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: chest pain major surgical or invasive procedure: urgent coronary artery bypass graft x3: left internal mammary artery to left anterior ascending artery, saphenous vein graft to right coronary and diagonal arteries cardiac cath history of present illness: 67 year old male with a history of cad s/p cypher stent to rca des to lcx in , type 2 diabetes, hypertension and hyperlipidemia. he reports that he has experienced worsening intermittent chest pain with activity for the past 6 months. he is completely pain free at rest. he sought evaluation with his cardiologist and underwent a stress test on . the test was stopped due to severe chest discomfort. he developed chest pain, onset at 1minute of exercise with severity of chest pain at worst at peak exercise. chest pain resolved 5 minutes into recovery. there was no arrhythmia during exercise or recovery. there was a blunted bp response to exercise. there was 2mm planar st depression during exercise in leads ii, iii, f, v3-v6. ekg changes began at 1:21 minutes of exercise at a heart rate of 102 bpm and persisted for 8 minutes into recovery. the nuclear portion showed a large area of severe stress induced myocardial ischemia in the distribution of rca coronary artery at a low cardiac workload. presently he is able to tolerate his adls but has curtailed any strenuous activities over the last 6 months. he also notes that his symptoms seemed to have worsened since he underwent the stress test. he was referred for a cardiac catheterization and was found to have 90% isr of rca and complex 80% disease of the proximal lad and septal branch and is now being referred to cardiac surgery for revascularization. past medical history: coronary artery disease s/p cypher pci to rca ; s/p xcience des to lcx in hypertension hyperlipidemia type 2 diabetes gastroesophageal reflux disease spinal stenosis skin ca - on back excision approx 10 years ago; left arm -removed appendectomy at age 10 tonsillectomy at age 5 social history: race:caucasaian last dental exam:edentulous lives with:wife occupation:retired tobacco:quit at the age of 18 etoh:occasional glass of wine family history: mother had "heart problems" she died at age 60 and brothers had mi and has cad physical exam: pulse:69 resp:18 o2 sat:97/ra b/p right:129/64 left:108/81 height:5'6" weight:174 lbs 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 0 varicosities: +1 neuro: grossly intact pulses: femoral right: dressing left: +2 dp right: +2 left: +2 pt : +2 left: +2 radial right: +2 left: +2 carotid bruit right: 0 left: 0 pertinent results: cardiac cath: 1. coronary angiography in this right dominant system demonstrated 2 vessel cad. the lmca had a 20% distal lesion. the lad had a 70%-80% angulated stenosis in a tortuous vessel. there was a 70% stenosis in the distal lad. the lcx had a 30% ostial lesion with a widely patent stent in om1. the rca had a proximal 90% isr. 2. limited resting hemodynamics revealed normotension. echo: pre-bypass: the left atrium is mildly dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no spontaneous echo contrast is seen in the body of the right atrium or right atrial appendage. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. left ventricular wall thicknesses and cavity size are normal. there is moderate to severe regional left ventricular systolic dysfunction with mid to apical inferior and inferosepatal hypokinesis. overall left ventricular systolic function is mildly depressed (lvef= 40-50 %). the remaining left ventricular segments contract normally. the right ventricular cavity is moderately dilated with mild global free wall hypokinesis. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. there is no aortic valve stenosis. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. prioro to initiation of cpb, rv suddenly became severely hypokinetic with moderate tr. iabp in good position 2-3 cm below the aortic arch post: 1. unchanged lv and rv systolci function (patient on epinephrine infusion) 2. iabp in good position. 3. no other change. brief hospital course: as mentioned in the hpi, mr. has chest pain with a positive stress test. he underwent a cardiac cath on which revealed severe two vessel coronary disease. in view of the symptoms and via the fact he had some chest pain, he was kept in the hospital for coronary artery bypass grafting and underwent usual pre-operative work-up. a few hours before he was taken to the operating room on , he developed chest pain and intra-aortic balloon pump was initially placed before he was taken to the operating room. following placement of his iabp, he was brought to the operating room where he underwent a urgent coronary artery bypass graft x 3. please see operative report for surgical details. following surgery he was transferred to the civcu for invasive monitoring in stable condition. