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: lisinopril attending: chief complaint: chest pain major surgical or invasive procedure: s/p coronary artery bypass x4(lima->lad/svg->om1/ramus/pda) history of present illness: 64 year old with known moderate 3 vessel coronary artery disease since ' who has been treated medically since that time, underwent preoperative evaluation for hand surgery where he disclosed he was experiencing exertional chest pain. he was then referred for surgical coronary revascularization with dr.. past medical history: 3 vessel coronary artery disease-cath' hypertension hyperlipidemia cervical radiculopathy benign ess. tremor osa-bipap at home restless leg syndrome mild dementia gastroesophageal reflux disease bipolar d/o unrepaired severe rotator cuff tear' s/p appendectomy eye surgery s/p ccy preop for hand surgery for contracture social history: retired maintenance worker quit 32 years ago lives w/wife .etoh family history: brother s/p cabg in '60s physical exam: general:confusion vs: 98.8, 99/59, 72, 20, 99%ra heent:at/nc,carotids 2+ cvs: rrr lungs: cta abd: benign extr: no cyanosis/clubbing/edema pertinent results: 04:46pm blood wbc-13.0*# rbc-4.22* hgb-13.1* hct-34.8* mcv-82 mch-30.9 mchc-37.6* rdw-14.4 plt ct-126* 06:40am blood wbc-9.5 rbc-3.80* hgb-11.7* hct-32.1* mcv-85 mch-30.9 mchc-36.6* rdw-14.5 plt ct-109* 03:09pm blood pt-15.1* ptt-33.9 inr(pt)-1.3* 04:46pm blood pt-14.5* ptt-30.5 inr(pt)-1.3* 06:40am blood glucose-93 urean-20 creat-0.9 na-140 k-3.5 cl-104 hco3-27 angap-13 03:31am blood glucose-94 urean-12 creat-0.8 na-139 k-3.9 cl-107 hco3-26 angap-10 echocardiography report , (complete) done at 1:24:59 pm final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 64 m hgt (in): 66 bp (mm hg): / wgt (lb): 150 hr (bpm): bsa (m2): 1.77 m2 indication: coronary artery disease. left ventricular function. right ventricular function. valvular heart disease. icd-9 codes: 440.0, 414.8, 424.1 test information date/time: at 13:24 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 #: 2009aw3-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *5.7 cm <= 5.6 cm left ventricle - ejection fraction: >= 45% >= 55% aorta - annulus: 3.0 cm <= 3.0 cm aorta - sinus level: *4.8 cm <= 3.6 cm aorta - sinotubular ridge: *4.1 cm <= 3.0 cm aorta - ascending: *4.0 cm <= 3.4 cm aorta - arch: 2.7 cm <= 3.0 cm aorta - descending thoracic: 2.5 cm <= 2.5 cm aortic valve - peak velocity: 1.0 m/sec <= 2.0 m/sec findings left atrium: normal la and ra cavity sizes. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. lipomatous hypertrophy of the interatrial septum. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness. top normal/borderline dilated lv cavity size. normal regional lv systolic function. mildly depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: moderately dilated ascending aorta. normal aortic arch diameter. simple atheroma in aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: normal aortic valve leaflets (3). no as. mild (1+) ar. mitral valve: normal mitral valve leaflets with trivial mr. mild mitral annular calcification. 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. resting bradycardia (hr<60bpm). the rhythm appears to be a-v paced. results were conclusions pre-bypass: the left atrium and right atrium are normal in cavity size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is top normal/borderline dilated. regional left ventricular wall motion is normal. overall left ventricular systolic function is mildly depressed (lvef= 45%). right ventricular chamber size and free wall motion are normal. the ascending aorta is moderately dilated. there are simple atheroma in the aortic arch. 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. mild (1+) aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. post-bypass: the patient is in sinus rhythm. the aorta is intact. left ventricular function is improved. ef is now normal. other findings remain unchanged. dr. was notified in person of the results in the operating room. electronically signed by , md, interpreting physician 15:42 ?????? caregroup is. all rights reserved. brief hospital course: mr. was taken to the operating room and underwent coronary artery bypass grafting (lima->lad,svg->om/pda/ramus). please refer to dr operative report for further details. he was intubated and sedated and transferred to the cvicu hemodynamically stable. he awoke neurologically intact, weaned off drips, and was extubated in a timely fashion. all lines and tubes were discontinued when the appropriate criteria were met. on pod#1 he was transferred to the step down unit for further telemetry monitoring. he was started on beta-blocker, statin, and aspirin. the remainder of his postoperative course was essentially uneventful. he continued to progress and was ready for discharge to home on pod# 4. all follow up appointments were advised. medications on admission: omeprazole 20(1) terazosin 5(1) lipitor 20(1) sertraline 100(1) atenolol 50(1) lithium 300(1) mirapex 0.125(1) isosorbide 60(1) asa 325 discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 4. pramipexole 0.125 mg tablet sig: one (1) tablet po daily () as needed for parkinsons. disp:*30 tablet(s)* refills:*0* 5. terazosin 5 mg capsule sig: one (1) capsule po hs (at bedtime). disp:*30 capsule(s)* refills:*0* 6. sertraline 100 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 7. lithium carbonate 300 mg capsule sig: three (3) capsule po daily (daily). disp:*90 capsule(s)* refills:*0* 8. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po daily (daily). disp:*30 capsule, delayed release(e.c.)(s)* refills:*0* 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 10. atorvastatin 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 11. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*0* 12. furosemide 20 mg tablet sig: two (2) tablet po once a day for 1 weeks. disp:*14 tablet(s)* refills:*0* 13. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours) for 1 weeks. disp:*14 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p coronary artery bypassx4(lima->lad/svg->om1/ramus/pda) hypertension hyperlipidemia cervical radiculopathy benign essential tremor obstructive sleep apnea-uses bipap restless leg syndrome mild dementia bipolar d/o gastroesophageal reflux disease s/p appendectomy s/p cholecystectomy eye surgery preop hand surgery for contracture discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr in 4 weeks () please call for appointment dr , cardiology, in 1 week please call for appointment wound check appointment 2 as instructed by nurse () procedure: (aorto)coronary bypass of three coronary arteries (aorto)coronary bypass of three coronary arteries extracorporeal circulation auxiliary to open heart surgery diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension other and unspecified hyperlipidemia other and unspecified angina pectoris restless legs syndrome (rls) 

Answer: The patient is high likely exposed to