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: coronary artery disease major surgical or invasive procedure: - coronary artery bypass grafting x5 with a left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to the distal right coronary artery, first obtuse marginal artery, first and second diagonal artery. history of present illness: this 61 year old male has a history of an nstemi in with stenting of the lad lesion at . about one month ago he began to notice that after he walks for minutes, particularly when going uphill or when walking rapidly, he feels a dull substernal pressure associated with some shortness of breath, sometimes with nausea. with relaxation, his symptoms will resolve. he has not had any symptoms at rest. recent stress testing has revealed an anteroseptal and inferoseptal perfusion defect with a small amount of reversibility. he was referred for cardiac catheterization to further evaluate. he was found to have in stent restenosis and three vessel disease. he is now being admitted to cardiac surgery for revascularization. past medical history: : non st elevation mi, s/p lad stenting hypertension hyperlipidemia diabetes neuropathy hx of non healing right foot ulcers s/p surgery osteomyelitis of right foot s/p i& history of anemia prior mention of bipolar disorder in omr (patient disagrees with diagnosis) depression prostate cancer, followed by dr. currently under observation only, scheduled for another biopsy in , 1st biopsy was gerd social history: race:african american last dental exam:2 months ago lives with: wife contact: (wife cell) tion:retired- previously worked as a communication director for the cigarettes: smoked no yes other tobacco use:denies etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use:denies family history: premature coronary artery disease- mother had chf,died at 86 physical exam: pulse:74 resp:14 o2 sat:100/ra b/p right:157/94 left:129/93 height:5'1" weight:89 kgs general: awake, alert, nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema _none_ varicosities: none neuro: grossly intact pulses: femoral right: palp left: palp dp right: palp left: palp pt : palp left: palp radial right: palp left: palp r radial art puncture c/d/i, no bleed/hematoma carotid bruit right: none left: none pertinent results: echo pre-cpb: no thrombus is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. no thoracic aortic dissection is seen. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. the mitral valve appears structurally normal with trivial mitral regurgitation. 05:35am blood wbc-9.7 rbc-3.33* hgb-10.1* hct-29.2* mcv-87 mch-30.2 mchc-34.6 rdw-12.6 plt ct-180 01:01pm blood wbc-10.3 rbc-3.25* hgb-9.8* hct-27.7* mcv-85 mch-30.1 mchc-35.3* rdw-12.7 plt ct-133* 05:35am blood glucose-152* urean-22* creat-1.4* na-138 k-4.0 cl-103 hco3-26 angap-13 02:15pm blood urean-16 creat-1.1 na-137 k-4.1 cl-108 hco3-23 angap-10 02:15am blood alt-7 ast-28 ld(ldh)-165 alkphos-37* amylase-24 totbili-0.3 05:30am blood wbc-6.4 rbc-3.24* hgb-9.7* hct-27.3* mcv-84 mch-29.9 mchc-35.5* rdw-12.5 plt ct-233 05:35am blood wbc-9.7 rbc-3.33* hgb-10.1* hct-29.2* mcv-87 mch-30.2 mchc-34.6 rdw-12.6 plt ct-180 05:30am blood glucose-182* urean-18 creat-1.3* na-138 k-4.0 cl-100 hco3-32 angap-10 05:30am blood urean-21* creat-1.2 na-140 k-3.8 cl-103 05:35am blood glucose-152* urean-22* creat-1.4* na-138 k-4.0 cl-103 hco3-26 angap-13 02:15am blood glucose-99 urean-15 creat-1.3* na-137 k-4.7 cl-105 hco3-23 angap-14 brief hospital course: as a same day admit he was taken to the operating room where underwent coronary artery bypass grafting x5 with a left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to the distal right coronary artery, first obtuse marginal artery, first and second diagonal artery. see operative note for details. he weaned from bypass easily on neosynephrine and propofol. pod 1 found the patient awake and alert, extubated without incidence. he required pressors until the second postoperative day when it was weaned to off. he then transferred to the floor on pod #2 in stable condition. lopressor was started and titrated up for blood pressure control. oral hyperglycemic agents were added back and titrated for blood sugar control. chest tubes were removed per cardiac surgery protocol. he had a small left apical pneumothorax after chest tube pull which was stable at the time of discharge. pacing wires were removed on pod 3 per protocol. physical therapy evaluated him for strength and mobility and he was cleared for home. he was nauseated on pod 4 and discharge was held. he was started on reglan and had a bowel movement with resolution of nausea the following day. on pod 5 he was ambulating in the halls with assistance, tolerating a full oral diet and incisions were healing well. it was thought that he was safe for discharge at this time. all follow up appointments were advised and instructions for medications and activity were discussed. medications on admission: lisinopril 10 mg daily metformin 850 mg tid metoprolol tartrate 75 mg nitroglycerin 0.3 mg tablet, sublingual - 1 tablet sublingually every 5 minutes to the maximum of three as needed for chest pain crestor 20 mg daily aspirin 325 mg daily multivitamin 1 tablet daily discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 4. multivitamin tablet sig: one (1) tablet po daily (daily). 5. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for fever or pain. tablet(s) 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain for 4 weeks. disp:*50 tablet(s)* refills:*0* 8. lasix 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 9. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po q12h (every 12 hours) for 7 days. disp:*14 tablet extended release(s)* refills:*0* 10. metformin 1,000 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 11. amaryl 1 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*0* 12. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 13. colace 100 mg capsule sig: one (1) capsule po twice a day as needed for constipation. disp:*30 capsule(s)* refills:*0* 14. senna 8.6 mg capsule sig: one (1) capsule po twice a day as needed for constipation. disp:*30 capsule(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: right atrial mass s/p excision of right atrial mass coronary artery disease s/p lad stenting hypertension hyperlipidemia noninsulin dependent diabetes mellitus neuropathy h/o nonhealing right foot ulcers -s/p surgery h/o anemia bipolar disorder depression prostate cancer gastroesophageal reflux discharge condition: alert and oriented x3, nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema discharge instructions: 1) 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. 2) please no lotions, cream, powder, or ointments to incisions. 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart provided. 4) no driving for approximately one month and while taking narcotics. driving will be discussed at follow up appointment with surgeon when you will likely be cleared to drive. 5) no lifting more than 10 pounds for 10 weeks 6) please call with any questions or concerns **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:dr. () on at 1:30pm cardiologist:dr. on at 10:40am office will call patient with wound check appointment please call to schedule appointments with: 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** vna to check bun/crea/k on and call results to at procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension acute posthemorrhagic anemia polyneuropathy in diabetes percutaneous transluminal coronary angioplasty status malignant neoplasm of prostate old myocardial infarction bipolar disorder, unspecified examination of participant in clinical trial mononeuritis of unspecified site diabetes with neurological manifestations, type ii or unspecified type, uncontrolled other pneumothorax 

Answer: The patient is high likely exposed to