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: chest pain major surgical or invasive procedure: - cabgx4 (lima-lad, svg->diag, svg->om1, svg->om2) history of present illness: mr. is a 79-year-old male who was found to have a 70% left main stenosis upon cardiac catheterization. he has a history of stenting of the right coronary artery in . his left anterior descending and circumflex as well as a ramus branch were involved in the disease. his right coronary artery had minimal residual 30% disease. he is presenting for coronary artery revascularization. past medical history: hypercholesterolemia htn cad s/p pci mild ar diverticulitis h/o lymphoma hypothyroid bilateral rotator cuff repairs social history: lives with wife. quit smoking 25 years ago. retired farmer.drinks 1-2 drinks on weekend. family history: father with ppm mother with ihss physical exam: 130/83 58 sr 20 95% ra neck: no bruit heart: rrr, nl s1-s2, no murmur lungs: cta abd: benign ext: no edema, no varicosities, 2+ pulses throughout neuro: nonfocal pertinent results: 07:21pm pt-12.4 ptt-26.7 inr(pt)-1.1 07:21pm plt count-192 07:21pm wbc-7.8 rbc-4.84 hgb-14.8 hct-43.8 mcv-91 mch-30.7 mchc-33.8 rdw-14.1 07:21pm alt(sgpt)-21 ast(sgot)-23 ld(ldh)-224 alk phos-92 amylase-54 tot bili-1.0 07:21pm glucose-87 urea n-19 creat-0.9 sodium-139 potassium-4.6 chloride-100 total co2-32 anion gap-12 08:08pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-6.5 leuk-neg 08:08pm urine color-yellow appear-clear sp -1.020 05:35am blood wbc-9.1 rbc-2.95* hgb-9.6* hct-26.4* mcv-90 mch-32.5* mchc-36.3* rdw-14.1 plt ct-272 05:35am blood plt ct-272 05:35am blood urean-24* creat-1.0 na-138 k-4.7 echo prebypass no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). the ascending aorta is moderately dilated. the descending thoracic aorta is moderately dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is mild to moderate (1+-2+) aortic insufficiency. postbypass biventricular systolic function remains normal. no apparent aortic disection post decanulation. study otherwise unchanged from prebypass. cxr 1. interval improvement of the left-sided pleural effusion with persistent retrocardiac opacity could represent atelectasis. 2. interval removal of the right-sided central venous line. 3. no evidence of pneumothorax. brief hospital course: mr. was admitted to the on via transfer from for surgical management of his coronary artery disease. he was worked-up in the usual preoperative manner and was found to be suitable for surgery. on , mr. was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, mr. e neurologically intact and was extubated. over the next day, his pressors and inotropes were slowly weaned off. he developed atrial fibrillation with associated asystolic pauses. his beta blockade was decreased and the electrophysiology service was consulted. he remained on low dose beta blockade in a normal sinus rhythm. on , mr. was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service worked with him daily. he continued to have bursts of paroxysmal atrial fibrillation for which his beta blockade was slowly titrated up. coumadin was started for anticoagulation. given his tachy-brady syndrome and possibility of needing a pacemaker, it was recommended that he be discharged with of hearts monitor with follow-up with the electrophysiology service. mr. continued to make steady progress and was discharged home on postoperative day seven. he will follow-up with dr. , his cardiologist, the electrophysiology service and his primary care physician as an outpatient. his coumadin dosing will be managed by dr. for a target inr of 2.0-2.5. medications on admission: crestor 20mg qd synthroid 75mcg qd toprol 12.5mg qd altace 5mg qd protonix 40mg qd mvi aspirin 81mg qd metamucil 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: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. levothyroxine 75 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 8. procainamide 500 mg tablet sustained release sig: two (2) tablet sustained release po q6h (every 6 hours). disp:*240 tablet sustained release(s)* refills:*0* 9. warfarin 5 mg tablet sig: one (1) tablet po once (once) for 1 doses: check inr with results called to dr. . disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: s/p cabgx4 af tachy-brady syndrome past pci hypercholesterolemia htn mild ar h/o lymphoma h/o diverticulitis discharge condition: good. discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. 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 lotions, creams or powders to incision until it has healed. you may shower and wash incision. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5)no lifting greater then 10 pounds for 10 weeks. 6)no driving for 1 month. 7)coumadin to be taken as instructed by dr. . target inr is 2.0-2.5. please take only once daily and only as instructed. your first blood draw will be at . 8)wear of hearts monitor as directed. followup instructions: follow-up with dr. in 1 month. ( follow-up with dr. (cardiologist) in weeks. follow-up with dr. (electrophysiology) in one month. follow-up with dr. (pcp) in weeks. . follow-up with electrophysiology service as directed for of hearts monitor. please call all providers for appointment. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension unspecified acquired hypothyroidism cardiac complications, not elsewhere classified atrial fibrillation aortic valve disorders percutaneous transluminal coronary angioplasty status other malignant lymphomas, unspecified site, extranodal and solid organ sites 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 sinoatrial node dysfunction 

Answer: The patient is high likely exposed to