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: myocardial infarction/chest pain major surgical or invasive procedure: - cabgx4(left internal mammary->left anterior descending artery, saphenous vein graft->diagonal artery, saphenous vein graft->obtuse marginal artery, spahenous vein graft->posterior descendong artery). - cardiac catheterization history of present illness: 56 year old gentleman who while exercising began to feel dizzy, lightheaded and weak. he did not have any chest pain at that time. he stopped working out and showered and went to work. after a few hours, he developed chest pain and took aspirin and began driving home. the pain worsened so he instead went to the emergency room. he was found to be hypertensive 200/119 and given beta blockade. he ruled in for a myocardial infarction by enzymes and was transferred to the for cardiac catheterization and further management. past medical history: no significant medical or surgical history social history: does not smoke. uses alcohol only socially. he lives with wife and daughter. family history: father with mi at age 68. mother with thoracic aneurysm. physical exam: vs - t 97.0; bp 169/98; hr 72; rr 16; o2sat 100% on room air gen: nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. cv: regular, normal s1, s2. s4 is present. no murmurs, rubs, or gallops. no thrills, lifts. chest: no chest wall deformities. respirations were unlabored, no accessory muscle use. clear to auscultation bilaterally, no crackles, wheezes or rhonchi. abd: soft, non-tender, non-distended. ext: no clubbing, cyanosis or edema. skin: no stasis dermatitis, ulcers, scars, or xanthomas. . pulses: right: radial 2+ dp palpable left: radial 2+ dp palpable pertinent results: 09:45pm wbc-9.5 rbc-4.88 hgb-14.9 hct-41.1 mcv-84 mch-30.5 mchc-36.2* rdw-13.5 09:45pm alt(sgpt)-31 ast(sgot)-33 ld(ldh)-194 alk phos-81 tot bili-0.6 09:45pm glucose-116* urea n-13 creat-1.1 sodium-141 potassium-4.1 chloride-105 total co2-28 anion gap-12 cardiac catheterization 1. selective coronary angiography of this right-dominant system demonstrated three-vessel coronary artery disese. the lmca had no significant stenoses. the lad had a long complex severe stenosis from the proximal- to mid-vessel, crossing a large d1. om2 had a 80% stenosis. the ramus had a 70% stenosis. the rca had a 60% proximal stenosis. 2. left ventriculography demonstrated normal wall motion, no mitral regurgitation, and an estimated lvef of 60%. 3. limited resting hemodynamics demonstrated left ventricular diastolic dysfunction with an lvedp of 25 mmhg. mild systemic arterial hypertension was observed with a central aortic pressure of 158/93 mmhg. echo prebypass 1. the left atrium and right atrium are normal in cavity size. no atrial septal defect or pfo is seen by 2d or color doppler. 2. left ventricular wall thicknesses and cavity size are normal. 3. overall left ventricular systolic function is normal (lvef>55%). 4. right ventricular chamber size and free wall motion are normal. 5. there are simple atheroma in the aortic arch and descending aorta. 6. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. 7. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 8. there is no pericardial effusion. 9. dr. was notified in person of the results on at 1230. postbypass 1. patient is on phenylephrine infusion 2. lv wall motion is normal. 3. there has been no interval change of any of mr, tr, pr. 4. aortic contour is smooth after decannulation 05:50am blood wbc-12.7* rbc-3.06* hgb-9.4* hct-26.3* mcv-86 mch-30.7 mchc-35.7* rdw-13.5 plt ct-224 09:45pm blood wbc-9.5 rbc-4.88 hgb-14.9 hct-41.1 mcv-84 mch-30.5 mchc-36.2* rdw-13.5 plt ct-240 02:13am blood pt-14.4* ptt-31.8 inr(pt)-1.3* 09:45pm blood pt-13.8* ptt-30.5 inr(pt)-1.2* 05:50am blood glucose-105 urean-14 creat-0.8 na-137 k-4.2 cl-99 hco3-30 angap-12 09:45pm blood glucose-116* urean-13 creat-1.1 na-141 k-4.1 cl-105 hco3-28 angap-12 brief hospital course: mr. was admitted to the on for further management of his coronary artery disease and myocardial infarction. a cardiac catheterization was performed which revealed severe three vessel disease. heparin was continued for anticoagulation. given the severity of his disease, the cardiac surgical service was consulted. mr. was worked-up in the usual preoperative manner and deemed suitable for surgery. plavix was allowed to clear from his system. on , mr. was taken to the operating room where he underwent coronary artery bypas grafting to four vessels. please see operative note for details. postoperatively he was taken to the cardiac surgical intensive care unit for invasive hemodynamic monitoring. within 24 hours, he awoke neurologically intact and extubated. on postoperative day one, he was 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. he had one episode of atrial fibrillation on . he was given iv amiodarone and started on po. he had no further episodes and remained in nsr. on pod 4 he was noted to have some mild erythema of his sternal wound as well as his endovascular vein harvest site. he was started on keflex 500mg po four times daily for days with instructions to call if things worsened. he was discharged on pod 4 to home. medications on admission: : none meds transfer: metoprolol 50", plavix 75', asa 325', lisinopril 10', lipitor 80' discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day): as long as you take narcotics for pain. disp:*60 capsule(s)* refills:*0* 2. hydromorphone 2 mg tablet sig: 1-2 tablets po every four (4) hours as needed. disp:*30 tablet(s)* refills:*0* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): take 2 pills twice daily for one week, then one pill twice daily for one week, then one pill once daily for one week, then stop. disp:*120 tablet(s)* refills:*0* 5. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 10 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 7. furosemide 20 mg tablet sig: two (2) tablet po twice a day for 10 days: take 2 pills twice daily for 5 days, then two pills once daily for 5 days, then stop. disp:*40 tablet(s)* refills:*0* 8. ranitidine hcl 150 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* discharge disposition: home with service facility: nursing services discharge diagnosis: cad s/p cabg nstemi discharge condition: stable 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 or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: please follow-up with dr. in 1 month. ( please follow-up with dr. in 2 weeks. ( please follow-up with dr. in weeks. ( procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery other postoperative infection cellulitis and abscess of trunk atrial fibrillation atrial flutter surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation 

Answer: The patient is high likely exposed to