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: sob, fatigue major surgical or invasive procedure: avr(29 mm ce, tissue), cabg x 1(svg>pda) on history of present illness: 47 y/o male w/le edema, fatigue, sob x 1 year. w/u revealed cardiomyopathy w/ ef 10%, as, ai. past medical history: cardiomyopathy etoh abuse bicuspid av htn gerd copd chf social history: previous very heavy use, recently down to 3 drinks per day current smoker, 30 pk years family history: mother w/?cad at age 42 physical exam: bilat exp. wheezez, otherwise exam pre-op unremarkable pertinent results: 05:17am blood wbc-5.7 rbc-2.77* hgb-8.6* hct-24.8* mcv-89 mch-31.2 mchc-34.9 rdw-13.2 plt ct-179 05:17am blood urean-18 creat-0.7 k-4.5 06:12pm blood type-art po2-69* pco2-47* ph-7.38 caltco2-29 base xs-1 06:12pm blood glucose-100 na-134* k-4.3 cl-102 brief hospital course: taken to the or on day of admission, underwent cabg x 1 (svg>pda) and avr (29 ce pericardial) on . transferred to the csru in stable condition, on levophed for hypotension, which was weaned off by pod # 1. he was transferred to the telemetry floor on pod # 1, and began to progress with physical therapy. his po meds were resumed, his epicardial pacing wires were removed, and he continued with an uneventful post-operative course. he has remained hemodynamically stable, and is ready to be discharged home. medications on admission: mvi thiamine folic acid lasix 40 qd lipitor coreg 25mg protonix digoxin lisinopril 10 qd discharge medications: 1. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 2 weeks. disp:*28 packet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 3. 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* 4. 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* 5. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q4h (every 4 hours) as needed for shortness of breath or wheezing. disp:*1 mdi* refills:*0* 7. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). disp:*1 mdi* refills:*2* 8. thiamine hcl 100 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 9. folic acid 1 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 10. nicotine 21 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). disp:*30 patch 24hr(s)* refills:*2* 11. lorazepam 0.5 mg tablet sig: one (1) tablet po twice a day as needed. disp:*30 tablet(s)* refills:*0* 12. carvedilol 12.5 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 13. hydromorphone 2 mg tablet sig: one (1) tablet po every hours as needed for pain. disp:*40 tablet(s)* refills:*0* 14. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 15. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: as cad cardiomyopathy htn gerd copd discharge condition: good discharge instructions: may shower, no bathing or swimming for 1 month no lifting > 10# for 10 weeks no driving for 1 month no creams, lotions or powders to any incisions p instructions: with dr. in weeks with dr. in 4 weeks procedure: extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery open and other replacement of aortic valve with tissue graft diagnoses: other primary cardiomyopathies other iatrogenic hypotension coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension chronic airway obstruction, not elsewhere classified aortic valve disorders 

Answer: The patient is high likely exposed to