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: left heart catheterization, coronary angiogram, left ventriculogram coronary artery bypass graftingx5(left internal mammary artery to left anterior descending, with saphenous vein grafts to diagonal, first obtuse marginal, second obtuse marginal, and posterior descending artery history of present illness: mr. is a 70 year old male who presented to another institution with right sided chest pain and ruled in for nstemi with a troponin of 1.0. he was transferred to for catheterization. he reported right sided, parasternal pain intermittently for 2 weeks. no pain prior to this. this was descibed as squeezing and dull, lasting 10-15 minutes, both at rest and with exertion, but mostly in exertion. it radiated to the right shoulder and down to his arm. on after a large meal, he had a recurrence, with nausea and diaphoresis. he was taken to the ed at where he had sinus bradycardia, av block (old), twi v1, v2 biphasic tw, i twf, avl twi. he was free of angina upon arrival to ed. he ruled in based on a troponin of 1.05. he was loaded with plavix 300mg, given asa, beta blocker, and a heparin infusion was begun. heparin infusion was discontinued at transfer. past medical history: coronary artery disease prior pci/stenting(drug-eluting) to lad and rca in hyperlipidemia hypertension type 2 diabetes mellitus s/p aaa repair renal tumor - stable per patient social history: civil engineer, still works, married. . -tobacco history: quit , 4ppd x 30 years -etoh: denies -illicit drugs: denies family history: (+) fhx cad: father died of an mi at age 74 no family history of arrhythmia, cardiomyopathies; otherwise non-contributory. physical exam: admission vs: 96.5f 109/59 60 18 97% ra general: nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with jvp of 5 cm. cardiac: pmi could not assess. rr, low s1, nl s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: obese, soft, ntnd. no abdominial bruits. extremities: no c/c/e. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ dp 2+ left: carotid 2+ femoral 2+ dp 2+ pertinent results: echocardiogram: the left atrium is dilated. left ventricular wall thicknesses and cavity size are normal. there is mild regional left ventricular systolic dysfunction with mild hypokinesis of the mid to distal anterior wall, anterior septum and apex and moderate hypokinesis of the anterolateral wall.. diastolic function could not be assessed. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. . carotid ultrasound: right ica stenosis <40%. left ica stenosis <40%. . chest ct scan: no pneumonia, no lung masses, no pleural effusions. calcifications of the coronary arteries, the aorta and the supraaortic branches. slightly increased number of mediastinal lymph nodes, but no mediastinal lymphadenopathy. large hepatic cyst. . intraop tee: pre bypass the left atrium is markedly dilated. the left atrium is elongated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. the left ventricular cavity size is normal. there is mild global left ventricular hypokinesis (lvef = 40-45 %). in addition, the anterior, anterolateral, anteroseptal and apical walls have slightly more hypokinesis then the rest of the other myocardial segments. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. there are simple atheroma in the aortic arch. there are complex (mobile) atheroma in the descending aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. physiologic mitral regurgitation is seen (within normal limits). dr. was notified in person of the results in the operating room at the time of the study. post bypass the patient is being av paced. there is normal right ventricular systolic function. the left ventricle displays slightly improved global function with continued mild hypokinesis of the anterior, anteroseptal, anterolateral, and apical segments. overall ejection fraction is about 45%. the mitral regurgitation is slightly worse, now mild. the thoracic aorta appears intact. 05:40am blood wbc-8.0 rbc-2.98* hgb-9.2* hct-26.4* mcv-89 mch-31.0 mchc-35.0 rdw-13.1 plt ct-177 05:40am blood glucose-129* urean-18 creat-0.9 na-131* k-4.3 cl-97 hco3-24 angap-14 brief hospital course: mr. was admitted to cardiology with a non st elevation myocardial infarction. he remained pain free on intravenous heparin and medical therapy. the following day, he underwent cardiac catheterization which revealed severe three vessel coronary artery disease. based upon the findings, cardiac surgery was consulted and further preoperative evaluation was performed. in anticipation of surgery, plavix was discontinued. carotid ultrasound found only minimal disease of the internal carotid arteries. to further evaluate his ascending aorta, chest ct scan was obtained which showed that the ascending aorta had a maximal diameter of only four centimeters. the remainder of his preoperative course was uneventful. he remained pain free and was eventually cleared for surgery. on , dr. performed coronary artery bypass grafting surgery. for surgical details, please see operative note. given his inpatient stay was greater than 24 hours prior to surgery, he was given vancomycin for perioperative antibiotic coverage. following surgery, he was brought to the cvicu for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. the patient was transferred to the telemetry floor on pod 1. chest tubes and pacing wires were discontinued without incident according to protocol. the physical therapy service was consulted for assistance with post-operative strength and mobility. he did have multifocal atrial tachycardia for which ep was consulted. low dose beta blockers were recommended and begun. he remained stable and was ready for discharge. dr. will follow him after discharge for cardiology and is aware of the dyrhythmia. discharge medications, restrictions and followup were discussed with the patient prior to going home. medications on admission: medications at home: meds on transfer: amlodipine 5mg daily asa 325mg daily atenolol 50mg daily plavix 75 mg daily asa 325mg daily metoprolol 12.5mg zocor 40mg daily omeprazole 40mg daily latanoprost qhs simvastatin 80mg daily metformin glargine 10units qhs insulin hss latanoprost 1gtt each eye heparin discharge medications: 1. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. latanoprost 0.005 % drops sig: one (1) drop ophthalmic hs (at bedtime). 4. simvastatin 80 mg tablet sig: one (1) tablet po once a day. 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain . 7. oxycodone-acetaminophen 5-500 mg capsule sig: 1-2 tablets po every 4-6 hours as needed for pain for 2 weeks. disp:*50 tablet(s)* refills:*0* 8. atenolol 50 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 9. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 10. furosemide 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease, s/p coronary artery bypass grafts s/p non st elevation myocardial infarction type ii diabetes s/p coronary artery stenting s/p abdominal aortic aneurysm repair renal tumor hyperlipidemia discharge condition: good discharge instructions: no lotions, creams or powders on any incision. shower daily and pat incision dry. no baths or swimming. no driving for one month and taking narcotics. no lifting greater than 10 pounds for 10 weeks. call for fever greater than 100.5. call for redness of, or drainage from incisions. call for weight gain greater than 2 pounds a day or 5 pounds in a week take all medications as directed. followup instructions: dr. in 4 weeks () dr. in weeks () dr. in weeks, call for appt 6 wound clinic in 2 weeks please call for appointments 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 four or more coronary arteries diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other chronic pulmonary heart diseases percutaneous transluminal coronary angioplasty status other specified cardiac dysrhythmias other second degree atrioventricular block neoplasm of unspecified nature of other genitourinary organs 

Answer: The patient is high likely exposed to