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: shellfish derived attending: chief complaint: dyspnea on exertion major surgical or invasive procedure: coronary artery bypass grafting x4, left internal mammary artery to left anterior descending coronary artery; reverse saphenous vein single graft from to first diagonal coronary artery; reverse saphenous vein single graft from to the distal right coronary artery; reverse saphenous vein single graft from to posterior descending coronary artery. history of present illness: 63m with multiple cardiac risk factors who has experienced doe x 6 months and recently developed exertional chest discomfort. stress test was abnormal and he was referred for cardiac cath which revealed two vessel coronary artery disease. surgical evaluation is requested. past medical history: type 2 dm htn hypercholesterolemia osteoarthritis past surgical history colon polypectomy eye surgery x 2 appendectomy cholecystectomy social history: race: caucasian last dental exam: 4 months ago lives with: wife, has 3 grown children occupation: semi-retired,teaches at of so tobacco: never etoh: 1/month family history: mother with onset of cad in her 40's, s/p cabg twice. daughter diagnosed with hypercholesterolemia at age 5. brother had mi at the age of 49 physical exam: pulse: 69 resp: 17 o2 sat: 97%ra b/p right: left: 142/56 height: 5'" weight: 113.4 general: nad, wgwn, overweight white male, appears stated age 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: none neuro: grossly intact x pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right: left: no bruits pertinent results: 05:30am blood wbc-13.9* rbc-4.28* hgb-8.8* hct-27.8* mcv-65* mch-20.5* mchc-31.6 rdw-17.2* plt ct-163 11:35am blood wbc-18.0* rbc-4.01* hgb-8.2* hct-24.9* mcv-62* mch-20.5* mchc-32.9 rdw-16.0* plt ct-171 05:30am blood glucose-117* urean-49* creat-0.8 na-137 k-4.6 cl-102 hco3-26 angap-14 12:51pm blood urean-21* creat-0.8 na-142 k-3.9 cl-109* hco3-26 angap-11 echocardiography report , (complete) done at 10:26:17 am final referring physician information , c. , status: inpatient dob: age (years): 63 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: cabg icd-9 codes: 786.05, 786.51, 424.0 test information date/time: at 10:26 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 #: 2011aw1-: machine: us1 echocardiographic measurements results measurements normal range left ventricle - inferolateral thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: *5.7 cm <= 5.6 cm findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. left ventricle: overall normal lvef (>55%). right ventricle: normal rv systolic function. : normal ascending diameter. mildly dilated descending . simple atheroma in descending . aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: moderately thickened mitral valve leaflets. mild to moderate (+) mr. tricuspid valve: physiologic tr. pulmonic valve/pulmonary artery: physiologic (normal) 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. conclusions pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is normal (lvef>55%). with normal free wall contractility. the descending thoracic is mildly dilated. there are simple atheroma in the descending thoracic . the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are moderately thickened. mild to moderate (+) mitral regurgitation is seen. there is no pericardial effusion. post-cpb: the patient is a-paced, on no inotropes. preserved biventricular systolic fxn. no ai. trace mr. t. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 11:17 ?????? caregroup is. all rights reserved. brief hospital course: mr. was taken to the operating room and underwent coronary artery bypass grafting x4, left internal mammary artery to left anterior descending coronary artery; reverse saphenous vein single graft from to first diagonal coronary artery/rsvg from to the distal right coronary artery/rsvg from to posterior descending coronary artery with dr.. please see operative report for further details. cardiopulmonary bypass time=89 minutes. cross clamp time=72 minutes. pt tolerated the procedure well and was transferred to the cvicu intubated and sedated. he awoke neurologically intact and was extubated without incident. all lines and drains were discontinued in a timely fashion. beta-blocker/statin/aspirin and diuresis were initiated. pod#1 he was transferred to the step down unit for further monitoring. physical therapy was consulted for evaluation of strength and mobility. he continued to progress and the remainder of his hospital course was essentially uneventful. on pod# 4 he was cleared by dr. for discharge to home. all follow up appointments were advised. medications on admission: medications - prescription ezetimibe-simvastatin ] - 10 mg-80 mg tablet - 1 tablet(s) by mouth daily insulin asp prt-insulin aspart - (prescribed by other provider) - 100 unit/ml (70-30) solution - 56 units twice a day sq lisinopril-hydrochlorothiazide - 20 mg-25 mg tablet - 1 tablet(s) by mouth daily metformin - (prescribed by other provider) - 1,000 mg tablet - 1 tablet(s) by mouth twice a day metoprolol succinate - 25 mg tablet sustained release 24 hr - 1 tablet(s) by mouth daily prednisone - 20 mg tablet - 2 tablet(s) by mouth twice a day pm and am (**prophylaxis in setting of shellfish allergy**) sitagliptin - 100 mg tablet - 1 tablet(s) by mouth daily medications - otc acetaminophen - (otc) - 500 mg tablet - 2 (two) tablet(s) by mouth twice a day prn aspirin - (prescribed by other provider) - 81 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth daily blood sugar diagnostic - strip - as directed twice daily diphenhydramine hcl - (otc) - 25 mg capsule - 2 (two) capsule(s) by mouth at bedtime pm pre cardiac cath ranitidine hcl - (otc) - 75 mg tablet - 2 (two) tablet(s) by mouth twice a day pm and am pre cardiac cath discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 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:*50 tablet(s)* refills:*0* 5. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 6. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 7. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 10 days. disp:*10 tablet(s)* refills:*0* 10. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po daily (daily) for 10 days. disp:*10 tablet, er particles/crystals(s)* refills:*0* 11. insulin aspart 100 unit/ml cartridge sig: one (1) subcutaneous achs: per sliding scale. disp:*qs * refills:*2* 12. sitagliptin 100 mg tablet sig: one (1) tablet po once a day: resume preop regimen. discharge disposition: home with service facility: discharge diagnosis: primary: coronary artery disease s/p cabg x4 secondary: type 2 dm htn hypercholesterolemia osteoarthritis past surgical history colon polypectomy eye surgery x 2 appendectomy cholecystectomy discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesia incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema 1+ (b) 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 surgeon: , md phone: date/time: at 1:00 pm provider , md phone: date/time: at 9:20 cardiologist: please call to schedule appointments in weeks with your pcp: , . **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** 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 pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled osteoarthrosis, unspecified whether generalized or localized, site unspecified family history of ischemic heart disease chronic total occlusion of coronary artery personal history of colonic polyps 

Answer: The patient is high likely exposed to