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: coronary artery disease major surgical or invasive procedure: coronary artery bypass grafts x 4(lima-lad,svg-dg,svg-om2,svg-pda) history of present illness: this 69 year old white male has a history of hypertension, hyperlipidemia, prior cornary angioplasty and noninsulin dependent diabetes with recurrent angina during cold weather and bilateral lower extremity claudication. a persantine stress test was abnormal and he was referred for cardiac catheterization. this revealed triple vessel disease with intact lv function (50-55%). he was evaluated for surgical revascularization for which he was electively admitted at this time. past medical history: hypertension hyperlipidemia s/p coronary angioplasty noninsulin dependent diabetes mellitus renal insufficiency peripheral neuropathy cataracts degenerative joint disease social history: lives with: alone, divorced has one daughter occupation: retired chemist tobacco: 1ppd x 30 yrs etoh: glasses of wine a week family history: parents both alive 97 and years old physical exam: admission: pulse:55 resp:18 o2 sat: 99%ra b/p right: 153/55 left: 150/54 height:5'7" weight:150 lbs general:aaox3 skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rr sinus brady irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:2+ left:2+ dp right:1+ left:1+ pt :1+ left:1+ radial right:2+ left:2+ carotid bruit right:none left:none pertinent results: 05:35am blood wbc-8.5 rbc-3.03* hgb-9.1* hct-27.7* mcv-92 mch-30.0 mchc-32.8 rdw-14.0 plt ct-307 01:37pm blood pt-13.6* ptt-39.4* inr(pt)-1.2* 05:35am blood glucose-201* urean-50* creat-1.6* na-137 k-4.9 cl-102 hco3-28 angap-12 chest radiograph indication: evaluation for pleural effusions, status post cabg. comparison: . findings: as compared to the previous examination, there is no relevant change. moderate cardiomegaly and elevation of the left hemidiaphragm. mild left-sided pleural effusion with moderate retrocardiac areas of atelectasis showing several air bronchograms. mild hypoventilation at the right lung bases. no interval appearance of focal parenchymal opacities suggesting pneumonia. no other changes. echocardiography report , (complete) done at 11:40:01 am preliminary referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 69 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: aortic valve disease. coronary artery disease. left ventricular function. mitral valve disease. valvular heart disease. icd-9 codes: 440.0, 424.1, 396.9, 424.0 test information date/time: at 11:40 interpret md: , md test type: tee (complete) 3d imaging. son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2009aw2-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *5.9 cm <= 5.6 cm left ventricle - ejection fraction: 30% to 35% >= 55% aorta - ascending: 3.0 cm <= 3.4 cm findings multiplanar reconstructions were generated and confirmed on an independent workstation. left atrium: mild spontaneous echo contrast in the body of the la. no mass/thrombus in the laa. all four pulmonary veins not identified. right atrium/interatrial septum: normal ra size. a catheter or pacing wire is seen in the ra. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. mildly dilated lv cavity. moderate-severe regional left ventricular systolic dysfunction. moderately depressed lvef. right ventricle: mildly dilated rv cavity. mild global rv free wall hypokinesis. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. simple atheroma in aortic arch. normal descending aorta diameter. complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets (?#). no as. trace ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. mild thickening of mitral valve chordae. calcified tips of papillary muscles. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. conclusions pre-bypass: mild spontaneous echo contrast is seen in the body of the left atrium. no mass/thrombus is seen in the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. the left ventricular cavity is mildly dilated. there is moderate to severe regional left ventricular systolic dysfunction with xxx. overall left ventricular systolic function is moderately depressed (lvef= 30-35 %). the right ventricular cavity is mildly dilated with mild global free wall hypokinesis. there are simple atheroma in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened (?#). there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician brief hospital course: following admission he was taken to the operating room where revascularization was accomplished. see operative note for details. he weaned from bypass on epinephrine, neosynephrine and propofol. he was somewhat labile, but was able to be extubated on pod 1. the epinephrine weaned off as did the neosynephrine. he developed atrial fibrillation (controlled rate)with mild hypotension. beta blockade resulted in conversion to sr and his bp was adequate. oral hyperglycemics and insulin were utilized to control his hyperglycemia. he was diuresed towards his preoperative weight. on pod 3 his cts were removed uneventfully and he was transferred to the floor where diuresis was continued along with lopressor. he again had controlled rate atrial fibrillation and oral amiodarone was started, with conversion to and with maintenance of sr. physical therapy worked with him for mobility and strengthening prior to discharge. he developed urinary retention after the foley was removed on two occassions, necessitating replacement of the catheter. tamsulosin was started and on midnight it was again removed. he voided successfully. his creatinine on was 1.7 and his lasix was discontinued. on his creatinine was 1.6 and he was discharged to home in stable condition. the vna will draw a chem 7 tomorrow and call the results to the floor. medications on admission: simvastatin 80 mg po daily glipizide 7.5mg po bid metformin 1000mg po bid lisinopril 40mg po daily atenolol 50mg po daily benicar 40mg po daily asa 162 mg po daily viagra prn discharge medications: 1. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 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. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 5. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 6. simvastatin 80 mg tablet sig: one (1) tablet po at bedtime. disp:*30 tablet(s)* refills:*2* 7. glipizide 5 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*2* 8. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 1 weeks: after 1 week decrease the dose to 1 pill daily. disp:*70 tablet(s)* refills:*0* 9. bupropion hcl 150 mg tablet sustained release sig: one (1) tablet sustained release po twice a day. disp:*60 tablet sustained release(s)* refills:*2* 10. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po daily (daily). disp:*30 capsule, sust. release 24 hr(s)* refills:*2* 11. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 12. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease noninsulin dependent diabetes mellitus s/p coronary artery bypass grafts hyperlipidemia hypertension degenerative joint disease cataracts mild chronic renal insufficiency s/p coronary angioplasty diabetic neuropathy discharge condition: good discharge instructions: shower daily, no baths or swimming no lotions, creams or powders to incisions no driving for 4 weeks and off all narcotics no lifting more than 10 pounds for 10 weeks report any redness of, or drainage from incisions report any fever greater than 100.5 report any weight gain greater than 2 pounds a day or 5 pounds a week take all medications as directed followup instructions: dr. in 4 weeks () dr. () in weeks 6 wound clinic in 2 weeks please call for appointments dr. in 2 weeks md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery extracorporeal circulation auxiliary to open heart surgery intraoperative cardiac pacemaker diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery tobacco use disorder diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atherosclerosis of native arteries of the extremities with intermittent claudication hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation percutaneous transluminal coronary angioplasty status chronic kidney disease, unspecified other and unspecified hyperlipidemia other and unspecified angina pectoris 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 osteoarthrosis, unspecified whether generalized or localized, site unspecified retention of urine, unspecified hypovolemia urinary complications, not elsewhere classified unspecified hereditary and idiopathic peripheral neuropathy unspecified cataract 

Answer: The patient is high likely exposed to