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: iodine attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization history of present illness: 81 year old man with cad s/p cabg in with a lima to the lad, svg to the pda, svg to the om, htn, iddm, pvd s/p bilateral le bypass, cri, admitted to hospital with shortness of breath and chest pain x one week. initially thought to be rest angina. ruled out for mi, no ekg changes. transferred here for cath. in holding area pt had chest pain, no ekg changes. underwent difficult catheterization today(received large amount of radiation)which demonstrated severe native three vessel disease. the left main was heavily calcified with an 80% distal stenosis. the left anterior descending received blood from the lima graft. the left circumflex demonstrated a 90% ostial lesion. rca was diffusely diseased. the lima-lad graft was patent. svg-om patent; svg-rpda patent with an 85% mid rca lesion. no attempt at pci today due to excessive radiation dose and dye dose. pt scheduled for for planned pci to the svg-rpda and possible lmca intervention on monday. past medical history: htn iddm cad s/p cabg in with a lima to the lad, svg to the pda, svg to the om () pvd s/p bilateral le bypass copd carotid disease cri bph s/p turp nephrolithiasis history of thrombocytopenia social history: social history is significant for 50 pack year smoking history; quit ', no etoh or drug use. lives at home with wife, independent adls. family history: nc physical exam: gen: elderly male, nad heent: nc/at, eomi, perrl, o/p clear, mmm neck: jvp+9, supple cv: rrr, no m/r/g lungs: cta bilaterally abd: obese, soft, nt, nd ext: wwp, no edema neuro: a&o x3 pertinent results: 09:15pm glucose-208* urea n-45* creat-1.9* sodium-136 potassium-5.1 chloride-107 total co2-21* anion gap-13 09:15pm calcium-8.8 phosphate-2.8 magnesium-2.2 09:15pm wbc-4.1 rbc-3.07* hgb-10.1* hct-29.7* mcv-97 mch-32.9*# mchc-34.0 rdw-15.7* 09:15pm plt count-96* 06:16pm glucose-369* urea n-45* creat-1.8* sodium-134 potassium-5.3* chloride-105 total co2-20* anion gap-14 06:16pm estgfr-using this c.cath comments: 1. selective cornary angiography in this right dominant system revealed diffuse three vessel coronary artery disease. the lmca was unable to be engaged selectively despite using a 4 french jl4, jl4.5, jl5. a five french jl5, jl4.5, al1, al2, and al3 were also unsucessful. the lmca was heavily calcified and had an ostial plaque. there was an 80% distal lmca lesion that involved the origins of the lad, ramus, and . the lad had a functional ostial stenosis (extended from distal lmca); signficiant proximal stenosis; and minimal flow into the mid lad. overall, the lad was not able to be well visualized because of difficulty engaging the lmca. the had a 90% stenosis in the origin that extended from the distal lmca. the av groove supplied a diffusely disease om1 (up to 70% stenosis) and lpl. the ramus was not well seen but had an ostial 80% stenosis. there was heavily calcified plaque in the aorta at the origin of the rca. the rca had heavy calcification proximally with 70% and 90% stenoses. the mid vessel had a 50% stenosis. the distal rca was a tortuous vessel that supplied a long lower acute marginal with lateral branches that supplied the inferior septum. the native av groove rca was heavily calcified and subtotally occluded after the take-off of the large lower am. 2. venous conduit angiography revealed an svg to om (engaged with a 5 french al2) that was patent thoughout and touched down onto the lower pole om that does not communicate with the native av groove . the svg-rpda (engaged with 5 french mpa) had an ostial 30% and mid 85% stenosis; this graft retrogradely filled a severely diffusely diseased distal av groove rca that gave septal collaterals to the lad. 3. nonselective arterial conduit angiography revealed a patent lima with a 30% ostial stenosis that touches down on a small calibur, heavily calcifed lad (not well imaged). 4. left subclavian angiography revealed a heavily calcifed vessel with a proximal 50% stenosis. the left subclavian stenosis prevented advancement of a 4 french catheter despite use of an angled glide wire, slip catheter, and amplatz stiff wire. a 4 french berenstein was ultimately advance to the subclavian distal to the lima over the angled glide wire. 5. left ventriculography was not perfomed secondary to renal insufficency. 6. limited hemodynamics demonstrated systemic systolic hypertension with a central aortic pressure of 167/68 (systolic/diastolic in mmhg). there was severe diastolic dysfunction with an lvedp of 32 mmhg. there was no gradient across the aortic valve on pullback. final diagnosis: 1. three vessel coronary artery disease. 2. severe diastolic ventricular dysfunction. . cardiac cath: 1. planned intervention of a 90% body of svg-pda lesion with direct stenting with a vision 3.5x18mm stent. 2. limited hemodynamics with bp 142/59 with hr 55 with significant ventricular ectopy. 