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: 1.coronary artery bypass grafting x4 with the left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to the first obtuse marginal artery, second obtuse marginal artery, and diagonal artery. 2. mitral valve repair with a medtronics cg future annuloplasty ring, size 28 mm, model #638r. history of present illness: this is a 63-year-old male with a non-st-elevation myocardial infarction back in 08/. he had ventricular fibrillatory arrest and was defibrillated and intubated. the outside echocardiogram showed anterior hypokinesis and a large left ventricular thrombus. the hypothermic protocol was initiated and he was transferred to where he underwent a cardiac catheterization and left anterior descending artery stent was placed. he had arrested multiple times which required cpr and defibrillation. he is on maximum pressors and intra- aortic balloon pump was inserted. eventually a tandem heart was inserted. he recovered from this incident and was discharged on , and presents now with recurrent angina. he subsequently underwent a cardiac catheterization which demonstrated an 80% stenosis of his left main coronary artery and also a 50% mid stenosis of his left anterior descending artery. he had 30% of his right coronary artery. his echocardiogram demonstrated mild lesion or left ventricular systolic dysfunction with hypokinesis of the mid and distal anterior septal and inferior septal segments. he had trivial mitral regurgitation. dr. was consulted for coronary artery bypass. he also had developed a right groin pseudoaneurysm which had been stable, and vascular surgery was consulted who felt that this could be managed electively past medical history: anxiety attacks gerd seizures htn social history: married, wife . - history: unknown -etoh: recent heavy use -illicit drugs: unknown family history: pt unable to provide physical exam: admission physical exam pulse:57 resp:17 o2 sat:96/ra b/p right:118/61 left: 128/72 height: 5'" weight:169 lbs general: 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 varicosities: none neuro: grossly intact pulses: femoral right: left: dp right: left: pt : left: radial right: left: carotid bruit right: left: pertinent results: 04:46am blood wbc-19.3* rbc-3.49* hgb-10.7* hct-30.4* mcv-87 mch-30.7 mchc-35.2* rdw-16.2* plt ct-128* 06:58pm blood wbc-7.8 rbc-4.14* hgb-12.3* hct-38.2* mcv-92 mch-29.6 mchc-32.1 rdw-15.2 plt ct-182 02:54pm blood pt-15.1* ptt-44.1* inr(pt)-1.3* 06:58pm blood pt-27.3* ptt-150* inr(pt)-2.7* 04:46am blood glucose-104* urean-14 creat-0.9 na-139 k-4.2 cl-108 hco3-24 angap-11 06:58pm blood glucose-100 urean-12 creat-1.1 na-144 k-4.8 cl-107 hco3-30 angap-12 echocardiography report , (complete) done at 11:56:04 am final referring physician information , - department of cardiac s , 2a , status: inpatient dob: age (years): 63 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: chest pain. coronary artery disease. left ventricular function. mitral valve disease. preoperative assessment. icd-9 codes: 414.8, 424.0, 424.2 test information date/time: at 11:56 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 #: 2010aw2-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 1.1 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 1.0 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.5 cm <= 5.6 cm left ventricle - ejection fraction: 35% to 45% >= 55% aorta - annulus: 1.9 cm <= 3.0 cm aorta - sinus level: 2.8 cm <= 3.6 cm aorta - sinotubular ridge: 2.5 cm <= 3.0 cm aorta - ascending: 2.7 cm <= 3.4 cm aorta - descending thoracic: 1.9 cm <= 2.5 cm findings right atrium/interatrial septum: normal interatrial septum. no asd by 2d or color doppler. left ventricle: normal lv wall thickness. moderate regional lv systolic dysfunction. moderately depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending aorta diameter. aortic valve: mildly thickened aortic valve leaflets (3). trace ar. mitral valve: mildly thickened mitral valve leaflets. moderate (2+) mr. tricuspid valve: normal tricuspid valve leaflets. mild tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets. physiologic (normal) pr. 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. no tee related complications. results were regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions prebypass no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. there is moderate regional left ventricular systolic dysfunction with akinesis of the apex and distal anterior, inferior, septal and lateral wall. there is hypokinesis of the mid anteroseptal, ineferoseptal and inferior walls.. overall left ventricular systolic function is moderately depressed (lvef= 40 %). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. the mr and increased to 3+ from probable mild ischemia. after treatment the mr decreased to less than 2+ dr. was notified in person of the results. the pt is receiving epinephrine at 0.02 uck/kg/min there is a slight improvement in lv function in the presence of inotropes. rwma's persist however the base of the heart is more hyperdynamic. there is a well seated ring prosthesis in the mitral position. mr is no longer visualized. the remaining study is unchanged from prebypass. