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: unstable angina major surgical or invasive procedure: coronary artery bypass grafts x3(lima-lad,svg-om,svg-pda) left heart catheterization, coronary angiogram history of present illness: this 71 year old white male has known coronary disease, having undergone catheterization 10 years ago. medical management was recommended then. his angina has been stable and chronic. he over the last month has had several episodes of rest angina which has crescendoed. a stress test was positive and he underwent catheterization this admission which revealed 40% left main and severe triple vessel disease which has progressed. surgical intervention was recommended. past medical history: diabetes-diet controlled hypercholesterolemia coronary artetery disease barrett's esophagus tonsillectomy at age 4 social history: psycho/social: lives with girlfriend. retired. children. contact for discharge: cell # tobacco: no: quit -smoked 1.5ppd x 10 y etoh: 3 beers 4 times per week . family history: noncontributory physical exam: height: 6 feet weight: 190 lbs general:a&ox3, nad heent:carotids 2(+)bilaterally-no bruits cvs: rrr, no murmur/rub/gallop lungs:cta abd:benign extr:no c/c/e, no varicosities. dp 2+(b) (r)groin cath site-soft/no drainage pertinent results: 05:49am blood wbc-10.6 rbc-2.97* hgb-9.9* hct-27.1* mcv-92 mch-33.3* mchc-36.4* rdw-13.7 plt ct-165 01:10pm blood wbc-7.9 rbc-4.48* hgb-14.2 hct-40.3 mcv-90 mch-31.7 mchc-35.2* rdw-13.4 plt ct-190 05:49am blood glucose-158* urean-17 creat-1.1 na-138 k-4.2 cl-101 hco3-28 angap-13 01:10pm blood glucose-127* urean-12 creat-1.0 na-140 k-4.1 cl-106 hco3-25 angap-13 05:45pm blood alt-29 ast-22 ld(ldh)-141 alkphos-61 amylase-29 totbili-0.6 echocardiography report , (complete) done at 12:13:03 pm final referring physician information , - department of cardiac s , 2a , status: inpatient dob: age (years): 71 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: cabg icd-9 codes: 786.05, 786.51, 424.0 test information date/time: at 12:13 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 #: 2011aw1-: machine: us6 echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 50% to 55% >= 55% findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. left ventricle: low normal lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending aorta diameter. complex (mobile) atheroma in the aortic arch. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: physiologic 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. no tee related complications. conclusions pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is low normal (lvef 50-55%) with apical hypokinesis. right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or 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 a-paced, on no inotropes. preserved biventricular systolic fxn. trace mr. . aorta intact. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 14:09 ?????? caregroup is. all rights reserved. brief hospital course: he remained stable after catheterization and surgical evaluation was undetaken. on he went to the operating room where coronary artery bypass times 3 (left internal thoracic artery to left anterior descending artery and reverse saphenous vein grafts to obtuse marginal branch and to the right posterior descending branch) with dr.. cardiopulmonary bypass time: 70 minutes cross-clamp time: 61 minutes please refer to operative report for further details. he tolerated the operation well and was transferred to the intensive care unit where he awoke, weaned and was extubated. his cts were removed on pod 1 and beta blockade resumed. pacing wires discontinued per protocol. diuresis towards his preoperative weight was begun. physical therapy was consulted for evaluation of his strength and mobility. postoperative rapid atrial fibrillation occurred transiently. it was treated with iv lopressor and converted to normal sinus rhythm. no further arrythmias. he progressed well and was discharged on pod#4 with appropriate follow up appointments advised. medications on admission: simvastatin 80mg daily nexium 40mg daily atenolol 50mg daily aspirin 81mg daily discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever or pain. 2. simvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 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. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 8. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 9. lasix 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 10. potassium chloride 10 meq capsule, extended release sig: one (1) capsule, extended release po once a day for 5 days. disp:*5 capsule, extended release(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts noninsulin dependent diabetes mellitus hypercholesterolemia barrett's esophagus s/p tonsillectomy discharge condition: alert and oriented x3, nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema trace 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 **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 cardiac surgery office medical building wound check: thrusday at 10:30 am surgeon:dr. () on at 1pm cardiologist:dr. office will call you with appt 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** 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 left heart cardiac catheterization diagnoses: thrombocytopenia, unspecified anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation personal history of tobacco use other and unspecified hyperlipidemia 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 barrett's esophagus 

Answer: The patient is high likely exposed to