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: chest pain major surgical or invasive procedure: coronary artery bypass graft x1 (left internal artery grafted to left anterior descending) history of present illness: 61 year old male transferred from with 95% lad stenosis at 90 degree angle with lm for cabg. patient has not had a primary care physician for some time but is usually in good health. he presented to lgh with 3 weeks of a severe cough and burning-type chest pain specially on the right chest, worse upon walking or exercising. had a stress test that suggested some ischemia and a cardiac cath with severe 95% lad stenosis at 90 degree angle with lm, high risk for pci, so was transferred to for cabg. he has been hemodynamically stable, with some persistent atypical burning sensation mostly on the right chest. past medical history: coronary artery disease pmh: paget disease of the bone, gerd social history: lives with: daughter contact: phone # ; occupation: he worked for 40 years as a construction foreman cigarettes: smoked no yes last cigarette _____ hx: other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week family history: father had an mi at age 85, sister has a pacemaker physical exam: pulse: 63 resp: 18 o2 sat: b/p right: 134/94 left: height: weight: 104.5 five meter walk test #1_______ #2 _________ #3_________ general: nad, aaox3 skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: palp left: palp dp right: palp left: palp pt : palp left: palp radial right: palp left: palp carotid bruit right: none left: none pertinent results: intra-op tee conclusions pre-bypass: the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. the right atrium is dilated. no atrial septal defect is seen by 2d or color doppler. the left ventricle is not well seen. esophageal views suggest lvef 50-55%. the aortic valve leaflets (3) are mildly thickened. the mitral valve appears structurally normal with trivial mitral regurgitation. there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results on in the operating room. post-bypass: patient is av paced and receiving an infusion of phenylephrine. biventricular systolic function is unchanged. aorta is intact post decannulation. rest of the examination is unchanged from prebypass. very poor transgastric views. 07:45am blood hct-33.6* 05:12am blood wbc-7.8 rbc-3.82* hgb-11.4* hct-34.4* mcv-90 mch-29.8 mchc-33.1 rdw-12.7 plt ct-150 04:30am blood wbc-8.8 rbc-3.97* hgb-11.8* hct-35.7* mcv-90 mch-29.8 mchc-33.1 rdw-12.6 plt ct-133* 07:45am blood urean-16 creat-1.0 na-140 k-3.9 cl-103 05:12am blood glucose-124* urean-14 creat-0.9 na-141 k-4.0 cl-105 hco3-30 angap-10 04:30am blood glucose-129* urean-12 creat-1.0 na-137 k-3.9 cl-104 hco3-28 angap-9 brief hospital course: the patient was brought to the operating room on where the patient underwent cabg x 1 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 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with vna in good condition with appropriate follow up instructions. medications on admission: aspirin 81', osteoflex, ibuprofen prn. discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 2. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 7. furosemide 40 mg tablet sig: one (1) tablet po twice a day for 1 weeks. disp:*14 tablet(s)* refills:*0* 8. potassium chloride 20 meq packet sig: one (1) packet po twice a day for 1 weeks. disp:*14 packet(s)* refills:*0* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: coronary artery disease pmh: paget disease of the bone, gerd 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 2+ 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 cardiac surgery office , , 10:00 surgeon dr. , , 1:15 cardiologist dr. (, mon , 1:45pm please call to schedule the following: primary care in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux other and unspecified angina pectoris osteitis deformans without mention of bone tumor 

Answer: The patient is high likely exposed to