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: angina major surgical or invasive procedure: coronary artery bypass x 3 (lima-lad, svg-om1, om2) history of present illness: this gentleman has a past cardiac history that includes: : cardiac catheterization at and women??????s with successful ptca and stenting of the distal lcx and ptca of the om1. : cardiac catheterization at and women??????s where he had rotablade/stenting of the lcx. the om1 was jailed at the time and successfully angioplastied. : cardiac catheterization at and women??????s for recurrent angina. the lcx stent was widely patent; there was a 50% lesion in the diag-1, a 30% stenosis in the proximal lcx, and complete occlusion of the om branch that took off at the level of the lcx stent. : cardiac catheterization where he was noted to have 90% mid rca stenosis and 95% distal stenosis. he had successful placement of 3 stents to the rca. : cardiac catheterization as part of a research protocol to assess progression of cad with ivus, also at and women??????s, and was found to have a 30% lmca lesion, a 30% proximal lad stenosis, a 40% ostial lcx lesion and a 20% ostial rca lesion. he had a whipple procedure in for a pancreatic mass that was found to be benign. he has had several surveillance stress tests since his last cardiac catheterization where he has been able to exercise 12-13 minutes and has had 1-1. depression. he was seen in cardiology follow up with dr. on where he reported burning between his shoulder blades while playing golf. referred for a stress test but went home and attempted to exercise himself on a treadmill. developed burning between his shoulder blades and bilateral arm pain from the elbows to the shoulders prompting him to call dr. and was seen in a repeat office visit on . he underwent an exercise stress test on where he was only able to exercise 6 minutes with reproduction of the burning between his shoulder blades at five minutes and he had depression in the inferolateral leads. his chest discomfort was relieved with nitroglycerin and he is now referred for cardiac catheterization. the patient reports burning pain between his shoulder blades with inclines such as walking a while golfing. he has also noticed a decrease in exercise tolerance and is more easily fatigued. he denies shortness of breath, diaphoretic, nausea, or syncope but notices occasional dizziness. past medical history: coronary artery disease, s/p cabg this admission pmh: s/p multiple coronary stents s/p whipple for benign pancreatic mass hypertension hyperlipidemia gastroesophageal reflux disease s/p tonsillectomy and adenoidectomy s/p cholecystectomy s/p left eye injury s/p meningitis as an infant social history: mother with diverticulitis and irritable bowel syndrome. he is unaware of his father's medical history family history: he is retired. he worked for the and then in the insurance industry. he has cups of decaffeinated coffee a day and averages of alcoholic beverage a day. he drinks caffeine-free diet coke on occasion. he walks routinely. he has never smoked cigarettes. physical exam: physical exam t 97 pulse:53 sr resp: 16 o2 sat: 99% ra b/p right: 142/85 left: height: 5'.5" weight:178 lbs general:nad 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 + trans abdominal scar from whipple well healed extremities: warm , well-perfused no edema varicosities: none neuro: grossly intact pulses: femoral right: 2+ -cath site left:2+ dp right: 2+ left:2+ pt : 2+ left:2+ radial right: 2+ left:2+ carotid bruit right: none left: none pertinent results: 03:12am blood wbc-13.1* rbc-3.27* hgb-10.1* hct-29.4* mcv-90 mch-31.0 mchc-34.5 rdw-13.2 plt ct-155 01:49pm blood wbc-10.9 rbc-3.37* hgb-10.5* hct-30.8* mcv-92 mch-31.3 mchc-34.2 rdw-12.9 plt ct-136* 01:49pm blood pt-15.1* ptt-36.9* inr(pt)-1.3* 03:12am blood glucose-122* urean-11 creat-0.8 na-137 k-4.2 cl-104 hco3-22 angap-15 03:12am blood mg-1.8 05:00am blood wbc-7.7 rbc-3.50* hgb-10.6* hct-32.2* mcv-92 mch-30.3 mchc-32.9 rdw-12.9 plt ct-200 05:00am blood plt ct-200 01:49pm blood pt-15.1* ptt-36.9* inr(pt)-1.3* 05:00am blood glucose-153* urean-10 creat-1.0 na-138 k-4.0 cl-98 hco3-32 angap-12 05:00am blood mg-2.1 the left atrium and right atrium are normal in cavity size. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild global left ventricular hypokinesis. overall left ventricular systolic function is mildly depressed (lvef= 40 %). there is no ventricular septal defect. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. post-bypass: there is no change to the lv size or function, rv size or function, or valve function. there is no aortic dissection. , p m 69 radiology report chest (pa & lat) study date of 1:34 pm , csurg fa6a 1:34 pm chest (pa & lat) clip # reason: f/u atx, effusion, sternal integrity findings: in comparison with previous images, there is no evidence of a vertical lucency in the region of the sternum at this time. atelectatic changes persist at the bases, more prominent on the left. bilateral pleural effusions persist. dr. brief hospital course: the patient was admitted and brought to the operating room on where he underwent coronary artery bypass x3 as detailed in the operative report. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for monitoring and recovery. he did well in the immediate post operative period and was extubated. on pod1 he was alert and oriented and breathing comfortably. he was neurologically intact and hemodynamically stable on no inotropic or vasopressor support, he was transferred to the telemetry floor on pod 1. beta blockers were initiated and the patient was diuresed toward his preoperative weight. chest tubes and pacing wires were discontinued without complication. the physical therapy service was consulted for post-operative strength and mobility. post-op course was uneventful and the patient was discharged to home with vna services and appropriate follow up instructions on pod 4. medications on admission: plavix 75', motrin 800/prn, prevacid 20', lisinopril 20', simvastatin 20', asa 325', 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, chewable sig: one (1) tablet, chewable po daily (daily). disp:*30 tablet, chewable(s)* refills:*2* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every six (6) hours as needed for pain. disp:*50 tablet(s)* refills:*0* 4. simvastatin 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 7. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 10 days. disp:*10 tablet(s)* refills:*0* 8. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day: resume preop dosing schedule. discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease, s/p cabg this admission pmh: s/p multiple coronary stents s/p whipple for benign pancreatic mass hypertension hyperlipidemia gastroesophageal reflux disease s/p tonsillectomy and adenoidectomy s/p cholecystectomy s/p left eye injury s/p meningitis as an infant discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month, and while taking narcotics no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr. in 4 weeks () dr. , a. in 1 week dr. in weeks please call for appointments wound check appointment 6 as instructed by nurse () md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension other b-complex deficiencies other and unspecified hyperlipidemia other and unspecified angina pectoris 

Answer: The patient is high likely exposed to