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: chest pain major surgical or invasive procedure: cardiac cath redo cabgx1 (svg->pda) history of present illness: 54 yo male with history of coronary artery disease status post coronary artery bypass grafting in to 4 vessels. past medial history significant for hypertension, hyperlipidemia and a strong family history. he has been having intermittent chest pain for the past year, accelerating over the past 2 weeks and developed substernal chst pain at rest yesterday morning relieved with 2 sublingual nitroglycerin. the chest pain recurred every 1 hr and he took 2 sublingual nitroglycerin tablets everytime until 4am until he finally took 6 tablets with no relief thus prompting a visit to an outside emergency department. he reports that his chest pain is pressure like, with radiation to both arms, his neck and his back. he notes diaphoresis, dyspnea, paroxysmal nocturnal dyspnea, orthopnea, but no palpitations. at baseline, he cannot walk up 1 flight of stairs. at ' emergency , he became free of chest pain after intravenous nitroglycerin. an ekg there showed an intraventricular conduction delay and a left bundle branch block with 1mm concordant st depression in v3-v6 as well as t-wave inversions in leads i and avl. he was then tranferred to for cardiac catheterization. past medical history: cad htn hyperlipidemia etoh abuse but no withdrawl symptoms cabgx4 social history: works as , building brick walls, lives with his wife, smokes 2 packs/day x 40years, drinks a 6 pack of beer/day. family history: brother w/ mi at 25, other brothere with mi at age 62 father w/ multiple mi's and deceased at age 74; mother deceased from mi at age 62. physical exam: vs: af 133/92 hr 79 rr 18 o2sat 100% ra gen: nad, nondiaphoretic heent: nc/at, perrl, eomi, anicteric sclera, supple cor: rrr, s1, s2, no m/r/g, no jvd. lungs: diffuse wheezes bilaterally, no crackles. abd: soft, ntnd, no rebound ext: 1+ femoral bilateral, no bruits, 1+dp bialterally, no edema neuro: a+ox3, cnii-xii intact. nonfocal pertinent results: 04:50pm plt count-153 04:50pm wbc-7.2 rbc-4.30* hgb-14.8 hct-42.0 mcv-98 mch-34.5* mchc-35.3* rdw-13.9 04:50pm alt(sgpt)-26 ast(sgot)-29 alk phos-69 amylase-28 tot bili-0.6 04:50pm glucose-142* urea n-15 creat-0.9 sodium-133 potassium-4.3 chloride-101 total co2-25 anion gap-11 07:40pm %hba1c-5.4 10:20am blood wbc-10.9 rbc-3.36* hgb-11.0* hct-31.6* mcv-94 mch-32.7* mchc-34.8 rdw-14.4 plt ct-566*# 06:55am blood glucose-99 urean-23* creat-1.3* na-132* k-4.6 cl-96 hco3-25 angap-16 cardiac catheterization 1. severe native three vessel coronary artery disease. 2. svg to rca and svg to om occluded. 4. lima to lad patent with collaterals to the rest of the heart. 5. mildly depressed ventricular systolic function. 6. moderate to severe diastolic dysfunction pathology mr. has a newly identified clincially significant alloantibody- anti-fya. fya is a member of the blood group system. anti-fya can cause hemolytic transfusion reactions. in the future he should receive fya antigen negative red cells for transfusion. an antibody identification card will be sent to him. ekg sinus rhythm 77. anterolateral st-t changes suggest myocardial injury/ischemia. ekg sinus rhythm. modest non-specific intraventricular conduction delay. non-specific lateral st-t wave abnormalities are non-specific but cannot exclude ischemia. clinical correlation is suggested. since the previous tracing of st-t wave abnormalities have decreased. cxr the heart size is upper limits of normal. there is no evidence of congestive failure or acute infiltrate. the patient has had a cabg. cxr 1) stable appearance of postop, retrosternal and mediastinal emphysema, without evidence of displaced sternal wires. 2) mild bilateral atelectasis, and likely small left-sided pleural effusion, without evidence of infiltrate. echo 1. the left atrium is mildly dilated. the left atrium is elongated. 2.the right atrium is moderately dilated. 3. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. resting regional wall motion abnormalities include basal and mid inferolateral akinesis and probable basal and mid inferior and inferoseptal akinesis. 4.right ventricular chamber size is normal. right ventricular systolic function is normal. 5.the ascending aorta is mildly dilated. 6.the aortic valve is not well seen. no aortic regurgitation is seen. 7.the mitral valve leaflets are mildly thickened. moderate to severe (3+) mitral regurgitation is seen. 8.there is borderline pulmonary artery systolic hypertension. 