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: no known allergies / adverse drug reactions attending: chief complaint: dyspnea/diminished exercise tolerance major surgical or invasive procedure: coronary artery bypass graft x 4 left internal mammary artery grafted to left anterior descending artery/ saphenous vein grafted to ramus intermedius/ plv history of present illness: this is a 73 year old male who has noted gradual decline in exercise tolerance in the setting of hypertension, hyperlipidemia and bradycardia. he complains of dyspnea with moderate exertion and first nted these symptoms with playing tennis. his dyspnea improves with rest. he denies chest pain, palpitations, lightheadedness, syncope, orthopnea, pnd and pedal edema. he continues to exercise on a regular basis. a stress echo was performed which was normal however a cardiac ct scan showed his calcium score to be very high at 3962. he was subsequently sent 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: hypertensin dyslipidemia first degree av block with bradycardia prostate cancer prostatectomy spine surgery hernia repair right rotator cuff repair bilateral inguinal hernia repair deviated septum repair social history: race: caucasian last dental exam: every 6 months0 lives with: wife contact: phone # occupation: retired, engineering/construction cigarettes: denies etoh: social illicit drug use: denies family history: mother sudden death at age 53. father died at age 89. has 3 brothers, 2 sisters - one sibling diagnosed with cad. physical exam: vital signs sheet entries for : bp: (l) 130/78. (r) 134/80 heart rate: 70. resp. rate: 16. pain score: 0. o2 saturation%: 99. height: 65" weight: 163 general: wdwn in nad skin: warm, dry and intact. heent: ncat, perrla, eomi, sclera anicteric, op benign. teeth in good repair. neck: supple full rom chest: lungs clear bilaterally heart: rrr, no m/r/g abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused no edema varicosities: rith thigh and lower leg with superficial varicosities. left leg appears suitable. 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 none pertinent results: echo: pre_bypass the left atrium is normal in size. 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. 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%). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. there are complex (>4mm) atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. post-bypass the patient is av paced. there is normal biventricular systolic function. the mitral regurgitation was initially somewhat worse after separation from bypass (mild to moderate) but decreased back to mild later on. the rest of valvular function was unchanged. the thoracic aorta was intact after decannulation. 04:57am blood wbc-12.5* rbc-3.80* hgb-11.0* hct-33.5* mcv-88 mch-28.8 mchc-32.7 rdw-13.4 plt ct-272 02:12pm blood wbc-13.6*# rbc-3.50*# hgb-10.0*# hct-30.6*# mcv-87 mch-28.7 mchc-32.9 rdw-12.9 plt ct-148* 04:57am blood pt-12.3 inr(pt)-1.1 02:12pm blood pt-16.9* ptt-27.0 inr(pt)-1.6* 04:57am blood glucose-93 urean-21* creat-1.0 na-138 k-4.1 cl-104 hco3-27 angap-11 03:30pm blood urean-17 creat-0.8 na-143 k-3.5 cl-110* hco3-23 angap-14 04:29am blood alt-13 ast-46* ld(ldh)-226 alkphos-79 amylase-51 totbili-0.6 brief hospital course: mr. was a same day admit and brought directly to the operating room where he underwent a coronary artery bypass graft x 4 (left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the posterior left ventricular branch, ramus intermedius, diagonal branch) with dr.. please see operative note for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. later this day he was weaned from sedation, awoke neurologically intact and extubated. beta-blockers, statin, aspirin, and diuresis was initiated. post-operatively he developed an ileus, which resolved with an aggresive bowel regimen. pod#1 he was transferred to the surgical step down floor for further monitoring. his chest tubes and wires were removed. physical therapy was consulted for evaluation of strength and mobility. mr. had failure to void x 2. the foley catheter was reinserted and urology was consulted. he had some postoperative hypoxia that improved with diuresis and increased ambulation. pod#6 he had a brief episode of postoperative atrial fibrillation that resolved with beta-blocker and electrolyte replacement. no further episodes occurred. by post-operative day #7 he was ready for discharge to home with a leg bag and vna services. appropriate follow-up appointments were advised. medications on admission: norvasc 5mg daily aspirin 81mg daily renexa 500mg twice daily lipitor 80mg daily fish oil 1000mg twice daily mvi glucosamine aleve 220mg qhs discharge medications: 1. omega-3 fatty acids capsule sig: one (1) capsule po bid (2 times a day). 2. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*80 tablet(s)* refills:*2* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. ranitidine hcl 150 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 6. amlodipine 5 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 7. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 8. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po hs (at bedtime). disp:*60 capsule, ext release 24 hr(s)* refills:*2* 9. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 10. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 10 days. disp:*10 tablet(s)* refills:*0* 11. potassium chloride 10 meq capsule, extended release sig: one (1) capsule, extended release po once a day for 10 days. disp:*10 capsule, extended release(s)* refills:*0* 12. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: corornary artery disease s/p coronary artery bypass graft x 4 past medical history: hypertensin dyslipidemia first degree av block with bradycardia prostate cancer prostatectomy spine surgery hernia repair right rotator cuff repair bilateral inguinal hernia repair deviated septum repair discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema trace 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **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. at 1:00p cardiologist: dr. at 1:45 wound check at 10:30a please follow up with urology for urinary retention please call to schedule appointments with your 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 diagnoses: other iatrogenic hypotension anemia, unspecified coronary atherosclerosis of native coronary artery unspecified essential hypertension atrial fibrillation personal history of malignant neoplasm of prostate other and unspecified hyperlipidemia other specified cardiac dysrhythmias paralytic ileus other specified retention of urine other secondary thrombocytopenia 

Answer: The patient is high likely exposed to