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: coronary artery bypass graft x 4 (left internal mammary artery to left anterior descending, saphenous vein graft to ramus, saphenous vein graft to obtuse marginal, saphenous vein graft to posterior descending artery) history of present illness: 67yo m known cad s/p mi tx w/tpa followed by bare metal stent. in-stent stenosis tx w/cypher des in . over past 2 months increasing exertional angina. stress test this am, exercised only 3 mins w/global st depressions and nsvt. emergent cath revealed lm dz involving the ostia of lad/cx. lad no stenosis, lcx no stenosis, rca 60% instent stenosisand 60% distal rca stenosis. past medical history: coronary artery disease with myocardial infarction s/p bare metal stent. in-stent restonisis treated with des in hypertension hypercholesterolemia social history: race: caucaisian last dental exam: lives with: wife occupation: retired, now drives bus tobacco: quit etoh: drinks/day family history: father died mi physical exam: pulse: 71 sr resp: o2 sat: 97% 2lnp b/p right: 132/73 left: height: 72" weight: 86.2 kg general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: softnon-distended non-tenderbowel sounds + extremities: warm , well-perfused edema:none varicosities: none neuro: grossly intact pulses: femoral right: cath left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: no left: no pertinent results: echo: pre-bypass: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no mass/thrombus is seen in the left atrium or left atrial appendage. color-flow imaging of the interatrial septum raises the suspicion of an atrial septal defect, but this could not be confirmed on the basis of this study. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is moderately dilated with normal free wall contractility. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results. there is an intra-aortic balloon pump in the descending aorta approximately 2 cm distal to the left subclavian. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine 1 mcg/kg/min. biventricular systolic function is preserved. all other findings consistent with pre-bypass findings. the aorta is intact post-decannulation. all findings communicated to the surgeon. 05:46am blood wbc-8.7 rbc-2.63* hgb-7.9* hct-23.9* mcv-91 mch-30.0 mchc-33.1 rdw-13.6 plt ct-294 03:00pm blood wbc-7.8 rbc-4.50* hgb-13.8* hct-40.2 mcv-90 mch-30.8 mchc-34.4 rdw-13.4 plt ct-292 03:18am blood pt-13.1 ptt-32.3 inr(pt)-1.1 03:00pm blood pt-12.7 ptt-150* inr(pt)-1.1 05:13am blood glucose-114* urean-22* creat-0.9 na-138 k-3.9 cl-103 hco3-30 angap-9 03:00pm blood glucose-115* urean-19 creat-0.9 na-143 k-3.9 cl-107 hco3-24 angap-16 03:00pm blood alt-32 ast-24 ld(ldh)-197 ck(cpk)-234* alkphos-79 amylase-92 totbili-1.3 brief hospital course: mr. was emergently transferred to after cardiac cath at revealed severe left main disease. he was brought to the cvicu where he was medically managed and underwent appropriate pre-op work-up. later this day he was brought to the operating room where he underwent a coronary artery bypass graft x 4 (left internal mammary artery grafted to left anterior descending/saphenous vein grafted to ramus/obtuse marginal/posterior descending artery). preinduction placement of an iabp was done. cross clamp time= 57 minutes. cardiopulmonary bypass time= 68 minutes. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. iabp was removed on post-op day one. beta-blocker/statin/aspirin/and diuresis was initiated. he continued to progress and was transferred to the telemetry floor for further monitoring. chest tubes were removed on post-op day two. chest x-ray after removal revealed large right sided pneumothorax. right-sided chest tube was immediately placed. chest tube removed with small residual ptx and asymptomatic. pacing wires removed per protocol. physical therapy evaluated and consulted. the remainder of his postoperative course was essentially uneventful. he was cleared for discharge by dr. to home with vna on pod # 6. all follow up appointments were advised. medications on admission: asa 325', plavix 75', norvasc 20', carvedilol 25', univasc 15', lipitor 40', protonix 40', clonidine 0.1/hs, heparin discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 4. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 5 days. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* 6. clonidine 0.1 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)). disp:*60 tablet(s)* refills:*2* 7. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). disp:*60 capsule, sust. release 24 hr(s)* refills:*2* 8. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) as needed for afib. disp:*60 tablet(s)* refills:*0* 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 10. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 11. lasix 20 mg tablet sig: one (1) tablet po twice a day for 5 days. disp:*10 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 past medical history: hypertension hypercholesterolemia myocardial infarction s/p bare metal stent. in-stent restonisis treated with des in postop a fib discharge condition: good discharge instructions: 1)no driving for one month and off all narcotics 2)no lifting more than 10 lbs for at least 10 weeks from the date of surgery 3)please shower daily. wash surgical incisions with soap and water only. 4)do not apply lotions, creams or ointments to any surgical incision. 5)please call cardiac surgeon immediately if you experience fever, excessive weight gain and/or signs of a wound infection(erythema, drainage, etc...). office number is . 6)call with any additional questions or concerns followup instructions: dr. ( for dr. in 4 weeks at dr. in weeks dr. in weeks please call for all appts. md procedure: insertion of intercostal catheter for drainage venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery implant of pulsation balloon nonoperative removal of heart assist system diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified pleural effusion unspecified essential hypertension atrial fibrillation percutaneous transluminal coronary angioplasty status iatrogenic pneumothorax 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 accidents occurring in residential institution 

Answer: The patient is high likely exposed to