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: exertional dyspnea major surgical or invasive procedure: coronary artery bypass grafting x2 with left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the ramus intermedius history of present illness: patient presented with increasing dyspnea, given multiple cardiac risk factors had ett which was positive past medical history: coronary artery disease, hypertension, diabetes mellitus type 2, hyperlipidemia, gout end stage renal disease on hemodialysis x2 years(m-w-f)dr is nephrologist. **awaiting renal transplant** social history: lives with: wife occupation: retired from tobacco: cigar 1/wk etoh: none drugs: none family history: both parents w/mi mother died @66, father died @72. sister colon ca, sister-leukemia, brother prostate ca, physical exam: pulse: 72 resp: 20 o2 sat: b/p right: 122/66 left: deferred av fistula height: 5'8" weight: 125.2 kg 258 lbs general: nad-obese 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 mild neuro: grossly intact, non focal exam pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ left av fistula with thrill carotid bruit right: no left: yes pertinent results: 05:22am blood wbc-10.7 rbc-3.49* hgb-11.2* hct-34.6* mcv-99* mch-32.1* mchc-32.3 rdw-15.0 plt ct-274 06:45pm blood pt-13.3 ptt-28.3 inr(pt)-1.1 09:20am blood glucose-217* urean-47* creat-7.0*# na-136 k-5.0 cl-94* hco3-29 angap-18 05:22am blood glucose-136* urean-59* creat-8.7*# na-133 k-5.6* cl-92* hco3-26 angap-21* 09:20am blood calcium-9.7 phos-6.4*# mg-2.6 05:22am blood calcium-9.7 phos-9.3*# mg-2.5 brief hospital course: the patient was brought to the operating room on where the patient underwent coronary artery bypass x 4. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. vancomycin was used for surgical antibiotic prophylaxis. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. he was maintained on his regular m/w/f hemodialysis schedule. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. he did have several episodes of rate controlled atrial fibrillation. his beta-blocker was titrated and amiodarone was initiated. anti-coagulation was initiated with coumadin. by the time of discharge on pod 5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home in good condition with appropriate follow up instructions. medications on admission: metoprolol 25", lisinopril 40', amlopidine 10', asa 81', clonidine 0.2 @hs/prn, pravastatin 40', allopurinol 100', colchicine 0.6', actos 45', nephrocaps 1', phoslo 667''', hydrocortisone 12.5' discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. pravastatin 20 mg tablet sig: two (2) tablet po daily (daily). 4. allopurinol 100 mg tablet sig: one (1) tablet po daily (daily). 5. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily) as needed for acute gout flair. 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 7. pioglitazone 45 mg tablet sig: one (1) tablet po once a day. 8. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 9. calcium acetate 667 mg capsule sig: one (1) capsule po tid w/meals (3 times a day with meals). 10. hydrocortisone 5 mg tablet sig: 2.5 tablets po daily (daily). 11. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*135 tablet(s)* refills:*2* 12. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 13. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 14. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg x 1 week, then 400mg daily x 1 week, then 200mg daily. disp:*120 tablet(s)* refills:*2* 15. warfarin 3 mg tablet sig: one (1) tablet po once a day: dose to change daily for goal inr for atrial fibrillation. first inr with results to cardiac surgery . disp:*30 tablet(s)* refills:*2* 16. outpatient lab work serial pt/inr dx: atrial fibrillation goal inr results to cardiac surgery 1st draw tues. discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease, hypertension, diabetes mellitus type 2, hyperlipidemia, gout end stage renal disease on hemodialysis x2 years(m-w-f)dr is nephrologist. **awaiting renal transplant** discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks 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: dr. in 3 weeks at for wound check and post-op follow-up : dr. in 3 weeks dr. in 2 weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** **first inr draw , results to cardiac surgery ** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery hemodialysis (aorto)coronary bypass of one coronary artery diagnoses: hyperpotassemia anemia in chronic kidney disease end stage renal disease renal dialysis status coronary atherosclerosis of native coronary artery intermediate coronary syndrome diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia awaiting organ transplant status examination of participant in clinical trial family history of malignant neoplasm of gastrointestinal tract nephritis and nephropathy, not specified as acute or chronic, with unspecified pathological lesion in kidney family history of leukemia 

Answer: The patient is high likely exposed to