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: statins-hmg-coa reductase inhibitors attending: chief complaint: exertional chest pain and dyspnea major surgical or invasive procedure: : coronary bypass grafting x2 with left internal mammary to left anterior descending and reverse saphenous vein graft to circumflex history of present illness: 70 year old male who noted intermittant, exertional left arm pain to primary care physician during his annual physical exam. he underwent a stress test which was positive for ischemia. he subsequently underwent a cardiac catheterization which revealed two vessel coronary artery disease. given the severity of his disease, nature of his lesions and the fact that he is diabetic he was been referred for surgical revascularization. past medical history: pmh: - coronary artery disease - history of delerium/encephalopathy following anesthesia. ? if it was due to withdrawal from etoh. he was drinking 3 beers per night at the time. work-up negative for all other causes. - aortic stenosis - mild - mild cri (baseline creat 1.1) - cataract - diabetes mellitus - peripheral neuropathy -bilateral legs - hypercholesterolemia - hypertension - transient ischemic attack - lumbar disc disease psh: lumbar laminectomy tonsillectomy teeth extractions social history: race: caucasian last dental exam: edentulous lives with: wife occupation: retired cigarettes: smoked no yes last cigarette 26 yrs ago hx: (few cigarettes per day for 4-5 years) other tobacco use: no etoh: < 1 drink/week has not consumed etoh since family history: premature coronary artery disease: father with at age 85, mother died at 65 during angioplasty, brother with cabg/avr in mid 60's physical exam: pre-op exam vital signs sheet entries for : bp: 106/73. heart rate: 68. resp. rate: 16. o2 saturation%: 98. height: 68" weight: 21lb general: wdwn in nad skin: warm dry intact heent: ncat perrla eomi sclera anicteric, op benign, edentulous. neck: supple full rom chest: lungs clear bilaterally heart: rrr, nl s1-s2, ii/vi sem abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused trace-1+ le edema _____ varicosities: none neuro: grossly intact pulses: femoral right:2 left:2 dp right:2 left:2 pt :2 left:2 radial right:2 left:2 carotid bruit: question faint right vs. transmitted murmur. pertinent results: admission labs 09:40am hgb-12.4* calchct-37 09:40am glucose-124* lactate-1.4 na+-137 k+-3.8 cl--106 01:00pm fibrinoge-190 01:00pm pt-13.6* ptt-31.0 inr(pt)-1.3* 01:00pm plt count-182 01:00pm wbc-15.8*# rbc-3.33*# hgb-10.3*# hct-29.4*# mcv-88 mch-31.0 mchc-35.2* rdw-12.9 02:33pm urea n-13 creat-0.9 sodium-145 potassium-4.2 chloride-112* total co2-25 anion gap-12 echocardiography report echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.4 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 3.0 cm <= 5.6 cm left ventricle - systolic dimension: 4.9 cm left ventricle - fractional shortening: *-0.63 >= 0.29 left ventricle - ejection fraction: 55% >= 55% left ventricle - stroke volume: 179 ml/beat left ventricle - cardiac output: 10.01 l/min left ventricle - cardiac index: 4.79 >= 2.0 l/min/m2 right ventricle - diastolic diameter: *4.7 cm <= 2.1 cm aorta - sinus level: 3.1 cm <= 3.6 cm aorta - ascending: 3.0 cm <= 3.4 cm aortic valve - peak velocity: 2.0 m/sec <= 2.0 m/sec aortic valve - peak gradient: 16 mm hg < 20 mm hg aortic valve - mean gradient: 8 mm hg aortic valve - lvot vti: 47 aortic valve - lvot diam: 2.2 cm aortic valve - valve area: *1.3 cm2 >= 3.0 cm2 discharge labs: 08:25am blood wbc-11.1* rbc-3.37* hgb-10.3* hct-29.9* mcv-89 mch-30.6 mchc-34.6 rdw-13.4 plt ct-170 08:25am blood plt ct-170 08:25am blood pt-16.9* inr(pt)-1.6* 08:25am blood urean-27* creat-1.2 na-133 k-3.2* cl-90* echo: findings left atrium: mild la enlargement. good (>20 cm/s) laa ejection velocity. no thrombus in the laa. right atrium/interatrial septum: normal ra size. a catheter or pacing wire is seen in the ra and extending into the rv. normal interatrial septum. no asd by 2d or color doppler. left ventricle: mild symmetric lvh. normal lv cavity size. normal regional lv systolic function. overall normal lvef (>55%). right ventricle: mildly dilated rv cavity. normal rv systolic function. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. simple atheroma in ascending aorta. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. moderately thickened aortic valve leaflets. mild as (area 1.2-1.9cm2). mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. the mr vena contracta is <0.3cm. mild (1+) mr. tricuspid valve: moderate to severe tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: no pericardial effusion. general comments: written informed consent was obtained from the patient. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions prebypass the left atrium is mildly dilated. no thrombus is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). the right ventricular cavity is mildly dilated with normal free wall contractility. there are simple atheroma in the ascending aorta. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. there is mild aortic valve stenosis (valve area 1.3 cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. moderate to severe tricuspid regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on at 1030 am. post bypass patient is av paced and receiving an infusion of phenylephrine. biventricular systolic function is unchanged. mild mitral regurgitation and moderate tricuspid regurgitation persts. aorta is intact post decannulation. rest of the examination is unchanged post bypass. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician radiology report chest (pa & lat) study date of 11:27 am final report: patient is status post cabg. the heart and mediastinum remain somewhat enlarged. a left lower pleural effusion and some left basilar atelectasis are present. no evidence of failure or pneumonia is present. impression: unremarkable post-cabg film. dr. . brief hospital course: the patient was admitted to the hospital and brought to the operating room on where the patient underwent coronary artery bypass grafting x2 using cardiopulmonary bypass: left internal mammary artery to the left anterior descending artery. bypass from ascending aorta to the obtuse marginal-2 branch of the circumflex artery using reverse autologous saphenous vein graft. 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 on no inotropic or 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. by the time of discharge on pod #4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home with visiting nurses in good condition with appropriate follow up instructions. medications on admission: 1. multivitamins 1 tab po daily 2. losartan potassium 50 mg po daily 3. gabapentin 800 mg po tid 4. niacin sr 1000 mg po daily 5. zolpidem tartrate 5 mg po hs:prn sleep 6. metoprolol succinate xl 25 mg po daily 7. ezetimibe 10 mg po daily 8. rosuvastatin calcium 5 mg po daily 9. nitroglycerin sl 0.4 mg sl prn angina 10. tramadol (ultram) 50 mg po q4h:prn pain 11. clopidogrel 75 mg po daily 12. aspirin ec 81 mg po daily 13. glipizide xl 2.5 mg po daily 14. coenzyme q10 *nf* 10 mg oral daily discharge medications: 1. aspirin ec 81 mg po daily 2. clopidogrel 75 mg po daily 3. ezetimibe 10 mg po daily 4. gabapentin 800 mg po tid 5. niacin sr 1000 mg po daily 6. tramadol (ultram) 50 mg po q4h:prn pain 7. coenzyme q10 *nf* 10 mg oral daily 8. multivitamins 1 tab po daily 9. zolpidem tartrate 5 mg po hs:prn sleep 10. glipizide 2.5 mg po bid 11. rosuvastatin calcium 5 mg po daily 12. acetaminophen 650 mg po q4h:prn pain/temp 13. losartan potassium 25 mg po daily this is your home dose 14. amiodarone 400 mg po bid rx *amiodarone 200 mg 2 tablet(s) by mouth twice a day disp #*60 tablet refills:*1 15. diltiazem 30 mg po qid 16. ranitidine 150 mg po bid duration: 2 weeks 17. docusate sodium 100 mg po bid 18. metformin (glucophage) 1000 mg po bid 19. hydromorphone (dilaudid) 2-4 mg po q4h:prn pain rx *hydromorphone 2 mg tablet(s) by mouth every four (4) hours disp #*72 tablet refills:*0 20. furosemide 40 mg po bid duration: 7 days rx *furosemide 20 mg 2 tablet(s) by mouth twice a day disp #*28 tablet refills:*0 21. potassium chloride 20 meq po q12h duration: 7 days rx *potassium chloride 20 meq 20 meq by mouth twice a day disp #*14 tablet refills:*0 22. warfarin md to order daily dose po daily16 afib rx *coumadin 2 mg as directed tablet(s) by mouth once a day disp #*90 tablet refills:*1 discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p cabg x2 pmh: - history of delerium/encephalopathy following anesthesia. the thought was that it was due to withdrawal from etoh. he was drinking 3 beers per night at the time. work-up negtaive for all other causes. - aortic stenosis - mild - mild cri (creat 1.1 on recent labs) - cataract - diabetes mellitus - peripheral neuropathy - bilateral legs - hypercholesterolemia - hypertension - transient ischemic attack - lumbar disc disease psh: lumbar laminectomy tonsillectomy teeth extraction discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg right - healing well, no erythema or drainage. edema: trace lower extremity edema discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 one month or while taking narcotics. driving will be discussed at follow up appointment with surgeon. 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** labs: pt/inr for coumadin ?????? indication afib goal inr 2.0-3.0 first draw results to phone cardiac surgery office on for contact person followup instructions: the cardiac surgery office will call you and schedule the following appointments surgeon: dr. wound check with cardiac surgery cardiologist: labs: pt/inr for coumadin ?????? indication afib goal inr 2.0-3.0 first draw results to phone cardiac surgery office on for contact person please call to schedule appointments with your primary care dr. , p. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of one coronary artery diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation aortic valve disorders diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes personal history of tobacco use chronic kidney disease, 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 personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits personal history of urinary calculi other and unspecified disc disorder, lumbar region unspecified cataract 

Answer: The patient is high likely exposed to