3. access via 6f long sheath in rfa. final diagnosis: 1. succesful direct stenting of svg-pda graft with bare metal stent. brief hospital course: . #. cad: the patient presented to an osh on with shortness of breath and chest pain. he was transferred to for cardiac cathterization. this diagnostic procedure on was complicated requiring a signficant amount of dye and radiation, therefore, the intervention was planned for another day. it demonstrated severe native 3vd, patent lima-lad, svg-om, 90% ostial lesion, diffusely diseased rca with 85% lesion and patent svg-rpda. he received reopro post cathterization and developed a hematoma requiring a pressure dressing. the patient developed refractory chest pain without ecg changes before the intervention could be performed, and was transferred to the ccu for monitoring and management. in the ccu, he was given argatroban for acs (reported concern re: hit). he had cardiac cathterization on with intervention and stenting of svg-rca. his sheath was pulled while on argatroban and the patient developed a significant hematoma requiring 2 units prbc transfusion. the next day, the patient developed stuttering chest pain and plans were made to take him back to the cath lab for possible intervention on left main or rca. he was transitioned from a nitro gtt to isosorbide for the chest pain. he was started on argatroban prior to the procedure. he underwent a third catheterization on with stenting to his l. subclavian. he subsequently remained chest pain free. he was continued on aspirin, plavix, statin, and toprol. no further events occured, chest pain had resolved and he was sent home on the above medications. . #. systolic heart failure: an echo was performed which showed ef 60%. patient was continued on his lasix and his beta blocker was increased. . #. rhythm: patient in normal sinus rhythm during most of his hospital stay, however during the ccu he had a few episodes of bradycardia and his beta blocker was held. this was subsequently resumed prior to discharge. . #. diabetes-patient was placed on an insulin sliding scale and placed back on his home glyburide prior to discharge. . #cri-baseline 2.2 at osh. it initially increased after the first catheterization but subsequently improved after post-cath hydration and ivf. his creatinine was monitored and remained stable throughout the rest of his hospitalization. all of the medications were renally dosed and he received pre- and post-cath hydration for each of his procedures. . #hematuria-pt has gross blood in foley which was thought to be related to traumatic insertion. his foley was subsequently flushed and there were no clots. there was no further evidence of hematuria and no further intervention was taken. . #bph-patient was continued on his home hytrin . #thrombocytopenia-patient has known chronic thrombocytopenia. it is unclear what his baseline is, but at the osh his platelets were in the low 100s. hit ab was sent which was negative. heparin was held throughout his stay and his platelets remained stable in the 80s to low 100s. no further intervention taken. . #chronic anemia-pt on procrit q week (tues). he received 2 units of prbcs in the ccu for his hematoma and his hct subsequently remained stable. he did not receive any procrit during his hospitalization but this should be resumed per his regular schedule upon discharge. . #sciatica-patient was continued on his home neurontin. medications on admission: asa 325mg daily nexium 40mg daily toprol xl 25mg daily mvi neurontin 300nmg daily hytrin 2mg po qhs lasix 40mg daily glyburide 5mg daily iron 325mg daily procrot q week (tues) discharge medications: 1. aspirin 325 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. furosemide 40 mg tablet sig: one (1) tablet po daily (daily). 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. gabapentin 300 mg capsule sig: one (1) capsule po bid (2 times a day). 6. terazosin 1 mg capsule sig: two (2) capsule po hs (at bedtime). 7. hexavitamin tablet sig: one (1) cap po daily (daily). 8. ferrous sulfate 325 mg (65 mg iron) tablet sig: one (1) tablet po daily (daily). 9. nexium 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 10. glyburide 5 mg tablet sig: one (1) tablet po once a day. 11. procrit injection 12. toprol xl 25 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 13. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) sublingual every 5 minutes up to three times as needed for pain: tkae every 5 minutes up to three doses; if not working call your doctor or go to the er. discharge disposition: extended care facility: baypointe - discharge diagnosis: primary cad s/p 3 pcis . secondary htn iddm copd pvd cri bph thrombocytopenia discharge condition: improved discharge instructions: you were admitted to the hospital with chest pain. you underwent 3 cardiac catheterizations and had stents placed to the blocked vessels in your heart. you had a complication after one of the procedures and had some bruising and swelling in your groin which resolved. . there were some changes made to your medications. you were started on lipitor, and plavix. the other medications were kept the same. . if you have any chest pain, shortness of breath, nausea,vomiting, palpitations, lightheadednes, bleeding from the groin, or any other concerning symptoms, please call your doctor or return to the er. . please follow up as below followup instructions: please follow up with your cardiologist dr in 2 weeks. please call and make an appt with your pcp weeks. procedure: insertion of non-drug-eluting coronary artery stent(s) coronary arteriography using two catheters coronary arteriography using two catheters left heart cardiac catheterization left heart cardiac catheterization angioplasty of other non-coronary vessel(s) arteriography of other intrathoracic vessels insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) cranial or peripheral nerve graft insertion of one vascular stent cranial or peripheral nerve graft insertion of one vascular stent excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel procedure on single vessel diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified coronary atherosclerosis of autologous vein bypass graft hematoma complicating a procedure chronic systolic heart failure stricture of artery 

Answer: The patient is high likely exposed to