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: ciprofloxacin hcl attending: chief complaint: chest pain major surgical or invasive procedure: - cardiac catheterization - cabgx4 history of present illness: patient is a 65 year old male without cad history but with positive family history, htn, and hypercholesterolemia who presents with dyspnea and weakness while playing golf. he presented to an osh initially and had afib with rvr. ekg showed inferior t wave inversions and the troponin was borderline. an echo showed depressed lv function and inferior hypokinesis and a nuclear stress test was positive for inferior ischemia as well. past medical history: cva (no residual) hyperlipidemia htn tonsillectomy and adenoidectomy as child social history: lives alone (widower). retired accountant. no tobacco or alcohol use. family history: father died of mi at age 50. mother alive and well age 87. physical exam: no acute distress, lying flat after cath. heart: rrr lungs: clear neck: without bruits ext: no varicosities, warm, + pulses. pertinent results: 05:21pm pt-12.7 ptt-35.7* inr(pt)-1.1 05:21pm wbc-4.6 rbc-4.28* hgb-13.5* hct-37.6* mcv-88 mch-31.6 mchc-35.9* rdw-13.1 05:21pm alt(sgpt)-21 ast(sgot)-26 ck(cpk)-66 alk phos-47 amylase-62 tot bili-0.5 dir bili-0.1 indir bil-0.4 05:21pm glucose-86 urea n-13 creat-0.8 sodium-141 potassium-3.7 chloride-108 total co2-25 anion gap-12 11:20pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-5.0 leuk-neg 05:40am blood wbc-5.4 rbc-3.00* hgb-8.9* hct-26.7* mcv-89 mch-29.7 mchc-33.4 rdw-13.6 plt ct-165# 05:40am blood plt ct-165# 05:40am blood glucose-90 urean-13 creat-0.9 na-140 k-4.0 cl-104 hco3-27 angap-13 cardiac catheterization 1. selective coronary angiography in this right dominant patient revealed severe three vessel cad. the lmca was diffusely disease with a 30-40% lesion. the lad was severely disesed with a diffuse proximal segment of 80% stenosis and a segment just distal to d2 with a 95% lesion. the d1 and d2 were small diffusely diseased vessels. the lcx had diffuse disease and a proximal 50% lesion. the om1 was small with proximal diffuse disease. the rca had extreme proximal tortuoisity and diffuse distal 80-90% stenosis. the pda was also diffusely diseased. 2. on hemodynamics the lvedp was minimally elevated at 15mm hg. there was mild systemic systolic hypertension cxr: - normal chest. no abnormalities - interval improvement of pneumoperitoneum. stable bilateral pleural effusions. no pneumothorax. abdomen x-ray: nonspecific nonobstructive bowel gas pattern. ekg sinus rhythm, 83. compared to the previous tracing of no major change. brief hospital course: mr. was admitted to the on for a cardiac catheterization. this revealed a 95% stenosed left anterior descending artery, a 50% stenosed circumflex artery, a 90% stenosed right coronary artery and a 30-40% stenosed left main coronary artery. due to the severity of his disease, the cardiac surgical service was consulted for surgical revascularization. mr. was worked-up in the usual preoperative manner and found to be suitable for surgery. on , mr. was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, mr. neurologically intact and was extubated. he was then transferred to the cardiac surgical step down unit for further recovery. he was gently diuresed towards his preoperative weight. beta blockade and aspirin were resumed. the physical therapy service was consulted for assistance with his postoperative strength and mobility. his drains and pacing wires were removed per protocol. a small amount of free air was noted on the post chest tube removal x-ray and an abdominal film was recommended. this revealed a moderate amount of intraperitoneal free air, mild dilatation of the transverse colon with scattered air-fluid levels in the left upper quadrant and linear areas of opacity in the retrocardiac region, which may represent atelectasis versus consolidation. a repeat abdominal x-ray the next day showed a nonspecific nonobstructive bowel gas pattern and no definite evidence of free air. mr. continued to make steady progress and was discharged home on postoperative day six. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: zocor aspirin 325mg daily hctz 40mg twice daily discharge medications: 1. 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:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 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. colace 100 mg capsule sig: two (2) capsule po twice a day. disp:*120 capsule(s)* refills:*0* 5. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 6. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. atorvastatin calcium 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 1 weeks. disp:*14 tablet(s)* refills:*0* 10. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 1 weeks. disp:*14 packet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: cad cva htn ^chol afib discharge condition: good. discharge instructions: shower daily, wash incision with mild soap and water and pat dry, no lotions, creams or powders, no baths. call with temperature more than 101.5, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. followup instructions: dr. 4 weeks dr. 2 weeks dr. 2 weeks procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures transfusion of packed cells transfusion of other serum diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation 

Answer: The patient is high likely exposed to