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: coronary artery disease major surgical or invasive procedure: coronary artery bypass grafting x 3 history of present illness: this is a 77 year old gentleman who presented to an outside hospital with exertional chest pain radiating to his left shoulder, neck and arm. he had a known history of hypertension but was otherwise healthy. an ekg revealed st depressions and he was referred for cardiac catheterization at the outside hospital. this revealed a right dominant heart with 40% stenosis of his distal left main, 80% stenosis of his lad, 40% stenosis of his left circumflex, and total stenosis of his right coronary artery. heparin and integrellin drips were started and he was transferred to for planned coronary artery bypass grafting past medical history: hypertension social history: the patient lives alone, denies any alcohol or tobacco use. he occasionally drives a truck for a living. family history: the patient's father, brother, and sister have had myocardial infarctions in the past. physical exam: on admission: afebrile, wt 198 pounds, pulse 79 sinus, bp 91/66, 95% room air gen: pleasant elderly male, healthy-appearing, not in pain heent: mmm, eomi neck: no masses, no jvd cv: rrr, no murmur pulm: ctab abd: soft, nt/nd, + bs extr: no edema pertinent results: 07:19pm blood wbc-9.8 rbc-3.96* hgb-13.4* hct-38.4* mcv-97 mch-34.0* mchc-35.0 rdw-13.3 plt ct-193 05:25am blood wbc-9.1 rbc-3.76* hgb-12.6* hct-35.7* mcv-95 mch-33.6* mchc-35.4* rdw-13.4 plt ct-201 01:52pm blood wbc-7.9 rbc-2.85* hgb-9.7* hct-27.5* mcv-96 mch-34.1* mchc-35.4* rdw-13.3 plt ct-135* 02:52am blood wbc-14.0* rbc-3.21* hgb-11.1* hct-31.1* mcv-97 mch-34.6* mchc-35.8* rdw-13.3 plt ct-210# 03:56am blood wbc-10.2 rbc-2.79* hgb-9.5* hct-26.7* mcv-96 mch-34.1* mchc-35.6* rdw-13.3 plt ct-230 02:54am blood wbc-8.7 rbc-2.85* hgb-9.5* hct-27.5* mcv-97 mch-33.4* mchc-34.5 rdw-13.2 plt ct-303 05:03am blood wbc-7.2 rbc-2.82* hgb-9.6* hct-27.6* mcv-98 mch-33.9* mchc-34.7 rdw-13.3 plt ct-379 07:19pm blood pt-12.3 ptt-30.9 inr(pt)-1.1 05:00pm blood pt-13.3* ptt-38.6* inr(pt)-1.2* 09:35am blood pt-14.2* ptt-61.3* inr(pt)-1.3* 05:03am blood pt-16.4* ptt-71.8* inr(pt)-1.5* 07:19pm blood glucose-117* urean-21* creat-1.0 na-139 k-4.0 cl-106 hco3-24 angap-13 06:05am blood glucose-121* urean-19 creat-1.1 na-137 k-3.9 cl-104 hco3-24 angap-13 02:52am blood urean-15 creat-1.1 na-137 k-5.3* cl-107 hco3-21* angap-14 05:18pm blood glucose-100 urean-25* creat-1.2 na-136 k-4.3 cl-102 hco3-24 angap-14 02:54am blood glucose-108* urean-27* creat-1.2 na-137 k-4.1 cl-102 hco3-27 angap-12 05:03am blood glucose-101 urean-23* creat-1.3* na-138 k-4.6 cl-102 hco3-26 angap-15 05:25am blood albumin-3.7 06:05am blood calcium-8.3* phos-2.2* mg-1.8 02:52am blood phos-3.1 mg-2.8* 02:54am blood calcium-8.3* phos-4.5 mg-2.1 cxr: left lower lobe linear atelectasis/scarring. no pneumonia or congestive heart failure. carotid u/s: on the right, peak systolic velocities are 65, 91, 67 in the ica, cca, eca respectively. the ica to cca ratio is 0.7. this is consistent with no stenosis. on the left, peak systolic velocities are 60, 89, 53 in the ica, cca, eca respectively. the ica to cca ratio is 0.7. this is consistent with no stenosis. there is antegrade flow in both vertebral arteries. cxr: there has been interval removal of the swan-ganz catheter. right-sided central line is seen with the distal tip overlying the svc atrial junction. again seen are median sternotomy wires. cardiac and mediastinal and hilar contours appear relatively unchanged. no chf or infiltrate is detected. right- sided linear atelectasis is again noted. blunting of the costophrenic angles consistent with small pleural effusions also appears unchanged. impression: right-sided central line with distal tip over the svc atrial junction. no evidence of pneumothorax. tte: the left atrium is mildly dilated. there is mild symmetric left ventricular hypertrophy. there is mild regional left ventricular systolic