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: penicillins / tricor attending: chief complaint: crescendo angina major surgical or invasive procedure: left heart catheterization, coronary angiogram insertion of intar aortic balloon pump urgent coronary artery bypass grafts (lima-lad,svg-om,svg-ri) history of present illness: this 59 year old white male has has several weeks of chest discomfort while walking. he had worsening symptoms at less exertion and underwentn catheterization to reveal double vessel disease. he then had unstable, rest angina after cath and an intra aortic balloon was placed with resolution of pain. past medical history: hypertension hyperlipidemia diverticulosis gout gastroesophageal reflux h/o renal stones social history: last dental exam: lives with:partner contact: (partner): occupation:works in upholstering cigarettes: smoked no yes other tobacco use:denies etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use:denies family history: family history:premature coronary artery disease- father died of sudden cardiac death secondary to massive mi at age 61 race:caucasian physical exam: pulse:76 resp:20 o2 sat:100/ra b/p right:118/67 left:120/79 height:5'7" weight:210 lbs general: 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 bowel sounds + extremities: warm , well-perfused edema _____ varicosities: none neuro: grossly intact pulses: femoral right: left: dp right:2+ left:2+ pt : left: radial right: left: carotid bruit-none appreciated right: left: pertinent results: cardiac catheterization 1. selective coronary angiography of this right dominant system demonstrated severe multivessel and lmca disease. the lmca had a 50-60% ostial lesion with dampening of the vatheter on engagement of the artery juts after the patient experience a vaso-vagal reaction. the lad had severe diffuse disease proximally with a mid vessel occlusion (after s1) and reconsitution via right - left collaterals. the mid-distal vessel appeared reasonable for grafting. the ramus intermedius was a small diameter but long vessel with an 80% ostial lesion. the lcx was atretic in the av groove with a major om branch. the rca had mild diffuse plaquing with a severe focal lesion in the ostium of a small (upper pole) pl. 2. limited resting hemodynamics revealed normotension initially with the vaso-vagal reaction upon sheath insertion. this required atropine and dopamine but did eventually resolve. 3. at the end of the case the patient developed chest tightness. ecg showed no evidence of acute ischemia but because of significant coronary disease an intra-aortic balloon pump was placed. with insertion of the iabp sheath the patient had a second vaso-vagal reaction which was transient. echo pre-cpb: the study is limited as poor gastric windows are obtainable. 1. the left atrium is normal in size. no thrombus is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with apical hypokinesis. 4. right ventricular chamber size and free wall motion are normal. 5. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. the iabp tip is seen 3 cm below the lsca. 6. there are three aortic valve leaflets. they are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. 7. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. dr. was notified in person of the results. post-cpb: again the gastric windows are not accessible. the patient is av-paced, on low dose phenylephrine. unchanged biventricular systolic fxn. 1+mr, no ai. aorta intact. brief hospital course: mr. was admitted to the on for further management of his chest pain. he underwent a cardiac catheterization which revealed severe three vessel disease. as he had chest pain during the procedure, an intra-aortic balloon pump (iabp) was placed. he continued to have chest discomfort and thus the decision to bring him to surgery was made. he was evaluated and worked-up in the usual preoperative manner by the cardiac surgical service. he was taken to the operating room where he underwent coronary artery bypass grafting to three vessels. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. on postoperative day one, his iabp was weaned and removed. he then awoke neurologically intact and was extubated. on postoperative day two he was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service worked with him daily. he continued to make steady progress and was discharged home on postoperative four. follow up appointments were given and precautions, restrictions and medications were discussed. medications on admission: chlorpheniramine-hydrocodone 10 mg-8 mg/5 ml suspension, extended rel 12 hr -1 tsp by mouth twice a day as needed for cough colchicine 0.6 mg tablet - 2 tablets x1 for gout attack then 1 po q 1-2 hr prn. max 8 tablets / day. give until relief, n/v, diarrhea or max dose reached; diarrhea likely will precede pain relie indomethacin dosage uncertain lisinopril 40 mg daily metoprolol succinate 25 mg daily nitroglycerin 0.4 mg tablet, sublingual - 1 tablet sublingually as needed as needed for chest pain take one sl ntg for exertional chest pain. take a second pull in 5 minutes if needed. call 911 if cp persists omeprazole 40 mg once a day prn rosuvastatin 20 mg daily aspirin 81 mg daily discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*2* 2. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. lasix 40 mg tablet sig: one (1) tablet po once a day for 7 days: take in morning with potassium. disp:*7 tablet(s)* refills:*0* 4. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day for 7 days. 5. omeprazole 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain]. disp:*40 tablet(s)* refills:*0* 8. metoprolol succinate 50 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. disp:*30 tablet extended release 24 hr(s)* refills:*2* 9. lisinopril 10 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease with unstable angina hypertension hyperlipidemia diverticulosis gout gastroesophageal reflux h/o renal stones discharge condition: alert and oriented x3, nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. 1+ edema discharge instructions: 1) please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 2) please no lotions, cream, powder, or ointments to incisions 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart 4) 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 5) no lifting more than 10 pounds for 10 weeks 6) take lasix and potassium in the morning for 1 week then stop. 7) 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: dr. () on at 1pm cardiologist: dr. on at 3:20pm wound check on at 10:30 in office building please call to schedule appointments with: primary care: dr. ) 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 coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries implant of pulsation balloon diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to