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: no known allergies / adverse drug reactions attending: chief complaint: exertional chest discomfort major surgical or invasive procedure: 1. urgent coronary artery bypass graft x4 left inframammary artery to left anterior descending artery, and saphenous vein grafts to diagonal obtuse marginal and posterior descending arteries. 2. endoscopic harvesting of the long saphenous vein. history of present illness: mr. is a 75 year old man who has noted exertional chest tightness for the past two years which resolves with rest. this symptom has been worsening lately. it usually occurs with heavy exertion and resolves with 10 minutes of rest. a subsequent stress test was positive for st depression in v5-v6. cardiac cath today revealed three vessel coronary artery disease. cardiac catheterization: date: place: lad 80%, lcx 95%, rca 100% stress test: exercised 4 min 28 sec on standard . stopped due to c/o 8/10 chest pain. hypertensive response to exercise up to 200/112. one fusion beat. there were depressions during stress and recovery in leads v5-v6 which began at 2 min 50 sec and persisted 5 min into recovery. past medical history: pmh:htn,hypercholesterolemia,elevated lfts, colon polyps, diverticulitis, alcohol abuse, glaucoma, obesity, asteroid hyalosis, gout, recent mechanical fall with wrist fracture; still in a cast social history: cigarettes: smoked no yes last cigarette: quit 30 years ago, when he did smoke, he smoked 3-4 years 1 pack per day other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week 3 coors lights per day denies illicit drug use occupation:he is retired, worked as a plasterer. family history: family history:premature coronary artery disease: none father mi < 55 mother < 65 race:caucasian last dental exam:edentulous lives with:he lives alone in jp. his ex-wife lives in ma and he has a son. contact: (cell) physical exam: general: skin: dry intact extensive reddening of facial skin heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally - distant breath sounds throughout heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + obese extremities: warm , well-perfused edema 1+, right wrist with cast, left wrist with radial artery closure device s/p cath varicosities: 1 varicosity in medial right calf, about 3 inches long neuro: grossly intact pulses: femoral right:2 left:2 dp right:2 left:2 pt :2 left:2 radial right:2 left:2 carotid bruit right: - left: - pertinent results: 06:13am blood wbc-6.3 rbc-3.01* hgb-9.9* hct-30.0* mcv-100* mch-32.9* mchc-32.9 rdw-12.6 plt ct-280 06:13am blood plt ct-280 01:31am blood pt-12.7* ptt-29.1 inr(pt)-1.2* 06:13am blood glucose-93 urean-17 creat-0.6 na-138 k-3.4 cl-103 hco3-28 angap-10 04:26am blood calcium-8.2* phos-3.4 mg-2.3 10:27pm cxr: findings: in comparison with study of , the endotracheal tube has been removed. right ij remains in position. there are lower lung volumes, though the pulmonary vascularity is now essentially within normal limits. mediastinal width is less prominent than on the previous study, though this could reflect the differences in technique. increased opacification at the left base most likely reflects atelectasis and effusion. minimal increased opacification is seen at the right base as well. echo: pre-bypass: no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right 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>55%). right ventricular chamber size and free wall motion are normal. there are complex (mobile) atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. there are three aortic valve leaflets. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. there is mild tricuspid regurgitation. there is no pericardial effusion. dr. was notified in person of the results before surgical incision. post_bypass: preserved biventricular systolic function. lvef 55%. intact thoracic aorta. mild mr and mild tr. brief hospital course: the patient was brought to the operating room on where the patient underwent urgent coronary artery bypass graft x4 left inframammary artery to left anterior descending artery, and saphenous vein grafts to diagonal obtuse marginal and posterior descending arteries and endoscopic harvesting of the long saphenous vein. see operative note for full details. 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. pt had to be reintubated d/t delerium tremons-airway/sternum protection on pod # 3. after ciwa scale initiated, pt was extubated without complication the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and titrated up for blood pressure and heart rate control. 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 10 the patient was ambulating freely, the wound was healing, he was neurologically intact and pain was controlled with oral analgesics. orthopedics was consulted for 5 week old left dr which was casted. this was bivalved post surery in case of swelling. he is to follow up with on at 9:00 am for cast removal. the patient was discharged to a rehab in good condition with appropriate follow up instructions. medications on admission: allopurinol 300mg daily,atenolol 100mg daily,lisinopril 40mg daily,nitroglycerin 0.4mg prn, omeprazole 20mg daily, omega-3 fatty acids-vitamin e 1,000mg tid discharge medications: 1. lorazepam 0.5 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for anxiety. disp:*60 tablet(s)* refills:*0* 2. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. 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:*2* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. lisinopril 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 9. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) for 7 days. disp:*7 tablet(s)* refills:*0* 10. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 11. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 12. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 13. combivent 18-103 mcg/actuation aerosol sig: inhalation four times a day as needed for shortness of breath or wheezing. 14. potassium chloride 20 meq tablet, er particles/crystals sig: two (2) tablet, er particles/crystals po once a day for 7 days. 15. nystatin 100,000 unit/ml suspension sig: five (5) ml po qid (4 times a day). 16. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/temp. discharge disposition: extended care facility: for the aged - discharge diagnosis: coronary artery disease discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage 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: surgeon provider: , md phone: date/time: 1:30 cardiologist - dr. at 10:40a location: address: 291 independence dr, , phone: please call to schedule the following: pcp 4 weeks name: , location: - address: 291 independence dr, , phone: orthopedic: pa-c on at 9:00 am 291 independence dr , **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours (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 left heart cardiac catheterization insertion of endotracheal tube diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension atherosclerosis of aorta gout, unspecified personal history of tobacco use candidiasis of mouth other and unspecified hyperlipidemia obesity, unspecified alcohol withdrawal delirium nonspecific abnormal results of function study of liver aftercare for healing traumatic fracture of lower arm crystalline deposits in vitreous 

Answer: The patient is high likely exposed to