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: adhesive tape attending: chief complaint: chest pain major surgical or invasive procedure: 1. urgent coronary artery bypass graft x3: left internal mammary artery to left anterior descending artery and saphenous vein grafts to obtuse marginal and posterior descending arteries. 2. endoscopic harvesting of the long saphenous vein. cardiac catheterization history of present illness: patient is a 67yo m with pmhx of htn and hld who presented to the ed from his pcp's office with complaints of cp found to have positive stress test in the ed after being observed. patient reports that since watching the celtics in the playoffs he had noticed a chest discomfort in his chest that was relieved when turning off the tv. over the weekend, he had 2 episodes of chest pain associated with exertion. he was walking for miles and started noting chest pain across the chest. the chest pain was quantified as . he did stop and after approx 5 minutes the pain resolved. he walked again on the day prior to presentation (sunday)and it was quantified as . the patient states that the pain resolved with rest. his pain is not associated with diaphoresis, shortness of breath, abdominal pain, nausea, vomiting, dizziness, or lightheadedness. the patient saw his pcp regarding his symptoms, who then referred him to the ed for further evaluation. the patient had a stress test done at that was stopped due to leg fatigue in . he had no symptoms during this test and was noted to be hypertensive during his study. he was chest pain free during this ett with no ekg changes. in the ed, initial vitals were 99.1 92 169/91 16 100% 3l. he received 325mg asa in the ed. the patient's troponins in the ed were negative times 2. he was observed in the ed and had an ett. exercise stress test was positive with st-depressions inferolateral leads, st elevation in avr, v1, and chest pain with sbp drop from 190 to 160. nuclear imaging showed fixed perfusion deficits but no inducible ischemia. he was admitted to cardiology for cardiac catheterization. on arrival to the floor, patient is currently chest pain free. review of systems: on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he reports exertional leg pain. all of the other review of systems were negative. cardiac review of systems is notable for absence of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: primary diagnosis: coronary artery disease secondary diagnosis: hypertension hyperlipidemia myocardial infarction social history: originally from . married. # tobacco: former smoker. quite 4 months ago. prior to quitting patient smoked ppd; patient endorses a smoking history of 1ppd or more 20 years ago # alcohol: drinks socially. # illicit: denies family history: father with cad, mi (age >60 years) and pvd. mother with stroke at age 82; htn. maternal grandmother cad and pvd. physical exam: admission physical exam: vs: t 97.7, bp 160/100, hr 60, rr 17, spo2 99% on ra weight: 82.3kg general: wdwn sitting at the side of the bed in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. xanthalesma present on the eyes. neck: supple with no jvd. cardiac: r, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes. abdomen: soft, ntnd. no hsm or tenderness. extremities: no c/c/e. varicose veins appreciated on the le bilaterally. neuro: cn ii-xii tested and intact, strength 5/5 throughout, sensation grossly normal. gait not tested. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: dp 2+ pt 2+ left: dp 2+ pt 2+ pertinent results: intra-op tee : conclusions pre-bypass: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef = 65%). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. there are complex (>4mm) atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. 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 stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. dr. was notified in person of the results at time of surgery. post-bypass: the patient is in sinus rhythm. the patient is on a phenylephrine infusion. biventricular function is unchanged. mitral regurgitation is unchanged. the aorta is intact post-decannulation. . 04:30am blood wbc-6.1 rbc-3.64* hgb-11.2* hct-33.1* mcv-91 mch-30.7 mchc-33.9 rdw-14.9 plt ct-161 03:57am blood wbc-7.9 rbc-3.81* hgb-11.9* hct-34.1* mcv-90 mch-31.3 mchc-34.9 rdw-14.9 plt ct-170 04:30am blood glucose-89 urean-28* creat-0.9 na-136 k-3.7 cl-98 hco3-30 angap-12 03:57am blood glucose-100 urean-26* creat-1.1 na-136 k-4.0 cl-99 hco3-32 angap-9 brief hospital course: patient is a 67yo m with pmhx of htn and hld who presented to the ed from his pcp's office with complaints of cp who was found to have positive ett after observation in the ed found to have 2-vessel coronary artery disease on cardiac catheterization. cardiology floor course # 2-vessel coronary artery disease: patient presented with symptoms of angina; he was not started on a heparin drip upon admission. nuclear stress images show fixed moderate basal inferior wall perfusion defect and a fixed moderate inferoapical perfusion defect with normal ejection fraction. patient underwent cardaic catheterization showing extensive disease in lad and rca. the patient was started on aspirin 81mg daily and his home simvastatin was continued. cardiac surgery was consulted in light of cardiac catheterization findings, and it was recommended that the patient undergo revascularization surgery. patient was taken for cabg . chest tubes, foley and pacing wires were removed in the usual fashio. pt saw patient. pt stable for home. no sequele from the procedure. # hypertension: managed with hydrochlorathiazide 25mg daily as an outaptient only; patient has not been taking atenolol as an outpatient. upon admission, patient's systolic blood pressure was 160, with diastolic 100. the patient was started on lisinopril 5mg daily, at the time of his cabge this was pt currently on lopressor 50 tid. he is tolerating this dose. he will arrange to see his pcp weeks. # hyperlipidemia: patient on simvastatin as an outpatient. most recent ldl of 95. simvastatin 10mg daily was continued during the hospitalization. # kidney function: review of atrius records shows that the patient's serum creatinine has ranged from 1.1-1.4. patient received hydration prior to catheterization and after catheterization. this remained stable during this hospital stay. . post-op course: the patient was brought to the operating room on where the patient underwent cabg x 3 with dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod **** the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home in good condition with appropriate follow up instructions. medications on admission: preadmission medications listed are correct and complete. information was obtained from patient. 1. hydrochlorothiazide 25 mg po daily 2. simvastatin 10 mg po daily discharge medications: 1. hydrochlorothiazide 25 mg po daily 2. acetaminophen 650 mg po q4h:prn fever, pain 3. aspirin ec 81 mg po daily 4. bisacodyl 10 mg pr daily:prn constipation 5. docusate sodium 100 mg po bid 6. oxycodone-acetaminophen elixir ml po q4h:prn pain rx *roxicet 5 mg-325 mg/5 ml every four (4) hours disp #*300 milliliter refills:*0 7. metoprolol tartrate 50 mg po tid hold for hr < 55 or sbp < 90 and call medical provider. *lopressor 50 mg three times a day disp #*90 tablet refills:*0 8. atorvastatin 20 mg po daily rx *atorvastatin 20 mg daily disp #*30 tablet refills:*0 9. lisinopril 5 mg po daily rx *lisinopril 5 mg daily disp #*30 tablet refills:*0 discharge disposition: home with service facility: discharge diagnosis: primary diagnosis: coronary artery disease secondary diagnosis: hypertension hyperlipidemia myocardial infarction discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage edema: trace discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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: wound check at dr. office: phone:, 10:15 surgeon dr., , 1:00 cardiologist -- the office will call you with an appt. please call to schedule the following: primary care dr. , m. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia personal history of tobacco use old myocardial infarction family history of ischemic heart disease chronic total occlusion of coronary artery benign essential hypertension 

Answer: The patient is high likely exposed to