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 attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: - cabgx4 (left internal mammary->left anterior descending artery, saphenous vein graft(svg)->diagonal artery, svg->obtuse marginal artery, svg->right coronary artery). history of present illness: 72 year old man with increasing dyspnea on exertion, fatigue and abnormal stress test. he was referred for a cardiac catheterization which revealed severe three vessel disease. given the severity of his disease, he was referred for surgical management. past medical history: hyperlipidemia htn facet degeneration/low back pain bowel obstruction perirectal pain anxiety arthritis cvd pneumonia social history: works for advent marketing. lives with wife. smoked. 2 glasses of wine daily. family history: father with mi in early 50's. physical exam: vs: hr 84, bp 144/82 chest: rrr, no m/r/g chest: ctab ant abd: soft, nt, pos bs. no bruising or tenderness on lower back. right groin: old ecchymotic area extending from right groin area down way to knee posteriorly. no swelling, tenderness or mass under this eccymosis. right groin has 1cm hard hematoma palpated under skin directly under incision site. no bruit on exam. le: pulses 2+/2+ dp/pt bilat, 3+ popliteal, feet warm. pertinent results: echo pre cpb 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. the left ventricular cavity size is normal. due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. 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. borderline mild to moderate (+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. dr. was notified in person of the results in the operating room at the time of the study. post cpb the patient is being atrially paced. there is normal biventricular systolic function. a focal wall motion abnormality can not be completely excluded due to suboptimal imaging. mild to moderate mitral regurgitation remains. the thoracic aorta appears intact. there are no other changes seen from the pre bypass study. 01:05pm blood wbc-10.8# rbc-2.89* hgb-9.5* hct-27.7* mcv-96 mch-32.9* mchc-34.3 rdw-12.8 plt ct-471*# 06:07pm blood wbc-13.1*# rbc-3.39* hgb-11.2* hct-31.3* mcv-92 mch-33.1* mchc-35.8* rdw-13.6 plt ct-210# 01:05pm blood plt ct-471*# 01:36pm blood pt-16.0* ptt-36.3* inr(pt)-1.4* 01:36pm blood fibrino-145* 01:05pm blood glucose-147* urean-15 creat-1.0 na-131* k-4.6 cl-92* hco3-28 angap-16 02:41am blood glucose-130* urean-9 creat-0.7 na-128* k-5.2* cl-99 hco3-24 angap-10 01:05pm blood calcium-8.6 phos-3.0 mg-2.2 10:55am blood cortsol-40.5* brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken directly to the operating room where he underwent coronary artery bypass grafting to four vessels. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. he had some postoperative bleeding for which he received 3 units of packed red blood cells. his bleeding eventually ceased. within 24 hours, he had awoken neurologically intact and was extubated. betablockade, a statin and aspirin were resumed. on postoperative day one, he was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. in the evening pod 3 he went into rapid atrial fibrillation that did not respond to lopressor, so was started on amiodarone which converted him back into nsr. he remained in nsr the rest of his stay. he was ready for discharge home on pod 5 with services. medications on admission: hctz 25mg one tablet daily every morning imdur 30mg daily lisinopril 5mg daily lorazepam 1mg, four tablets at bedtime metoprolol succinate 50mg one tablet once a day nitroglycerin 0.3mg as needed for chest pain percocet as needed simvastatin 40mg daily acetaminophen 500mg two tablets by mouth as needed for pain aspirin 81mg, two tablets daily vitamin d 3 glucosamine/chondroitin 3 capsules daily mvi 2 tablets daily simethicone as needed discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. 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:*0* 3. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*0* 4. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. hydromorphone 2 mg tablet sig: one (1) tablet po every four (4) hours as needed for pain. disp:*20 tablet(s)* refills:*0* 6. ultram 50 mg tablet sig: one (1) tablet po every six (6) hours as needed for pain. disp:*50 tablet(s)* refills:*0* 7. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 9. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 10. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*15 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: cad s/p cabgx4 post operative atrial fibrillation hypertension hyperlipidemia lower back pain/facet degeneration s/p epidural injections (last given ) bowel obstruction, s/p resection approximately four years ago complicated by an infection causing a prolonged admission appendectomy tonsillectomy anxiety arthritis perirectal pain mild bilateral carotid artery disease (less than 40% by u/s ) discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. please call your surgeon at ( with any wound issues. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lifting greater then 10 pounds for 10 weeks from date of surgery. 5) no driving for 1 month. followup instructions: please follow-up with dr. in 1 month. ( please follow-up with dr. in 2 weeks. scheduled appointments: provider: , m.d. phone: date/time: 2:30 provider: , m.d. phone: date/time: 11:20 procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation other and unspecified hyperlipidemia hemorrhage complicating a procedure anxiety state, unspecified other and unspecified angina pectoris 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 accidents occurring in residential institution lumbago arthropathy, unspecified, site unspecified 

Answer: The patient is high likely exposed to