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: new onset chest pain with exertion major surgical or invasive procedure: s/p emergent cabg for 70% prox lad occlusion history of present illness: 61 yo m p/w new onset chest pain . cath showed clot in distal lm, lad and circ disease. transferred for cabg. past medical history: gout, htn, obesity, ibs, hzv (past) hyperchol, sq cell ca, bas cell ca, skull frx, r knee social history: works in real estate quit tobacco 20 years ago 6 etoh/week family history: nc physical exam: hr 78 pertinent results: echocardiography report , (complete) done at 3:35:27 pm preliminary referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 61 m hgt (in): 66 bp (mm hg): 180/801 wgt (lb): 219 hr (bpm): 75 bsa (m2): 2.08 m2 indication: intraoperative tee for cabg icd-9 codes: 786.05, 440.0 test information date/time: at 15:35 interpret md: , md, md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2007aw2-: machine: 2 echocardiographic measurements results measurements normal range aorta - annulus: 2.2 cm <= 3.0 cm aorta - sinus level: 3.2 cm <= 3.6 cm aorta - sinotubular ridge: 2.4 cm <= 3.0 cm aorta - ascending: 3.1 cm <= 3.4 cm aorta - descending thoracic: 2.5 cm <= 2.5 cm findings left atrium: good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. normal interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. normal lv cavity size. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. simple atheroma in aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. mild (1+) mr. tricuspid valve: mildly thickened tricuspid valve leaflets. physiologic tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. results were reviewed with the cardiology fellow involved with the patient's care. see conclusions for post-bypass data the post-bypass study was performed while the patient was receiving vasoactive infusions (see conclusions for listing of medications). conclusions pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 7. the tricuspid valve leaflets are mildly thickened. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine. 1. biventricular systolic function is preserved. 2. mr . 3. aorta is intact post decannulation 4. other findings are brief hospital course: he was taken to the operating room where he underwent a cabg x 3. he was transferred to the icu in stable condition. he was extubated later that same day. he was transferred to the floor on pod #1. he did well postoperatively. his chest tubes were removed. post cxr showed no sequele. pod 3 # pacing wires were removed. pt worked with pt. pt stable for dc. to note pt did fail voiding trial. he is urinating on dc medications on admission: miralax 17mg prn, levmid 0.375, diovan 160, amytiptyline 75 qhs, cochicine 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 bid (2 times a day). disp:*60 tablet(s)* refills:*0* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. 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* 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 7. amitriptyline 25 mg tablet sig: three (3) tablet po hs (at bedtime). 8. hyoscyamine sulfate 0.375 mg capsule, sust. release 12 hr sig: one (1) capsule, sust. release 12 hr po bid (2 times a day). 9. isosorbide mononitrate 60 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). 10. lasix 20 mg tablet sig: one (1) tablet po twice a day for 4 days. disp:*8 tablet(s)* refills:*0* 11. potassium chloride 20 meq packet sig: one (1) packet po q12h (every 12 hours) for 4 days. disp:*8 packet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: cad now s/p cabg gout, htn, obesity, ibs, hzv (past) hyperchol, sq cell ca, bas cell ca, skull frx, r knee discharge condition: good. discharge instructions: call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds or driving until follow up with surgeon. followup instructions: dr. 2 weeks dr. 4 weeks dr. 2 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension gout, unspecified irritable bowel syndrome 

Answer: The patient is high likely exposed to