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: sulfa (sulfonamide antibiotics) attending: chief complaint: preop cabg major surgical or invasive procedure: 1. coronary artery bypass graft x4, left internal mammary artery to left anterior descending artery and saphenous vein graft to diagonal, obtuse marginal and posterior left ventricular branch. 2. endoscopic harvesting of the long saphenous vein. history of present illness: this is a 58 year old male with known coronary artery disease who ruled in for an mi in . he was offered a cabg at at that time but the patient refused because he was told "his heart was too weak". he was recently had exertional angina, associated with palpitations, sob, and chest tightness. patient saw dr. who referred patient to dr. to evaluate for cabg. past medical history: coronary artery disease, s/p cabg pmh: - ischemic cardiomyopathy, severe 3vd - hypertension - dyslipidemia - history of paf - type ii diabetes - gerd - cva (left side weakness initially- no current deficits-on coumadin) - chf - squamous cell ca on nose s/p biopsy (needs excision) - mi social history: lives with:alone, . divorced. 1 daughter died in a mva, second daughter lives in with her 2 children, patient has not seen in >5 years. no support systems occupation: unemployed/ former army tobacco: remote tobacco, quit in 's etoh: none since 's family history: +fh, father suffered multiple between ages 50 and 55, died at 56 physical exam: temp 97.7 pulse: 73 resp: 20 o2 sat: 97%-ra b/p right: 149/99 left: height: 5'5" weight: 240 lbs general: skin: warm dry intact heent: ncat perrla eomi biopsy site under bandage on bridge of nose neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + obese extremities: warm , well-perfused edema none varicosities: none neuro: a&ox3, non focal exam pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: cath left: 2+ carotid bruit right:no left:no pertinent results: 04:10am blood wbc-9.9 rbc-3.74* hgb-11.1* hct-33.0* mcv-88 mch-29.8 mchc-33.8 rdw-15.0 plt ct-293 05:04am blood wbc-10.3 rbc-3.75* hgb-11.7* hct-33.7* mcv-90 mch-31.3 mchc-34.7 rdw-14.6 plt ct-239 04:10am blood pt-24.5* inr(pt)-2.3* 10:02am blood pt-20.3* inr(pt)-1.9* 05:50am blood pt-15.2* inr(pt)-1.3* 03:58am blood pt-15.2* ptt-28.1 inr(pt)-1.3* 03:23pm blood pt-14.3* ptt-39.2* inr(pt)-1.2* 02:10pm blood pt-16.1* ptt-31.3 inr(pt)-1.4* 04:10am blood glucose-131* urean-29* creat-1.4* na-139 k-4.2 cl-101 hco3-31 angap-11 05:04am blood glucose-127* urean-28* creat-1.5* na-139 k-4.1 cl-100 hco3-32 angap-11 05:50am blood glucose-126* urean-21* creat-1.4* na-137 k-3.8 cl-99 hco3-31 angap-11 04:57am blood pt-24.8* inr(pt)-2.4* brief hospital course: the patient was admitted preoperatively for a heparin bridge, as he is on coumadin for atrial fibrillation. pre-op workup included carotid ultrasound which did not reveal significant carotid disease. the patient was brought to the operating room on where the patient underwent cabg x 3 with dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. coumadin was resumed for atrial fibrillation. by the time of discharge on pod #6 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to rehab in in good condition with appropriate follow up instructions. medications on admission: albuterol mdi prn amlodipine 5mg po daily digoxin 250 mcg po daily lasix 20mg po daily glipizide 5mg po daily insulin detemir 110 units sc twice a day isosorbide mononitrate sr 30mg po once a day lisinopril 40 mg po daily metformin 1000mg po daily metoprolol xl 100mg po once a day nitroglycerin 0.4 mg sl prn rosuvastatin 20mg po once a day serevent diskus 50 mcg disk 1 puff ih daily trimethroprim 100mg po daily warfarin 2mg tab alternating 3mg tab po once a day asa 81 mg po once a day 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. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 5. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg x 2 weeks, then 400mg daily x 1 week, then 200mg daily until further instructed. disp:*120 tablet(s)* refills:*2* 7. salmeterol 50 mcg/dose disk with device sig: one (1) disk with device inhalation daily (daily). disp:*qs disk with device(s)* refills:*2* 8. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. warfarin 1 mg tablet sig: one (1) tablet po once a day: dose today only 2.5 mg;md to dose daily for goal inr , dx: a-fib. disp:*30 tablet(s)* refills:*1* 10. outpatient lab work labs: pt/inr coumadin for atrial fibrillation goal inr first draw day after discharge, then please do inr checks monday, wednesday, and friday for 2 weeks then decrease as directed by va coumadin clinic results to phone 11. furosemide 40 mg tablet sig: one (1) tablet po twice a day for 1 weeks. disp:*14 tablet(s)* refills:*0* 12. furosemide 20 mg tablet sig: one (1) tablet po once a day: begin 20mg daily when 40mg is complete, . disp:*30 tablet(s)* refills:*2* 13. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours): 20meq x 1 week, then 20meq daily. disp:*60 tab sust.rel. particle/crystal(s)* refills:*2* 14. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 15. glipizide 5 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po once a day. disp:*30 tablet extended rel 24 hr(s)* refills:*2* 16. insulin detemir 100 unit/ml solution sig: fifty five (55) units subcutaneous twice a day: 55 units detemir subcutaneous . disp:*qs * refills:*2* discharge disposition: extended care facility: maplewood care & rehabilitation center - discharge diagnosis: coronary artery disease, s/p cabg pmh: - ischemic cardiomyopathy, severe 3vd - hypertension - dyslipidemia - history of paf - type ii diabetes - gerd - cva (left side weakness initially- no current deficits-on coumadin) - chf - squamous cell ca on nose s/p biopsy (needs excision) - mi discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments: surgeon , md phone: date/time: 1:45 cardiologist dr. on at 9:45am please call to schedule the following: primary care dr. , j. in weeks labs: pt/inr coumadin for atrial fibrillation goal inr first draw day after discharge, then please do inr checks monday, wednesday, and friday for 2 weeks then decrease as directed by va coumadin clinic results to phone plan confirmed with candy md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation other specified forms of chronic ischemic heart disease other and unspecified hyperlipidemia other and unspecified angina pectoris personal history of other malignant neoplasm of skin old myocardial infarction long-term (current) use of anticoagulants personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits hypoxemia pulmonary congestion and hypostasis encounter for therapeutic drug monitoring 

Answer: The patient is high likely exposed to