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 / lisinopril / losartan attending: chief complaint: old anterior myocardial infarction with left ventricular thrombus. surgical consultation to examine benefits of revascularization. no symptoms of heart failure at this time. major surgical or invasive procedure: coronary artery bypass grafting x2 with the left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to diagonal branch right popliteal/tibial artery embolectomy history of present illness: 58 year old male with history of ischemic cardiomyopathy. calculated ef by mri is 44%. regional wall motion abnormalities and late gadolinium enhancement consistent with prior anterior, anteroseptal, and anteroapical myocardial infarction. no evidence of lv thrombus by mri on . past medical history: ischemic cardiomyopathy. s/p ami , ef 44% lv apical thrombus by echo -now on pradaxa left anterior fasicular block hyperlipidemia perforated sigmoid diverticulitis post-operative ileus hx dvt/pe abdominal surgery x4 for perforated sigmoid diverticulitis-prior colostomy. ventral hernia repair-anterior abdominal wall skin cancer resection social history: lives with: alone occupation: musician/teacher tobacco: none etoh: /week family history: father-prostate ca(64yo), mother-uterine ca(68yo), grandfather-mi(50yo) physical exam: pulse: 68 resp: 18 o2 sat: 100% ra b/p right: left: 122/82 height: 5'" weight: 189 lbs general: nad, skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: softly distended bowel sounds + well healed mid-line incision, two horizontal scars at previous stoma sites, mild ttp at previous stoma sites extremities: warm , well-perfused edema trace varicosities: none neuro: grossly intact pulses: femoral right: 2+ left:2+ dp right: 2+ left:2+ pt : 2+ left:2+ radial right: 2+ left:2+ carotid bruit none pertinent results: echo: pre-cpb: the left atrium is mildly dilated. no thrombus is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. the left ventricular cavity is mildly dilated. the apical anterior and anteroseptal wall segments are thinned and akinetic. the apex is also akinetic. overall left ventricular systolic function is moderately depressed (lvef= 35-40 %). a large globular thrombus is seen in the apex of the left ventricle, measuring 1.5cm x 1.7cm. the right ventricular cavity is mildly dilated with normal free wall contractility. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. no thoracic aortic dissection is seen. there are three aortic valve leaflets. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. post-cpb: the lv thrombus is no longer seen. the lv continues to have regional wall motion abnormalities as described pre-bypass. the estimated ef is 40-45%. the rv systolic function is normal. there is no evidence of aortic dissection. carotid u/s: limited study particularly of the right carotid due to the central line but no evidence of stenosis seen bilaterally. cta: 1. thrombus in mid-to-distal right below-knee popliteal artery extending into the proximal right anterior tibial artery and filling the entire right common tibial-peroneal trunk. multiple filling defects in right posterior tibial and peroneal arteries. multiple filling defects in left anterior tibial artery and diminutive flow in the left distal peroneal artery. 2. bilateral small pleural effusions and adjacent opacities at the lung bases, likely atelectasis. patient is status post cabg with air within the mediastinum post-surgical. 3. ventral abdominal wall hernia with loops of bowel; however, no stranding and no evidence of bowel obstruction. 4. colonic diverticulosis. 06:00am blood wbc-5.8 rbc-3.60* hgb-11.5* hct-34.0* mcv-95 mch-31.8 mchc-33.7 rdw-12.7 plt ct-235# 01:19pm blood wbc-10.8# rbc-3.17*# hgb-10.5*# hct-30.4*# mcv-96 mch-33.1* mchc-34.6 rdw-12.9 plt ct-129* 06:00am blood plt ct-235# 06:00am blood pt-30.9* ptt-28.2 inr(pt)-3.0* 01:19pm blood pt-14.7* ptt-27.6 inr(pt)-1.3* 01:19pm blood fibrino-181 06:00am blood glucose-143* urean-18 creat-0.8 na-137 k-4.1 cl-103 hco3-28 angap-10 02:35pm blood urean-20 creat-0.8 na-138 k-4.0 cl-108 hco3-26 angap-8 02:35pm blood urean-20 creat-0.8 na-138 k-4.0 cl-108 hco3-26 angap-8 06:00am blood glucose-143* urean-18 creat-0.8 na-137 k-4.1 cl-103 hco3-28 angap-10 brief hospital course: was admitted to same day surgery and was brought to the operating room where he underwent a coronary artery bypass graft x 2. please see operative report for surgical details, of note there was lv thrombus noted on tee seen at start of case, not present after bypass. he had dopplerable pulses in both groins and both extremities in the or and following surgery he was transferred to the cvicu for invasive monitoring in stable condition. he underwent an urgent carotid duplex to further examine for thrombus which was negative. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. shortly after extubation there was a loss of doppler signals in his right lower extremity both dp and pt. vascular surgery was immediately consulted and he underwent a cta which showed a thrombus in mid-to-distal right below-knee popliteal artery extending into the proximal right anterior tibial artery and filling the entire right common tibial-peroneal trunk. he was then brought to the operating room where he underwent a right popliteal/tibial artery embolectomy. following surgery he was again transferred back to the cvicu. heparin was started and later that day he was weaned from sedation and extubated without incident. beta blockers and diuretics were started and he was gently diuresed towards his pre-op weight. on post-op day two he was transferred to the step-down floor for further care. chest tubes and epicardial pacing wires were removed per protocol. he continued to make good progress while working with physical therapy for strength and mobility. he was initiated on coumadin for lv thrombus and right leg thrombosis. he was ready for discharge home with services on . he was unable to be started on ace inhibitor due to blood pressure and needs to be considered as an outpatient. medications on admission: celexa daily (? dose) x past month metoprolol 25' simvastatin 80' fish oil 1000' asa 81' pradaxa 150" temazepam 15 prn insomnia coq10 50' calcium melatonin 3 hs vit d saw grape seed garlic advil 200-400 daily prn abdominal pain es tylenol 6-8 tabs/day - stopped hydrocodone cough syrup - pt unable to identify name prn - ? dosage - takes "swigs" occassionally 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. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. simvastatin 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 5. warfarin 1 mg tablet sig: inr goal 2-3 tablets po once a day: please take tablet (0.5 mg) on then have inr drawn for further dosing . disp:*100 tablet(s)* refills:*2* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 7. citalopram 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 9. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day for 10 days. disp:*10 tablet, er particles/crystals(s)* refills:*0* 10. toprol xl 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:*0* 11. ace inhibitor please consider starting ace inhibitor as outpatient as he does not have enough blood pressure to start as inpatient 12. coumadin/inr labs: pt/inr for coumadin ?????? indication:lv clot/s/p right popliteal embolectomy goal inr: first draw wednesday results to heart center phone discharge disposition: home with service facility: gentiva discharge diagnosis: coronary artery disease s/p cabg ischemic right foot with popliteal artery embolus s/p embolectomy ischemic cardiomyopathy chronic systolic heart failure lv apical thrombus left anterior fasicular block hyperlipidemia discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg right - healing well, no erythema or drainage right medial calf - incision from embolectomy - leave open to air edema +1 bilateral discharge instructions: 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 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 surgeon: dr. at mwmc on at 9:30am cardiologist: dr. in on at 11am vascular surgery: dr. 4:00 pm wound check in , on tues at 10:15am please call to schedule appointments with your 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** labs: pt/inr for coumadin ?????? indication:lv clot/s/p right popliteal embolectomy goal inr: first draw wednesday results to heart center phone procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery incision of vessel, lower limb arteries diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia peripheral vascular complications, not elsewhere classified surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction chronic systolic heart failure arterial embolism and thrombosis of lower extremity left bundle branch hemiblock other ill-defined heart diseases 

Answer: The patient is high likely exposed to