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: statins-hmg-coa reductase inhibitors attending: addendum: discharge summary ammended to read that surgery undertaken on was coronary artery disease s/p cornary artery bypass graftx4 (lima-lad, svg to diagonal, obtuse marginal, posterior diagonal). chief complaint: chest pain major surgical or invasive procedure: coronary artery disease s/p cornary artery bypass graftx4 (lima-lad, svg to diagonal, obtuse marginal, posterior diagonal history of present illness: 53 year old male with progressive anginal symptoms (chest pain with walking) and history of coronary disease. in he had a st elevation myocardial infarction which was treated with tnk and received a bare metal stent in the lad. in he underwent placement of drug-eluting cypher stents in the diagonal branch of lad, proximal circumflex and distal rca. he has also undergone ballon angioplasty of totally occluded distal circumflex. he has done well until recently developing symptoms and stress test in revealed new area of inferoseptal ischemia. cath revealed three vessel coronary disease and he was referred for surgical management. past medical history: past medical history -coronary artery disease with st elevation myocardial infarction (bare-metal stent in lad) and cypher stents to diagonal branch of lad, prox circumflex, distal rca and ptca of totally occluded lcx in -hyperlipidemia -right knee pain with torn acl past surgical history: -right knee surgery social history: race: caucasian last dental exam: 1 month ago lives with: wife (divorced after 20 years and remarried) occupation: engineer with ge tobacco: never smoked etoh: occ. use (/wk) family history: family history: father died of mi at age 51. physical exam: pulse: 59 resp: 16 o2 sat: 99% b/p right: 124/85 left: 132/88 height: 6'2" weight: 265 lbs general: well-developed male in no acute distress skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema: none varicosities: superficial bilateral neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right/left: none pertinent results: echocardiography report , (complete) done at 3:36:38 pm preliminary referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 53 m hgt (in): 75 bp (mm hg): 100/80 wgt (lb): 260 hr (bpm): 50 bsa (m2): 2.46 m2 indication: coronary artery disease icd-9 codes: 402.90 test information date/time: at 15:36 interpret 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 #: 2010aw04-: machine: echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.6 cm <= 4.0 cm left atrium - four chamber length: 4.6 cm <= 5.2 cm left ventricle - septal wall thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.0 cm <= 5.6 cm left ventricle - ejection fraction: 45% >= 55% left ventricle - stroke volume: 49 ml/beat left ventricle - cardiac output: 2.47 l/min left ventricle - cardiac index: *1.00 >= 2.0 l/min/m2 aorta - ascending: 3.4 cm <= 3.4 cm aortic valve - peak velocity: 1.0 m/sec <= 2.0 m/sec aortic valve - lvot vti: 13 aortic valve - lvot diam: 2.2 cm findings left atrium: normal la size. no spontaneous echo contrast or thrombus in the la/laa or the ra/raa. right atrium/interatrial septum: normal ra size. pfo is present. left-to-right shunt across the interatrial septum at rest. left ventricle: mild symmetric lvh. normal lv cavity size. mild regional lv systolic dysfunction. mildly depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. focal calcifications in aortic root. normal ascending aorta diameter. focal calcifications in ascending aorta. normal aortic arch diameter. focal calcifications in aortic arch. normal descending aorta diameter. focal calcifications in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. no mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: no pericardial effusion. 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. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. the patient appears to be in sinus rhythm. resting bradycardia (hr<60bpm). results were personally reviewed with the md caring for the patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-bypass: the left atrium is normal in size. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with focalities in the inferior wall. overall left ventricular systolic function is mildly depressed (lvef= 45 %). right ventricular chamber size and free wall motion are normal. there are focal calcifications in the aortic arch. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. no mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on mr. before cpb. post_bypass: 1. preserved biventricular systolic function 2. intact aorta 3. no other change i certify that i was present for this procedure in compliance with hcfa regulations. interpretation assigned to , md, interpreting physician brief hospital course: mr. was admitted on and taken to the operating room for revascularization. see operative note for details. immediately post-operatively he remained intubated and was admitted to the icu for ongoing post-operative care. he awoke neurologically intact was weaned from the ventilator and extubated on the evening of pod#0. he remained hemdynamically stable and was started on betablocker, lasix and statin therapy. he was transferred to the step down unit for ongoing post-operative care. his lasix was discontinued due to autodiuresis. his chest tubes and temporary pacing wired were removed per protocol. lopressor was titrated up. mr. was evaluated by physical therapy for strength and conditioning. at the time of discharge he was tolerating a full oral diet, his incisions were healing well and he was ambulating well. he was cleared for discharge to home with visiting nurse services by dr. on pod#4. medications on admission: plavix 75mg qd (stopped 2 weeks ago) aspirin81 mg qd lisinopril 2.5mg qd toprol xl 50mg qd lopid 600mg multivitamins plavix - last dose: stopped 2 weeks ago discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 4. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever. 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 7. propoxyphene n-acetaminophen 100-650 mg tablet sig: tablets po q6h (every 6 hours) as needed for pain: do not exceed six tablets in 24 hours. disp:*30 tablet(s)* refills:*0* 8. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*20 tablet(s)* refills:*0* 9. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease -s/p multiple stents and now coronary artery bypass graftx4 (lima-lad, svg to diagonal, obtuse marginal, posterior diagonal; hyperlipidemia, right knee surgery discharge condition: alert and oriented ambulatory pain controlled with darvocet/ultram prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your 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 with any questions or concerns followup instructions: surgeon dr. in 4 weeks please call to schedule appointments primary care dr. in weeks ( cardiologist dr in weeks ( wound check appointment - 6 () - your nurse will schedule md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia other and unspecified angina pectoris old myocardial infarction nausea alone other postprocedural status 

Answer: The patient is high likely exposed to