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: elective cabg major surgical or invasive procedure: two vessel coronary artery bypass grafting utilizing the left internal mammary artery to left anterior descending, saphenous vein graft to posterior lateral branch history of present illness: patient is a 75 y/o man with hx of htn, hyperlipidemia, cad (bms to rca in with in-stent occlusion in ), recent gi bleed likely from ulcer in stomach, and atrial fibrillation, who presented for egd prior to cabg. the patient was admitted to in for stemi in the setting of a gi bleed. he had a cardiac cath where he was found to have an in-stent stenosis of his rca and diffuse 3vd. the patient also had an egd performed prior to his admission in , which demonstrated a sliding type hiatal hernia, mild gastritis and an antral ulcer which had a white, healing base with no active clots or active bleeding. it was decided at the time of discharge that the patient would have an ecg performed before elective cabg. the patient states that he has not experienced any recent chest pain, and he is no longer having melena. he has been off plavix and coumadin since monday before this admission date. . on ros, the patient denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, myalgias, joint pains, cough, hemoptysis. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: -coronary artery disease/ischemic cardiomyopathy -prior thrombectomy/stenting of rca -prior icd placement -dyslipidemia -hypertension -copd -atrial fibrillation -recent hospitalization for a gi bleed -diverticulosis -grade i internal hemorrhoids -osteoarthritis -healing antral ulcer -hiatal hernia social history: mr. is married and lives at home with his wife in , ma. he considers himself to be an active person for his age. he is a retired supervisor of . he quit smoking on after a history of 1ppd x 30 years. he denies any alcohol use and denies any history of illicit drug use. family history: both parents died of coronary artery disease in their 60s physical exam: admission vs - t 98.1, bp 135/87, p 66, r 18, o2 100% on ra gen: elderly man in nad. oriented x3. mood, affect appropriate. heent: perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple, no jvd appreciated. no lad cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. ext: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: dp 2+ pt 2+ / left: dp 2+ pt 2+ at discharge: exam mostly same than amission, except: chest: sternal wound healing, clean and dry, -clicks ext: warm, 1+ edema incision healing well pertinent results: blood wbc-4.8 rbc-3.71* hgb-8.8* hct-27.2* mcv-73*# mch-23.7*# mchc-32.2 rdw-15.9* plt ct-246 blood pt-16.3* ptt-28.7 inr(pt)-1.5* blood glucose-125* urean-24* creat-1.3* na-137 k-4.4 cl-104 hco3-25 angap-12 blood alt-11 ast-18 ld(ldh)-164 alkphos-60 totbili-0.5 blood albumin-3.7 calcium-8.4 phos-3.3 mg-2.1 blood %hba1c-6.2* echo: the left atrium is markedly dilated. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is severely dilated. lv systolic function appears moderately-to-severely depressed (ejection fraction 30 percent) secondary to a large posterobasal aneurysm, severe hypokinesis of the inferior septum, akinesis of the inferior free wall, and hypokinesis of the lateral wall. there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild (1+) mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. the tricuspid valve leaflets are mildly thickened. there is no pericardial effusion. carotid ultrasound: right ica 1-39% stenosis. tortuous left ica with a low end, 40-59% stenosis. normal vertebral flow. brief hospital course: mr. was admitted to the service. prior to surgical revascularization and given his history of gi bleed, he underwent egd which found 8mm ulcer in the antrum and only mild gastritis. egd was otherwise normal. he remained stable on medical therapy, and was maintained on lovenox bridge. preoperative course was otherwise uneventful and he was cleared for surgery. on , dr. performed coronary artery bypass grafting. for surgical details, please see operative note. following surgery, he was brought to the cvicu for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated. he initially experienced some hypotension but gradually weaned from neo-synephrine over several days. he remained in atrial fibrillation. his preoperative medications were resumed and was eventually restarted on warfarin. antibiotics(amoxicillin and clarithromycin) were initiated for positive h. pylori antibodies on serology. on postoperative day four, he transferred to the sdu. cardiology service was consulted given poorly controlled atrial fibrillation. recommendations were to increase beta blockade as tolerated as verapamil in contraindicated in the setting of dofetilide. over several days medical therapy was optimized. he continued to make clinical improvements and was eventually cleared for discharge to rehab on postoperative day six. warfarin should be dosed for goal inr between 2.0 - 3.0. medications on admission: 1. aspirin 325 mg daily 2. clopidogrel 75 mg daily 3. warfarin 4. atorvastatin 80 mg daily 5. acetaminophen 500 mg as needed 6. dofetilide 250 mcg twice daily 7. furosemide 20 mg daily 8. metoprolol succinate 100 mg 9. lisinopril 5 mg daily 10. pantoprazole 40 mg twice daily 11. glucosamine 500 mg daily 12. chondroitin sulfate-vit c-mn 400-60-2.5 mg daily 13. multiple vitamin daily 14. calcium 600 + d(3) 600 mg(1,500mg) daily 15. meloxicam 22.5 mg daily 16. tikosyn 0.5 mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 5. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 6. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 6-8 hours as needed for pain. 8. dofetilide 500 mcg capsule sig: one (1) capsule po q12h (every 12 hours). 9. clarithromycin 250 mg tablet sig: two (2) tablet po q12h (every 12 hours). 10. amoxicillin 250 mg capsule sig: four (4) capsule po q12h (every 12 hours). 11. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours): can reduce to 20mg daily once at pre-op weight or per cardiologist. 12. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours): can reduce to 20meq daily once at pre-op weight or per cardiologist. . 13. warfarin 1 mg tablet sig: 3.5 tablets po daily (daily): goal inr between 2.0 - 3.0. discharge disposition: extended care facility: life care center of discharge diagnosis: coronary artery disease - s/p coronary artery bypass graft x 2 ischemic cardiomyopathy/chronic systolic congestive heart failure history of atrial fibrillation hypertension dyslipidemia chronic obstructive pulmonary disease prior icd placement history of gi bleed mild to moderate carotid disease discharge condition: good discharge instructions: no driving for 4 weeks. no lifting more than 10 pounds for 10 weeks. shower daily, no baths. report any temperature greater than 100.5. report any weight gain greater than 2 pounds a day or 5 pounds a week. report any redness of, or drainage from incisions. no lotions, creams or powders to incisions. followup instructions: dr. in weeks, call for appt dr. in weeks, call for appt dr. in weeks, call for appt procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery other endoscopy of small intestine diagnostic ultrasound of heart (aorto)coronary bypass of one coronary artery diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension chronic airway obstruction, not elsewhere classified atrial fibrillation percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia chronic systolic heart failure long-term (current) use of anticoagulants automatic implantable cardiac defibrillator in situ gastric ulcer, unspecified as acute or chronic, without mention of hemorrhage or perforation, without mention of obstruction helicobacter pylori [h. pylori] internal hemorrhoids without mention of complication acute myocardial infarction of other anterior wall, subsequent episode of care 

Answer: The patient is high likely exposed to