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: lipitor attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypass grafting x3(left internal mammary artery to left anterior ddescending artery, saphenous vein graft to posterior diagonal artery, and saphenous vein graft to diagonal artery) history of present illness: 67 year old male with longstanding intermittent atypical chest pain. pain has present for years and occurs several times/day or sometimes not for weeks. it is unpredecitable, non-exertional, non-poistional and non-pleuritic. underwent myoview stress test on which showed hypokinesis with slight apical dyskinesis. also revealed large size marked anteromedial, septal, apical and inferior defect with significant reperfusion of the involved segments with dimished reperfusion on the inferior wall. he then underwent a cardiac cath which revealed severe three vessel coronary artery disease. patient does not take sl nitro at home despite having intermittent chest pain, does not have a prescription for it because it gives him a headache. at osh, he received ntg x3, morphine 2 mg iv, and nitropaste with improvement of pain. bp improved with this as well. ekg showed no acute ischemic changes. cxr showed no acute abnormality. troponin <0.03. since patient is to have cabg performed here, osh transferred patient here for further management past medical history: coronary artery disease s/p coronary bypass grafting hyperlipidemia borderline hypertension gastric esophogeal reflux disease benign prostatic hypertropy s/p thermal therapy psh: s/p left hand surgery s/p bilateral cataracts s/p eye surgery s/p tonsillectomy social history: race: caucasian lives with: wife occupation: retired ge engineer, formerly merchant marine tobacco: denies etoh: social family history: father with cad in his 70's physical exam: pulse: 50 resp: 16 o2 sat: 100% room air b/p right: 139/84 left: 135/79 height: 67.5" weight: 198lb general: middle aged male in no acute distress. **mild pectus excavatum noted** skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur - distant heart sounds abdomen: soft non-distended non-tender + bs extremities: warm , well-perfused edema: none varicosities: none - bilateral gsv very superficial neuro: grossly intact pulses: femoral right: 2 resolving hematoma, no bruit left: 2 dp right: 1 left: 1 pt : 1 left: 1 radial right: 2 left: 2 carotid bruit right: no left: yes discharge exam vs: t: 98.6 hr sr bp: 133/67 sats: 97 ra wt: 92.1 general: 67 year-old male in no apparent stress heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: rrr normal s1,s2 resp: decreased breath sounds faint bibasilar crackles gi: benign extr: warm tr edema incision: sternal clean dry intact no erythema, lle site w/steri-strips no erythema skin: right upper arm iv site mild cord no erythema neuro: awake, alert oriented pertinent results: thyroid ultrasound: impression: multinodular thyroid with the largest nodule measuring 4-cm in the right lower pole. recommend ultrasound-guided fna for further tissue analysis. transitional issues: 1. thyroid nodules: pt will require follow-up fna of nodules after surgery. please arrange for follow-up appointment if cannot perform in hospital. discharge labs: 06:56am pt-12.1 ptt-26.1 inr(pt)-1.0 06:56am plt count-181 06:56am wbc-7.0 rbc-4.14* hgb-13.7* hct-38.2* mcv-92 mch-33.1* mchc-35.8* rdw-13.0 06:56am triglycer-171* hdl chol-41 chol/hdl-4.7 ldl(calc)-116 06:56am %hba1c-5.6 eag-114 06:56am calcium-9.2 phosphate-4.3 magnesium-2.2 cholest-191 06:56am ck-mb-5 ctropnt-0.04* 06:56am alt(sgpt)-19 ast(sgot)-19 ck(cpk)-68 alk phos-62 tot bili-0.4 06:56am glucose-104* urea n-20 creat-1.3* sodium-140 potassium-4.3 chloride-105 total co2-28 anion gap-11 discharge labs: 10:50am blood wbc-10.0 rbc-3.15* hgb-10.2* hct-29.5* mcv-94 mch-32.5* mchc-34.7 rdw-13.3 plt ct-140* 10:50am blood plt ct-140* 02:51pm blood pt-14.1* ptt-33.4 inr(pt)-1.2* 04:25am blood glucose-124* urean-18 creat-1.2 na-133 k-4.0 cl-101 hco3-26 angap-10 radiology report chest (portable ap) study date of 9:05 am final report: as compared to the previous radiograph, the monitoring and support devices have been removed except for the right venous introduction sheath. low lung volumes. cardiomegaly with signs of mild pulmonary edema. presence of a small left pleural effusion cannot be excluded. bilateral areas of atelectasis. the alignment of the sternal wires is unchanged. dr. echocardiography report echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.4 cm 0.6 - 1.1 cm left ventricle - ejection fraction: >= 55% >= 55% aorta - sinus level: *3.7 cm <= 3.6 cm aorta - ascending: 2.3 cm <= 3.4 cm findings left atrium: normal la size. normal la and ra cavity sizes. right atrium/interatrial septum: normal ra size. normal interatrial septum. left ventricle: normal lv wall thickness and cavity size. right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending, transverse and descending thoracic aorta with no atherosclerotic plaque. normal diameter of aorta at the sinus, ascending and arch levels. