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: statins-hmg-coa reductase inhibitors attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization with intra aortic balloon pump placement urgent coronary artery bypass graft x3 (left internal mammary artery > left anterior descending, saphenous vein graft > obtuse marginal, saphenous vein graft > right coronary artery) history of present illness: 67 year old male with known coronary artery disease s/p stents to the rca and om in , an active smoker, and gerd. he presented to his cardiologist's office for an episodic visit due to exertional chest burning that started few days prior to office visit. his pain occurred with mowing his lawn or working in his yard. he presented to for outpatient catheterization that revealed significant left main disease with active chest pain requiring iabp insertion. cardiac surgery was consulted and he was taken to the operating room emergently from the catheterization lab due to chest pain. past medical history: coronary artery disease non st elevation myocardial infarction chronic obstructive pulmonary disease gastroesophageal reflux disease rca and om stents abdominal surgery years ago social history: he lives with his spouse is a retired truck driver he smokes cigarettes a day and drinks a couple beers a day. family history: non contributory physical exam: pulse: 83 resp: 12 o2 sat: 100% b/p right: 136/82 left: 130/72 height: 5'7" weight: 71.7 kg general: on cath lab table with chest pain no respiratory distress skin: dry intact unable to exam posterior skin heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally anteriorly heart: rrr irregular murmur - none abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema none varicosities: none neuro: grossly intact pulses: femoral right: iabp left: unable to access dp right: +1 left: +1 pt : +1 left: +1 radial right: +2 left: +2 carotid bruit no bruit bilateral pertinent results: date/time: test type: tee (complete) son: , md left ventricle - ejection fraction: 40% to 45% >= 55% aorta - ascending: 3.3 cm <= 3.4 cm aortic valve - peak velocity: 1.0 m/sec <= 2.0 m/sec aortic valve - peak gradient: 4 mm hg < 20 mm hg findings right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. left-to-right shunt across the interatrial septum at rest. small secundum asd. left ventricle: mild regional lv systolic dysfunction. mildly depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. simple atheroma in aortic arch. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. trace ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: mild tr. conclusions prebypass a left-to-right shunt across the interatrial septum is seen at rest. a small secundum atrial septal defect is present. there is mild regional left ventricular systolic dysfunction with hypokinesia of the apical and mid portions of the inferior and anteroseptal walls. overall left ventricular systolic function is mildly depressed (lvef= 40- 45% %). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. post bypass patient is av paced and receiving an infusion of phenylpephrine. biventricular systolic function is unchanged. aorta is intact post decannulation. 06:15am blood wbc-10.4 rbc-4.04* hgb-12.4* hct-36.9* mcv-91 mch-30.7 mchc-33.6 rdw-12.8 plt ct-169 09:15am blood wbc-7.2 rbc-4.55* hgb-14.2 hct-41.4 mcv-91 mch-31.3 mchc-34.3 rdw-13.1 plt ct-163 06:15am blood plt ct-169 04:13am blood pt-12.8 ptt-26.3 inr(pt)-1.1 09:15am blood plt ct-163 09:15am blood pt-12.7 ptt-28.6 inr(pt)-1.1 06:15am blood glucose-107* urean-16 creat-0.9 na-137 k-4.3 cl-97 hco3-32 angap-12 09:15am blood glucose-119* urean-13 creat-0.8 na-137 k-4.3 cl-106 hco3-24 angap-11 09:15am blood alt-15 ast-16 ck(cpk)-79 alkphos-54 totbili-0.5 09:15am blood ck-mb-4 ctropnt-<0.01 06:15am blood calcium-8.8 phos-4.1 mg-2.0 09:15am blood albumin-3.8 06:35am blood mg-2.2 09:15am blood %hba1c-5.4 eag-108 comparison: chest radiographs dating back to , most recent from . pa and lateral chest radiographs: new ill-defined opacities are identified in the lung bases, left greater than right, findings suggestive of subsegmental atelectasis. there are small bilateral pleural effusions. the upper lung zones appear clear. there is no pneumothorax, vascular congestion, or overt pulmonary edema. cardiomediastinal and hilar contours are within normal limits. median sternotomy wires are intact. on the lateral projection, there are small rounded lucencies in the inferior retrosternal region, likely residual post-operative air. the clicking sound on physical examine may actually be from mild crepitus due to residual air. impression: 1. bibasilar opacities, left greater than right, probable atelectasis. 