diag, saphenous vein graft to om1 to om2, saphenous vein graft to pda. 2. hypertension. 3. hypercholesterolemia. 4. left fourth trigger finger. 5. gastroesophageal reflux disease. discharge medications: 1. aspirin, 81 mg po daily. 2. zetia, 10 mg po daily. 3. lopressor, 50 mg po bid. 4. pepcid, 20 mg po bid. 5. lasix, 20 mg po daily times 7 days. 6. k-ciel, 10 meq, 2 capsules . 7. percocet 5/325, 1 po q4-6h prn for pain. discharge instructions: the patient was instructed no lifting greater than 10 pounds or driving for one month. no cream solutions to incisions. the patient may shower. no bathing or swimming for one month. the patient was recommended to follow up with dr. in two to three weeks and dr. in five to six weeks. , procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension mitral valve insufficiency and aortic valve insufficiency other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to