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: lipitor / codeine attending: chief complaint: fatigue with decreased activity major surgical or invasive procedure: coronary artery bypass graft x 4 (lima to lad, svg to om, svg to pda to plb) history of present illness: 67 y/o male with positive ett. underwent cath which revealed severe three vessel disease. referred for surgical intervention. past medical history: hypertension, diabetes mellitus, hypercholesterolemia, peripheral vascular disease, ?tia, s/p c-section social history: denies tobacco and etoh use. family history: non-contributory physical exam: vs: 70 14 188/70 62" 160lbs gen: 67 y/o obese female in nad skin: w/d intact heent: eomi, perrl nc/at neck: supple, from -jvd, -bruit lungs: ctab -w/r/r heart: rrr 1/6 early systolic abd: soft, nt/nd +bs ext: warm, well-perfused, 1+ edema neuro: a&o x 3, mae, non-focal pertinent results: echo: pre-bypass: 1. no atrial septal defect is seen by 2d or color doppler. 2. there is mild symmetric left ventricular hypertrophy. 3. overall left ventricular systolic function is normal (lvef>55%). 4. there are simple atheroma in the aortic root. there are simple atheroma in the ascending aorta. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. no aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. 7. trivial mitral regurgitation is seen. 8. the tricuspid valve leaflets are mildly thickened. there is mild tricuspid regurgitation. post-bypass: 1. preserved biventricular function. 2. aortic contours are intact. brief hospital course: ms. was a same day admit after undergoing all pre-operative work-up as an outpatient. on day of admission she was brought to the operating room where she underwent a coronary artery bypass graft x 4. please see operative report for surgical details. following surgery she was transferred to the csru for invasive monitoring in stable condition. she did require several blood transfusions for post-op bleeding and low hct. she was weaned from sedation within 24 hours, awoke neurologically intact and extubated. on post-op day one she was started on beta blockers and diuretics and gently diuresed towards her pre-op weight. on post-op day two her chest tubes were removed. on post-op day three she was transferred to the sdu for further care. she had episode of atrial fibrillation and was started on amiodarone with titration of beta blockers. she was also eventually started on coumadin and titrated to a therapeutic inr. on post-op day four she had sternal drainage and was started on antibiotics. stopped . she worked with physical therapy for strength and mobility during his entire post-op course. on post-op day eight she appeared suitable for discharge to home with vna services and the appropriate follow-up appointments. medications on admission: avapro 300mg qd, atenolol 25mg qd, felodipine 5mg qd, crestor 20mg qd, cilastalol 100mg , humulin, aspirin 325mg qd discharge medications: 1. 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* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 3. rosuvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*1* 5. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*1* 6. pletal 100 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*1* 7. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 8. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 2 weeks. disp:*28 capsule, sustained release(s)* refills:*0* 9. amiodarone 400 mg tablet sig: one (1) tablet po once a day for 7 days: tapering dose to qd after 5 days of 400 dosing. disp:*7 tablet(s)* refills:*0* 10. amiodarone 400 mg tablet sig: one (1) tablet po twice a day for 5 days: take this dose first. disp:*10 tablet(s)* refills:*0* 11. amiodarone 200 mg tablet sig: one (1) tablet po once a day: this will be your final dose. disp:*30 tablet(s)* refills:*2* 12. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 13. coumadin 2 mg tablet sig: one (1) tablet po at bedtime: take this dose for and . have inr checked and have results sent to your cardiologist before resuming. disp:*30 tablet(s)* refills:*2* 14. outpatient lab work cbc, inr please fax results to your cardiologist on tuesday discharge disposition: home with service facility: , discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 post-op atrial fibrillation pmh: hypertension, diabetes mellitus, hypercholesterolemia, peripheral vascular disease, ?tia, s/p c-section discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increasing pain. please contact surgeon ( with all wound issues. 2) please shower daily. you may wash incision and gently pat dry. you may have steri-strips on incisions which should fall off on their own. if still intact after 3 weeks, you mat remove them. no lotions, creams or powders to incision until it has healed. no swimming until wound has healed. use sunscreen on incision when out in sun after it has healed. 3) no lifting greater then 10 pounds for 10 weeks from the date of surgery. 4) no driving for 1 month. 5) report any fever greater then 100.5. 6) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 7) call with any questions or concerns. followup instructions: dr. in 4 weeks dr. in weeks dr. in weeks procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia urinary tract infection, site not specified unspecified essential hypertension atherosclerosis of native arteries of the extremities with intermittent claudication cardiac complications, not elsewhere classified atrial fibrillation hemorrhage complicating a procedure other and unspecified angina pectoris surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation osteoporosis, unspecified diabetes with ophthalmic manifestations, type ii or unspecified type, not stated as uncontrolled background diabetic retinopathy 

Answer: The patient is high likely exposed to