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: epinephrine attending: chief complaint: chest pain major surgical or invasive procedure: 1. coronary bypass grafting x4. left internal mammary artery left anterior descending coronary; reverse saphenous vein single graft from aorta to the first diagonal coronary artery; reverse saphenous vein single graft from aorta to first obtuse marginal coronary artery; reverse saphenous vein single graft from aorta to second obtuse marginal coronary. 2. endoscopic left greater saphenous vein harvesting. history of present illness: 60 year old male presented to lgh with 1-minute duration mild left-sided exertional chest pain and pressure that radiating to his left arm, after carrying a night table down the stairs that resolved with rest. additional symptoms was "twinge in his throat." he denied other associated symptoms. the chest discomfort resolved with rest. he had similar pain in when he had a stent placed secondary to 90 % occlusion of the lad. he wanted to be safe, so he reported to the hospital given his cardiac history. cardiac enzymes were negative x 3. ekg there revealed twi in iii and avf. initially there were no st-t changes noted on ekg. he was given 325mg of aspirin. ekg changes were noted during a stress test today. stress mibi revealed a mild inferolateral pattern of ischema and ef 63 %. he has had no further chest pain. he was offered cardiac cath but elected to come to given previous c. cath here. he was transferred to for further evaluation. past medical history: cad dyslipidemia hypertension s/p stent to lad social history: lives with:wife occupation: insurance tobacco:quit smoking 20 years ago, only smoked intermitently etoh:occassionally family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: pulse:73 resp:16 o2 sat:100/ra b/p right:192/92 left:181/98 height:5'8" weight:179 lbs general: nad, wgwn, appears stated age skin: dry intact no rash heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema none varicosities: none neuro: grossly intact x pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right: left: no bruits pertinent results: 03:03pm blood wbc-10.4 rbc-3.52* hgb-11.4* hct-33.4* mcv-95 mch-32.4* mchc-34.1 rdw-12.6 plt ct-152 02:28am blood wbc-11.8* rbc-3.20* hgb-10.9* hct-30.2* mcv-94 mch-34.0* mchc-36.0* rdw-12.5 plt ct-141* 03:03pm blood glucose-112* urean-18 creat-0.9 na-139 k-3.8 cl-104 hco3-25 angap-14 02:28am blood glucose-122* urean-17 creat-1.0 na-138 k-3.9 cl-103 hco3-29 angap-10 intraop tee conclusions prebypass no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. all 4 pulmonary veins are seen entering the left atrium; however, a vessel is seen entering the right atrium with a doppler signature consistent with pulmonary venous flow which may be an anomalous pulmonary vein. no spontaneous echo contrast is seen in the body of the right atrium. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thickness, cavity size and regional/global systolic function are normal (lvef >55%). right ventricular chamber size and free wall motion are normal. the ascending aorta is mildly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. postbypass the patient is a-paced on a phenylephrine infusion. left venticular systolic function continues to be normal (lvef 60%) without regional wall motion abnormalities. trace aortic regurgitation, trace mitral regurgitation, mild tricuspid regurgitation persist. the thoracic aorta is intact after decannulation. dr. was notified in person of the results at the time of the study. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 12:24 brief hospital course: the patient was brought to the operating room on where the patient underwent cabg x 4 with dr. . 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, weaned from inotropic and 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 home in good condition with appropriate follow up instructions. medications on admission: bystolic 5 mg po daily lipitor 40 mg po daily asa 325 mg po daily discharge medications: 1. simvastatin 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. furosemide 20 mg tablet sig: one (1) tablet po once a day for 1 weeks. disp:*7 tablet(s)* refills:*0* 4. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 1 weeks. disp:*14 tablet extended release(s)* refills:*0* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: cad dyslipidemia hypertension s/p stent to lad discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage edema- trace le discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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. , md phone: date/time: 1:15 cardiologist dr. , at 11am please call to schedule the following: primary care dr. 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 diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery unspecified pleural effusion unspecified essential hypertension percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia personal history of other lymphatic and hematopoietic neoplasms chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to