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: lisinopril attending: chief complaint: coronary artery disease major surgical or invasive procedure: coronary artery bypass grafts x 2(lima-lad, svg-om) history of present illness: 60m with recent h/o doe. stress echo was abnormal. cath shows multi-vessel cad. admitted for cardiac revascularization past medical history: past medical history: hypertension hyperlipidemia hyperthyroidism (grave's disesae) left knee torn meniscus past surgical history tonsillectomy left knee meniscal repair social history: race: caucasian last dental exam: 4 months lives with: alone occupation: sociology professor tobacco: denies etoh: socially family history: family history: father died of colon cancer mother living with hyperchol sister and brother living with hyperchol physical exam: pulse: 60 resp: 16 o2 sat: 97%ra b/p right: left: 156/92 height: 5'6" weight: 76kg general: nad, wgwn, appears stated age skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: none varicosities: none neuro: grossly intact x pulses: femoral right: 2+ left:2+ dp right: 2+ left:2+ pt : 2+ left:2+ radial right: 2+ left:2+ carotid bruit right: left: no bruits pertinent results: echo: left atrium: no spontaneous echo contrast or thrombus in the body of the laa. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: no mvp. no ms. mild (1+) mr. tricuspid valve: physiologic tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. physiologic (normal) pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. results were conclusions pre cpb: no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is normal (lvef>60%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. dr. was notified in person of the results. post cpb: initially after separation from cpb, hypokinesis of the anterior wall was noted. after the surgeon manipulated and freed up the lima pedicle, this wma resolved, after which the biventricular systolic function was the same as pre-bypass. mr is 1+ and unchangeed. aortic contour is normal post decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 21:15 brief hospital course: the patient was admitted to the hospital and brought to the operating room on where the patient underwent coronary artery bypass graft x4. 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 on no inotropic or 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 in good condition with appropriate follow up instructions and appointments. medications on admission: losartan 100 mg daily, metoprolol 25 mg daily, nitroglycerin 0.4 mg prn, simvastatin 40 mg daily, aspirin 325 mg daily, vitamin d3 daily, mvi daily, niacin 400 mg daily discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 3. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever or pain. 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 4 weeks. disp:*50 tablet(s)* refills:*0* 7. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). disp:*30 capsule, ext release 24 hr(s)* refills:*2* 8. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day for 5 days. disp:*5 tablet, er particles/crystals(s)* refills:*0* 9. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) for 5 days. disp:*5 tablet(s)* refills:*0* 10. ativan 1 mg tablet sig: one (1) tablet po every eight (8) hours as needed for anxiety for 2 weeks. disp:*12 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p coronary artery bypass hyperlipdemia urinary retention hyperthroidism hypertension s/p arthroscopic knee surgery discharge condition: alert and oriented x3, nonfocal ambulating, gait steady pain managed with oral medications wounds- sternum clean and healing well. left leg clean and healing well. trace edema 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please call to schedule appointments primary care dr. () in weeks the following appointment had been made for you: surgeon dr. on at 1pm () cardiologist dr. on at 3pm wound check appointment - on at 10:15 at ., () procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery replacement of indwelling urinary catheter diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension other and unspecified hyperlipidemia chronic total occlusion of coronary artery other specified retention of urine 

Answer: The patient is high likely exposed to