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 6 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged in good condition with appropriate follow up instructions. medications on admission: amlodipine - (prescribed by other provider) - 5 mg tablet - once daily gemfibrozil - (prescribed by other provider) - 600 mg tablet - twice daily glyburide - (prescribed by other provider) - 5 mg tablet - twice daily insulin glargine - (prescribed by other provider) - 100 unit/ml (3 ml) insulin pen - inject 12 units daily at bedtime insulin glargine - (prescribed by other provider) - 100 unit/ml solution - inject 12 units sc once daily at bedtime isosorbide mononitrate - (prescribed by other provider) - 30 mg tablet extended release 24 hr - once daily lisinopril - (prescribed by other provider) - 5 mg tablet - once daily metformin - (prescribed by other provider) - 1,000 mg tablet - twice daily metoprolol tartrate - (prescribed by other provider) - 50 mg tablet - twice daily omeprazole - (prescribed by other provider) - 20 mg capsule, delayed release(e.c.) - twice daily simvastatin - (prescribed by other provider) - 40 mg tablet - once every evening medications - otc aspirin - (prescribed by other provider) - 81 mg tablet, chewable - once daily blood sugar diagnostic - (prescribed by other provider) - strip - use as directed 3-4 times daily lancets - (prescribed by other provider) - dosage uncertain omega 3-dha-epa-fish oil - (prescribed by other provider) - 1,000 mg (120 mg-180 mg) capsule - once daily discharge medications: 1. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). 2. glyburide 5 mg tablet sig: one (1) tablet po twice a day. 3. lantus 100 unit/ml solution sig: one (1) 12 units subcutaneous at bedtime. 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 5. omega 3 fish oil 684-1,200 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 6. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 7. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 8. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. 9. lisinopril 5 mg tablet sig: one (1) tablet po once a day. 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 11. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 10 days. disp:*60 capsule(s)* refills:*0* 12. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation for 10 days. disp:*30 suppository(s)* refills:*0* 13. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 6 days. disp:*12 tablet(s)* refills:*0* 14. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 6 days. disp:*12 packet(s)* refills:*0* 15. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/temp. disp:*30 tablet(s)* refills:*0* 16. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain for 10 days: prn for pain. disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 past medical history: s/p cypher pci to rca ; s/p xcience des to lcx in hypertension hyperlipidemia type 2 diabetes gastroesophageal reflux disease spinal stenosis skin ca - on back excision approx 10 years ago; left arm -removed appendectomy at age 10 tonsillectomy at age 5 discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with 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 should be called by dr office for a follow appointment. if you do not hear from his office, you should call his office for the appropriate follow up. department: surgery division: cardiothoracic surgery operating unit: office location: w/lmob 2a office phone: ( we were unable to reach your cardiologist. you should see her in two weeks. please call her and schedule an appointment. cardiologist: dr. please call to schedule appointments with your primary care dr. in weeks you have an appointment to come in for a sternal incision check on , one of the midlevlers will evaluate your wound. this is scheduled for at 1000 hrs **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 intraoperative cardiac pacemaker left heart cardiac catheterization diagnostic ultrasound of heart implant of pulsation balloon 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 paroxysmal ventricular tachycardia other and unspecified hyperlipidemia cardiogenic shock long-term (current) use of insulin long-term (current) use of other medications acute myocardial infarction of other inferior wall, initial episode of care other complications due to other cardiac device, implant, and graft surgical operation with implant of artificial internal device causing abnormal patient reaction, or later complication,without mention of misadventure at time of operation accidents occurring in unspecified place long-term (current) use of aspirin 

Answer: The patient is high likely exposed to