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: cad/abnormal ett major surgical or invasive procedure: - cabgx4 (lima->lad, sapenous vein->, , pda) history of present illness: patient is a 61 year old gentleman who has a history of sleep apnea as well as hypertension and dyslipidemia. he had some chest pain which prompted an exercise treadmill test which was abnormal. cath by dr. showed elevated left ventricular end-diastolic pressure with severe 3 vessel coronary disease. patient was, therefore, referred to me in consultation for consideration of coronary artery bypass grafting. i agree with dr. the patient is a good candidate for coronary artery bypass grafting. the patient understood the risks and benefits of the procedure including, but not limited to, bleeding, infection, myocardial infarction, stroke, death, renal and pulmonary insufficiency as well as the possibility of a blood transfusion and future revascularization procedures and agreed to proceed. all questions were answered prior to proceeding with the surgery. past medical history: hypercholesterolemia htn cad w/ past ptca ?ptsd obstructive sleep apnea social history: retired businessman. lost his wife 2 months ago. lives with 2 of 3 grown children. no smoking history and drinks alcohol rarely. family history: father with sleep apnea. mother died of copd physical exam: vitals: bp 149/82, hr 79, rr 26, sat 100% on room air general: well developed male in no acute distress heent: oropharynx benign, poor dental health neck: supple, no jvd, no carotid bruit noted heart: regular rate, normal s1s2 lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: warm, no edema, no varicosities pulses: 2+ distally neuro: nonfocal pertinent results: 08:00am blood hct-22.4* 07:05am blood wbc-11.8* rbc-2.94* hgb-9.1* hct-25.9* mcv-88 mch-31.1 mchc-35.2* rdw-13.7 plt ct-107* 09:55am blood plt ct-107* 08:00am blood urean-23* creat-1.1 k-4.1 echo pre bypass: the left atrium is normal in size. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size, and systolic function are normal (lvef>55%). overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is mildly dilated. right ventricular systolic function is normal. the ascending aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. post bypass: lv and rv systolic function are preserved. patient is on a phenylephrine infusion. mild mr present. aorta intact post decannulation brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken to the operating room where he underwent coronary artery bypass grafting to four vessels by dr. . please see operative note for detail. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, mr. neurologically intact and was extubated. beta blockade and aspirin were resumed. digoxin was started for atrial fibrillation prophylaxis. gentle diuresis was initiated. on postoperative day two, mr. was transferred to the cardiac surgical step down unit for further recovery. the physical therapy was consulted for assistance with his postoperative strength and mobility. mr. developed atrial fibrillation which converted to normal sinus rhythm with amiodarone. his digoxin was cut in half to 0.125mcg daily with the start of amiodarone. mr. had moments of irritability with the nursing staff that was likely contributed to his depression and anxiety related to his surgery as well as the recent loss of his wife. focal deficits were noted postoperatively. he underwent a blood transfusion for postoperative anemia with good response. mr. continued to make steady progress and was discharged to his home on postoperative day five. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: lisinopril 10mg qd toprol xl 25mg qd aspirin 325mg qd discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 2. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*1* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*4* 5. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily) for 1 months. disp:*30 tablet(s)* refills:*0* 6. lasix 20 mg tablet sig: one (1) tablet po twice a day for 5 days: take for five days then stop. disp:*10 tablet(s)* refills:*0* 7. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): take four hundred milligrams twice a day for one week then starting take 200mg (one tablet) twice daily for one week and then starting take one tablet (200mg) once daily until instructed by you cardiologist. disp:*120 tablet(s)* refills:*2* 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months: you may stop taking this when off pain medicine. disp:*60 capsule(s)* refills:*0* 9. lasix 20 mg tablet sig: one (1) tablet po twice a day for 5 days: take one tablet twice daily with 20meq of potassium for five days then stop. disp:*10 tablet(s)* refills:*0* 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po twice a day for 5 days: take with lasix. disp:*10 tab sust.rel. particle/crystal(s)* refills:*0* 11. ferrous gluconate 300 mg tablet sig: one (1) tablet po daily (daily) for 1 months. disp:*30 tablet(s)* refills:*0* 12. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: cad af hypercholesterolemia htn right hand trauma ?ptsd postoperative anemia obstructive sleep apnea discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. weigh yourself daily. 4) you may wash you incision and pat dry. no swimming or bathing until it has healed. 5) no lotions, creams or powders to wound until it has healed. 6) no lifting greater then 10 pounds for 10 weeks. 7) no driving for 1 month. 8) amiodarone medication instructions: take four hundred milligrams(two tablets) twice a day for one week then starting take 200mg (one tablet) twice daily for one week and then starting take one tablet (200mg) once daily until instructed by your cardiologist. 9) take lasix and potassium twice daily for five days then stop. 10) please take iron and vitamin c for 1 month. 11) please call with any questions or concerns. followup instructions: follow-up with dr. in 1 month. ( follow-up with cardiologist dr. in weeks. follow-up with primary care physician . in 2 weeks. please call all providers with appointments. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery transfusion of packed cells diagnoses: obstructive sleep apnea (adult)(pediatric) anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation 

Answer: The patient is high likely exposed to