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: univasc attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: - cabgx4 (lima-lad, svg-pda, y svg-om1/om2) history of present illness: 78 year old gentleman with a known history of coronary artery disease. lately he has developed worsening symptoms of dyspnea on exertion. he underwent an ett which was positive for ischemia. a cardiac catheterization was performed which revealed left main and three vessel coronary artery disease. he is now referred for surgical revascularization. past medical history: prostate cancer hyperlipidemia htn gout prostate cancer s/p prostatectomy penile prosthesis hyperparathyroid cad social history: lives with wife. quit smoking in . works as a part time real estate . uses etoh socially. family history: none physical exam: 75 reg 168/85 69" 238 gen: nad, lying flat after cath skin: unremarkable heent: ncat, perrl, anicteric sclera, op benign lungs: cta abd: benign heart: rrr, nl s1-s2 ext: warm, well perfused. trace le edema. pulses 2+. neuro: nonfocal. pertinent results: 06:30am blood wbc-11.3* rbc-3.41* hgb-10.1* hct-31.2* mcv-92 mch-29.6 mchc-32.4 rdw-14.4 plt ct-271 06:30am blood plt ct-271 06:30am blood glucose-105 urean-40* creat-1.4* na-139 k-4.6 cl-97 hco3-38* angap-9 06:30am blood mg-2.7* cxr median sternotomy wires are seen. the right-sided ij catheter has been removed. there is again seen prominence of the mediastinum; however, it is smaller when compared to the previous study. there is a subsegmental atelectasis. there is also a left-sided pleural effusion. the rest of the lung fields are clear without signs for overt pulmonary edema. echo conclusions: pre bypass: the left atrium is moderately dilated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. the left ventricle is not well seen. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). the ascending aorta is moderately dilated. there are complex (mobile) atheroma in the arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the valve leaflets (3) appear structurally normal with good leaflet excursion. there is no valve stenosis. mild to moderate regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. post bypass: preserverd biventricular function, lvef > 55%. no change in ai or mr. preserved and unchanged. remaining exam unchanged. all findings discussed with surgeons at the time of the exam. brief hospital course: mr. admitted to the on for elective surgical management of his coronary artery disease. he was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. please see operative note for detail. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, mr. awoke neurologically intact and was extubated. he had some episodes of reduced oxygen saturations whcih responded well to nebulizer treatments, diuretics and bipap for sleep. beta blockade and aspirin were started. he developed atrial fibrillation which was treated with amiodarone. he initially converted to normal sinus rhythm however had paroxysmal episodes over the next few days. coumadin was started for anticoagulation with intravenous heparin used as a bridge. on postoperative day 6, mr. was transferred to the step down unit for further recovery. the phsycical therapy service was consulted for assistance with his postoperative strength and mobility. gentle diuresis was constinued towards his preoperative weight. mr. continued to make steady progress and was discharged to rehabilitation on postoperative day 11. he will follow-up with dr. , dr. and dr. . his coumadin dosing will be managed by dr. for a target inr of 2.0-2.5 for atrial fibrillation. medications on admission: allopurinol atenolol zocor plendil aspirin discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. albuterol sulfate 0.083 % solution sig: one (1) dose inhalation q4-6h (every 4 to 6 hours) as needed. 5. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 6. amiodarone 200 mg tablet sig: one (1) tablet po twice a day for 7 days: then 200 mg daily until discontinued by cardiologist. 7. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 8. warfarin 1 mg tablet sig: one (1) tablet po once a day for 3 days: then check inr on monday, , and dose for inr 2.0-2.5. discharge disposition: extended care facility: nursing and rehab discharge diagnosis: hyperlipidemia af htn gout hyperparathyroid s/p radical prostatectomy penile prosthesis cad discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. 5) you may wash incsision and pat dry. no swimming or bathing until it has healed. 6) no driving for 1 month. 7) no lifting greater then 10 pounds for 10 weeks. followup instructions: follow-up with dr. in 1 month. ( follow-up with dr. (cardiologist) in weeks. follow-up with primary care physician . in 2 weeks. (. call all providers for appointments provider: phone: date/time: 10:00 provider: . & phone: date/time: 1:00 procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery non-invasive mechanical ventilation continuous intra-arterial blood gas monitoring diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery unspecified pleural effusion cardiac complications, not elsewhere classified gout, unspecified atrial fibrillation personal history of tobacco use atrial flutter other and unspecified hyperlipidemia unspecified sleep apnea unspecified disorder of kidney and ureter hyperparathyroidism, unspecified personal history of colonic polyps 

Answer: The patient is high likely exposed to