dysfunction with hypokinesis of the inferobasal wall. right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is mild pulmonary artery systolic hypertension. there is no pericardial effusion. tee: prebypass no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is top normal/borderline dilated. no left ventricular aneurysm is seen. there is mild regional left ventricular systolic dysfunction. overall left ventricular systolic function is low normal (lvef 50-55%). resting regional wall motion abnormalities include mild hypokinesia of the apex and mid portion of the inferior wall. right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets appear structurally normal with good leaflet excursion. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the mitral annulus measures 3.3 cm. the mr is central . there is no obvious leaflet pathology. there is no pericardial effusion. post bypass lv function somewhat improved. inferior wall has much better contractility. rv function is preserved. aorta intact post decannulation. mild mr persists. urine culture: negative brief hospital course: this is a 77 year old gentleman who was transferred from an outside hospital for planned coronary artery bypass grafting. he was admitted on and a heparin and integrelin drip were started; he had 2 episodes of chest pain spontaneously resolved with nitroglycerin tablets. he was then taken to the operating room on for cabg x 3 (please see the operative report of dr. for full details). he did well in the intial post-operative course and was extubated in the cardiac intensive care unit on the night of his operation. he required some neosynephrine for blood pressure management but this was eventually weened off. on post-operative day 1 he got out of bed, tolerated a regular diet, and his chest tubes and swan ganz catheter were removed. he had a bout of rapid afib on post-op day 1 evening and an amiodarone drip was started. he was transferred to the floor on post-op day 3 and oral amiodarone was started. he had one more episode of atrial fibrillation on . anticoagulation with heparin drip bridged over to oral coumadin was started on post-op day 4, with 5 mg of coumadin given on and . he worked with physical therapy and was deemed satisfactory for home discharge with vna. all questions were answered to his satisfaction upon discharge and planned follow-up with his pcp and cardiac surgery were coordinated. medications on admission: lisinopril (dose unknown) discharge medications: 1. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*10 capsule(s)* refills:*0* 3. 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* 4. amiodarone 200 mg tablet sig: two (2) tablet po twice a day: 400mg x1 wk then 400mg qd x1wk then 200mg qd. disp:*60 tablet(s)* refills:*2* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. coumadin 2 mg tablet sig: as directed tablet po once a day: 2mg on &11 then as directed by dr . disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: hospice and vna discharge diagnosis: coronary artery disease s/p cabg x3 (lima->lad, svg->om, svg->pda) pmh: htn discharge condition: stable. good pain control. ambulatory. tolerating pos. discharge instructions: take all medicatiosn as prescribe.d do not drive while taking narcotics. a visiting nurse you with cardiopulmonary monitoring and checking your inr for coumadin dosing. please contact the office or come to the er with any worsening shortness of breath, chest pain, fevers, or drainage from your incisions. you may shower but no baths or swimming for 3 weeks. followup instructions: followup in weeks with dr. (call ofr an appointment at ) you should also see dr. within 1-2 days of your discharge to have your coumadin dosed (as discussed with you in the hospital) procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries continuous intra-arterial blood gas monitoring diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation family history of ischemic heart disease 

Answer: The patient is high likely exposed to