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: history of present illness: the patient is a 53-year-old man, emergent cabg, referred from hospital, new onset chest pain that began two days prior to admission associated with jaw clenching and shortness of breath. the patient also noticed pedal edema at that time. past medical history: significant for gerd, hypertension, hypercholesterolemia, and ganglion cyst excision from the neck. meds prior to admission: protonix 40 b.i.d. and lipitor 20 every day. the patient states no known drug allergies. he has a 30 pack year history of tobacco use and denies alcohol use for the past eight years. weight is 190 pounds, height 5 feet 8 inches. laboratory data: in the cath lab potassium was 3.7, bun 14, creatinine 1.2, hematocrit 48.8 with platelets 255,000. pt 12.5, ptt 30.7, inr 1.7 with a ck of 7.7. ekg shows st elevations in v1 through v3. chest x-ray shows bilateral pleural effusions with some pulmonary congestion. physical exam: in general the patient was on the cath table, undergoing a procedure. history via cardiology fellow. neurologically alert and oriented x3. respiratory showed decreased breath sounds in the bases. cardiovascular showed regular rate and rhythm. abdomen was soft, nontender, nondistended. extremities were warm and well perfused, right groin with balloon pump in place. following cardiac cath ct surgery was consulted and the patient was brought emergently to the operating room for coronary artery bypass grafting. please see the or report for full details. in summary the patient had a cabg x3 with lima to the lad, saphenous vein graft to om, and saphenous vein graft to pda. his bypass time was 59 minutes with a crossclamp time of 44 minutes. he tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer the patient had epinephrine at 0.4 mcg per kilogram per minute, insulin infusion, levophed at 0.5 mcg per kilogram per minute, milrinone at 0.25 mcg per kilogram per minute, neo-synephrine at 3.2 mcg per kilogram per minute and propofol at 50 mcg per kilogram per minute as well as an intra-aortic balloon pump at 1:1. in the immediate postoperative period the patient had difficulty with postoperative bleeding. this was felt to be due to the plavix as well as the aggrastat the patient was receiving during his cardiac catheterization. this was reversed with blood products and the patient also received several units of packed red blood cells. on postoperative day one the patient was somewhat more hemodynamically stable. we were able to wean off his epinephrine drip. additionally, the patient was weaned from his propofol and his neo-synephrine drips and ultimately, by the end of the day, was weaned from the ventilator and successfully extubated. the patient remained hemodynamically stable throughout all these maneuvers. on postoperative day two the patient continued to be hemodynamically stable. his intra-aortic balloon pump was successfully weaned and thus removed, following which the patient was weaned from his neo-synephrine drip. during the night of postoperative day two he was also weaned from his milrinone infusion. on postoperative day three the patient continued to do extremely well. his milrinone was discontinued. his swan- ganz catheter was removed and he was transferred to the floor for continuing postoperative care and cardiac rehabilitation. once on the floor the patient had an uneventful hospital course. his activity level was increased with the assistance of the nursing staff as well as physical therapy staff. on postoperative day six it was decided that the patient was stable and ready to be discharged home. at the time of this dictation the patient's physical exam is as follows: temperature 99.5, heart rate 88 sinus rhythm, blood pressure 100/69, respiratory rate 20. o2 sat is 100 percent on room air. weight preoperatively was 80 kg, at discharge 88.2 kg. lab data shows hematocrit 35, sodium 138, potassium 3.6, chloride 102, co2 28, bun 24, creatinine 0.8, glucose 141. physical exam shows neurologically alert and oriented x3. moves all extremities. follows commands. nonfocal exam. pulmonary clear to auscultation bilaterally. cardiac shows regular rate and rhythm, s1 and s2. sternum is stable. incision has steri-strips without drainage or erythema. abdomen is soft, nontender, nondistended with normoactive bowel sounds. extremities are warm and well perfused with trace edema. left leg incision has steri-strips, open to air, clean and dry. no erythema or drainage. the patient is to be discharged home with visiting nurses. he is to have follow-up in the clinic in two weeks. follow-up with dr. in two to three weeks, follow-up with dr. in four weeks. discharge diagnoses: 1. coronary artery disease, status post coronary artery bypass grafting times three with left internal mammary artery to the left anterior descending, saphenous vein graft to obtuse marginal and saphenous vein graft to the posterior descending coronary artery. 2. hypertension. 3. hypercholesterolemia. 4. congestive heart failure. 5. bilateral pleural effusions. condition at the time of discharge is good. discharge medications: 1. carvedilol 3.125 mg b.i.d. 2. potassium chloride 20 meq q. 12 hours for two weeks. 3. aspirin 81 mg every day. 4. percocet 5/325 one to two tablets q. four to six hours p.r.n. 5. protonix 40 mg every day. 6. lipitor 20 mg every day. 7. amiodarone 400 mg b.i.d. times one week then 400 mg every day times one week then 200 mg every day. 8. lasix 20 mg b.i.d. times two weeks. 9. lisinopril 2.5 mg every day. additionally, lasix 20 mg every day following a two week course of b.i.d. lasix and potassium chloride 20 meq every day following the course of b.i.d. potassium. , m.d. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries injection or infusion of platelet inhibitor implant of pulsation balloon transfusion of packed cells transfusion of other serum transfusion of platelets nonoperative removal of heart assist system continuous intra-arterial blood gas monitoring diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery esophageal reflux unspecified pleural effusion congestive heart failure, unspecified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation other and unspecified hyperlipidemia hemorrhage complicating a procedure family history of ischemic heart disease paroxysmal supraventricular tachycardia 

Answer: The patient is high likely exposed to