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 discomfort major surgical or invasive procedure: coronary artery bypass graft surgery x3 ( left internal mammary artery to left anterior descending, saphenous vein graft to obtuse marginal, saphenous vein graft to posterior descending artery) history of present illness: this 65 year old male devoloped shortness of breath in , that he felt was secondary to antibiotics that he was taking at the time. he was referred for stress test that was positive and then for cardiac catheterization that revealed significant coronary artery disease. he is admitted now for revascularization. past medical history: coronary artery disease cardiomyopathy hypertension elevated lipid h/o prostatitis rosacea h/o transient ischemic attack s/p cataract surgery s/p colonic polypectomy(adenoma) s/p tonsellectomy social history: lives with: his wife, has 2 grown children occupation: retired engineer/ technician tobacco: quit 25 years ago etoh: 2 drinks/day family history: mother had cad physical exam: admission: temp pulse: 80 resp: 16 o2 sat: 99%-ra b/p right: 150/100 height: 5'" weight: 195 lbs general: nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur: soft sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: none varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : left: radial right: 2+ left: 2+ carotid bruit no pertinent results: 05:44am blood wbc-8.3 rbc-3.65* hgb-10.8* hct-32.3* mcv-88 mch-29.7 mchc-33.6 rdw-13.2 plt ct-171# 01:38pm blood wbc-13.0*# rbc-4.23* hgb-12.5* hct-37.7* mcv-89 mch-29.5 mchc-33.1 rdw-13.1 plt ct-152 05:44am blood plt ct-171# 01:38pm blood pt-12.8 ptt-40.7* inr(pt)-1.1 05:44am blood glucose-95 na-142 k-3.8 cl-105 hco3-30 angap-11 01:38pm blood urean-13 creat-0.8 cl-112* hco3-23 02:08am blood calcium-7.6* phos-3.5 mg-2.0 final report clinical history: status post cabg, left lower lobe atelectasis. chest: the cardiac size is mildly enlarged, status post cabg. some reexpansion of the atelectasis in the left lower lobe has occurred. there is some still persists. blunting of the right and left costophrenic angle are still present. lung fields are otherwise clear. impression: improving. dr. . approved: sun 6:36 pm echocardiographic measurements results measurements normal range left ventricle - inferolateral thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - ejection fraction: 15% to 20% >= 55% aorta - ascending: 3.2 cm <= 3.4 cm aorta - descending thoracic: 2.1 cm <= 2.5 cm findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. left ventricle: severely depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: mild tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. conclusions pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is severely and globally depressed (lvef= 15 - 20 %). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. post-cpb: the patient is av-paced, on epi @ 0.03 mcg/kg/min + ntg @ .3. preserved rv systolic fxn. lv systolic fxn is globally improved to an ef = 35 - 40%. trace - mild mr. . aorta intact. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 13:01 brief hospital course: he was admitted for same day surgery and underwent coronary artery bypass graft surgery. see operative report for further details. he received cefazolin for perioperative antibiotics. he weaned from bypass on epinephrine and propofol. post operatively he was transferred to the intensive care unit for management. in the first twenty four hours he was weaned from sedation, awoke neurologically intact and was extubated without complications. on post operative day one he was weaned off epinephrine and started on beta blockers. he had episodes of svt and was treated with betablockers and amiodarone. physical therapy worked with him on strength and mobility. he was transferred to the floor on post operative day two. diuresis was begun towards his preoperative weight. he did have a moderate amount of nausea for a couple of days after surgery, but that resolved with antinausea treatment and he felt well. discharge was planned for , on pod 4, however, he had a vasovagal episode. he recovered within minutes and vital signs were stable. he was ready for discharge with services on post operative day five. medications on admission: bilbery extract daily zolpidem 10 mg at bedtime lisinopril 30 mg daily crestor 5 mg daily coenzyme q 2tabs daily omega 3 fatty acid 1000 mg daily asa 81 mg daily flax seed 1000 mg daily ntg-prn discharge medications: 1. 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* 2. rosuvastatin 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 3. amiodarone 200 mg tablet sig: one (1) tablet po once a day as needed for ventricular ectopy : until follow up with cardiologist . disp:*30 tablet(s)* refills:*0* 4. acetaminophen 500 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 5. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 6. diphenhydramine hcl 25 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for itching for 5 days: call if rash worsens. 7. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. lasix 20 mg tablet sig: one (1) tablet po once a day for 2 weeks: follow up with cardiologist prior to completion . disp:*14 tablet(s)* refills:*0* 10. potassium chloride 8 meq tablet sustained release sig: one (1) tablet sustained release po once a day for 2 weeks: with lasix. disp:*14 tablet sustained release(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p cabg acute systolic heart failure cardiomyopathy hypertension hypercholesterolemia h/o prostatitis previous back injury with l4 herniation rosacea h/o transient ischmic attack s/p cataract surgery s/p colonic polypectomy discharge condition: alert and oriented x3, nonfocal ambulating, gait steady sternal pain managed with ultram prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr at heart center () on thrusday at 9 am please call to schedule appointments: primary care dr . in weeks () cardiologist dr in weeks () procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery congestive heart failure, unspecified cardiac complications, not elsewhere classified other and unspecified hyperlipidemia other specified cardiac dysrhythmias other and unspecified angina pectoris 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 acute systolic heart failure syncope and collapse rosacea 

Answer: The patient is high likely exposed to