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: motrin attending: chief complaint: exertional angina(burning chest pain) major surgical or invasive procedure: coronary artery bypass grafting x 2 (left internal mammary artery to the left anterior descending artery and reverse saphenous vein graft to the obtuse marginal artery) history of present illness: 64 year old male with chief complaint of burning chest discomfort that began in . it occurs with both activity and rest. he underwent echocardiogram that was normal per chart and then stress test that was positive today. he was referred for cardiac cath that revealed coronary disease and was transferred for surgical evaluation. past medical history: cluster headaches hypertension renal insufficiency (1.1-1.4) impaired fasting glucose mitral insufficiency s/p right achilles tendon repair s/p b cataracts social history: race: caucasian last dental exam:last week lives with: wife - contact: wife - phone # h occupation: retired c cigarettes: smoked yes -last cigarette hx: 30 pack year history etoh: 2.5-5 oz/week < 1 drink/week drinks/week >8 drinks/week illicit drug use-none family history: father diabetes and hypertension maternal grandmother colon cancer paternal grandmother pancreatic cancer physical exam: pulse: 50's resp: 18 o2 sat:96% ra b/p right: 134/80 height: 6'0" weight: 230lbs general: 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 _____ varicosities: yes, bilateral neuro: grossly intact pulses: femoral right:1+ left:1+ dp right:1+ left:1+ pt :1+ left:1+ radial right:1+ left:1+ carotid bruit right:- left:- pertinent results: 04:07am blood wbc-12.1* rbc-3.72* hgb-11.6* hct-32.8* mcv-88 mch-31.1 mchc-35.2* rdw-13.2 plt ct-177 05:56pm blood wbc-8.5 rbc-4.67 hgb-14.7 hct-40.7 mcv-87 mch-31.4 mchc-36.1* rdw-13.1 plt ct-228 11:48am blood pt-12.2 ptt-31.2 inr(pt)-1.1 04:07am blood urean-23* creat-1.2 na-133 k-4.0 cl-99 05:56pm blood glucose-102* urean-20 creat-1.2 na-138 k-3.6 cl-106 hco3-23 angap-13 echocardiography report , (complete) done at 9:27:50 am preliminary referring physician information , - department of cardiac s , 2a , status: inpatient dob: age (years): 64 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: abnormal ecg. chest pain. coronary artery disease. hypertension. mitral valve disease. icd-9 codes: 402.90, 786.51, 441.2, 424.0 test information date/time: at 09:27 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 #: 2011aw2-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 60% to 70% >= 55% aorta - ascending: *4.1 cm <= 3.4 cm aortic valve - peak gradient: 9 mm hg < 20 mm hg aortic valve - mean gradient: 5 mm hg findings left atrium: normal la size. good (>20 cm/s) laa ejection velocity. no thrombus in the laa. right atrium/interatrial septum: normal ra size. a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: moderate symmetric lvh. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. mildly dilated ascending aorta. normal aortic arch diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets (3). trace ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pulmonic valve not well seen. general comments: the patient was under general anesthesia throughout the procedure. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. results were personally reviewed with the md caring for the patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-cpb:1. the left atrium is normal in size. no thrombus is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. there is moderate symmetric left ventricular hypertrophy. there is prominent septtal hypertrophy with a 9 mmhg gradient in the subvalvular region of the lvot. 4. overall left ventricular systolic function is normal (lvef>55%). 5. right ventricular chamber size and free wall motion are normal. 6. the ascending aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. 7. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. the mean lvot gradient is 5 mmhg. trace aortic regurgitation is seen. 8. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. dr. was notified in person of the results. post-cpb: on infusion of i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician ?????? caregroup is. all rights reserved. brief hospital course: mr. was transferred from for surgical revascularization for his coronary disease. upon admission he was medically managed and underwent usual pre-operative work-up. on he was brought to the operating room where he under went a coronary artery bypass graft x 2 (left internal mammary artery to the left anterior descending artery, and reverse saphenous vein graft to the obtuse marginal artery)with dr.. cross-clamp time:47 minutes.pump time:55 minutes. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring intubated and sedated. within 24 hours he weaned from sedation, awoke neurologically intact and extubated. beta blockers and diuretics were started and he was diuresed towards his pre-op weight. all lines and drains were discontinued per protocol. he was placed on amiodarone for a brief episode of postoperative atrial fibrillation. his rhythm converted to normal sinus. on post-op day one he was transferred to the step-down floor for further management. physical therapy was consulted for evaluation of his strength and mobility. the remainder of his postoperative course was essentially uneventful. he continued to progress and was cleared for discharge to home on pod#4. all follow up appointments were advised. medications on admission: hctz 25 mg daily lisinopril 10 mg daily labetolol 200 mg daily ecasa 81 mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 5. hydromorphone 2 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*45 tablet(s)* refills:*0* 6. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): x 7 days then decrease to 200 mg x 7 days then decrease to 200 mg daily. disp:*100 tablet(s)* refills:*2* 7. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 past medical history: cluster headaches hypertension renal insufficiency (1.1-1.4) impaired fasting glucose mitral insufficiency s/p right achilles tendon repair s/p b cataracts 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 are scheduled for the following appointments wound care nurse phone: date/time: at 11:15, building, surgeon:dr , md phone: date/time: at 1:00 cardiologist: dr. on on at 10:00am please call to schedule appointments with your 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** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome mitral valve disorders unspecified essential hypertension atrial fibrillation unspecified disorder of kidney and ureter cluster headache syndrome, unspecified impaired fasting glucose 

Answer: The patient is high likely exposed to