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: percocet attending: chief complaint: unstable angina major surgical or invasive procedure: - cardiac catheterization - iabp placement - cabgx3(lima-lad,svg-diag,svg-om history of present illness: 54 yo m with recurrent angina over the past several months. +ett, referred for cath which showed 80% lm. referred for surgery. past medical history: htn, hyperlipidemia, obesity, asthma, hiatal hernia, atrial fibrillation s/p ablation at in or , lbbb social history: vp of software company quit tobacco , 2 ppd x 15 years no etoh family history: father with mi at 54 physical exam: hr 61 sr rr 16 bp 119/66 nad with iabp lungs ctab ant heart rrr abdomen benign extrem warm, no edema neuro non focal pertinent results: 05:30am blood wbc-5.3 rbc-2.79* hgb-9.3* hct-26.4* mcv-95 mch-33.4* mchc-35.3* rdw-13.6 plt ct-146* 04:17am blood pt-13.4 ptt-28.1 inr(pt)-1.1 04:17am blood pt-13.4 ptt-28.1 inr(pt)-1.1 05:30am blood glucose-100 urean-25* creat-1.0 na-137 k-4.6 cl-99 hco3-28 angap-15 chest (portable ap) 8:45 am chest (portable ap) reason: r/o ptx medical condition: 54 year old man s/p cabg and ct removal reason for this examination: r/o ptx reason for examination: followup of a patient after pneumothorax and chest tube removal. portable ap chest radiograph compared to . the patient was extubated in the meantime interval with removal of the swan-ganz catheter and mediastinal drain. the post-sternotomy wires are intact. the mild cardiomegaly is present slightly exaggerated by presence of the low lung volumes. there is no evidence of failure. there is no appreciable pleural effusion. linear atelectasis at the left base is again noted. there is no appreciable pneumothorax. echocardiography report , (complete) done at 9:12:16 am final referring physician information , w. , status: inpatient dob: age (years): 54 m hgt (in): 67 bp (mm hg): 135/65 wgt (lb): 261 hr (bpm): 65 bsa (m2): 2.27 m2 indication: intraoperative tee for cabg icd-9 codes: 402.90, 786.05, 786.51, 440.0, 424.0 test information date/time: at 09:12 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw2-: machine: aw2 echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 40% to 45% >= 55% aorta - annulus: 2.3 cm <= 3.0 cm aorta - sinus level: 2.6 cm <= 3.6 cm aorta - ascending: 2.8 cm <= 3.4 cm aorta - descending thoracic: 2.4 cm <= 2.5 cm aortic valve - peak velocity: 1.6 m/sec <= 2.0 m/sec mitral valve - e wave: 0.8 m/sec mitral valve - a wave: 0.4 m/sec mitral valve - e/a ratio: 2.00 findings left atrium: no mass/thrombus in the laa. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. normal interatrial septum. no asd by 2d or color doppler. left ventricle: suboptimal technical quality, a focal lv wall motion abnormality cannot be fully excluded. mildly depressed lvef. 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. complex (>4mm) atheroma in the aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild to moderate (+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic 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). regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded, yet the apical segment, the mid portion of the anterior septum and apical portion of the septum appear hypokinetic. overall left ventricular systolic function is mildly depressed (lvef= 40-45 %). 3. right ventricular chamber size and free wall motion are normal. 4. there are complex (>4mm) atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. tip of the intraoartic balloon pump is in good position. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. no aortic stenosis is seen. 6. the mitral valve leaflets are mildly thickened. mild to moderate (+) 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 epinephrine and phenylephrine infusion. pt was av paced upon separation from cpb. 1. biventricular function unchanged from the pre-bypass period , lvef 40-45%, with noted improvement of the apical segment, the mid portion of the anterior septum and apical portion of the septum. 2. the aortic contours are intact post-decannulation. 3. the position of the iabp remains in good position. brief hospital course: mr. was admitted to the on for a cardiac catheterization. this revealed significant left main disease and an iabp was placed. he was taken urgently to the operating room the following morning where he underwent a cabg x 3. he was given 48 hours of vancomycin as he was in the hospital preoperatively. he was extubated later that same day. his iabp was removed on pod #1. he was transferred to the floor on pod #2. he was gently diuresed towards his preoperative weight. his preoperative aspirin, beta blockade and statin were resumed. he worked with physical therapy daily. mr. did well postoperatively and was ready for discharge home on pod#4. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: zestril 5mg daily, asa 81mg daily, prilosec 40 , pravachol 40mg , xanax 0.25 prn--uses rarely, typically for plane flights, toprol xl 25mg qhs, tiazac xl 240mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. 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:*0* 4. prilosec 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*0* 5. hydromorphone 2 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 6. lasix 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 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 7 days: take with lasix and stop when lasix stopped. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 8. pravachol 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna carenetwork discharge diagnosis: cad now s/p cabg pmh: htn, hyperlipidemia, obesity, asthma, hiatal hernia, atrial fibrillation s/p ablation at in or , lbbb discharge condition: good. discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. 7) take lasix and potassium once daily for 1 week and then stop. 8) call with any questions or concerns. followup instructions: dr. 2 weeks. dr. 4 weeks. dr. 2 weeks. please call all providers for appointments. 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 angiocardiography of left heart structures left heart cardiac catheterization implant of pulsation balloon diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension atrial fibrillation asthma, unspecified type, unspecified other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to