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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain major surgical or invasive procedure: - coronary artery bypass grafting to three vessels (left internal mammary->left anterior descending artery, saphenous vein graft (svg)->obtuse marginal artery, svg->posterior descending artery). history of present illness: this gentleman has no history of cardiac risk factors and is described by his daughter as very healthy, though profoundly hearing impaired. he was extremely active, walking on a daily basis up until the end of last summer. at that point he began experiencing chest discomfort. the patient??????s daughter is unaware if her father reported his symptoms to his pcp but she knows he stopped walking at that point. she states that approximately two months ago he began to experience a choking sensation with exertion and developed a hoarse throat. he saw his pcp and was referred to dr. for cardiac consultation. he underwent a nuclear stress test on where he was able to exercise 4.5 minutes of protocol to a peak heart rate of 137 bpm, representing 101% of his age predicted maximum, and stopping due to fatigue. he did not experience any chest discomfort and his ekg was uninterpretable due to baseline abnormalities though there were 1-2 mm of inferolateral st depression. nuclear imaging demonstrated a small area of inferior wall ischemia. his ef was 63% at rest and decreased to 54% with stress. dr. reportedly started him on a beta blocker, statin, ppi and imdur. his daughter reports he had no improvement in his symptoms. apparently he was working in his yard on , when he once again, developed the sensation of "choking" in his chest and throat. this was followed by 3-4 days of feeling ill and remaining in bed. his daughter reports she have never seen her father so lethargic or ill and apparently her father described his chest and throat discomfort as his worse episode yet. he saw dr. in follow up last week, was started on plavix and asa, and is now referred for cardiac catheterization. a cardiac cath revealed 3 vd. dr. was consulted for coronary revascularization. past medical history: gerd,(recently diagnosed)htn, borderline (recently diagnosed)dyslipidemia (recently diagnosed), mild arthritis, bilateral hearing loss (patient denies) social history: he is widower and lives with his , . he does not smoke and drinks on social occasions. he is a retired machinist. family history: reports brother died at age 73 +mi physical exam: pulse:50 resp:22 o2 sat: 98% ra b/p right: left: 139/56 height: 71 inches weight:173lbs general:a&ox3, pleasant skin: dry intact -well healed rue skin graft heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: left: dp right: 1+ left:1+ pt : left: radial right: left: carotid bruit =none right:2+ left:2+ pertinent results: echo pre-bypass: the left atrium and right atrium are normal in cavity size. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. there is no aortic valve stenosis. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. the was notified in person of the results on mr. before incision. post-bypass: preserved biventricular systolic function. lvef 55%. intact thoracic aorta. miminal mr . 05:45am blood wbc-8.0 rbc-3.35* hgb-10.0* hct-29.5* mcv-88 mch-30.0 mchc-34.0 rdw-14.3 plt ct-144* 02:06am blood pt-13.5* ptt-26.7 inr(pt)-1.2* 05:45am blood glucose-98 urean-22* creat-0.9 na-137 k-4.0 cl-102 hco3-27 angap-12 brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken directly to the operating room where he underwent coronary artery bypass grafting to three vessels. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. within 24 hours, he awoke neurologically and was extubated. beta blockade, lipitor and aspirin were resumed. later on postoperative day one, he was transferred to the down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and physical recovery. on last two days before discharge mr. was intermittently in atrial fibrillation with a controlled ventricular rate. for his atrial fibrillation he was placed on coumadin 4 mg. he was discharge to rehab on pod five. medications on admission: plavix 75(1)-started -stopped , isosorbide mononitrate 30(1), metoprolol tartrate 25(2), ntg sl 0.4mg prn, omeprazole 20(1), simvastatin 20(1), asa 325(1) discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*30 capsule(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 3. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 4. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. amiodarone 200 mg tablet sig: two (2) tablet po once a day: take 400mg (two 200mg pills) daily for seven days then decrease to 200mg (one pill) daily. disp:*60 tablet(s)* refills:*2* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q12h (every 12 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 8. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. disp:*30 ml(s)* refills:*0* 9. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 10. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. disp:*30 suppository(s)* refills:*0* 11. coumadin 4 mg tablet sig: one (1) tablet po once a day: for atrial fibrillation titrate coumadin dose for an inr goal of . disp:*30 tablet(s)* refills:*2* 12. outpatient lab work check inr on . inr goal for atrial fibrillation discharge disposition: extended care facility: rehab discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 hypertension dyslipidemia arthritis gastroesophageal reflux disease discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 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. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks from date of surgery. 6) no driving for 1 month or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: please follow-up with dr. in 1 month ( please follow-up with dr. . in 2 weeks. please follow-up with dr. in weeks. call all providers for appointmens. mr. was placed on 4mg coumadin daily for atrial fibrillation in a controlled ventricular rate. goal inr for atrial fibrillation is . procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to