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 major surgical or invasive procedure: coronary artery bypass grafting x2, with the left internal mammary artery to the left anterior descending coronary artery and reversed saphenous vein single graft from the aorta to the posterior descending coronary artery history of present illness: 68 year old gentleman with known coronary artery disease who was experiencing exertional chest pain over the past several months. a cardiac catheterization was performed which revealed severe in stent restenosis and two vessel coronary disease. given the progression of his disease and aggressive instent restenosis that has occurred, he has now been referred for surgical revascularization. past medical history: - coronary artery disease (multiple stents and angioplasty in past - see below) - non-insulin dependent diabetes mellitus - hyperlipidemia - hypertension - erectile dysfunction - obesity past surgical history: - s/p supraglottic laryngectomy - squamous cell cancer - s/p appendectomy past cardiac procedures: - stent rca - restenosis rca s/p brachytherapy and stent. - cypher des in rca10/11/04 - cypher des to mid rca secondary to restenosis - cypher stent to mid/distal lad - s/p ptci of rca and promus stent to proximal and distal rca social history: race: caucasian last dental exam: 2 months ago lives with: wife contact: phone # occupation: attorney cigarettes: smoked no yes hx: smoked for approx 25 yrs. quit in . etoh: < 1 drink/week drinks/week >8 drinks/week 2 glasses of wine/day illicit drug use: denies family history: +premature coronary artery disease gm(mother side) mi @62, gm(father side) died from mi in 40's, brother with mi @48 physical exam: pulse: 74 resp: 18 o2 sat: 100% b/p right: 120/78 left: 121/81 height: 5'7" weight: 223 lbs general: well-developed obsese male in no acute distress skin: dry intact healed incision on upper abd from mole excision. healed scars on b/l palms from burn injury as infant. heent: perrla eomi raspy voice secondary to laryngeal surgery neck: supple full rom multiple healed incisions on neck chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema - varicosities: none superficial neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ discharge exam: vs; t: 98.9 hr: 84 sr bp: 97/60 sats: 99% ra general: 68 year-old male in no apparent distress heent: normocephalic, weak voice at baseline card: rrr normal s1,s2 no murmur resp: decreased breath sounds otherwise clear gi: obese, abdomen soft non-tender extr:warm 1+ edema incision: sternal and lle clean dry intact neuro: awake, alert oriented pertinent results: echo: pre-cpb:1. the left atrium is normal in size. no spontaneous echo contrast is seen in the left atrial appendage. no thrombus is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. there is a lipomatous intraatrial septum (normal varient) 3. left ventricular wall thicknesses and cavity size are normal. 4. right ventricular chamber size and free wall motion are normal. 5. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. there is no aortic valve stenosis. no aortic regurgitation is seen. 7. the mitral valve appears structurally normal with trivial mitral regurgitation. dr. was notified in person of the results. post-cpb: on infusion of phenylephrine. a pacing for slow sinus with first degree av block. preserved biventricular systolic function with lvef = 65%. mr is 1+. the aortic contour is normal post decannulation. cxr: : lateral view shows a small layering right pleural effusion and a retrosternal air and fluid collection which would not be visible on prior frontal bedside films and are probably not clinically significant as this is early after surgery. the heart size is top normal, increased slightly since the earlier postoperative studies, but the pulmonary vasculature is normal and there is no edema. subsegmental atelectasis at the right lung base is also unlikely to be of any clinical significance. wbc-10.5 rbc-3.26* hgb-10.3* hct-30.3* mcv-93 mch-31.6 mchc-34.0 rdw-12.7 plt ct-262 wbc-19.3*# rbc-3.78* hgb-11.5* hct-34.9* mcv-92 mch-30.6 mchc-33.1 rdw-12.4 plt ct-216 glucose-128* urean-17 creat-0.8 na-135 k-4.6 cl-97 hco3-30 urean-17 creat-0.9 na-136 k-4.2 cl-108 hco3-25 angap-7* mg-2.3 brief hospital course: mr. was a same day admit after undergoing pre-operative work-up as an outpatient. on he was brought to the operating room where he underwent a coronary artery bypass graft x 2. please see operative report for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. later this day he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one he was started on beta-blocker and diuretics and diuresed towards his pre-op weight. later this day he was transferred to the step-down unit for further recovery. chest tubes and epicardial pacing wires were removed per protocol. he worked with physical therapy for strength and mobility. he continued to make good progress with no setbacks and was discharged home . medications on admission: aspirin 325mg daily plavix 75mg daily toprol xl 50mg daily viagra 50mg prn lisinopril 40mg daily zocor 40mg daily famotidine 20mg daily metformin er 500mg twice daily folic acid daily discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*60 tablet(s)* refills:*0* 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 7. famotidine 20 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 8. metformin 500 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po twice a day. disp:*60 tablet extended rel 24 hr(s)* refills:*2* 9. metoprolol succinate 50 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po twice a day. disp:*60 tablet extended release 24 hr(s)* refills:*2* 10. furosemide 40 mg tablet sig: one (1) tablet po once a day. disp:*10 tablet(s)* refills:*1* 11. potassium chloride 10 meq tablet extended release sig: one (1) tablet extended release po once a day for 10 days. disp:*10 tablet extended release(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 2 past medical history: - s/p multiple stents and angioplasty - non-insulin dependent diabetes mellitus - hyperlipidemia - hypertension - erectile dysfunction - obesity - s/p supraglottic laryngectomy - squamous cell cancer - s/p appendectomy discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema 1+ 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **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 provider: care nurse phone: date/time: 10:00 location: building surgeon: dr. phone: date/time: 1:45 location: building cardiologist: needs referral please call to schedule appointments with your primary care physician once you are established 4-5 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 one coronary artery diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled personal history of tobacco use percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia other and unspecified angina pectoris family history of ischemic heart disease obesity, unspecified personal history of malignant neoplasm of larynx dysphonia 

Answer: The patient is high likely exposed to