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: history of present illness: mr. is a 54-year-old man who presented to the emergency room with complaint of shortness of breath on exertion. he had been having these episodes since mid-, and they have been intermittent since that time. he describes an exertional component to his shortness of breath, in that it occurs during walking and when he is carrying heavy objects. he also describes a mild burning sensation in his upper chest that does not radiate, along with tingling along the jaw line and under his ears. he denies any palpitations, dizziness, diaphoresis. he has never used nitroglycerin. resting relieves all symptoms. he denies any previous occurrences prior to . in from for a convention. medical staff at the convention advised him to come to the emergency room after he complained of shortness of breath. past medical history: gerd. hemorrhoids. hypercholesterolemia. tendinitis in the wrists. depression. trigger finger. social history: he quit smoking in . up to that point smoked one and a half packs x several decades. drinks wine socially. family history: father died of an mi at age 81. he also had a history of colon cancer. physical exam: temperature 99, heart rate 80, blood pressure 127/88, respiratory rate 16, o2 sat 97 percent on room air. general: sitting in bed in no acute distress, pleasant, obese man. heent: anicteric. mucous membranes moist. neck: supple. no lymphadenopathy. cardiovascular: s1, s2. no murmur. respiratory: clear to auscultation bilaterally. gi: abdomen soft, nontender, nondistended. neuro: alert and oriented x 3. moves all 4 extremities symmetrically. lab data: sodium 140, potassium 3.8, bun 16, creatinine 0.9, glucose 129, ck 127, troponin 0.04, white count 8.3, hematocrit 39.5, platelets 236. medications on admission: 1. zocor 40 q. h.s. 2. ketoprofen 20 q.d. 3. lexapro. hospital course: following admission, the patient went for an exercise tolerance test that was stopped with 7/10 chest pain, with 2- depressions, and hypotension. following his positive stress test, the patient was brought to the cardiac cath lab where he was found to have an lad that was subtotally occluded, a left circumflex with a subtotally occluded om1, and an rca that was totally occluded with collaterals from the circumflex. he also was reported to have an ef of 45 percent. following cardiac catheterization, the patient was seen by the cardiothoracic surgery service. he was accepted for coronary artery bypass grafting, and on he was brought to the operating room for coronary artery bypass grafting. please see the or report for full details. in summary, he had a cabg x 4 with a lima to the lad, saphenous vein graft to the rca, saphenous vein graft to om, and saphenous vein graft to the diagonal. his bypass time was 83 minutes with a crossclamp time of 46 minutes. he tolerated the operation well and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, the patient was in a sinus rhythm at 70 beats per minute with a mean arterial pressure of 71, and a cvp of 13. he had neo-synephrine at 0.4 mcg/kg/min and propofol at 20 mcg/kg/min. the patient did well in the immediate postoperative period. he remained hemodynamically stable. his anesthesia was reversed. he was weaned from the ventilator and successfully extubated. he remained hemodynamically stable throughout operative day. on postoperative day 1, the patient continued to be hemodynamically stable. however, he required a neo- synephrine drip to maintain an adequate blood pressure. several attempts were made to wean his neo-synephrine drip throughout the day of postoperative day 1. all were unsuccessful following which, his pa catheter was removed, as was his arterial line. on postoperative day 2, the patient again remained hemodynamically stable, continuing to require neo-synephrine infusion to maintain an adequate blood pressure. his chest tubes were discontinued, as was his foley catheter, and he remained in the intensive care unit because of the need for his neo-synephrine infusion. on postoperative day 3, the patient was finally weaned from his neo-synephrine infusion. he was begun on beta blockade and was transferred to the floor for continuing postoperative care and cardiac rehabilitation. the remainder of the patient's postoperative course was uneventful. on the floor, with the assistance of the nursing staff and physical therapy, the patient's activity level was advanced. on postoperative day 5, it was decided that the patient was stable and ready to be discharged. at the time of this dictation, the patient's physical exam is as follows: vital signs: temperature 98.9, heart rate 73 sinus rhythm blood pressure 110/70, respiratory rate 18, o2 sat 96 percent on room air. physical exam - neuro: alert and oriented x 3, moves all extremities, follows commands. respiratory: clear to auscultation bilaterally. cardiac: regular rate and rhythm, s1, s2, with no murmurs. sternum is stable. incision with steri-strips, open to air, clean and dry. abdomen: soft, nontender, nondistended with positive bowel sounds. extremities: warm and well-perfused with trace edema. left leg saphenous vein graft harvest site with steri-strips, open to air, clean and dry. lab data: white count 9.0 hematocrit 27.4, platelets 193, sodium 137, potassium 4.2, chloride 101, co2 27, bun 23, creatinine 1.1, glucose 98. condition at discharge: good. discharge diagnoses: coronary artery disease, status post coronary artery bypass grafting x 4 with a left internal mammary artery to the left anterior descending, saphenous vein graft to right coronary artery, saphenous vein graft to obtuse margin, and saphenous vein graft to diagonal. hypercholesterolemia. gastroesophageal reflux disease. depression. tendinitis of the wrist. trigger finger. follow up: the patient is to be discharged initially to a hotel with visiting nurses. he is to have follow-up on far-2 in 1 week with dr. . he is to have follow-up in weeks in with dr. . discharge medications: 1. aspirin 325 qd. 2. simvastatin 40 qd. 3. metoprolol 25 . 4. percocet 5/325, 1-2 tabs q 4-6 h prn. 5. colace 100 . 6. lexapro 10 qd. 7. plavix 75 qd x 3 months. 8. ascorbic acid 500 x 1 month. 9. ferrous gluconate 240 qd x 1 month. 10. multivitamin 1 capsule qd x 1 month. , procedure: (aorto)coronary bypass of three coronary arteries extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome pure hypercholesterolemia synovitis and tenosynovitis, unspecified trigger finger (acquired) 

Answer: The patient is high likely exposed to