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: shortness of breath when lying flat major surgical or invasive procedure: - cabgx3 ( lima->left anterior descending artery, svg->obtuse marginal artery, svg_>posterior lateral branch) - cardiac catheterization history of present illness: hpi: 62 yo m c hx of early family history of cad and distant smoking history but no other known risk factors had sudden onset of orhtopnea tuesday. describes lying flat in bed tuesday evening and feeling suffocated. symptoms resolved with sitting up. persistent and repeat episodes of orthopnea precipitated ed visit. at osh noted to have troponin 0.19, bnp 2755, ekg showing sinus rhythm 90 bpm, nl axis, t wave inversion v2-v6, i, avl, tall r wave v4, ? st elevation in v1,v2, ? vcd. bnp - 2755. echo done at osh c ef 30%. diuresed with iv lasix (40mg iv); had subjective improvement in dyspnea. transfered to for cath. on exam, cp free, lying flat in nad. past medical history: throat cancer - s/p 35 days xrt copd - quit smoking 20 y prior gout social history: sh: retired; used to work in navy yard, driver. active in sports (golfing, umpiring). smoked 20 pack years, quit . occ etoh. family history: fh: father with mi in 50s physical exam: vs - bp 125-135/82-85, p 85-86, o2 sat - 100% ra, rr 16 heent - jvd at level of clavicle at 20 degree, mmm, op clear, conjunc. pink lungs - no crackles axillae, apices heart - rrr, s1, s2, no rmg abd - soft, nt, nd, bs+ ext - cool feet b/l. 2+ dp pulse b/l. no hematoma, no bruit at r groin neuro - non focal pertinent results: 12:00pm pt-13.3* ptt-25.8 inr(pt)-1.2* 12:00pm plt count-270 12:00pm wbc-5.7 rbc-3.91* hgb-11.8* hct-32.8* mcv-84 mch-30.2 mchc-36.0* rdw-14.2 12:00pm alt(sgpt)-7 ast(sgot)-11 alk phos-45 tot bili-1.4 12:00pm glucose-154* urea n-34* creat-1.5* sodium-137 potassium-3.4 chloride-98 total co2-26 anion gap-16 06:41pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 07:05am blood wbc-10.2 rbc-3.26* hgb-9.8* hct-28.1* mcv-86 mch-30.0 mchc-34.8 rdw-14.5 plt ct-198 07:05am blood plt ct-198 07:05am blood glucose-114* urean-26* creat-1.4* na-137 k-4.5 cl-97 hco3-33* angap-12 cardiac catheterization 1. coronary angiography revealed a right dominant system. the lmca showed a discrete 50% stenosis in its distal segment. the lad showed diffuse stenoses not more than 30% throughout its length. the lcx showed a proximal 100% stenosis with left to left collaterals to the distal segment via an om branch. the rca showed a 100% proximal occlusion with left to right collaterals to the distal segment. 2. left ventriculography revealed global hypokinesis with an ejection fraction of 32%. there was no evidence of mitral regurgitation. 3. limited hemodynamics revealed mildly elevated left ventricular end-diastolic pressure of 18mmhg, suggestive of diastolic dysfunction. there was no pressure gradient across the aortic valve upon pullback of the pigtail catheter. final diagnosis: 1. three vessel coronary artery disease. 2. mild diastolic ventricular dysfunction. 3. moderate systolic ventricular dysfunction. carotid ultrasound mild carotid artery disease bilaterally, associated with luminal narrowings less than 40% in diameter reduction on the right side versus between 40 and 59% on the left. echo pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. there is severe global left ventricular hypokinesis. the left ventricle is thin and enlarged. resting regional wall motion abnormalities include global severe hypokinesis, with akinesis of apex.. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. the left cusp is hypokinetic. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post-cpb: preserved rv systolic fxn. improved global lv systolic fxn. ef=35 - 40% on epinephrine infusion. inferior and posterior walls remain more hypokinetic than others. no mr, no ai. aorta intact. other parameters as pre-cpb. cxr there has been interval removal of the endotracheal tube, mediastinal drains and left-sided chest tube. there are persistent areas of atelectasis bilaterally including the left upper lobe. no pneumothorax is evident. there is no evidence for failure or effusions. the patient is again noted to be status post cabg. brief hospital course: mr. was admitted to the on for further evaluation of his chest pain. he underwent a cardiac catheterization which revealed severe three vessel disease with a left ventricular ejection fraction of 25%. given the severity of his disease, the cardiac surgery service was consulted for surgical management. mr. was worked-up in the usual preoperative manner including a carotid duplex ultrasound which revealed mild carotid artery disease bilaterally, associated with luminal narrowings less than 40% in diameter reduction on the right side versus between 40 and 59% on the left. an echocardiogram was performed which showed trivial mitral regurgitation, mild left ventricular hypertrophy and an ejection fraction of 30%. on , mr. was taken to the operating room where he underwent coronary artery bypass grafting to three vessels. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. by postoperative day one, mr. was awake and extubated. aspirin, a statin and beta blockade were started. he was then transferred to the step 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 mobility. beta blockade was increased for tachycardia. an ace inhibitor was started for blood pressure control and his low ejection fraction. his creatinine remained stable at 1.4. mr. continued to make steady progress and was discharged home on postoperative day four. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. on discharge, his wounds were clean, dry and intact and all vital signs were stable. medications on admission: none discharge medications: 1. coreg 6.25 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 2. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*3* 6. lasix 20 mg tablet sig: one (1) tablet po twice a day for 5 days: take for five days then stop. disp:*10 tablet(s)* refills:*0* 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days: take once daily for five days then stop. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* 8. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months: take for 1 month then stop. disp:*60 tablet(s)* refills:*0* 9. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: cad throat cancer s/p xrt copd gout htn mi discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. 2) report any fever greater then 100.5. 3) you may wash/shower incision and gently pat dry. no swimming or bathing for 4 weeks. 4) no lotions, creams or powders to incision until it has healed. 5) no lifting greater then 10 pounds for 10 weeks from date of surgery. 6) no driving for 1 month from date of surgery or whenever using narcotics/pain medication. 7) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 8)take lasix 20mg twice daily and potassium 20meq once daily for 5 days then stop. 9) call with any questions or concerns. followup instructions: follow-up with dr. in 1 month. ( follow-up with cardiologist dr. in weeks. ( follow-up with either primary care physician . ( or dr. ( in 2 weeks. please call all providers for appointments. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization coronary arteriography using a single catheter diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified gout, unspecified 

Answer: The patient is high likely exposed to