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: no known allergies / adverse drug reactions attending: chief complaint: shortness of breath major surgical or invasive procedure: s/p coronary artery bypass grafting times four (lima-lad, v-ramus, v-d1, v-rpda) history of present illness: 53 yo male with hypertension, hyperlipidemia, dm, cad (s/p 2 bms to rca in ) who is s/p mva in . he is scheduled to have meniscus repair and as part of a preop workup was found to have an abnormal ekg, followed by abnormal pmibi and coronary cta. the patient reports having shortness of breath and shoulder discomfort occurs with exertion such as taking out the trash or climbing flights of stairs. he only notices these symptoms early in the morning. he has also been experiencing left shoulder discomfort and numbness which he primarily notices when he is driving in the car. he has denies any chest pain. he was referred for left heart catheterization which revealed a 90% proximal lad lesion extending back to the lm, a 50% mid-lad lesion, and a 60% distal rca lesion. cardiac was consulted for evaluation for cabg past medical history: cad s/p rca stenting diabetes type ii hypertension torn meniscus past surgical history: appendectomy 30 yrs ago social history: lives with: wife, married, taxi cab equipment installer. has 2 children. contact for discharge: wife: tobacco quit - previously smoked 1/2-1 ppd x 25 years etoh: occassional family history: non-contributory physical exam: physical exam pulse: resp:18 o2 sat:97% ra b/p right:106/60 left:117/62 height:6'0" weight:220# general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema - none varicosities: none neuro: grossly intact pulses: femoral right:cath site left: 2+ dp right:2+ left:2+ pt :2+ left:2+ radial right:2+ left:2+ carotid bruit right:none left:none pertinent results: 02:00pm blood wbc-11.2* rbc-3.38* hgb-10.9* hct-30.9* mcv-92 mch-32.3* mchc-35.3* rdw-13.5 plt ct-174 01:06pm blood pt-13.5* ptt-25.3 inr(pt)-1.1 05:11am blood urean-12 creat-0.7 na-138 k-4.0 cl-102 echocardiography report , (complete) done at 9:31:26 am final referring physician information , c. , status: inpatient dob: age (years): 53 m hgt (in): 72 bp (mm hg): 122/53 wgt (lb): 215 hr (bpm): 50 bsa (m2): 2.20 m2 indication: intraop cabg. evaluate wall motion, lvef, aortic contours, valves icd-9 codes: 424.0 test information date/time: at 09:31 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 #: 2011aw1-: machine: us 6 echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.8 cm <= 4.0 cm left atrium - four chamber length: 4.5 cm <= 5.2 cm left ventricle - inferolateral thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.2 cm <= 5.6 cm left ventricle - systolic dimension: 3.9 cm left ventricle - fractional shortening: *0.25 >= 0.29 left ventricle - ejection fraction: 55% to 60% >= 55% left ventricle - stroke volume: 122 ml/beat left ventricle - cardiac output: 6.08 l/min left ventricle - cardiac index: 2.76 >= 2.0 l/min/m2 left ventricle - peak resting lvot gradient: 6 mm hg <= 10 mm hg left ventricle - lateral peak e': 0.11 m/s > 0.08 m/s left ventricle - ratio e/e': 6 < 15 aorta - sinus level: 3.4 cm <= 3.6 cm aorta - ascending: 3.1 cm <= 3.4 cm aorta - arch: 2.6 cm <= 3.0 cm aortic valve - peak velocity: 1.2 m/sec <= 2.0 m/sec aortic valve - peak gradient: 14 mm hg < 20 mm hg aortic valve - mean gradient: 9 mm hg aortic valve - lvot vti: 32 aortic valve - lvot diam: 2.2 cm aortic valve - valve area: 3.0 cm2 >= 3.0 cm2 mitral valve - peak velocity: 1.1 m/sec mitral valve - mean gradient: 1 mm hg mitral valve - e wave: 0.7 m/sec mitral valve - a wave: 0.3 m/sec mitral valve - e/a ratio: 2.33 mitral valve - e wave deceleration time: 230 ms 140-250 ms findings left atrium: mild la enlargement. right atrium/interatrial septum: mildly dilated ra. a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: normal lv wall thickness and cavity size. right ventricle: mildly dilated rv cavity. normal rv systolic function. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. no atheroma in ascending aorta. normal aortic arch diameter. simple atheroma in aortic arch. 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. no ms. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. no pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. conclusions pre bypass: the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. the right ventricular cavity is mildly dilated with normal free wall contractility. there are simple atheroma in the aortic arch. 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 or aortic regurgitation. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. post bypass: patient is on phenylepherine infusion, a paced. preseved biventricular funciton. lvef >55%. aortic contours intact. remaining exam is unchanged. all findings discussed with surgeons at the time of the exam. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 17:36 ?????? caregroup is. all rights reserved. brief hospital course: on mr. was taken to the operating room and underwent coronary bypass grafting x4 (left internal mammary artery to left anterior descending coronary artery;reverse saphenous vein single graft from aorta to first diagonal coronary artery; reverse saphenous vein single graft from aorta to ramus intermedius coronary artery; as well as reverse saphenous vein graft from aorta to posterior descending coronary artery).cardiopulmonary bypass time:82 minutes.cross clamp time=:69 minutes.please see operative report for further details. he tolerated the procedure well and was transferred to the cvicu intubated and sedated. he awoke neurologically intact and weaned to extubate without difficulty. he weaned off pressors and was started on beta-blockers/asa/statin and diuresis. pod#1 he transferred to the step down unit for further monitoring. physical therapy was consulted to evaluate strength and mobility. the remainder of his postoperative course was essentially uneventful and on pod 4 he was cleared for discharge to home. all follow up appointments were advised. medications on admission: atenolol - 50 mg tablet 1 tablet(s) by mouth once a day folic acid 1 mg tablet - 1 tablet(s) by mouth once a day glyburide 5 mg tablet - 1 tablet(s) by mouth twice a day metformin 500 mg tablet extended release 24 hr - 1 tablet(s) by mouth three times a day omega-3 acid ethyl esters - (prescribed by other provider) - 1 gram capsule - 2 capsule(s) by mouth twice a day simvastatin - (prescribed by other provider) - 20 mg tablet - 1 tablet(s) by mouth once a day valsartan-hydrochlorothiazide 160 mg-12.5 mg tablet - 1 tablet(s) by mouth once a day aspirin 325 mg tablet - 1 tablet(s) by mouth once a day discharge medications: 1. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 1 weeks. disp:*14 tablet extended release(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. tramadol 50 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*60 tablet(s)* refills:*0* 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 5. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. metformin 500 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po tid (3 times a day). disp:*90 tablet extended release 24 hr(s)* refills:*2* 8. furosemide 20 mg tablet sig: one (1) tablet po once a day for 1 weeks. disp:*7 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **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: , md phone: date/time: 2:15 cardiologist: , md phone: date/time: 2:40 please call to schedule appointments with your primary care dr. , l. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of tobacco use percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to