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: asymptomatic with positive nuclear stress test that showed a fixed inferior prefusion defect major surgical or invasive procedure: coronary bypass grafting x2 with left internal mamary artery to left anterior descending artery and reverse saphenous vein graft to obtuse marginal artery history of present illness: 74 year old spanish speaking male who has severe peripheral vascilar disease. he has 1.5 block intermittent claudication and recent peripheral angiogram that demonstrated multiple areas of stenosis that requires surgery. in reparation for this he underwent a nuclear stress test that showed a fixed inferior prefusion defect. he then underwent a cardiac cath which revealed 50% left main lesion, 70% lad and 100% rca lesion. he is now referred for surgical revasclarization past medical history: hypertension, hyperlipidemia, diabetes mellitus, peripheral vascular disease s/p left common iliac stent, right leg fracture, right hip surgery for foreign body social history: race: hispanic last dental exam: n/a lives with: wife and son contact: - wife phone # tion: retired cigarettes: smoked last cigarette 5yrs hx: 1ppd x 50 yrs other tobacco use: none etoh: < 1 drink/week illicit drug use none family history: no premature coronary artery disease physical exam: pulse: 55 resp: 16 o2 sat: 100% b/p right: 176/75 left: 172/65 height: 66" weight: 150 lbs general: well-developed male in no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender +bs extremities: warm , well-perfused edema varicosities: mild right neuro: grossly intact pulses: femoral right: 1+ left: 1+ dp right: 1+ left: 1+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: - left: - pertinent results: admission labs: 12:07pm hgb-13.1* calchct-39 12:07pm glucose-89 lactate-1.3 na+-135 k+-4.2 cl--103 03:07pm fibrinoge-148* 03:07pm plt count-134* 03:07pm wbc-13.5*# rbc-2.84*# hgb-8.7*# hct-25.3*# mcv-89 mch-30.7 mchc-34.4 rdw-12.7 04:11pm urea n-14 creat-0.8 sodium-138 potassium-4.8 chloride-108 total co2-26 anion gap-9 04:59am blood wbc-16.2* rbc-3.74* hgb-11.2* hct-32.6* mcv-87 mch-29.9 mchc-34.3 rdw-12.8 plt ct-193 04:59am blood glucose-137* urean-22* creat-0.9 na-140 k-3.9 cl-103 hco3-27 angap-14 echocardiography report conclusions pre-bypass: 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. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). the right ventricular free wall is hypertrophied with normal free wall contractility. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. the left coronary cusp is immobilized. there is mild aortic valve stenosis (valve area 1.2-1.9cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results in the operating room at the time of the study. post-bypass: there is normal biventricular systolic function. the mitral regurgitation is slightly worse - now mild-moderate. the thoracic aorta is intact after decannulation. radiology report chest (portable ap) study date of 12:56 pm final report: bilateral lung volumes are low. following left chest tube removal, there is no evidence of pneumothorax. right internal jugular line ends at upper svc. right lower lung atelectasis and elevation of the right hemidiaphragm have improved. nodular opacity in the left lower lung near the apex is likely residual edema from the previous chest tube placement. bilateral lower lung atelectasis is unchanged. the patient is status post median sternotomy with intact sternotomy sutures. mediastinal and hilar contours are stable. 05:58am blood wbc-10.1 rbc-3.35* hgb-10.1* hct-29.3* mcv-87 mch-30.1 mchc-34.4 rdw-12.7 plt ct-201 06:55am blood urean-23* creat-1.0 na-138 k-4.3 cl-101 brief hospital course: mr. is a 74 year old male who was a direct admission to the operating room for coronary bypass grafting on . please see the operative report for details, in summary he had a coronary bypass grafting x2 with left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to obtuse marginal artery. his bypass time was 63 minutes with a cross clamp of 36 minutes. he tolerated the operation well and was transferred from the operating room to the cardiac surgery icu in stable condition. he remained hemodynamically stable in the immediate post-op period, anesthesia was reversed he woke neurologically intact and was extubated. all tubes lines and drains were removed per cardiac surgery protocol. he remained hemodynamically stable and on post operative day one was transferred from the icu to the cardiac surgery step-down floor. once on the floor he worked with nursing and physical therapy to increase his strength and mobility. his antihypertensives were titrated up and additional medications were added for better blood pressure control. the remainder of his hospital course was uneventful and on post operative day five he was discharged home with visiting nurse services in stable condition. all follow up appointments were advised. medications on admission: medications at home: plavix 75mg daily hydrochlorothiazide 25mg daily - stopped enalapril 20mg daily aspirin 325mg daily metformin 500mg amlodipine 5mg daily lipitor 10mg daily discharge medications: 1. 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:*2* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 6. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 8. clonidine 0.1 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 9. lasix 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*2* 10. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day for 7 days. disp:*7 tablet, er particles/crystals(s)* refills:*2* 11. metoprolol tartrate 50 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* discharge disposition: home with service facility: multicultural vna discharge diagnosis: s/p cabgx2(lima-lad,svg-om) pmh: hypertension, hyperlipidemia, diabetes mellitus, peripheral vascular disease s/p left common iliac stent, right leg fracture, ?right hip surgery for foreign body discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema 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 **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: , md phone: @1:15p clinic: phone: date/time: @10:45a cardiologist: kvaternick on at 1:15pm please call to schedule appointments with your vascular: mark iafrati 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: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension 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 other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to