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: history of present illness: this is a 66-year-old male with known coronary artery disease (status post left anterior descending stent in ) who reported a mild burning sensation in his chest with yard work which resolved with rest. he had an exercise tolerance test on which produced chest pain as well as st depressions. it also revealed a mild inferior wall myocardial infarction and mild anterior wall hypokinesis with an ejection fraction of 54 percent. he was brought into for cardiac catheterization on when he was initially seen by the cardiac surgery team. his ejection fraction was 48 percent at catheterization with a proximal right coronary artery lesion of 100 percent, a left anterior descending 60 percent proximal lesion, an 80 percent mid lesion, and 90 percent lesion, and a ramus intermedius lesion of 90 percent. he was referred for coronary artery bypass grafting to dr. , at that time. past medical history: 1. coronary artery disease; status post left anterior descending stent in . 2. hypertension. 3. hyperlipidemia. 4. ring worm of his left leg - now at approximately 30 to 40 days of treatment. 5. colitis. 6. renal calculi. 7. history of deep venous thrombosis in the . past surgical history: 1. bilateral hip replacements for avascular necrosis in . 2. ileostomy. 3. hernia repair. 4. kidney stone removal. allergies: he is allergic to beta blockers (which he stated gave him exhaustion). medications on admission: medications at the time he was seen preoperatively were crestor 20 mg by mouth once daily, accupril 20 mg by mouth once daily, aspirin 325 mg by mouth once daily, and polycitra twice daily. social history: the patient is retired. he lives in with his wife. quit smoking 35 years ago with a 30-pack- year history. he also admitted to three alcoholic drinks per day. family history: he has a significant family history with his father deceased of a myocardial infarction at the age of 55 and mother with coronary artery disease. physical examination on admission: the patient was 6 feet 2 inches tall, weight was 205 pounds, in sinus rhythm at 75, respiratory rate was 17, blood pressure was 167/79, and he was saturating 97 percent on room air. he was lying flat in bed status post catheterization. in no apparent distress. he was alert and oriented times three and appropriate. he had no carotid bruits. his lungs were clear bilaterally/anteriorly. his heart was regular in rate and rhythm. s1 and s2 tones. no murmurs, rubs, or gallops. his abdomen was flat, soft, nontender, and nondistended. there were positive bowel sounds and an ileostomy present. his left groin area was reddened with a small 1.5-cm round reddened area. his extremities were warm and well perfused. there was no edema. no varicosities. the right was dressed at his cardiac catheterization site with no apparent hematoma. he had 2 plus bilateral radial pulses and 1 plus bilateral dorsalis pedis pulses. there was a 2 plus posterior tibial pulse on the right and a 1 plus posterior tibial pulse on the left. preoperative laboratory data: white blood cell count was 5.9, hematocrit was 34, and platelet count was 309,000. sodium was 136, potassium was 4.3, chloride was 101, bicarbonate was 23, blood urea nitrogen was 20, creatinine was 1, and blood sugar was 146. prothrombin time was 12.7, partial thromboplastin time was 30.4, and inr was 1. alt was 17, ast was 21, alkaline phosphatase was 84, total bilirubin was 0.5, and albumin was 4.2. urinalysis was unremarkable. radiology: a preoperative chest x-ray showed no acute cardiopulmonary process. please refer to the official chest x-ray report dated . a preoperative electrocardiogram dated showed a sinus rhythm at 68 with an apparent normal ecg. summary of hospital course: the patient was discharged with instructions to come back the same day. the patient was admitted on . the patient was admitted on that day and underwent coronary artery bypass grafting times four by dr. with a left internal mammary artery to the left anterior descending, vein graft to the left anterior descending distally, a vein graft to the ramus, and a vein graft to the posterior descending artery. he was transferred to the cardiothoracic intensive care unit in stable condition on a titrated propofol drip. on postoperative day one, the patient was hemodynamically stable. his blood pressure was 116/53 and a heart rate of 83 (in sinus rhythm). he was on no drips at that time. postoperative laboratories were as follows. white count was 7.5, hematocrit was 25.4, potassium was 4.5, blood urea nitrogen was 14, and creatinine was 1. he was extubated overnight and was saturating 97 percent