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: latex attending: chief complaint: dyspnea and chest pain major surgical or invasive procedure: s/p coronary artery bypass graft x 2 (lima->lad/svg-> om) history of present illness: 53 yo m with history of vf arrest while working out at gym and is s/p lad pci. he presented with dyspnea and new chest pain. had a +ett and was taken urgently to the cath lab. he was found to have 2vd and he was referred for surgery. past medical history: coronary artery disease w/ vfib arrest ->pci to lad, diverticulitis, hypertension, hyperlipidemia psh: s/p hip replacement x2, s/p appendectomy, s/p right knee surgery x 2, left knee surgery, tonsillectomy social history: social history is significant for the absence of current tobacco use. there is no history of alcohol abuse. he works as a custodian and is married with children. he denies any ivdu. family history: his mother and several maternal uncles had cardiac disease in their 50-60s. his mother died suddenly on vacation in her early 50s. physical exam: admission: hr 76 rr 18 bp 178/99 gen: nad heent: eomi, perrl, ncat neck: supple, from, -jvd lungs: ctab -c/r/m/g heart: rrr -w/r/r abd: nt/nd +bs ext: warm, well-perfused, no edema, 2+pp neuro: a&o x 3, mae, non-focal discharge: vs: t: 98.6 hr: 70's sr bp: 98-112/50-70 sats: 96% ra general: nad cardiac: rrr normal s1,s2 no murmur/gallop or rub resp: decreased breath sounds otherwise clear gi: bowel sounds positive, abdomen soft non-tender/non-distended extre: warm no edema wound: sternal & left lower extremity c/d/i no erythema neuro: non-focal pertinent results: wbc-5.1 rbc-4.95 hgb-15.0 hct-44.4 mcv-90 mch-30.3 mchc-33.8 rdw-13.1 plt ct-255 wbc-8.4 rbc-3.24* hgb-10.0* hct-28.5* mcv-88 mch-30.9 mchc-35.1* rdw-12.6 plt ct-175 pt-12.9 ptt-26.6 inr(pt)-1.1 pt-13.9* ptt-35.5* inr(pt)-1.2* glucose-86 urean-13 creat-1.1 na-142 k-3.9 cl-102 hco3-28 angap-16 glucose-107* urean-16 creat-0.9 na-136 k-4.2 cl-97 hco3-33* angap-10 blood urean-19 creat-0.8 k-3.9 cath: 1. selective coronary angiography of this right dominant system revealed 2 vessel coronary artery disease. the lmca was very short with an approximately 50% narrowing. the lad had an ostial 80% stenosis. the mid-lad was widely patent in the region of the previously placed stent with a tubular segment of disease to 50% distally. the lcx and rca had minimal disease. 2. resting hemodynamics revealed normal systemic systolic and diastolic arterial blood pressures with sbp 130 mmhg and dbp 85 mmhg. cardiac perfusion: 1. reversible, large, severe perfusion defect involving the lad territory. 2. transient cavity dilation, consistent with mulit-vessel, left main, or proximal lad disease. 3. mild systolic dysfunction with apical akinesis, consistent with stunning. compared with the study of , the findings are new. vein mapping: 1. focal areas of non-compressibility, suggestive of chronic thrombosis in the right greater saphenous vein at the level of the knee and in the left greater saphenous vein, at the level of the saphenofemoral junction. 2. patent bilateral lesser saphenous veins. carotid u/s: there is less than 40% stenosis within the internal carotid arteries bilaterally. echo: pre cpb 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. left ventricular wall thicknesses are normal. the left ventricular cavity size is top normal/borderline dilated. there is mild to moderate regional left ventricular systolic dysfunction with moderate hypokinesis of the mid distal anterior, mid-distal septal, distal anterolateral, and apical segments. the right ventricle displays borderline normal free wall function. there are simple atheroma in the ascending aorta. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there may be a redundant chord intermittently seen billowing into the left atrium. physiologic mitral regurgitation is seen (within normal limits). there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. post cpb low normal right ventricular systolic function. initially, after separating from cpb, there was very severe hypokinesis of the mid to distal septal, anterior, anterolateral walls and apical segment, bordering on akinesis. the ejection fraction approximated 25%. about 10 minutes after cpb, these same segments showed much improved function to the point where there was only very mild hypokinesis. ejection fraction improved to 45-50%. valvular function remained unchanged from the pre-cpb study. the thoracic aorta appeared intact. echocardiography report , (complete) done at 3:42:48 pm final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 53 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: intraoperative tee for cabg icd-9 codes: 440.0 test information date/time: at 15:42 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw2-: machine: aw1 echocardiographic measurements results measurements normal range left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.6 cm <= 5.6 cm left ventricle - ejection fraction: 35% to 40% >= 55% aorta - sinus level: *3.8 cm <= 3.6 cm aorta - sinotubular ridge: *3.1 cm <= 3.0 cm aorta - ascending: 3.2 cm <= 3.4 cm aorta - descending thoracic: 2.3 cm <= 2.5 cm aortic valve - lvot diam: 2.3 cm findings left atrium: no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. good (>20 cm/s) laa ejection velocity. