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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catherization with iabp insertion opcabx5(lima->lad, svg->diag, om3, pda, plv) history of present illness: 53yo gentleman with h/o cad s/p mi in (treated with poba) who presented with substernal chest pain and diaphoresis while mowing the lawn around noon today. pain felt "like heartburn." no associated shortness of breath or nausea. he notes that his pain is very similar to the mi he had in . he initially presented to , where he was found to have st elevations in ii, iii, and avf and transferred to . he was given plavix 600mg and asa and started on integrillin and heparin gtt prior to transfer. upon arrival at , he was chest pain free. past medical history: cad s/p mi in , treated with poba per patient htn--per chart; patient denies elevated bp hyperlipidemia social history: social history is significant for the absence of current tobacco use; he smoked from age 20 years x 1 ppd, stopped around age 40. there is no history of alcohol abuse: he drinks 4-5 beers about once a week. family history: there is a strong family history of premature coronary artery disease: his father died of an mi at age 39 and all of his brothers have had mis, usually in their 50s. +dm physical exam: vs: t 98.3, bp 127/72, hr 66, rr 24, o2 99% on 3l gen: pleasant, overweight middle aged male in no distress, resp or otherwise. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of cm. cv: pmi located in 5th intercostal space, midclavicular line. distant heart sounds with rr, normal s1, s2. no s4, no s3. no murmurs. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. abd: obese, soft, ntnd, no hsm or tenderness. no abdominial bruits. femoral catheter in place with balloon pump. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp pertinent results: ekg demonstrated nsr with normal axis and intervals and < 1mm ste with q waves in iii and avf and q waves in v1-v3 with poor r wave progression and j point elevation in v3. of note, his ekg from 13:44 from showed ste in ii, iii, and avf with iii>ii and q waves in iii, v1-v4. he also had st depresions in i, avl, v1-v2 and ste in v5-v6 at the time, now resolved. cardiac cath : 1. selective coronary angiography in this right dominant patient revealed severe three vessel cad. the lmca had a 20% lesion. the lad was occluded in mid portion with collaterals coming from the rca and lcx. the lad gave rise to one large diagonal which had moderate proximal disease. the lcx had a long mid lesion to 80% at its tightest. the lcx have off 2 om's. the rca had a discrete mid 70% lesion and a 70% distal with thrombus and a thrombotically occluded rpl that reconstituted via collaterals. the rpda had 80% ostial lesion. 2. resting hemodynamics with bp 108/70 with hr 88 in sinus. the lvedp was elevated at 34mmhg. there was no gradient across the aortic valve. 3. lv gram with ef 45% with no significant mitral regurgitation. there was inferobasal hypokinesis. 4. iabp placed and patient referred for surgery. echo: the left atrium is normal in size. 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. there is moderate symmetric left ventricular hypertrophy. there is mild to moderate regional left ventricular systolic dysfunction with hypokinetic inferior mid papillary segments.. overall left ventricular systolic function is mildly depressed (lvef=40 %). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. dr. was notified in person of the results on mr. at 1pm on . . iabp is placed 2 cm below the left subclavian artery. post opcab: normal rv sytolic function. normal lv systolic function with mild hypokinesis of the inferior at the base and apex. lvef 55% trivial mr r.iabp in the right place in the descending aorta. 04:50pm blood wbc-12.5* rbc-4.92 hgb-15.6 hct-46.9 mcv-96 mch-31.8 mchc-33.3 rdw-14.1 plt ct-175 07:25am blood wbc-14.8* rbc-4.15* hgb-13.4* hct-39.1* mcv-94 mch-32.2* mchc-34.2 rdw-13.6 plt ct-120* 04:50pm blood pt-13.7* ptt-49.7* inr(pt)-1.2* 02:53am blood pt-12.9 ptt-28.8 inr(pt)-1.1 04:50pm blood glucose-117* urean-13 creat-0.9 na-139 k-4.4 cl-101 hco3-26 angap-16 07:25am blood glucose-143* urean-25* creat-0.9 na-140 k-4.5 cl-99 hco3-31 angap-15 12:07pm blood alt-50* ast-63* ld(ldh)-545* alkphos-62 amylase-24 totbili-0.8 brief hospital course: mr. was transferred to and upon admission underwent a cardiac cath. cath showed severe three vessel coronary artery disease and a iabp was placed. cardiac surgery was consulted and he was appropriately underwent preoperative workup. on he was brought to the operating room where he underwent a coronary artery bypass graft x 5. please see operative report for surgical details. he received vancomycin perioperative because he was in the hospital prior to surgery. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. on post op day one he was hemodynamically stable and the intra aortic balloon pump was removed. later he was weaned from sedation, awoke neurologically intact and was extubated without complications. also on post-op day one he had episode of rate controlled atrial fibrillation which was appropriately treated with beta blockers. he was started on diuretics and diuresised for his preoperative weight. on post-op day two his chest tubes were removed and he was transferred to the telemetry floor for further care. physical therapy worked with him for strength and mobility. he continued to progress and was ready for discharge home with services on post op day 4 in sinus rhythm. medications on admission: asa 325mg daily, metoprolol 50 , simvastatin 80mg daily, zetia 10mg daily, glucosamine , vitamin e, super b complex discharge medications: 1. 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:*0* 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) for 3 months. disp:*90 tablet(s)* refills:*0* 4. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 6. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. lisinopril 2.5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 9. furosemide 20 mg tablet sig: one (1) tablet po once a day for 3 days. disp:*3 tablet(s)* refills:*0* 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day. disp:*3 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: tba discharge diagnosis: coronary artery disease s/p off-pump coronary artery bypass graft x 5 stemi post operative atrial fibrillation pmh: hypertension, hyperlipidemia, myocardial infarction w/ angioplasty discharge condition: good discharge instructions: follow medications on discharge instructions. do not drive for 4 weeks. do not lift more than 10 lbs. for 2 months. do not use lotions, powders, or creams on wounds. call our office for temp.>101.5, sternal drainage. shower daily, let water flow over wounds, pat dry with a towel. please call with any questions or concerns followup instructions: please call to schedule appointments dr. for 1-2 weeks. dr. for 2-3 weeks. dr. for 4 weeks. wound check appointment - 6, please schedule with rn md procedure: single internal mammary-coronary artery bypass coronary arteriography using two catheters angiocardiography of left heart structures intraoperative cardiac pacemaker left heart cardiac catheterization (aorto)coronary bypass of four or more coronary arteries implant of pulsation balloon diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension atrial fibrillation percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia other and unspecified hyperlipidemia acute myocardial infarction of other inferior wall, initial episode of care cannabis abuse, unspecified 

Answer: The patient is high likely exposed to