on 2 liters nasal cannula. he was alert and oriented. he was moving all extremities. he had some st elevations which were unchanged since the prior evening. his arterial line was discontinued. he was started on his beta blockade with metoprolol. chest tubes were removed that morning. he was increased his increased diet and activity well. his pacing wires were also removed on postoperative day two. he also began aspirin therapy. his beta blockade was at 12.5 mg per daily. his hematocrit rose slightly to 27.8. he had no events overnight. he was doing well. he also started his oral iron and vitamin c. he was transferred out to the floor on (postoperative day two). he began to work with nursing and physical therapist, and his activity level was advanced appropriately. on postoperative day three, his creatinine rose slightly to 1.2. he was restarted on his cholesterol medication. his sternum was stable. he was alert and oriented, and his examination was nonfocal. the incisions were clean, dry, and intact with a functioning ileostomy in place. he was transfused one unit of packed red blood cells for a hematocrit of 22.8. he was also seen and evaluated by case management, and an evaluation was done by physical therapy. he was taking percocet as an as needed pain management. he was encouraged to use his incentive spirometer and to increase his activity level. on , it was noted that the patient had a 3-cm pericardial effusion with some tamponade physiology. he was taken to the cardiac catheterization laboratory for this to be tapped. his blood pressure was 168/86 with a central venous pressure of 16 at that time. the patient was stable and was taken for an elective pericardiocentesis by cardiology. there was 450 cc of bloody fluid removed. the patient felt much better and was able to increase his activity level after the transfusion and pericardiocentesis. on postoperative day four, his lungs were a little rhonchorous. he did complain of feeling a little bit jittery and anxious. his examination was otherwise unremarkable. he had trace peripheral edema. the incisions were clean, dry, and intact. he was transferred back to the intensive care unit for monitoring that night after his pericardiocentesis and a pericardial drain had been placed. his cortis was discontinued on postoperative day five, and the pericardial drain was removed on day six. his hematocrit rose to 29.9. he was hemodynamically stable. he was saturating 97 percent on room air. he was transferred back to the floor. his lopressor was increased. he was evaluated by physical therapy again. on postoperative day seven - - he was discharged to home with vna services. his examination was unremarkable. he was hemodynamically stable with a blood pressure of 140/90, in a sinus rhythm at 93. discharge laboratories were as follows. white count was 8.5, hematocrit was 28.7, and platelet count was 433,000. potassium was 4.4, blood urea nitrogen was 12, and creatinine was 1. the patient was also given albuterol inhaler as needed. discharge disposition: his incisions were clean, dry, and intact. he was discharged to home with vna services with the following discharge diagnoses. discharge diagnoses: 1. status post coronary artery bypass grafting times four. 2. status post pericardiocentesis. 3. coronary artery disease; status post left anterior descending stent in . 4. hypertension. 5. hyperlipidemia. 6. ring worm of left leg. 7. colitis. 8. kidney stones. 9. deep venous thrombosis. medications on discharge: 1. vitamin c 500 mg by mouth twice daily. 2. crestor 20 mg by mouth once daily. 3. enteric coated aspirin 81 mg by mouth once daily. 4. ferrous sulfate 325 mg by mouth once daily 5. lasix 20 mg by mouth twice daily (for seven days). 6. dilaudid 2 mg by mouth q.6h. as needed (for pain). 7. ibuprofen 400 mg by mouth q.8h. as needed (for pain). 8. metoprolol 50 mg by mouth once daily. 9. zantac 150 mg by mouth twice daily. 10. potassium chloride 20 meq by mouth twice daily (for seven days). discharge instructions: 1. the patient was instructed to follow up with dr. (his surgeon) for a postoperative surgical visit in the office in one months. 2. the patient was instructed to follow up with his primary care physician (dr. in approximately two to three weeks post discharge. discharge status: the patient was discharged to home on . condition on discharge: stable. , m.d. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using a single catheter pericardiocentesis transfusion of packed cells right heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension cardiac complications, not elsewhere classified acute idiopathic pericarditis 

Answer: The patient is high likely exposed to