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: l arm pain and chest pressure major surgical or invasive procedure: four vessel cabg(lima to lad, svg to diag, svg to rca, svg to om) history of present illness: mr. is a 59 yo man with h/o htn who is transferred here from an osh for + stress test. he noted l arm pain while walking on the treadmill and went to his pcp last week, who suggested stress testing. the patinet then noted palpitations starting on thursday as well as chest pressure while in the shower since the weekend. he denies pain but distinctly felt chest pressure that did not radiate elsewhere, no n/v, no diaphoresis. he notes that this past weekend he felt "flu-like" with a low grade fever, cough, and general malaise although no sputum, shortness of breath or nasal drip. he went to an osh today after the increased cp and palpitations scared him, and he was found to have a positive stress test. he was transferred to for cardiac catherization. past medical history: htn afib with plapitations mitral valve prolapse chronic nasal congestion social history: lives at home with wife and daughter. planning to visit other daughter abroad in in . works as psychologist. no tobacco, occasional etoh, no other drugs "since the 60s." family history: noncontributory physical exam: vitals: 98.3, 103/59, 84, 20, 96% ra gen: anxious appearing man in nad, pleasant, conversant neck: cannot assess jvp 2/2 lying flat post-cath cor: s1s2, physiologic split s2, no r/g/m, rrr pulm: ctab anteriorly abd: soft, ntnd, +bs, no hsm groin: r sight c/d/i, no bruit, nontender ext: 2+ dp and pt pulses bilaterally pertinent results: cardiac catherization: right dominant system with two vessel coronary artery disease. the lmca had a mid vessel 80% ulcerated lesion. the diffusely diseased lad had an ulcerated 60% proximal lesion and an 80% lesion in a large diagonal branch. the lcx had only mild luminal irregularities. the rca had a 60% proximal stenosis that did not improve with intracoronary nitroglycerine. normal systemic pressures and mildly elevated left sided pressures (lvedp 14 mmg). no wall motion abnormalities (ef 59%) with no mitral regurgitation. 06:29am blood wbc-10.1 rbc-2.78* hgb-8.4* hct-24.3* mcv-87 mch-30.2 mchc-34.6 rdw-15.4 plt ct-457* 04:40pm blood wbc-3.3*# rbc-3.74* hgb-11.5* hct-32.0* mcv-86 mch-30.6 mchc-35.8* rdw-12.1 plt ct-308 06:29am blood pt-25.5* inr(pt)-2.6* 06:29am blood glucose-109* urean-22* creat-1.1 na-125* k-4.4 cl-89* hco3-28 angap-12 04:40pm blood glucose-131* urean-16 creat-1.1 na-125* k-4.0 cl-90* hco3-23 angap-16 06:29am blood calcium-7.7* phos-2.8 mg-2.0 04:40pm blood %hba1c-5.6 -done -done 09:30am blood tsh-2.3 09:30am blood free t4-1.6 03:23am blood cortsol-20.7* brief hospital course: mr. was admitted and underwent elective cardiac catheterization which revealed an 80% left main lesion, multivessel cad and normal left ventricular function. cardiac surgery was therefore consulted for surgical revascularization. routine preoperative evaluation was unremarkable and he was cleared for surgery. he remained pain free on medical therapy. on , dr. performed four vessel coronary artery bypass grafting. for surgical details, please see seperate dictated op note. following the operation, he was brought to the csru for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated. he developed rapid atrial fibrillation which was treated with amiodarone. he otherwise maintained stable hemodynamics and transferred to the sdu on postoperative day two. despite medical therapy, he continued to experience paroxsymal atrial fibrillation. warfarin was therefore initiated and dosed for a goal inr between 2.0 -3.0. postop, he was noted to be hyponatremic and was placed on a fluid restriction. he intermittently became orthostatic. the endocrine service was consulted to evaluate for adrenal insufficiency. cortisol level was noted to be 20.9 which essentially ruled out adrenal insufficiency. thyroid function test were within normal limits. over several days, his hyponatremia and orthostasis improved. he continued to make clinical improvements and was medically cleared for discharge on postoperative day five. medications on admission: lisinopril 20mg po qday hctz 25mg po qday flonase spray 1 per nostril qday discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 5 days. disp:*10 tablet(s)* refills:*0* 2. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 5 days. disp:*20 capsule, sustained release(s)* refills:*0* 3. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 7. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*40 tablet(s)* refills:*0* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 9. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 10. 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:*2* 11. warfarin 1 mg tablet sig: one (1) tablet po daily (daily): 1mg , check inr with results to dr. . disp:*60 tablet(s)* refills:*0* 12. amiodarone 200 mg tablet sig: two (2) tablet po once a day: 400mg wd x 1 week then 200 mg qd. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: cad htn mvp postop afib hyponatremia discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions creams or powders to incision. no driving or heavy lifting. followup instructions: dr. 4 weeks clinic on 2 2 weeks dr. 2 weeks, and for coumadin follow up. please check inr and call results to dr. . pt may also go to office and have inr checked by fingerstick there. dr. (cardiologist) 2 weeks dr. 4 weeks procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome mitral valve disorders unspecified essential hypertension hyposmolality and/or hyponatremia cardiac complications, not elsewhere classified atrial fibrillation 

Answer: The patient is high likely exposed to