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: no spontaneous echo contrast or thrombus in the body of the ra or raa. a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness. top normal/borderline dilated lv cavity size. mild-moderate regional lv systolic dysfunction. right ventricle: borderline normal rv systolic function. aorta: focal calcifications in aortic root. normal ascending aorta diameter. simple atheroma in ascending aorta. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets with trivial mr. mild mitral annular calcification. no ms. physiologic mr (within normal limits). tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. physiologic (normal) pr. pericardium: trivial/physiologic pericardial effusion. 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. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions pre cpb 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. left ventricular wall thicknesses are normal. the left ventricular cavity size is top normal/borderline dilated. there is mild to moderate regional left ventricular systolic dysfunction with moderate hypokinesis of the mid distal anterior, mid-distal septal, distal anterolateral, and apical segments. the right ventricle displays borderline normal free wall function. there are simple atheroma in the ascending aorta. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there may be a redundant chord intermittently seen billowing into the left atrium. physiologic mitral regurgitation is seen (within normal limits). there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. post cpb low normal right ventricular systolic function. initially, after separating from cpb, there was very severe hypokinesis of the mid to distal septal, anterior, anterolateral walls and apical segment, bordering on akinesis. the ejection fraction approximated 25%. about 10 minutes after cpb, these same segments showed much improved function to the point where there was only very mild hypokinesis. ejection fraction improved to 45-50%. valvular function remained unchanged from the pre-cpb study. the thoracic aorta appeared intact. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 16:01 brief hospital course: he was admitted to cardiology. he underwent preoperative work up and awaited plavix washout before going to the operating room. on he was brought to the operating room where he underwent a coronary artery bypass graft x 2. please see operative report for surgical details, in summary he had cabg x2 with lima-lad and svg-om. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. he did well in the immediate post-op period, was weaned from sedation, awoke neurologically intact and extubated. on post-op day one he was started on beta blockers and diuretics and gently diuresed towards his pre-op weight. later on this day he was transferred to the telemetry floor. chest tubes and epicardial pacing wires were removed per protocol. he worked with physical therapy while recovering his strength and mobility. on post-op day 5 he appeared to be doing well and was discharged home with vna and the appropriate follow-up appointments. medications on admission: atorvastatin 40, plavix 75, metoprolol 25(2), asa 325, discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. 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* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed. disp:*40 tablet(s)* refills:*0* 6. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po twice a day. disp:*60 tablet sustained release 24 hr(s)* refills:*2* discharge disposition: home with service facility: tba discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 2 pmh: vfib arrest ->pci to lad, diverticulitis, hypertension, hyperlipidemia psh: s/p hip replacement x2, s/p appendectomy, s/p right knee surgery x 2, left knee surgery, tonsillectomy discharge condition: good discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon. followup instructions: dr. 2 weeks provider: , m.d. phone: date/time: 1:40 dr. 4 weeks, pt to call to schedule appt procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization (aorto)coronary bypass of one coronary artery diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to