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets. mild to moderate (+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions prebypass: normal lv systolic function with lvef >55%, with mild ventricular anterior apical hk. the left atrium is normal in size. the left atrium and right atrium are normal in cavity size. left ventricular wall thicknesses and cavity size are normal. right ventricular chamber size and free wall motion are normal. the ascending, transverse and descending thoracic aorta are normal in diameter and free of significant atherosclerotic plaque. the diameters of aorta at the sinus, ascending and arch levels are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve leaflets are structurally normal. mild to moderate (+) mitral regurgitation is seen. there is no pericardial effusion. mild tr, mild pi. normal diastolic function with e' > 8cm/sec. postbypass: essentially unchanged; no swma, good lv function lvef > 55% no valvular problems, no dissection seen. cxr: : cardiomegaly is severe, unchanged. right upper mediastinal mass is consistent with known enlargement of the thyroid gland. there is overall improvement in the lung aeration bilaterally with only minimal atelectasis present and small amount of pleural effusion, most likely left. there is no pneumothorax. there is no evidence of interstitial pulmonary edema. brief hospital course: mr was admitted to the cardiology service with chest pain, he had known coronary artery disease and was scheduled for bypass grafting on . he ruled out for mi and was seen by cardiac surgery to expedite his surgery. he remained on the cardiology service until when he was brought to the operating room. please see operative report for details, in summary he had: cabg x3(lima-lad, svg-prda, svg-diag). his bypass time was 77 minutes with a crossclamp time of 64 minutes. he received vancomycin and cefazolin for periop antibiotics. he tolerated the operation well and post-operatively was transferred to the cardiac surgery icu. he woke neurologically intact and was extubated on the day of surgery. he remained hemodynamically stable and was transferred to the stepdown floor on pod1. all tubes lines and drains were removed per cardiac surgery protocol. once on floor the patient had several episode of atrial fibrillation. he was treated with bblockers and amiodarone and converted to sinus rhythm. the remainder of his hospital course was uneventful. he worked with nursing and physical therapy to enhance his mobility and endurance. on pod5 he was discharged home with vna. medications on admission: imdur 30mg daily aspirin 81mg daily atenolol 25mg daily omeprazole 20mg daily albuterol prn vitamin d 1000u daily discharge medications: 1. cholecalciferol (vitamin d3) 400 unit tablet sig: two (2) tablet po daily (daily). 2. pravastatin 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(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. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. 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* 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain, fever. 7. hydrocodone-acetaminophen 5-500 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*65 tablet(s)* refills:*0* 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. lasix 20 mg tablet sig: one (1) tablet po twice a day for 7 days. disp:*14 tablet(s)* refills:*0* 10. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po q12h (every 12 hours) for 7 days. disp:*28 tablet extended release(s)* refills:*0* 11. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): then 200 mg daily starting . disp:*30 tablet(s)* refills:*2* 12. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p coronary bypass grafting x3 hyperlipidemia borderline hypertension gastric esophogeal reflux disease benign prostatic hypertropy s/p thermal therapy psh: s/p left hand surgery s/p bilateral cataracts s/p eye surgery s/p tonsillectomy discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema: 1+ bilat 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 **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: , md phone: date/time: 1:30 in the building wound care nurse phone: date/time: 11:15 building cardiologist: : phone: appointment at 3:30 at , ma please call to schedule appointments with your primary care dr. in weeks **need f/u for thyroid nodules found on us** **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 (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension hyposmolality and/or hyponatremia atrial fibrillation other and unspecified hyperlipidemia other specified cardiac dysrhythmias sympatholytics [antiadrenergics] causing adverse effects in therapeutic use 

Answer: The patient is high likely exposed to