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: relatively asymptomatic major surgical or invasive procedure: opcabg x1 (lima to lad) history of present illness: 77 yo male with prior mi in incx territory. had des to lad and cx at that time. recent cardiolite scan showed infero-apical ischemia with ef 58%. cath revealed lad/diag dz. referred for cabg. past medical history: cad htn elev. lipids niddm mi (cypher stents lad and cx) pvd bil. carotid dz s/p right cea hypothyroidism social history: retired lives with girlfriend 75 pack/year hx; quit quit etoh 45 years ago family history: nc physical exam: 5'" 160# hr 68 reg rr14 right 184/82 left 184/82 nad psoriaticplaques bil. knees heent unremarkable neck supple, full rom, no carotid bruits ctab rrr, no murmur soft, nt, nd, + bs; midline scar well-healed warm, well-perfused no varicosities or edema noted neuro grossly intact 2+ bil. fems/dp/pt/radials/carotids pertinent results: conclusions pregraft the left atrium is dilated. 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. there is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (lvef>55%). the right ventricular cavity is moderately dilated there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on at 1330hours. postgraft: preserved biventricular systolic function. lvef 55%. mild to moderate tr. no regional wall motional abnormalities. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 16:08 ?????? caregroup is. all rights reserved. 07:34pm blood wbc-13.2* rbc-3.34* hgb-10.7* hct-31.0* mcv-93 mch-31.9 mchc-34.4 rdw-13.1 plt ct-204 03:43pm blood wbc-17.0*# rbc-4.19* hgb-13.4* hct-36.8* mcv-88 mch-32.0 mchc-36.4* rdw-13.5 plt ct-255 03:14am blood pt-14.6* ptt-30.7 inr(pt)-1.3* 03:43pm blood pt-14.6* ptt-26.8 inr(pt)-1.3* 07:34pm blood glucose-135* urean-23* creat-1.2 na-138 k-4.4 cl-106 hco3-22 angap-14 02:00am blood glucose-114* urean-12 creat-1.0 na-139 k-4.7 cl-113* hco3-20* angap-11 , m 77 radiology report chest (portable ap) study date of 9:42 pm , r. csurg csru sched chest (portable ap) clip # reason: s/p cabg w/hypoxia-r/o ptx/effusion medical condition: 77 year old man with reason for this examination: s/p cabg w/hypoxia-r/o ptx/effusion provisional findings impression: pss fri 1:11 pm pfi: mild bibasilar atelectasis and small left pleural effusion unchanged since earlier on . heart size is top normal. no pneumothorax. final report ap chest, 09:55 p.m. history: cabg. hypoxia. impression: ap chest compared to and :23 p.m. relatively mild bibasilar atelectasis unchanged since earlier in the day or . pleural effusion, if any, is minimal, on the left following removal of left pleural tube. heart is top normal size, though increased since . right lung clear. * dr. approved: fri 1:57 pm imaging lab brief hospital course: admitted and underwent surgery with dr. . transferred tothe cvicu in stable condition on phenylephrine and propofol drips. extubated on the morning of pod #1. chest tubes and pacing wires removed on pod #2. went into a fib and coumadin started. amio was bolused and and a drip was started. several hours later his heart rate blocked down to the upper 40s, bp stable. amio was discontinued and over the next several days the beta-blocker was optimized as hr and bp would tolerate. he was transferred to the floor on pod #3 to begin increasing his activity level. the remainder of his postoperative course was essentially uneventful. on pod #7 it was felt that he was ready for discharge to home with vna. dr office was contact and to follow mr. inr and coumadin dosing for 1 month, inr goal 2.0 for in/out of afib postoperatively. all necessary follow up appointments were instructed. medications on admission: asa 325 mg daily levoxyl 125 mcg daily lipitor daily lopressor every third day metformin 500 mg diovan 160 mg daily plavix 75 mg daily discharge medications: 1. aspirin 81 mg , delayed release (e.c.) sig: one (1) , delayed release (e.c.) po daily (daily). disp:*30 , delayed release (e.c.)(s)* refills:*0* 2. atorvastatin 40 mg sig: one (1) po hs (at bedtime). disp:*30 (s)* refills:*0* 3. levothyroxine 125 mcg sig: one (1) po daily (daily). disp:*30 (s)* refills:*0* 4. metformin 500 mg sig: one (1) po bid (2 times a day). disp:*60 (s)* refills:*0* 5. metoprolol tartrate 25 mg sig: 0.5 po bid (2 times a day). disp:*30 (s)* refills:*0* 6. furosemide 20 mg sig: one (1) po once a day for 3 days. disp:*3 (s)* refills:*0* 7. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 8. ranitidine hcl 150 mg sig: one (1) po daily (daily). disp:*30 (s)* refills:*0* 9. ibuprofen 400 mg sig: one (1) po q6h (every 6 hours) as needed. disp:*120 (s)* refills:*0* 10. propoxyphene n-acetaminophen 100-650 mg sig: tablets po q4h (every 4 hours) as needed. disp:*45 (s)* refills:*0* 11. warfarin 1 mg sig: md once daily at 4 pm: **as md orders. disp:*60 (s)* refills:*0* 12. warfarin 2 mg sig: one (1) po once (once) for 1 days: tonight . disp:*30 (s)* refills:*0* 13. albuterol 90 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours) as needed: for wheezing. disp:*1 * refills:*0* 14. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 3 days. disp:*3 tab sust.rel. particle/crystal(s)* refills:*0* 15. plavix 75 mg sig: one (1) po once a day. disp:*30 (s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: cad s/p opcabg x1 htn elev. lipids niddm mi (cypher stents lad and cx) pvd bil. carotid dz s/p right cea hypothyroidism postop a fib discharge condition: good discharge instructions: no lotions, creams or powders on any incision shower daily and pat incision dry call for fever greater than 100.5, redness or drainage no lifting greater than 10 pounds for 10 weeks no driving for one month and until off all narcotics followup instructions: see dr. in weeks see dr. in 4 weeks procedure: single internal mammary-coronary artery bypass diagnoses: abnormal coagulation profile anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled unspecified acquired hypothyroidism atrial fibrillation peripheral vascular disease, unspecified personal history of tobacco use percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia old myocardial infarction hypoxemia phlebitis and thrombophlebitis of upper extremities, unspecified other nonspecific abnormal results of function study of cardiovascular system 

Answer: The patient is high likely exposed to