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: chest pain/ abnormal stress test major surgical or invasive procedure: cardiac catheterization coronary artery bypass grafting x2 with left internal mammary to the left anterior descending coronary artery as well as reverse saphenous vein graft from the aorta to the first diagonal coronary artery. 2. core matrix reconstruction of the pericardium. 3. endoscopic greater saphenous vein harvesting. history of present illness: 45 year old male with no past medical history admitted with chest pain. per patient he has never had chest pain until about 2 months ago when he started experiencing squeezing chest discomfort that felt like someone was grabbing the left side of his chest. this usually occurred while he was working (he does carpentry work which involves heavy lifting at times) or running. it is sometimes associated with left arm numbness relieved by resting and raising his arm above his head. he has no associated sob, diaphoresis, nausea, or palpitations. . he went to his pcp for an annual check up in and cholesterol was: chol 203 hdl 47 ldl 115 trig 204 . he then was re-evaluated with these episodes of chest pain and underwent an ett during which he exercised for 11 mins on a and was stopped sob. the ett showed some arrhythmia with ventricular couplets that resolved with exercise and upsloping st depressions inferiorly and laterally that resolved within 80ms. it was reported as "probably negative for ischemia". he called back to his pcp's a few weeks later with continuing reports of chest pain. the pcp was concerned for ongoing angina and ordered a stress echo. stress echo on the day of admission which showed nondiagnostic st changes and normal lv function at rest but mid anterseptum and apical septum became moderately hypokinetic with exercise and he had his typical symptoms of arm numbness and chest discomfort during this time. his pcp called him with the results and he reported no chest pain but did however report ongoing arm discomfort off and on during the day - even with rest since the stress test. he was on his way home to from the stress test but the md advised him to take an aspirin and go to the nearest er, however patient preferred to come to . . in the ed patient's initial vs were: 98 97 134/84 16 100%. exam was unremarkable and patient was having no symptoms. ekg nsr, no stemi, no significant st changes. nl axis. d/w cards who wanted to hold on heparin given normal ekg and flat enzymes with out pain but admit for possible cath in am for concern of unstable angina. past medical history: migraines social history: former emt. now works construction. divorced. has gf, . lives in . -tobacco history: never -etoh: rarely -illicit drugs: denies ivdu and cocaine use. family history: no family history of early mi. colon cancer on dad's side. physical exam: vs: t 97.8 hr 82 bp 128/85, rr 18, 96ra general: alert, interactive, appropriate, no acute distress. heent: sclera anicteric. mmm. neck: supple. jvp flat cardiac: rrr, no m/r/g. no thrills, lifts. no s3 or s4. lungs: ctab, no crackles, wheezes, rhonchi. abdomen: soft, ntnd. no hsm or tenderness. extremities: no c/c/e. pulses: right: dp 2+ left: dp 2+ brief hospital course: mr. was admitted on for chest pain with positive stress test and was scheduled for next day cardiac catheterization. cardiac catheterization was demonstrated one vessel disease. the lad had a proximal 90% stenosis with an aneurysmal section of vessel followed by a 60% stenosis. the 60% stenosis was just prior to the origin of a moderate sided d2. inability to recanalize the lesion necessitated bypass surgery. over the course of hospitalization he had no episodes of acute chest pain, dyspnea, palpitations, syncope, or presyncope. his serial cardiac biomarkers remained negative, and his ekg remained unchanged from initial. he was treated with daily 325mg asa, beta blocker. on he underwent a coronary artery bypass grafting. please see the operative note for details. he tolerated the procedure well and was transferred in critical but stable condition to the surgical intensive care unit. he soon was extubated and weaned from pressors. he was transferred to the surgical step down floor. his chest tubes and epicardial wires were removed. he did spike a temperature to 101.3 and was started on ciprofloxacin for a + ua. culture was negative so antibiotics were stopped. he contiued to have low grade temperatures and underwent fever workup including infectious disease consult. there was no evidence of infection and he was discharged home on post operative day six as white blood cell count remains normal. plan for follow up in clinic next week for wound check. medications on admission: none 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. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 3. 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* 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain, fever. 5. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day): 75 mg three times a day . disp:*135 tablet(s)* refills:*0* 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 7. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily): check lft in 1 month . disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p cabg migranes discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with dilaudid and tylenol prn incisions: sternal - healing well, no erythema or drainage leg right - healing well, no erythema or drainage. edema none 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: dr at 7/5 at 2:15 pm wound check on at 10:15am medical building - cardiac surgery office pcp dr at 12noon your pcp will refer you to a cardiologist when you follow up in the office please have lft check in 1 month - pcp office will order and follow up on result as your were started on lipitor **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 coronary arteriography using two catheters (aorto)coronary bypass of one coronary artery other repair of heart and pericardium diagnoses: coronary atherosclerosis of native coronary artery other and unspecified angina pectoris migraine, unspecified, without mention of intractable migraine without mention of status migrainosus aneurysm of coronary vessels postprocedural fever 

Answer: The patient is high likely exposed to