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: history of the present illness: this is a 59-year-old male with a past medical history of coronary artery disease, status post cabg in and hypercholesterolemia who was admitted to the service on . the patient initially presented to with a three week history of intermittent band-like chest pain radiating down both arms with some associated numbness and tingling in his fingertips bilaterally. the patient also complained of associated fatigue, and mild shortness of breath. the patient claimed that each episode of pain lasted approximately three to four minutes. the patient additionally complained of approximately a weeks history of nausea, vomiting, and diarrhea, which he attributed to a "flu-like illness". the ekg at the outside hospital reportedly demonstrated t wave depression in leads v1 through v3 and st depression in leads v2 and v3. the patient's ck was negative but he did demonstrate elevated troponin to 1.2. transthoracic echocardiogram conducted at the outside hospital reportedly demonstrated an inferior wall reversible defect and the patient was subsequently transferred to the on for further evaluation and treatment. past medical history: 1. hypercholesterolemia. 2. coronary artery disease, status post cabg in with anastomoses from the lima to the lad and rsvg to the om and pda. 3. rectal prolapse. 4. nasal polyps. 5. status post pelvic fracture in . 6. chronic lower back pain and arthritis. admission medications: 1. cardizem. 2. aspirin. 3. lopid. 4. lipitor. 5. k-dur. allergies: penicillin causes anaphylactic shock. social history: the patient lives mainly in with his girlfriend but has a home in , and is here for approximately two months of the year. the patient has a four pack year history of smoking but is currently abstinent. the patient consumes occasional alcohol. there is no history of iv drug use but does reportedly smoke marijuana as an adjunct to his low back pain therapy. hospital course: the patient was admitted to the service on under the direction of dr. . cardiac catheterization conducted on demonstrated three vessel coronary artery disease with complete occlusion of the saphenous vein graft to the pda. in addition, the saphenous vein graft to the om1 was diffusely diseased. as well, the lad was noted to have a 95% stenosis just after d1 and mild diffuse disease in its proximal segment. the patient's ejection fraction was noted to be 52%. the patient was treated medically with beta blockers and aspirin for hospital days number one and two, after which point, a prolonged discussion was held with the patient regarding surgical options. following a discussion of the relative risks and benefits of cardiac surgery, the patient agreed to a coronary artery bypass graft to be scheduled on . on , the patient underwent a re-do coronary artery bypass graft. anastomoses included svg to lad, svg to pda, and svg to om. the patient tolerated the procedure well with a bypass time of 85 minutes and a crossclamp time of 57 minutes. the patient's pericardium was left open; lines placed included an arterial line and a swan-ganz catheter; both ventricular and atrial wires were placed; mediastinal and bilateral pleural tubes were placed. the patient was subsequently transferred to the cardiac surgery recovery unit, intubated, for further evaluation and management. on transfer, the patient's mean arterial pressure was 78, cvp 11, pad 20, and his was 27. the patient was noted to be in normal sinus rhythm with a heart rate of 85 beats per minute. on transfer, active drips included neo-synephrine and propofol. in the hour shortly following his arrival in the csru, the patient was noted to have a hypotensive episode which was responsive to additional neo-synephrine and aggressive fluid resuscitation. the patient's postoperative hematocrit was noted to be 25.4. on postoperative day number one, the patient was successfully weaned and extubated in the csru. he was subsequently advanced to p.o. intake, which he tolerated well, and tolerated removal of his chest tubes and foley catheter well. the patient was subsequently noted to be independently productive of adequate amounts of urine for the duration of his stay. on the evening of postoperative day number two, the patient was cleared for transfer to the floor and was subsequently admitted to the cardiothoracic service under the direction of dr. . postoperatively, the patient had an uneventful clinical course. the patient was evaluated by physical therapy, who deemed him an acceptable candidate for discharge home following a course of acute medical treatment. the patient's epicardial wires were successfully removed without complication and he was noted to remain in sinus rhythm for the duration of his stay. the patient was advanced to a full regular diet, which he tolerated well, and was noted to have adequate pain control via oral pain medications. by postoperative day number five, the patient was noted to be independently ambulatory with good oxygen saturations on room air. his dressing was noted to be clean, dry, and intact, and his sternal incision was noted to be intact with steri-strips neatly in place. no evidence of erythema or purulence was noted in any of his surgical regions. the patient was subsequently cleared for discharge to home with instructions for follow-up on postoperative day number five, . condition at discharge: the patient is to be discharged to home with instructions for follow-up. status at discharge: stable. discharge medications: 1. lasix 20 mg p.o. q. 12 hours times ten days. 2. potassium chloride 20 meq p.o. q. 12 hours times ten days. 3. colace 100 mg p.o. b.i.d. 4. aspirin 325 mg p.o. q.d. 5. percocet 5/325 mg one to two tablets p.o. q. four to six hours p.r.n. pain. 6. lipitor 60 mg p.o. q.d. 7. gemfibrozil 600 mg p.o. b.i.d. 8. lopressor 75 mg p.o. b.i.d. discharge instructions: the patient has been instructed to maintain his incisions clean and dry at all times. the patient may shower but should pat dry incisions afterwards. no bathing or swimming until further notice. the patient is to resume a cardiac diet. the patient is to limit physical exercise; no heavy exertion. no driving while taking prescription pain medications. follow-up: the patient is to follow-up with his primary care provider within one to two weeks following discharge. the patient is to follow-up with dr. four weeks following discharge. the patient is to call to schedule an appointment. , m.d. dictated by: medquist36 procedure: (aorto)coronary bypass of three coronary arteries extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome coronary atherosclerosis of autologous vein bypass graft 

Answer: The patient is high likely exposed to