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: penicillins / chicken derived attending: chief complaint: scapular discomfort with associated dyspnea major surgical or invasive procedure: cabg x2 (lima to lad, svg to om 1) history of present illness: 78 year old male with known history of hypertension presents to osh complaining of discomfort in his scapular area and associated dyspnea for approximately 48 hours. he denies substernal chest pain and denies radiation of scapular discomfort.cardiac workup at osh revealed new rapid atrial fibrillation and coronary cath showed multivessel coronary artery disease. he was transferred to for cardiac surgery evaluation of coronary artery revascularization. of note he just completed a z-pack for bronchitis 3 weeks ago. pt states he has chronic bronchitis. denies cough or shortness of breath at admission. past medical history: new onset atrial fibrillation hypertension, gout, chronic back pain, nocturnal sob, chronic bronchitis social history: lives with:wife contact: phone # occupation:retired cigarettes: smoked no yes hx: quit 23yo. ppd x 35y other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week last glass of wine was sun family history: father :74 died of chf, c/b cva mother -no cardiac dz physical exam: pulse:77 resp: 20 o2 sat: 99% on 2lpm nc b/p righ151/86 height: 70" weight:214 # general: skin: warm dry intact heent: ncat perrla eomi neck: supple full rom jvd chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema _____ varicosities: none neuro: grossly intact pulses: femoral right: left: dp right: left: pt : left: radial right:2+ left:2+ carotid bruit-none right: left: pertinent results: conclusions pre-bypass: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. there are filamentous strands on the aortic leaflets consistent with lambl's excresences (normal variant). there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results at time of surgery. post-bypass: the patient is a paced. the patient is on no inotropes. biventricular function is unchanged. mild (1+) aortic regurgitation is seen. mitral regurgitation is unchanged. the aorta is intact post-decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician 09:40am blood wbc-12.0* rbc-3.39* hgb-10.5* hct-31.3* mcv-92 mch-30.9 mchc-33.5 rdw-13.7 plt ct-453* 09:40am blood pt-12.5 inr(pt)-1.2* 09:40am blood glucose-152* urean-32* creat-1.5* na-141 k-4.0 cl-101 hco3-31 angap-13 02:24am blood alt-20 ast-23 ld(ldh)-148 alkphos-43 amylase-60 totbili-0.5 02:24am blood lipase-33 02:24am blood %hba1c-5.3 eag-105 02:24am blood %hba1c-5.3 eag-105 05:47am blood wbc-8.0 rbc-3.14* hgb-9.6* hct-28.9* mcv-92 mch-30.7 mchc-33.4 rdw-13.9 plt ct-434 05:47am blood pt-12.7* inr(pt)-1.2* brief hospital course: admitted from osh and pre-op w/u completed. remained on iv ntg and iv heparin for pre-op a fib. underwent surgery with dr. on and was transferred to the cvicu in stbale condition on titrated phenylephrine and propofol drips. extubated that evening and was transfered to the floor on pod #1 to begin increasing his activity level. chest tubes and pacing wires removed per protocol. gently diuresed toward his pre-op weight and beta blockade titrated. went into a fib again on pod #2 and was started on amiodarone. coumadin was also started on pod #4. target inr is 2.0-2.5 for a fib.first inr check tomorrow with results to pcp . converted to sr and was cleared for discharge to home with vna on pod #5. bun/ creatinine check tomorrow with results to cardsiac surgery office. all f/u appts were advised. medications on admission: hctz 12.5 mg daily atenolol 25 mg daily aspirin 81 daily allopurinol ?mg daily -pt thinks its 50mg daily 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. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily) for 2 weeks. disp:*28 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:*50 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:*30 tablet, delayed release (e.c.)(s)* refills:*1* 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain or fever . disp:*50 tablet(s)* refills:*0* 7. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 5 days: through ; then 200 mg ;then 200 mg daily ongoing. disp:*80 tablet(s)* refills:*1* 8. outpatient lab work please draw bun/creatinine thurs with results to cardiac surgery office 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*1* 10. furosemide 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 11. potassium chloride 10 meq capsule, extended release sig: one (1) tablet extended release po once a day for 5 days. disp:*5 tablet extended release(s)* refills:*0* 12. warfarin 1 mg tablet sig: daily dosing per dr. tablet po once daily at 4 pm: dosing today only is 3 mg; all further daily dosing per dr. . disp:*90 tablet(s)* refills:*1* discharge disposition: home with service facility: health care discharge diagnosis: coronary artery disease s/p cabg x2 atrial fibrillation hypertension, gout, chronic back pain, nocturnal sob, chronic bronchitis discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema ............. discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication a fib goal inr 2.0-2.5 first draw thurs results to dr. phone or fax followup instructions: you are scheduled for the following appointments: surgeon: dr. wed at 1:45pm cardiologist:dr. on at 3:00pm cardiologist: dr. thurs @ 10:30 am , 7 wound check nurse: , on at 10:45am please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication a fib goal inr 2.0-2.5 first draw thurs results to dr. phone or fax *** please draw bun/creatinine on thursday with results to cardiac surgery office procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery diagnoses: other chronic pain coronary atherosclerosis of native coronary artery unspecified essential hypertension gout, unspecified atrial fibrillation other and unspecified angina pectoris backache, unspecified unspecified chronic bronchitis 

Answer: The patient is high likely exposed to