9.there is no pericardial effusion. renal ultrasound normal-size kidneys with no hydronephrosis brief hospital course: mr. was admitted to on for further management of his coronary artery disease. a cardiac catheterization was performed which showed severe native three vessel coronary artery disease, an occluded vein graft to the right coronary artery and obtuse marginal artery, a patent internal mammary to the left anterior descending artery, a mildly depressed ventricular systolic function and moderate to severe diastolic dysfunction. initially the plan was to discharge mr. home to follow-up for cardiac surgery for redo coronary artery bypass grafting however he developed chest discomfort and ekg changes overnight. heparin and nitroglycerin were started with relief of his pain. the cardiac surgical service was consulted and agreed that he should have his surgery while in house. mr. was worked-up in the usual preoperative manner including a carotid duplex ultrasound which revealed less than 40% bilateral internal carotid artery stenosis. mr. continue dto experience intermittant rest angina which was relieved with medical treatment. his cardiac enzymes remained stable. as mr. was a heavy smoker, he often left the floor to smoke against medical advice. he finally agreed to some smoking cessation despite his high level of anxiety regarding his current state. an echocardiogram was performed which showed 3+ mitral valve regurgitation, a dilated left atrium, an ejection fraction os 44% and a mildy dialated ascending aorta. on , mr. was taken to the operating room where he underwent redo coronary artery bypass grafting to one vessel. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on day one, mr. neurologically intact and was ectubated. imdur was started given his extensive coronary artery disease. on day two, mr. was transferred to the cardiac surgical step down unit for further recovery. mr. urine output decreased in the presence of an elevated creatinine. the renal service was consulted and lasix was contiinued. a renal ultrasound was performed which was unremarkable. it was presumed that his acute renal failure was hemodynamically mediated by a low flow state while on bypass. with continued diuresis, his urine output increased and his creatinine trended back towards normal. the physical therapy service was consulted for assistance with his strength and mobility. a nicotine patch was used for smoking cessation. dilaudid was used for his incisional pain. beta blockade was titrated for optimal heart rate and blood pressure control. on day five, mr. developed some incisional drainage from his sternum for which keflex was started. betadine occlusive dressings were applied to the sternum and the serous drainage slowly tapered off. mr. continued to make slow but steady progress and was discharged home with a visiting nurse day thirteen. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: atenolol 100 mg once daily imdur 30 mg once daily nifedipine sl 30 mg once daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*40 capsule(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*50 tablet, delayed release (e.c.)(s)* refills:*2* 3. isosorbide mononitrate 30 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*40 tablet sustained release 24hr(s)* refills:*2* 4. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). disp:*1 inhaler* refills:*2* 5. hydromorphone hcl 2 mg tablet sig: 1-2 tablets po q3-4h () as needed. disp:*40 tablet(s)* refills:*0* 6. atorvastatin calcium 20 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 7. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 5 days. disp:*20 capsule(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 9. atenolol 50 mg tablet sig: two (2) tablet po daily (daily). disp:*40 tablet(s)* refills:*2* 10. nicotine 21 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). disp:*20 patch 24hr(s)* refills:*2* discharge disposition: home with service facility: vna, discharge diagnosis: s/p redo cabg x1 (svg->pda) cabgx4 '(cath occluded vein grafts with patent lima-lad), htn,+chol,+tob,+etoh discharge condition: good discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds.important to look for drainage from wound and not stress incision or repair- follow pt recommendations about getting up and using arms followup instructions: wound clinic in 2 weeks dr in weeks dr in 6 weeks procedure: extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters angiocardiography of left heart structures diagnostic ultrasound of heart other and unspecified coronary arteriography (aorto)coronary bypass of one coronary artery transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia tobacco use disorder unspecified essential hypertension acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified coronary atherosclerosis of autologous vein bypass graft alcohol abuse, unspecified family history of ischemic heart disease disruption of external operation (surgical) wound 

Answer: The patient is high likely exposed to