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: admitted for elective pci major surgical or invasive procedure: urgent two vessel coronary artery bypass grafting(vein graft to obtuse marginal, vein graft to posterior descending artery) on iabp cardiac catheterization history of present illness: this is an 81 year old male s/p elective cath at hospital on . this was done to assess symptoms of progressive dyspnea in the setting of a known dilated cmp (ef 15-20%) and positive nuclear ett. the preliminary findings revealed 85% prox lad, 80-90% mid rca stenosis and mild lcx disease with 60% om1 lesion. he was transferred to and underwent pci of lad with cypher stent x2 on . he returned today for planned rca pci. his cardiac history dates back to when he presented with pneumonia. after completing antibiotics, he had persistent dyspnea and required an additional admission in . he was found to be in chf. echo at that time revealed ef 15-20%, lv cavity dilation, moderate mr. has been followed by dr and dr medical management of heart failure. a follow up nuclear stress test done revealed mild global hypokinesis with an ef 33- 40%. imaging showed moderate inferior wall infarct with small territory of peri-infarct ischemia. clinically, he reports feeling mildly short at breath at both times during exertion and rest. he is able to complete most daily activities, but overall feels his energy level has dropped significantly since having pneumonia in . past medical history: coronary artery disease - s/p lad stenting, congestive heart failure, dilated cardiomyopathy, mitral regurgitation, hypertension, hyperlipidemia, s/p cataract surgery social history: lives independently. denies tobacco and etoh family history: denies premature cad physical exam: vitals: bp 100/50, hr 86, rr 23, sat 99% general: elderly male in no acute distress heent: oropharynx benign neck: supple, no jvd heart: regular rate, normal s1s2, soft systolic murmur lungs: clear bilaterally abdomen: soft, nontender, normoactive bowel sounds ext: warm, no edema, no varicosities pulses: 2+ distally neuro: nonfocal pertinent results: 11:30am glucose-123* na+-138 k+-4.2 02:20pm wbc-11.2* rbc-2.65* hgb-8.3* hct-24.0*# mcv-91 mch-31.4 mchc-34.7 rdw-12.7 cxr 1. improved congestive heart failure. 2. stable small bilateral pleural effusions, left greater than right. echo poor echo windows. the left atrium is mildly dilated. the right atrium is moderately dilated. there is mild symmetric left ventricular hypertrophy with normal cavity size. overall left ventricular systolic function is moderately depressed - clear regional assessment could not be performed due to sub-optimal images. no masses or thrombi are seen in the left ventricle. right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated. the number of aortic valve leaflets cannot be determined. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. the pulmonary artery systolic pressure could not be determined. there is no pericardial effusion. ekg sinus rhythm with frequent atrial ectopy. left axis deviation with left anterior fascicular block. intraventricular conduction defect. non-specific st-t wave changes. compared to the previous tracing of no significant diagnostic abnormality. cardiac catheterization comments: 1. the proximal lad stent is widely open with no angiographic changes noted since his last angiogram. 2. the rca lesion was predilated using 2.0 x 20mm voyager and 2.5 x 15mm voyager balloons, but we were unable to deliver any stent due to poor guide support. the procedure was complicated by a mid vessel dissection and the patient was referred for urgent cabg. (see ptca comments) 3. a 30 cc iabp was positioned with satisfactory diastolic augmentation. final diagnosis: 1. patent lad stent 2. rca lesion pci was complicated by vessel dissection - referred for urgent cabg. brief hospital course: mr. was admitted for an elective pci of his rca on . coronary angiography showed a right dominant system with a widely patent lad stent, 70% ostial lesion in the obtuse marginal and severe, diffuse disease of the rca. unsuccessful attempt to open the rca was made with resultant dissection and no flow to the distal vessel. no stent was placed in the rca. he complained of increasing chest pain but remained hemodynamically stable. an iabp was placed and he was emergently brought to the operating room for coronary revascularization. dr. performed two vessel coronary artery bypass grafting. the operation was complicated by bleeding which required multiple blood products as well as re-exploration. for further details, see operative note. following the operation, he was brought to the csru. over several days, the iabp was weaned and removed without complication. he was extubated without difficulty and slowly weaned from inotropic support. amiodarone was started for episodes of paroxysmal atrial fibrillation. additional units of prbcs were transfused to maintain his hematocrit near 30%. plavix was resumed for his previous left anterior descending artery stent. he otherwise maintained stable hemodynamics. aspirin, beta blockade and a statin were resumed. all chest tubes and pacing wire were removed and he transferred to the sdu on postoperative day five. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. ciprofloxacin was started for some mild drainage and erythema of his leg incisions. mr. continued to make steady progress and was discharged home on postoperative day eight. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: aspirin 325 mg qd plavix 75 mg qd coreg 6.25 mg qd lisinopril 2.5 mg qd lasix 20 mg qd lipitor 20 mg qd sl ntg prn 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. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). 6. captopril 12.5 mg tablet sig: 0.5 tablet po tid (3 times a day). disp:*45 tablet(s)* refills:*2* 7. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily) for 1 months. disp:*30 tablet(s)* refills:*0* 8. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 9. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* 10. ciprofloxacin 500 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 11. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*45 tablet(s)* refills:*0* 12. albuterol sulfate 90 mcg/actuation aerosol sig: two (2) puffs inhalation every four (4) hours as needed for shortness of breath or wheezing. disp:*1 mdi* refills:*2* discharge disposition: home with service facility: vna, discharge diagnosis: coronary artery disease, congestive heart failure, cardiomyopathy, hypertension, hyperlipidemia, s/p cataract surgery, postoperative atrial fibrillation discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. followup instructions: cardiac surgeon, dr. in weeks. local pcp weeks. local cardiologist in weeks. procedure: extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries injection or infusion of platelet inhibitor implant of pulsation balloon transfusion of packed cells transfusion of other serum transfusion of platelets nonoperative removal of heart assist system continuous intra-arterial blood gas monitoring excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on single vessel diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation percutaneous transluminal coronary angioplasty status accidental puncture or laceration during a procedure, not elsewhere classified other and unspecified hyperlipidemia hemorrhage complicating a procedure other and unspecified angina pectoris cardiogenic shock 

Answer: The patient is high likely exposed to