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: known coronary artery disease s/p ptca with acute acute onset of chest pain, shortness of breath. cardiac catheterization -60% distal left main, 90% osteal lad, 70% osteal cx,, significant rca disease, ef 50%. major surgical or invasive procedure: coronary artery bypass graft x5 (lima-lad, svg-ramus, svg-pda, svg-plv, svg-om) history of present illness: patient with known past medical history: hyperlipidemia hypertension coronary artery disease, s/p ptca social history: warehouse worker or stop and shop lives with wife family history: positive for mi/cad physical exam: general; well appearing, robust male in nad heent: unremarkable. carotids +2 bilat chest: clear to asculatation bilat cor: rrr s1, s2 abd: soft, nt, +bs, extrem: pulses +2 bilat groin and feet neuro; intact pertinent results: echocardiography report , (complete) done at 11:23:06 am final referring physician information , , status: inpatient dob: age (years): 55 m hgt (in): 70 bp (mm hg): 117/65 wgt (lb): 225 hr (bpm): 74 bsa (m2): 2.20 m2 indication: intra-op tee for cabg icd-9 codes: 440.0, 413.9 test information date/time: at 11:23 interpret md: , md, md test type: tee (complete) 3d imaging. son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2009aw06-: machine: echocardiographic measurements results measurements normal range left ventricle - inferolateral thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.8 cm <= 5.6 cm left ventricle - ejection fraction: 55% to 60% >= 55% aortic valve - peak velocity: 1.2 m/sec <= 2.0 m/sec findings multiplanar reconstructions were generated and confirmed on an independent workstation. left atrium: good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness, cavity size and regional/global systolic function (lvef >55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. no as. no ar. mitral valve: trivial mr. tricuspid valve: physiologic tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: trivial/physiologic pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. see conclusions for post-bypass data the post-bypass study was performed while the patient was receiving vasoactive infusions (see conclusions for listing of medications). conclusions pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. there is no aortic valve stenosis. no aortic regurgitation is seen. 6. trivial mitral regurgitation is seen. 7. there is a trivial/physiologic pericardial effusion. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine and is in sinus rhythm. 1. biventricular function is unchanged. 2. aortic contours appear intact post decannulation 3. other findings are unchanged dr. was notified in person of the results i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, md, interpreting physician 15:07 07:40pm glucose-107* urea n-18 creat-1.0 sodium-140 potassium-3.6 chloride-102 total co2-30 anion gap-12 07:40pm wbc-9.3 rbc-4.57* hgb-14.4 hct-41.0 mcv-90 mch-31.6 mchc-35.2* rdw-12.8 brief hospital course: mr. was admitted prior to surgery for iv heparinization. he remained chest pain free and was taken to the or on for cabg x5. see oprative note for details. on pod#1 he was extubated, his chest tubes were removed and he was started on lopressor and diuresis.he was aslo transferred from the icu to the floor. he progressed well post-operatively. he was evaulated by physical therapy and cleared for discharge to home. on pod#3 his temporary pacing wires were removed. he was discharged to home on pod#4. medications on admission: toprol xl 25,imdur, norvasc, asa 325,zocor 20 discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 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. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*65 tablet(s)* refills:*0* 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 7 days. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* 8. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed. disp:*90 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease hypertension hyperlipidemia ptca discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month, and while taking narcotics no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr. in 3 weeks () dr. (cardiologist and primary care)in weeks please call for appointments wound check appointment 6 as instructed by nurse () md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia other and unspecified angina pectoris other abnormal glucose 

Answer: The patient is high likely exposed to