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: recent mi / asymptomatic major surgical or invasive procedure: cabg x3 (lima to lad, svg to diag, svg to om) history of present illness: 41 yo male with anterior mi treated with des to lad. coumadin was started for apical thrombus noted at cath. referred for surgical eval. due to severity of cad on cath . past medical history: cad anterior mi with des to lad elev. chol. htn gerd anemia prior elev. wbc apical thrombus rx with coumadin recently obesity social history: works as office manager lives with 2 children denies etoh use 8 pk/yr hx / quit family history: nc physical exam: 5' 9" 233# rr 16 right 92/60 left 92/60 nad, skin intact eomi, perrl, ncat neck supple, full rom, no carotid bruits appreciated ctab rrr no murmur soft, nt, nd, + bs, obese warm, well-perfused, no edema or varicosities noted neuro grossly intact 2+ bil. fem/dp/pt/ radials pertinent results: conclusions pre-bypass: the left atrium is moderately dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is moderate regional left ventricular systolic dysfunction with severe hypokinesis to akinesis of mid and apical anteroseptal and inferoseptal walls. overall left ventricular systolic function is moderately depressed (lvef= 35 %). right ventricular chamber size and free wall motion are normal. 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. physiologic mitral regurgitation is seen (within normal limits). there is no pericardial effusion. dr. was notified in person of the results on mr. at 8am. post bypass: normal rv systolic function. there is a mild improvement of the previously hypokinetic areas. mid and apical anteroseptal wall still akinetic. overall lvef 40%. trivial mr . intact thoracic aorta. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician 05:45am blood wbc-12.0* rbc-3.57* hgb-11.2* hct-32.4* mcv-91 mch-31.5 mchc-34.7 rdw-14.3 plt ct-317 12:21am blood wbc-11.5* rbc-2.84* hgb-9.0* hct-25.1* mcv-88.3 mch-31.6 mchc-35.8* rdw-15.3 plt ct-156 09:50am blood pt-14.2* ptt-22.8 inr(pt)-1.2* 09:50am blood glucose-168* urean-17 creat-0.7 na-140 k-4.5 cl-101 hco3-28 angap-16 12:10pm blood urean-15 creat-1.0 na-142 k-4.4 cl-105 hco3-27 angap-14 12:21am blood alt-17 ast-39 ck(cpk)-852* alkphos-47 amylase-13 totbili-0.8 , m 41 radiology report chest (portable ap) study date of 9:32 am , csru sched chest (portable ap) clip # reason: r/o ptx medical condition: 41 year old man s/p cabg and ct removal reason for this examination: r/o ptx provisional findings impression: azb tue 10:43 am removal of monitoring and support devices, no pneumonia. final report chest radiograph indication: followup. comparison: . findings: as compared to the previous radiograph, the left-sided chest tube, the endotracheal tube, the nasogastric tube and the swan-ganz catheter has been removed. the remaining is an introduction sheath in the right internal jugular vein. the size of the cardiac silhouette is unchanged, the retrocardiac lung areas, however, are better ventilated. unchanged extent of a small left-sided pleural effusion. focal parenchymal opacity suggestive of pneumonia are not seen. no evidence of pneumothorax. dr. approved: tue 11:24 am imaging lab brief hospital course: admitted and underwent cabg x3(lima->lad, svg->diag/om) with dr. . please refer to dr operative report for further details. he was transfered to the cvicu in stable condition requiring phenylephrine and propofol drips. initially to augment hemodynamic stability he required epinephrine and levophed drips. tee done at bedside did not show any signs of tamponade. left chest tube placed for effusion on pod #2. pressors were weaned off. lines and drains were discontinued in a timely fashion. he was gently diuresed toward his preop weight and drips weaned off. he was started on abx for bilateral pna on pod # 3. extubated on pod #4. speech and swallow was consulted for difficulty with swallowing after prolonged intubation. he was later cleared for a regular diet. pod#5 he was transferred to the sdu for further telemetry and recovery.the remainder of his postoperative course was essentially uncomplicated. on pod#7 he was doing well and he was discharged to home with vna. all follow-up appointments were instructed. medications on admission: asa 81 mg daily plavix 75 mg daily niaspan 1000 mg daily prilosec wellbutrin 150 mg daily toprol xl 200 mg daily lisinopril 10 mg daily lipitor 80 mg daily coumadin ( ld approx.) discharge medications: 1. metoprolol tartrate 50 mg tablet : one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule : one (1) capsule po bid (2 times a day): take as long as you are taking pain meds which can cause constipation. disp:*60 capsule(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet : 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 5. atorvastatin 80 mg tablet : one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. niacin 500 mg capsule, sustained release : two (2) capsule, sustained release po daily (). disp:*60 capsule, sustained release(s)* refills:*0* 7. clopidogrel 75 mg tablet : one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. ipratropium-albuterol 18-103 mcg/actuation aerosol : two (2) puff inhalation q4h (every 4 hours). disp:*qs * refills:*0* 9. fluticasone 110 mcg/actuation aerosol : two (2) puff inhalation (2 times a day). disp:*qs * refills:*0* 10. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). disp:*30 tablet,rapid dissolve, dr(s)* refills:*0* 11. furosemide 20 mg tablet : one (1) tablet po daily (daily) for 14 days. disp:*14 tablet(s)* refills:*0* discharge disposition: home with service facility: home health and hospice discharge diagnosis: cad s/p cabg x3 anterior mi with des to lad elev. chol. htn gerd anemia prior elev. wbc apical thrombus rx with coumadin recently obesity discharge condition: good discharge instructions: no lotions, creams, or powders on any incision no lifting greater than 10 pounds for 10 weeks no driving for one month and off all narcotics shower daily and pat incisions dry call for fever greater than 100.5, redness or drainage followup instructions: see dr. in weeks see dr. in weeks see dr. in 4 weeks procedure: insertion of intercostal catheter for drainage continuous invasive mechanical ventilation for 96 consecutive hours or more single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries arterial catheterization transfusion of packed cells transfusion of other serum transfusion of platelets diagnoses: pneumonia, organism unspecified other iatrogenic hypotension coronary atherosclerosis of native coronary artery esophageal reflux congestive heart failure, unspecified unspecified essential hypertension acute posthemorrhagic anemia personal history of tobacco use percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia hemorrhage complicating a procedure surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction long-term (current) use of anticoagulants personal history of venous thrombosis and embolism obesity, unspecified acute systolic heart failure chronic total occlusion of coronary artery dysphagia, unspecified body mass index 34.0-34.9, adult 

Answer: The patient is high likely exposed to