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: chest pain major surgical or invasive procedure: cardiac catheterization (), interventional cardiology : coronary artery bypass grafting x3, left internal mammary artery graft to left anterior descending, reverse saphenous vein up to the marginal branch and the posterior descending artery. history of present illness: 72yo man with htn and dm who presented to er with chest pain that occurred at rest. chest pain was associated with diaphoresis and mild shortness of breath. in the ed, patient's initial vs were 97.4 84 220/96 20 94% on bipap. the patient was started on bipap and was given ntg sl x 3 and started on ntg gtt. the patient was also given lasix 20mg iv x 1. the patient's ecg was in nsr and showed diffuse st depression with elevation in avr. patient was started on hep gtt and plavix loaded. past medical history: coronary artery disease, diabetes, dyslipidemia, hypertension, cri(1.7), rt arm atrophy social history: he smokes occasional cigars and does drink alcohol. patient enjoys fishing family history: mother: dm father: died of unknown causes physical exam: vs: 112/63, 67, 20, 97ra height: 5ft6in weight:175lbs general: nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally rales bases bilat heart: rrr irregular murmur-no abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: none varicosities: none neuro: grossly intact, nonfocal exam pulses: femoral right:2+(cath)left:2+ dp right:2+ left:2+ pt :2+ left:2+ radial right:2+ left:2+ carotid bruit right: no left: no pertinent results: labs on admission: wbc-8.7 rbc-4.60 hgb-13.8* hct-42.8 mcv-93 plt ct-192 neuts-54.5 lymphs-39.4 monos-4.3 eos-1.3 baso-0.6 pt-11.7 ptt-25.4 inr(pt)-1.0 glucose-410* urean-20 creat-1.7* na-137 k-4.0 cl-98 hco3-30 ck(cpk)-408* %hba1c-9.9* eag-237* ctropnt-0.04* probnp-424* ctropnt-0.04* ck-mb-39* mb indx-9.6* ctropnt-0.97* ck(cpk)-408* 09:11am blood hct-31.5* 04:46am blood wbc-13.4* rbc-3.63* hgb-11.0* hct-32.4* mcv-90 mch-30.4 mchc-34.0 rdw-14.7 plt ct-148* 09:11am blood glucose-205* urean-21* creat-1.0 na-134 k-4.2 cl-97 hco3-32 angap-9 04:56am blood urean-18 creat-1.0 k-3.8 reports: cardiac catheterization: 1. coronary angiography in this right-dominant system demonstrated three-vessel disease. the lmca had a 30% distal stenosis. the mid-lad had serial 90% stenoses. the lcx was patent, but a large first obtuse marginal branch had serial 90% stenoses. the rca had serial 90% stenoses in its proximal and middle portion. 2. limited resting hemodynamics revealed normal systemic arterial blood pressure. final diagnosis: 1. three-vessel coronary artery disease. . cxr pa/lat: diffuse perihilar opacities and vascular congestion have resolved. the cardiomediastinal silhouette is normal. there are no pleural effusions. chronic elevation of the right hemidiaphragm is stable since . . echo: overall left ventricular ejection fraction is normal (lvef 65%). however, the basal segment of the inferior wall and the apex are hypokinetic. right ventricular chamber size and free wall motion are normal. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. intra-op echo : prebypass no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on at 1030am. post bypass patient is on phenylephrine and is av paced. biventricular systolic function is unchanged. mild mitral regurgitation present. aorta is intact post decannulation. brief hospital course: the patient is a 72yo gentleman who presented to the ed with a hypertensive emergency and ruled in for nstemi by ekg and enzymes. cardiac cath revealed multi-vessel disease and cardiac surgery consultation was requested. the patient underwent the routine preoperative workup. he was taken to the operating room on where he underwent coronary artery bypass x3 lima-lad, svg to oobtuse marginal and svg to pda. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. vancomycin was used for surgical antibiotic prophylaxis. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. he was restarted on his preoperative medication lisinopril but at a lower dose given marginal systolic blood pressure in the 80's. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. was consulted for blood sugar management and his insulin regimen was changed to lantus. he is to follow up dr. as an outpatient for further adjustments in insulin. by the time of discharge on pod #5 the patient was ambulating with assistance, the wound was healing and pain was controlled with oral analgesics. the patient was cleared for discharge to rehab in good condition with appropriate follow up instructions. medications on admission: atenolol 100mg daily lipitor 40mg daily hctz 25mg twice weekly isosorbide 15mg daily lisinopril 40mg daily metformin er 1000mg once daily aspirin 81mg daily novolog (70-30) 33/17 discharge medications: 1. metformin 1,000 mg tablet extended rel 24 hr sig: one (1) tablet extended rel 24 hr po once a day. 2. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 3. lisinopril 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*65 tablet(s)* refills:*0* 5. 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* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 7. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 7 days. disp:*7 tablet(s)* refills:*0* 9. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po every twenty-four(24) hours for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 10. insulin glargine 100 unit/ml solution sig: one (1) 20 units subcutaneous q am. disp:*qs 1 month * refills:*0* 11. insulin glargine 100 unit/ml solution sig: one (1) 10 units subcutaneous q bedtime. disp:*qs 1 month * refills:*0* discharge disposition: extended care facility: - discharge diagnosis: coronary artery disease pmh: diabetes, dyslipidemia, hypertension, cri(1.7), right arm atrophy discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision clean and dry left leg harvest site clean and dry with intact steri strips. discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: surgeon dr. 1:15pm please call to schedule appointments primary care dr. , c. in weeks cardiologist dr. in weeks endocrinologist at dr wed at 11:00 am please call cardiac surgery if need arises for evaluation or readmission to hospital procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified pleural effusion congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified acute diastolic heart failure 

Answer: The patient is high likely exposed to