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: no known allergies / adverse drug reactions attending: chief complaint: chest pain s/p hip replacement major surgical or invasive procedure: coronary artery bypass grafting x4 urgent with a left internal mammary artery graft to left anterior descending and reverse saphenous vein graft to the marginal branch, diagonal branch and posterior descending artery. history of present illness: 68 yo male underwent a r total hip replacement for osteoarthritis. the procedure was uncomplicated, but the night of pod 0 and early morning on pod 1 he develpoed indigestion, nausea, vomiting with chest pain radiating to both hands with a tingling sensation. he develpoed ekg changes with st depression in inferior and lateral leads which have resolved. his peak troponin was 22 at 6am on . he underwent cardiac cath on which showed elevated lvedp and severe 3vd. he is transfered to for surgical evaluation. past medical history: hypertension hyperlipidemia past surgical history: s/p r hip replacement social history: lives with:wife occupation:truck driver for shaws tobacco: nonsmoker etoh: about 1 beer/day family history: positive for father with arthritis and hypertensiion. mother s/p valve replacement x3 physical exam: pulse:84 resp: 18 o2 sat:96% on 3l nc b/p right: 144/66 left: height:5'" weight:208# general: skin: dry intact l leg w/dry skin and mild chronic venous stasis discoloration heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular no murmur abdomen: softly distended non-tender bowel sounds + extremities: warm , well-perfused edema none varicosities: none neuro: grossly intact pulses: femoral right: 2+ left:2+ dp right: 2+ left:2+ pt : 2+ left:2+ radial right:post cath tr band in place left:2+ carotid bruit right:? soft bruit left:none r hip incision no erythema or obvious bleeding, transparent dressing with small amount of blood. area edematous, slightly tender, no bruising noted discharge physical vs: t: 98.1 hr: 80-90 sr bp: 120-130's/ 60-70 rr 18 sats: 98 2l wt: 94.6 () general: 68 year-old male in no apparent distress heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: rrr resp: decreased breath sounds with crackles 1/4 up bilateral gi: bowel sounds positive, abdomen soft non-tender/on-distended extr: warm r 3+ edema, l 2+ incision: sternal clean/dry/intact, stable, right hip site ecchymotic with 3+ edema neuro: awake, alert oriented pertinent results: wbc-13.7* rbc-3.75* hgb-11.6* hct-32.1* mcv-86 mch-31.0 mchc-36.2* rdw-13.9 plt ct-301 wbc-12.4* rbc-3.57* hgb-11.0* hct-30.7* mcv-86 mch-30.8 mchc-35.8* rdw-13.3 plt ct-156 pt-36.1* inr(pt)-3.6* pt-17.4* inr(pt)-1.6* pt-14.5* inr(pt)-1.3* urean-26* creat-0.9 na-137 k-4.0 cl-96 glucose-122* urean-18 creat-0.9 na-140 k-3.9 cl-104 hco3-31 alt-21 ast-22 ld(ldh)-364* alkphos-118 amylase-126* totbili-1.9* alt-21 ast-21 alkphos-74 amylase-73 totbili-1.9* lipase-249 lipase-93* abdomen: persistent bowel dilatation, consistent with ileus. cxr: : findings: the patient has been extubated. the left chest tube has been removed without evidence for pneumothorax. the right internal jugular line and intestinal tube have been removed. the stomach is distended. persistent small left pleural effusion and basilar atelectasis are unchanged. mild pulmonary vascular congestion persists. brief hospital course: the patient was brought emergently to the operating room on with a nstemi post-operatively from a right total hip replacement on . the patient underwent a coronary artery bypass grafting x4 with a left internal mammary artery graft to left anterior descending and reverse saphenous vein graft to the marginal branch, diagonal branch and posterior descending artery. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. on pod #1 the patient was extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. on pod#1 the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication on pod #2. respiratory: sucessfully extubated pod1. aggressive pulmonary toilet, nebs, incentive spirometer his oxygen requirements improved to 98% 2l via nasal cannula cardiac: pacing wires removed . beta-blockers were initiated he weaned off ntg. on he developed atrial fibrillation rate 130-160's converted to sinus rhythm with amiodarone iv load, dilt drip he converted to sinus rhythm. he continued to have intermittent raf 130-160's. his was transitioned to po 30 qid, beta-block 37.5 mg and amiodarone po 400 mg . heart rate 80-90's sr. ace and statins were restarted. he was hypertensive his home meds clonidine, doxazosin were restarted with sbp 120-130's. gi: aggressive bowel regime and ppi were continued. his diet was slowly advanced but was found to an ileus on . he was kept npo, kub showed stool in colon/air in small bowel. aggressive bowel regime continued with good results on . his diet was slowly increased which he tolerated. renal: gently diuresed. renal function remained within normal limits with good urine output. his electrolytes were repleted as needed. heme: he was transfused 2 units prbc for hct 23 to hct of 27. heparin sq dvt prophylaxis was transitioned to lovenox 40 mg was started , warfarin 3 mg was given & , inr 3.2 warfarin was held. inr 2.9 0.5 mg ordered. he will follow-up with his pcp . for warfarin managment as an outpatient. endocrine: insulin sliding scale and lantus were given. his blood sugars were less than < 200. please adjust and titrate off. pain: iv dilaudid transitioned to po dilaudid which was stopped when his ileus developed. he was given acetaminophen with good pain control. disposition: he was seen by physical therapy recommended rehab. he was discharged to tcu on . he will follow-up as an outpatient with dr. , his orthopedic surgeon, and pcp for outpatient warfarin follow-up. medications on admission: bisoprolol-hctz daily, doxazosin 4mg daily, dilt er 240 daily, lisinopril 40 daily, simvastatin 40 daily, clonidine 0.3 daily, asa 81, mvi, vit e discharge medications: 1. doxazosin 4 mg tablet sig: two (2) tablet po hs (at bedtime). 2. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. clonidine 0.1 mg tablet sig: one (1) tablet po daily (daily). 6. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 7. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 8. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours). 9. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day). 10. diltiazem hcl 30 mg tablet sig: one (1) tablet po qid (4 times a day): hold for hr < 60 sbp < 100. 11. tramadol 50 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain. 12. potassium chloride 10 meq tablet extended release sig: one (1) tablet extended release po daily (daily). 13. polyethylene glycol 3350 17 gram powder in packet sig: one (1) po once a day. 14. senna-s 8.6-50 mg tablet sig: one (1) tablet po twice a day. 15. bisacodyl 10 mg suppository sig: one (1) suppository rectal once a day as needed for constipation. 16. warfarin 1 mg tablet sig: one (1) tablet po as directed to maintain inr 2.0-3.0: dose to maintain inr 2.0-3.0. 17. insulin sliding scale 71-109 mg/dl 0 units 0 units 0 units 0 units 110-140 mg/dl 3 units 3 units 3 units 0 units 141-180 mg/dl 5 units 5 units 5 units 1 units 181-210 mg/dl 7 units 7 units 7 units 3 units 211-240 mg/dl 9 units 9 units 9 units 5 units 241-280 mg/dl 11 units 11 units 11 units 7 units 18. insulin glargine 100 unit/ml solution sig: ten (10) units subcutaneous with breakfast. 19. lorazepam 0.5 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for anxiety . 20. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). discharge disposition: extended care facility: raphaels tcu - discharge diagnosis: coronary artery disease with a nstemi, and post-operative atrial fibrillation. hypertension hyperlipidemia past surgical history: s/p r hip replacement discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **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. 1:15 in the building , . cardiologist dr. , : follow-up on :45 primary care dr. for warfarin follow-up once discharged from rehab warfarin for atrial fibrillation. inr goal 2.0-3.0 last dose of warfarin , 0.5 mg. inr 2.9 follow-up with your orthopedic surgeon dr. for your right hip surgery. **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation 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 paralytic ileus surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation hip joint replacement 

Answer: The patient is high likely exposed to