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: morphine / bactrim attending: chief complaint: chest pain major surgical or invasive procedure: cardiac cath coronary bypass grafting x3 with left internal mammary artery to left anterior descending coronary artery; reverse saphenous vein single graft from aorta to first obtuse marginal coronary; reverse saphenous vein single graft from aorta to distal right coronary artery history of present illness: 65m w/ htn, newly diagnosed t2dm, who presented to his pcp's office today for symptoms of cp that he attributed to gerd. pt developed epigastric pain on tuesday after dinner and had vomitting x 1. pain resolved on its own but recurred again so the pt saw his pcp . however, as the pt was not prone to gerd and had been having sx of doe over the past 6 months, he got an ekg which showed some "lateral changes". he was referred to for further workup. over the past year or so, pt has been having increasing dyspnea on exertion and gets sob after walking about a yards. pt has chronic back pain, and therefore exercises minimally. in the ed, labs were significant for trop of 0.26,ekg changes consistent with a diagnosis of nstemi. he was admitted for further cardiac workup. cardiac cath today reveals significant coronary artery disease. cardiac surgery was consulted for evaluation of coronary revascularization. past medical history: hypertension diabetes mellitus 2 kidney stones (remote) lumbar back pain selective paraspinal muscular atrophy/weakness syndrome social history: recently retired gentleman; lives in with wife. ashkenazi descent. -tobacco history: ex smoker 25 years back (20 pack years) -etoh: occasional -illicit drugs: none family history: there is no family history of dementia. his father died of cancer at age 60. his brother has a history of stroke and diabetes. physical exam: vs: bp= 122/77 hr= 58 rr= 16 o2 sat= 98% on 3l general: nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple cardiac: rrr, normal s1, s2. no m/r/g. lungs:cta abdomen: soft, ntnd. extremities: no c/c/e. no varicosities noted pulses: right: carotid 2+ femoral 2+ dp 2+ left: carotid 2+ femoral 2+ dp 2+ discharge exam: vs: t: 98.5 hr: 62-80 sr bp: 91-138/60 rr: 18 sats: 98% ra general: 65 year-old male in no apparent distress heent: normocephalic, mucus membranes moist card: rrr normal s1,s2 no murmur or gallop resp: decreased breath sounds at bases no crackles gi: benign extr: warm 2+ edema bilateral, dp's 2+ (b) wound: sternal incision clean, dry, no erythema or click skin: multiple skin tears neuro: non-focal pertinent results: echo : pre-bypass: the left atrium is elongated. no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with hypokinesis of the mid anteroseptal wall, distal septal and anterior walls, and hypokinesis of the apex. overall left ventricular systolic function is mildly depressed (lvef= 45-50 %). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. the coronary sinus is not dilated. dr. was notified in person of the results at time of surgery. post-bypass: post bypass patient is av paced and receiving an infusion of phenylephrine. lvef= 50%. mild mitral regurgitation persists. aorta intact post decannulation. . cardiac cath: total occluded lad, 80% omb, 90% rca, for cabg. . carotid u/s: right ica <40% stenosis. left ica <40% stenosis. cxr: : 1. status post median sternotomy with stable postoperative cardiac and preliminary reportmediastinal contours. lung volumes remain low with linear opacities at both preliminary reportbases and in the left upper lung suggestive of patchy atelectasis. crowding preliminary reportof the pulmonary vasculature with no overt pulmonary edema. stable tiny left preliminary reportapical pneumothorax. no large pleural effusions. wbc-8.7 rbc-3.24* hgb-10.2* hct-29.7* mcv-92 mch-31.6 mchc-34.5 rdw-13.7 plt ct-142* wbc-8.5 rbc-5.48 hgb-17.0 hct-48.7 mcv-89 mch-31.0 mchc-34.8 rdw-13.3 plt ct-220 urean-21* creat-1.0 na-138 k-4.9 cl-101 glucose-179* urean-17 creat-1.0 na-134 k-5.0 cl-99 hco3-25 glucose-146* urean-19 creat-1.1 na-137 k-4.5 cl-101 hco3-24 alt-41* ast-30 alkphos-78 amylase-58 totbili-0.8 micro: mrsa screen (final ): no mrsa isolated. brief hospital course: as mentioned in the hpi, mr. was admitted with a myocardial infarction. he underwent cardiac work-up and cath revealed severe three vessel coronary artery disease. he underwent surgical work-up and received medical management while awaiting plavix wash-out. on he was brought to the operating room where he underwent a coronary artery bypass graft x 4. please see operative note for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within several hours he was weaned from sedation, awoke neurologically intact and extubated.transferred to the floor on pod #2 to begin increasing his activity level. gently diuresed toward his preop weight. chest tubes and pacing wires removed per protocol. continued to make good progress and was cleared for discharge to home with homecare services on pod4. he will follow-up as an out patient. medications on admission: atenolol 25 daily vit d3 daily fluticasone prn lisinopril 10 daily trazodone 100mg qhs prn baby asa multi vit discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po every six (6) hours as needed for pain. 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. cholecalciferol (vitamin d3) 400 unit tablet sig: one (1) tablet po daily (daily). 4. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. atenolol 25 mg tablet sig: one (1) tablet po once a day. 7. lisinopril 5 mg tablet sig: one (1) tablet po once a day. 8. furosemide 40 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 9. oxycodone 5 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*40 tablet(s)* refills:*0* 10. simvastatin 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 myocardial infarction past medical history: hypertension diabetes mellitus 2 kidney stones (remote) lumbar back pain selective paraspinal muscular atrophy/weakness syndrome discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema bilateral 2+ 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 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **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 wound check in the at 10:15a surgeon: dr. at 1:30p in the cardiologist: dr. please call for a follow-up appointment in weeks please call to schedule appointments with your primary care 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 coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of tobacco use pure hyperglyceridemia lumbago spinal muscular atrophy, unspecified 

Answer: The patient is high likely exposed to