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: past medical history: mitral regurgitation. status post coronary artery bypass graft x4 at in . previous pci to the right coronary artery. inferior myocardial infarction in . question of asthma on no medications. hypercholesterolemia. paroxysmal atrial fibrillation in , and 11-12 years ago. left arm fistula in . ldl plasmapheresis every 2 weeks at kidney center. episodic dizziness for which a neurology workup was negative, question whether this was due to statins. medications on admission: when he was seen initially were: 1. coreg 12.5 mg p.o. twice a day. 2. aspirin 325 mg p.o. once a day. allergies: he is allergic to lipitor and mevacor, both of which give him muscle aches. albumin causes profound hypotension with bradykinin response. family history: he had a positive family history of coronary artery disease. social history: he lives with his wife as a mortgage salesman. he had a 20 pack year history of smoking and quit 20 years ago. he had drinks every weekend of beer and wine. he does exercise regularly. review of symptoms: his review of systems is negative for stroke or transient ischemic attack or any bleeding disorder. physical examination: on examination, his heart rate was 84 and regular, respiratory rate 22, blood pressure on the right 130/70, left arm had a fistula and no pressure taken, 5 feet 10 inches tall, 195 pounds. he was well appearing in no apparent distress. he had unremarkable skin. heent examination was within normal limits as was he examination of his neck. his lungs were clear bilaterally with a well healed sternotomy incision. his heart was regular rate and rhythm with s1 and s2 tones and a grade ii/vi systolic ejection murmur. his abdomen was benign. he had warm extremities with no edema and a left forearm fistula present and no obvious varicosities and no cerebrovascular accident, transient ischemic attack or chronic headache problems. had 2+ bilateral femoral, dp and pt pulses with 2+ right radial pulse and a left av fistula. no carotid bruits were heard at that time. hospital course: he was admitted to the hospital for preoperative workup to be continued on . he was in sinus rhythm in the 80s at this time with a pressure of 145/72. his examination was virtually unremarkable with no change from his prior examination 2 weeks prior. additional laboratory work was done including a urinalysis with a plan to do a cardiac catheterization, which was performed on . this showed patent lima graft as well as patent vein grafts. the left main native had 70% stenosis, lad had a 60% stenosis, rca had an 80% stenosis, and all 4 grafts were widely patent. he remained in the hospital in preparation for his mitral valve surgery and his examination was unremarkable. his catheterization site was clean, dry and intact. preoperatively his laboratories were as follows: white count 5.7, hematocrit 36.5, platelet count 219,000. sodium 140, potassium 4.0, chloride 104, bicarbonate 30, bun 17, creatinine 1.0 with a blood sugar of 102. pt 12.7, ptt 29.1 with an inr of 1.0. his chest x-ray showed prior evidence of coronary artery bypass graft with no acute cardiopulmonary process. ekg showed sinus rhythm at 66 with no acute ischemic disease. prior echocardiogram in , showed moderate to severe mitral regurgitation with an ejection fraction of 30-35%. cardiac catheterization also showed an ejection fraction of 35% with inferior hypokinesis and 3+ mitral regurgitation. th went to the operating room on . please refer to the anesthesia note which states a very difficult intubation. steroids were initiated. the patient underwent a right thoracotomy for mitral valve repair with a 28 millimeter annuloplasty band by dr. . he was transferred to the cardiothoracic icu in stable condition on a levophed drip at 0.07 mcg/kg/minute and a propofol drip at 25 mcg/kg/minute. on postoperative day #1, he remained on a neo-synephrine drip at 0.6 mcg/kg/minute and propofol drip. he remained intubated for the day. he was receiving decadron to decrease any potential inflammation in his airway from his difficult intubation. postoperative laboratories were as follows: white count 14.0, hematocrit 31.2, platelet count 265,000. potassium 4.1, bun 16, creatinine 1.1. he had slightly decreased breath sounds. he was hemodynamically stable with a pressure of 108/52 and a heart rate of 75 and sinus rhythm. he had some amiodarone given to him for some ectopy and he had a cpap trial with weaning to extubation. electrophysiology service was asked to evaluate the patient for his ventricular ectopy following his minimally invasive mitral valve repair. the patient was continued on his amiodarone. he was also seen and evaluated by case management and physical therapy rehabilitation services. on postoperative day #2, he did have an echocardiogram done. he remained on amiodarone drip at 0.5. he was continued on aspirin and began lasix diuresis and finished his perioperative vancomycin. he was in sinus rhythm at 81 with blood pressure 124/50. his hematocrit was stable at 28.8, creatinine stable at 1.2. his chest tubes were put to water seal, his pleural tubes. he continued on p.o. amiodarone after he was extubated with plan for outpatient electrophysiology workup and he was transferred to the floor on postoperative day #2. on postoperative day #1, the patient was extubated with anesthesia present given the difficulty the team had intubating him in the operating room. a swan- ganz was also discontinued on . a central line remained in place. the patient was switched over to p.o. percocet for pain. he had a rash on his trunk and his thighs that was being monitored. he was evaluated again by physical therapy to begin his ambulation and advancing his activity level on the floor. he was encouraged to take more p.o. fluids. the patient did receive some iv medications for some nausea. his av fistula had a bruit and a thrill postoperatively. he did complain of some nausea with motrin on postoperative day #3. carvedilol was restarted on postoperative day #3. the patient was encouraged to use his incentive spirometer, cough and deep breathe, and increase his ambulation. his ibuprofen was discontinued. his epicardial pacing wires were removed without incident. he was alert and oriented and cooperative with the team on postoperative day #4, the day of discharge. the patient had his temperature of 98.1, sinus rhythm at 80, blood pressure 126/55, respiratory rate 18, saturating 99% in room air. he weighed 94.4 kilograms. he was alert and oriented and nonfocal on his examination. his lungs were clear bilaterally. the heart was regular rate and rhythm. his thoracotomy incision was clean, dry and intact. he had positive bowel sounds. extremities were warm with trace peripheral edema. his central venous line was removed and he was discharged to home with visiting nurse services. die instructions: 1. to make an appointment with dr. , his primary care physician, approximately 1-2 weeks postdischarge. 2. to make an appointment with dr. in approximately 2-3 weeks postdischarge, his heart failure specialist. 3. to make an appointment to see dr. in approximately 3-4 weeks, electrophysiologist, , for follow-up for ep evaluation. 4. to make an appointment to see dr. in the office at 4 weeks postoperative for his surgical visit. discharge diagnoses: status post coronary artery bypass graft x4 in . status post right thoracotomy and minimally invasive mitral valve repair with annuloplasty band. prior rca ptca. inferior myocardial infarction. question asthma. paroxysmal atrial fibrillation. hypercholesterolemia. left arm av fistula. ldl plasmapheresis q.2weeks. medications on discharge: 1. potassium chloride 20 meq p.o. twice a day for 7 days. 2. colace 100 mg p.o. twice a day. 3. enteric-coated aspirin 81 mg p.o. once a day. 4. amiodarone 200 mg p.o. once a day. 5. percocet 5/325 one to two tablets p.o. p.r.n. q.4-6hours as needed for pain. 6. carvedilol 3.125 mg p.o. twice a day. 7. lasix 20 mg p.o. twice a day for 7 days. condition on discharge: the patient was discharged to home in stable condition with vna services on . , m.d. dictated by: medquist36 d: 15:40:54 t: 18:58:50 job#: 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 annuloplasty pericardiotomy diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders atrial fibrillation aortocoronary bypass status personal history of tobacco use old myocardial infarction family history of ischemic heart disease examination of participant in clinical trial adhesive pericarditis 

Answer: The patient is high likely exposed to