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: cephradine attending: chief complaint: angina major surgical or invasive procedure: off pump cabg x4 (lima to lad, svg to ramus with y grafts to svg to om and svg to pda) history of present illness: 87 yo male with nstemi, angina and doe originally seen by dr. . refused cabg at that time. readmitted with recurrent angina and iv heparin started. past medical history: - cad s/p cath w/ no interventions - pacemaker - copd - htn - hyperlipidemia - paroxysmal a-fib (refused coumadin in past) - sleep apnea not on c-pap - ibs - depression - tia social history: no tob since 's, no alcohol. lives in family history: there is no family history of premature coronary artery disease or sudden death. physical exam: 66" 77 kg 96.5 t hr 71 rr 18 102/65 97% 2l nad non-icteric neck supple, no carotid bruits lungs clear rrr abd soft, nt, nd extrems. warm, well-perfused pertinent results: 06:40am blood wbc-12.8* rbc-3.39* hgb-9.8* hct-29.3* mcv-86 mch-29.0 mchc-33.6 rdw-17.5* plt ct-233# 06:40am blood plt ct-233# 06:40am blood glucose-96 urean-62* creat-2.8* na-141 k-4.0 cl-106 hco3-25 angap-14 04:37am blood alt-20 ast-23 alkphos-110 totbili-0.4 no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. a left-to-right shunt across the interatrial septum is seen at rest. a secundum type atrial septal defect is present. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. there is severe regional left ventricular systolic dysfunction with severe septal, apical, and mid to lateral anterior and anterolateral hypokinesis/akinesis. the inferior, lateral and inferolateral walls are moserately hypokinetic in the basal to mid segement but are severely depressed apically. the ejection fraction is in the 15-20% range. an apical left ventricular thrombus is not seen but can not be completely ruled out. right ventricular chamber size and free wall motion are normal. the ascending aorta is moderately dilated. there are complex (>4mm) atheroma in the aortic arch. the descending thoracic aorta is moderately dilated and sverely tortuous. spontaneous echo contrast, indicative of decreased blood flow, is seen in the descending thoracic aorta. there are complex (>4mm) atheroma in the descending thoracic aorta. the wall of the descending aorta is quite thick - this may be complex atheroma but an intramural hematoma or an old dissection can not be completely ruled out. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. after completion of bypass grafting, the right ventricle continues to display normal function. the focal abnormalities in the left ventricle persist. the function of the lateral, inferior, and inferolateral walls is slightly improved. the ejection fraction is around 20%. no other change from pre-cpb findings. 06:40am blood wbc-12.8* rbc-3.39* hgb-9.8* hct-29.3* mcv-86 mch-29.0 mchc-33.6 rdw-17.5* plt ct-233# 06:40am blood plt ct-233# 01:38pm blood pt-15.6* ptt-39.4* inr(pt)-1.4* 07:00am blood glucose-100 urean-57* creat-2.7* na-141 k-3.9 cl-106 hco3-24 angap-15 06:40am blood glucose-96 urean-62* creat-2.8* na-141 k-4.0 cl-106 hco3-25 angap-14 05:40am blood creat-2.8* k-3.8 05:20am blood glucose-95 urean-47* creat-2.5* na-137 k-3.6 cl-104 hco3-21* angap-16 06:50am blood wbc-11.5* rbc-3.47* hgb-9.9* hct-30.5* mcv-88 mch-28.6 mchc-32.6 rdw-17.4* plt ct-340 06:50am blood plt ct-340 06:50am blood glucose-80 urean-54* creat-2.5* na-140 k-4.2 cl-106 hco3-25 angap-13 brief hospital course: admitted for recurrent angina on and heparin started. further eval. revealed a calcified aorta on chest ct. eight beat run of nsvt on . opcabg x4 performed by dr. on . transferred to the csru in stable condition on phenylephrine and propofol drips. extubated on the morning of pod #2 and pacer interrogated by ep service. transferred to the floor on pod #3 to begin increasing his activity level. went into a fib and oral amiodarone started. gentle diuresis continued. pacing wires and chest tubes removed without incident. he continued to refuse to take any medication. he had an 8 beat run of vtach and was seen by electrophysiology given his ef of 15%. he will follow up as an outpatient. he was also seen by psychiatry, after which he agreed to take some of his cardiac medication. he was ready for discharge to rehab on . medications on admission: plavix 75 mg daily asa 325 mg daily lasix 30 mg daily prilosec 20 mg daily metoprolol 75 mg zocor 80 mg daily ativan nitro mvi discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) for 3 months. 4. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 6. venlafaxine 75 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily). 7. metoprolol succinate 100 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 8. senna 8.6 mg tablet sig: two (2) tablet po hs (at bedtime). 9. amiodarone 200 mg tablet sig: two (2) tablet po once a day: 400 mg daily x 1 week, then 200 mg daily ongoing. 10. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 11. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* discharge disposition: extended care facility: - discharge diagnosis: cad s/p opcabg x4 tias copd elev. lipids pa fib chf sleep apnea ibs diverticulitis cri depression epistaxis discharge condition: stable discharge instructions: no driving for one month no lifting greater than 10 pounds for 10 weeks call surgeon for fever greater than 100.5, redness or drainage no lotions creams, powders or ointments on any incision shower daily and pat incisions dry followup instructions: see dr. in weeks see dr. in weeks see dr. in 4 weeks md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass transfusion of packed cells artificial pacemaker rate check diagnoses: acidosis obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery congestive heart failure, unspecified chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation depressive disorder, not elsewhere classified chronic kidney disease, unspecified paroxysmal ventricular tachycardia other and unspecified hyperlipidemia personal history of other diseases of circulatory system cardiac pacemaker in situ knee joint replacement subendocardial infarction, subsequent episode of care hip joint replacement irritable bowel syndrome 

Answer: The patient is high likely exposed to