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 13:21 ?????? caregroup is. all rights reserved. brief hospital course: mr. was taken to the operating room and underwent coronary artery bypass grafting x4 with the left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to the first obtuse marginal artery, second obtuse marginal artery, and diagonal artery. mitral valve repair with a medtronics cg future annuloplasty ring, size 28 mm, with dr.. please refer to operative report for further details. he tolerated the procedure well and was transferred to the cvicu intubated and sedated in critical but stable condition. he awoke neurologically intact, extubated and was weaned off pressors. beta-blocker/statin/asa and diuresis were initiated. on pod 2 he was transferred to the step down unit for further monitoring. physical therapy was consulted for evaluation of strength and mobility. it was felt that the patient would benefit from a short rehab stay. he was thrombocytopenic and plavix was discontinued. a heprain induced thrombocytopenia assay was negative. he was discharged to on postoperative day 4. he will follow-up with dr. and dr. as an outpatient. an appointment has also been made for for him to follow-up with dr. regarding his femoral pseudoaneurysm. medications on admission: medications at home: amiodarone - (prescribed by other provider) - 200 mg tablet - 1 tablet(s) by mouth daily (daily) atorvastatin - (prescribed by other provider) - 80 mg tablet - 1 tablet(s) by mouth daily (daily) clopidogrel - (prescribed by other provider) - 75 mg tablet - 1 tablet(s) by mouth daily (daily) take every day with aspirin for at least one month, do not stop taking unless dr. says it is ok duloxetine - (prescribed by other provider) - 20 mg capsule, delayed release(e.c.) - 2 capsule(s) by mouth twice a day folic acid - (prescribed by other provider) - 1 mg tablet - 1 tablet(s) by mouth once a day levetiracetam - (prescribed by other provider) - 500 mg tablet - 1 tablet(s) by mouth twice a day metoprolol succinate - (prescribed by other provider) - 25 mg tablet sustained release 24 hr - 1 tablet(s) by mouth daily (daily) valsartan - (dose adjustment - no new rx) - 40 mg tablet - 1 tablet(s) by mouth daily warfarin - (prescribed by other provider) - 5 mg tablet - 1 tablet(s) by mouth once daily at 4 pm goal inr 2.0-3.0 aspirin - (prescribed by other provider) - 325 mg tablet - 1 tablet(s) by mouth daily (daily) calcium carbonate - (prescribed by other provider) - 200 mg (500 mg) tablet, chewable - 1 tablet(s) by mouth three times a day give with meals thiamine hcl - (prescribed by other provider) - 100 mg tablet - 1 tablet(s) by mouth daily (daily) --------------- --------------- --------------- --------------- plavix - last dose: 75mg 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. atorvastatin 80 mg tablet sig: one (1) tablet po at bedtime. 4. duloxetine 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po bid (2 times a day). 5. levetiracetam 500 mg tablet sig: one (1) tablet po bid (2 times a day). 6. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). 7. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). 9. lasix 40 mg tablet sig: one (1) tablet po once a day for 7 days. 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. 11. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. discharge disposition: extended care facility: discharge diagnosis: 1. coronary artery disease. 2. mitral regurgitation past medical history hyperlipidemia, hypertension coronary aretery disease s/p lad stent andvfib arrest anxiety attacks gerd seizures- last one 10 years ago migraine afib s/p cardioversion past surgical history s/p knee arthroscopy s/p laser eye surgery discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. discharge instructions: 1)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 2)please no lotions, cream, powder, or ointments to incisions 3)each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart 4)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 5)no lifting more than 10 pounds for 10 weeks 6)lasix and potassium daily for 7 days then re-evaluate. monitor and replete electrolytes while on lasix. 7)please call with any questions or concerns **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: dr. 1:00pm cardiologist: , md phone: date/time: 2:40 follow-up with dr. . surgery scheduled for for repair of pseudoaneurysm. please call to schedule appointments with your primary care dr. , m. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** other scheduled appointments: provider: xray (scc 2) phone: date/time: 10:40 provider: clinic phone: date/time: 11:00 procedure: venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization annuloplasty diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome mitral valve disorders unspecified essential hypertension percutaneous transluminal coronary angioplasty status constipation, unspecified anxiety state, unspecified peripheral vascular complications, not elsewhere classified cardiac catheterization as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure migraine, unspecified, without mention of intractable migraine without mention of status migrainosus localization-related (focal) (partial) epilepsy and epileptic syndromes with complex partial seizures, without mention of intractable epilepsy unspecified analgesic and antipyretic causing adverse effects in therapeutic use aneurysm of artery of lower extremity drug-induced psychotic disorder with hallucinations 

Answer: The patient is high likely exposed to