2. small bilateral pleural effusions. 3. intact median sternotomy wires. 4. retrosternal foci of air secondary to recent surgery. brief hospital course: on mr. a cardiac catheterization which revealed muti-vessel disease including significant left main stenosis. he was having active chest pain during the procedure so an intra-aortic balloon pump was placed and he was brought urgently to the operating room for a coronary artery bypass grafting. please see the operative note for details. he received cefazolin for perioperative antibiotics and was transferred to the intensive care unit for post operative manamgent. that evening he was weaned from sedation, awoke neurologically intact and was extubated without complications. post operative day one his intra aortic balloon pump was removed and he was started on betablockers and diuretics. later that day he was transferred to the floor. physical therapy worked with him on strength and mobility. his chest tubes and epicardial wires were removed per protocol. he was started on wellbutrin for smoking cessation and provide education, and currently denied any urges to smoke. he continued on inhalers for pulmonary and mucinex was added to help with mucous clearance. on post operative day three he developed a sternal click with no drainage, chest xray revealed wires intact. he was monitored and repeat chest xray wires remained intact. he was ready for discharge home on post operative day five with services. medications on admission: tiotropium bromide 18 mcg capsule, w/inhalation device - 1 (one) puff inhaled daily aspirin 81 mg daily, omega-3 fatty acids-fish oil 360 mg-1,200 mg capsule - 3 capsule(s) daily omeprazole 20 mg daily 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. rosuvastatin 5 mg tablet sig: one (1) tablet po 3x/week (mo,we,fr). disp:*15 tablet(s)* refills:*0* 4. guaifenesin 600 mg tablet extended release sig: two (2) tablet extended release po bid () for 5 days. disp:*20 tablet extended release(s)* refills:*0* 5. tiotropium bromide 18 mcg capsule, w/inhalation device sig: one (1) cap inhalation daily (daily). disp:*qs cap(s)* refills:*0* 6. prilosec 40 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 7. albuterol sulfate 90 mcg/actuation hfa aerosol inhaler sig: two (2) puff inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. disp:*qs qs* refills:*0* 8. bupropion hcl 150 mg tablet extended release sig: one (1) tablet extended release po twice a day: start twice a day . disp:*60 tablet extended release(s)* refills:*0* 9. lasix 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 10. potassium chloride 10 meq tablet extended release sig: one (1) tablet extended release po once a day for 7 days. disp:*7 tablet extended release(s)* refills:*0* 11. polyethylene glycol 3350 17 gram/dose powder sig: seventeen (17) gram po daily (daily). disp:*30 gram* refills:*0* 12. metoprolol succinate 100 mg tablet extended release 24 hr sig: 1.5 tablet extended release 24 hrs po daily (daily). disp:*45 tablet extended release 24 hr(s)* refills:*0* 13. acetaminophen-codeine 300-30 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna, discharge diagnosis: coronary artery disease s/p cabg chronic obstructive pulmonary disease gastric esophageal reflux disease tobacco abuse discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with codiene as needed incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage edema none 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 smoking cessation: it has been discussed with you that you should quit smoking and you have been started on wellbutrin, please call pcp if you find this not effective for further options to assist with quiting smoking **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 wound check in dr clinic - to evaluate sternum at 2:45 pm surgeon: dr. on at 1pm cardiologist:dr. on 10am liver function test in 1 month with dr due to statin 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** md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart arterial catheterization implant of pulsation balloon diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome pure hypercholesterolemia tobacco use disorder unspecified essential hypertension chronic airway obstruction, not elsewhere classified percutaneous transluminal coronary angioplasty status other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure ostium secundum type atrial septal defect old myocardial infarction other complications due to other cardiac device, implant, and graft other specified counseling 

Answer: The patient is high likely exposed to