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: unstable angina major surgical or invasive procedure: emergent coronary artery bypass grafts x 4 (lima-dg,svg-lad,svg-pda,svg-plv) placement of intra-aortic balloon pump left heart catheterization, coronary angiogram history of present illness: this 82 year old white male is s/p lad stenting in of this year. he presented to an outside hospital wiht 2 weeks of intermittent chest pain and dyspnea while walking, relieved with sublingual nitroglycerin. he was transferred to for further evaluation. past medical history: cad: rca pci lad pci 4/ lad and diagonal poba hypertension dyslipidemia tia (15-20 yrs ago) epistaxis (no problems in 3 years)- uses humification rectal cancer past surgical history s/p bowel resection for rectal cancer s/p gum surgery for teeth social history: noncontributory family history: family history: non contributory race: caucasian last dental exam: 3 months ago lives with: spouse occupation: retired firefighter tobacco: denies etoh: 1 glass a month physical exam: admission: pulse: 47 resp: 12 b/p right: left: 97/53 general: no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally anterior heart: rrr irregular murmur none abdomen: soft non-distended non-tender bowel sounds + no palpable masses extremities: warm , well-perfused edema none varicosities: none neuro: alert and oriented x3 nonfocal - unable to assess gait pulses: femoral right: cath site left: +2 dp right: +2 left: +2 pt : +2 left: +2 radial right: +2 left: +2 carotid bruit right: no bruit left: no bruit pertinent results: echo conclusions due to suboptimal technical quality, a focal wall motion abnormality cannot be fully excluded. overall left ventricular systolic function appears normal (lvef>55%). the aortic valve leaflets are mildly thickened (?#). mild (1+) aortic regurgitation is seen. on either 1:1 or 1:2 iabp setting, the ai appears similar. compared with the prior study (images reviewed) of , no definite change. iabp may be new. 04:25am blood wbc-5.6 rbc-2.72* hgb-8.9* hct-25.5* mcv-94 mch-32.6* mchc-34.9 rdw-14.7 plt ct-292 09:45am blood pt-14.1* inr(pt)-1.2* 04:25am blood glucose-72 urean-17 creat-1.0 na-137 k-4.1 cl-104 hco3-23 angap-14 brief hospital course: following admission he under went catheterization which demonstrated diffuse in-stent restenosis, including a 70% bifurcatrion lesion, 60-70% stenosis of the pda and marginal origin of a small right posterolateral vessel. he received plavix and was then referred for surgical consideration. he was transferred to the floor, on no intravenous anticoagulants or nitroglycerin. he had several episodes of angina at rest in the next couple of days and in the early morning of had 10/10 chest pain. cardiac surgery was notifed and an intra-aortic balloon was placed by cardiology. he was stable and painfree then and in the afternoon he was taken to the operating room where revascularization was performed. he weaned from bypass in stable condition with the balloon pump in place. the following morning the balloon was removed, he was awakened and extubated. 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. he did develop post-op atrial fibrillation and was treated with amiodarone, titration of beta blocker and coumadin was initiated for anti-coagulation. he did experience urinary retention and his foley was re-placed. flomax was initiated and following removal of the foley catheter, the patient did void. narcotics were discontinued for post-op confusion. the confusion improved with haldol and sleep. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod seven the patient was ambulating freely, the wound was healing, pain was controlled with oral analgesics, and his confusion resolved. the patient was discharged in good condition with appropriate follow up instructions. medications on admission: asprin dosage uncertain clopidogel - 75 mg tablet daily isosorbide mononitrate - 30 mgbid lisinopril 10 mg daily metoprolol succinate 25 mg daily simvastatin 20 mg tablet daily tamsulosin - 0.4 mg daily discharge medications: 1. simvastatin 20 mg tablet sig: one (1) tablet po once a day. 2. multivitamin tablet sig: one (1) tablet po daily (daily). 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 5. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever/pain. disp:*30 tablet(s)* refills:*0* 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 8. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 9. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). 10. toprol xl 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. 11. multivitamin tablet sig: one (1) tablet po daily (daily). 12. haloperidol 1 mg tablet sig: one (1) tablet po bid (2 times a day) as needed for agitation. 13. pantoprazole 20 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. 14. camphor-menthol 0.5-0.5 % lotion sig: one (1) appl topical (2 times a day) as needed for itchiness. 15. simethicone 80 mg tablet, chewable sig: 0.5 tablet, chewable po tid (3 times a day) as needed for hiccoughs. 16. furosemide 20 mg tablet sig: one (1) tablet po once a day for 14 days. 17. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 14 days. 18. amiodarone 200 mg tablet sig: two (2) tablet po once a day: take 400mg daily for 1 week, then decrease to 200mg daily ongoing. discharge disposition: extended care facility: for the aged - macu discharge diagnosis: unstable angina s/p coronary artery bypass grafts hyperlipidemia s/p coronary stents/angioplasties hypertension h/o rectal carcinoma discharge condition: alert and oriented x3, nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. 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 approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive 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** followup instructions: you are scheduled for the following appointments surgeon:dr. () on date/time: 1:00 cardiologist: dr at 1pm please call to schedule appointments with: primary care dr. () in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** 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 implant of pulsation balloon suture of artery nonoperative removal of heart assist system diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome 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 unspecified transient mental disorder in conditions classified elsewhere percutaneous transluminal coronary angioplasty status accidental puncture or laceration during a procedure, not elsewhere classified chronic kidney disease, unspecified 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 retention of urine, unspecified rash and other nonspecific skin eruption accidents occurring in residential institution delirium due to conditions classified elsewhere other abnormal glucose nonspecific low blood pressure reading accidental cut, puncture, perforation or hemorrhage during surgical operation personal history of malignant neoplasm of rectum, rectosigmoid junction, and anus other acute postoperative pain 

Answer: The patient is high likely exposed to