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: asymtomatic major surgical or invasive procedure: cabg x4 (lima to lad, svg to om1, svg to om2, svg to pda) history of present illness: 61 yo male with ekg abnormalities (ventricular couplets) and first degree av block suggestive of anterior septal infarct. referred for cath which revealed lad 100%, cx 70%, rca 90%, lvedp 41 with severe diastolic dysfunction. referred for cabg. past medical history: mi htn nephrolithiasis benign colon polyps obesity psh: tonsillectomy social history: lives with daughter works in insurance/tax/real estate sales 18 cigarettes per day for 40 years; quit 4 days prior to surgery 6oz. scotch /night family history: father deceased at 55 from mi physical exam: hr 70 rr 20 right 170/100 left 144/100 5'" 245# nad rash lower abdomen, right thigh sore ingrown hair with serous drainage eomi,perrla neck supple with full rom, no bruits appreciated ctab rrr no m/r/g soft, nt, nd, + bs warm, well-perfused with trace peripheral edema no varicosities neuro grossly intact 2+ bil. fem/dp/pts pertinent results: 07:40am blood wbc-10.8 rbc-3.91* hgb-13.1* hct-36.3* mcv-93 mch-33.5* mchc-36.0* rdw-13.1 plt ct-156 07:40am blood plt ct-156 07:40am blood glucose-95 urean-23* creat-1.3* na-139 k-4.3 cl-99 hco3-31 angap-13 09:00am blood alt-19 ast-18 ck(cpk)-74 alkphos-125* amylase-64 totbili-0.8 dirbili-0.2 indbili-0.6 09:00am blood vitb12-402 folate-11.8 ferritn-129 09:00am blood %hba1c-5.8 09:00am blood triglyc-91 hdl-38 chol/hd-3.4 ldlcalc-73 cardiology report ecg study date of 8:43:42 am atrial fibrillation with rapid ventricular response. q waves in lead v1 through v4 with st segment elevation suggest anterior myocardial infarction of indeterminate age. there are also q waves inferiorly. cannot rule out old inferior wall myocardial infarction. compared to tracing of ventricular ectopy has improved. other multiple abnormalities described are persistent. clinical correlation is suggested. read by: , intervals axes rate pr qrs qt/qtc p qrs t 114 0 96 300/367.71 0 8 144 () cardiology report echo study date of *** report not finalized *** preliminary report patient/test information: indication: intra-op tee for cabg height: (in) 70 weight (lb): 245 bsa (m2): 2.28 m2 bp (mm hg): 145/84 hr (bpm): 63 status: inpatient date/time: at 10:30 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw210-0:0 test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. measurements: left atrium - long axis dimension: *4.5 cm (nl <= 4.0 cm) left atrium - four chamber length: 5.0 cm (nl <= 5.2 cm) left ventricle - septal wall thickness: 1.0 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: 1.0 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 5.6 cm (nl <= 5.6 cm) left ventricle - systolic dimension: 4.6 cm left ventricle - fractional shortening: *0.18 (nl >= 0.29) left ventricle - ejection fraction: 30% (nl >=55%) aorta - ascending: *3.5 cm (nl <= 3.4 cm) aorta - arch: 2.9 cm (nl <= 3.0 cm) aorta - descending thoracic: 2.3 cm (nl <= 2.5 cm) interpretation: findings: left atrium: mild la enlargement. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: normal ra size. normal interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv wall thicknesses and cavity size. moderate-severe regional left ventricular systolic dysfunction. severely depressed lvef. lv wall motion: regional lv wall motion abnormalities include: mid inferoseptal - hypo; mid inferior - hypo; anterior apex - hypo; septal apex - dyskinetic; inferior apex - hypo; lateral apex - hypo; apex - akinetic; right ventricle: normal rv chamber size. focal apical hypokinesis of rv free wall. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. focal calcifications in ascending aorta. normal aortic arch diameter. complex (>4mm) atheroma in the aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. filamentous strands on the aortic leaflets c/with lambl's excresences (normal variant). mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. no ms. trivial mr. tricuspid valve: moderate tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient was under general anesthesia throughout the procedure. the patient appears to be in sinus rhythm. results were personally post-bypass data the post-bypass study was performed while the patient was receiving vasoactive infusions (see conclusions for listing of medications). conclusions: pre-bypass: 1. the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses and cavity size are normal. there is moderate to severe regional left ventricular systolic dysfunction with severe lateral and anterior apical hypokinesis. there is an area of dyskinesis in the septal apex. mid septal, and inferior walls are hypokinetic . overall left ventricular systolic function is severely depressed. 3. right ventricular chamber size is normal. there is focal hypokinesis of the apical free wall of the right ventricle. 4. there are complex (>4mm) atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. there are filamentous strands on the aortic leaflets consistent with lambl's excresences (normal variant). 6. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. 7. moderate tricuspid regurgitation is seen. valve appears structurally normal and the annulus measures about 3.8cm in size post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including epinephrine 1. lv function appears markedly improved. apex and septum are only mildly hypokinetic. rv function appears improved. 2. tr is improved to mild. 3. aortic contours appear intact post decannulation. 4. other findings are unchanged. physician: () brief hospital course: admitted for cath and underwent cabg x4 on with dr. . transferred to the csru on propofol and epinephrine drips. extubated that evening and transferred to the floor on pod #1 to begin increasing his activity level. beta blockade and gentle diuresis titrated.chest tubes and pacing wires removed on pod #2. went into a fib on pod #3 and started on amiodarone. beta blockade also increased for rate control. urine culture final growth negative from pre-op eval. cleared for discharge to home with vna services on pod #5. pt. is to make all follow-up appts. as per discharge instructions. medications on admission: atenolol 50 mg daily asa 81 mg daily mvi one tab daily added here pre-op: lipitor 20 mg daily lisinopril 5 mg daily thiamine 100 mg daily folic acid 1 mg 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 bid (2 times a day) for 1 months. 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). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 4. 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* 5. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. furosemide 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 9. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 7 days. disp:*14 capsule, sustained release(s)* refills:*0* 10. metoprolol succinate 100 mg tablet sustained release 24 hr sig: two (2) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*0* 11. amiodarone 200 mg tablet sig: two (2) tablet po once a day: take 400 daily for one week and then decrease to 200 daily. disp:*90 tablet(s)* refills:*0* discharge disposition: home with service facility: area vna discharge diagnosis: s/p cabg x4 mi htn nephrolithiasis colon polyps obesity postop a fib psh: tonsillectomy discharge condition: stable discharge instructions: please shower daily and pat incisions dry no lotions, creams or powders on any incision call dr. for fever greater than 100.5, redness or drainage no driving for one month no lifting greater than 10 pounds for 10 weeks followup instructions: see dr. in weeks see dr. in weeks see dr. in 4 weeks 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 unspecified essential hypertension old myocardial infarction obesity, unspecified personal history of urinary calculi personal history of colonic polyps 

Answer: The patient is high likely exposed to