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: penicillins / proton pump inhibitors / hayfever attending: chief complaint: intermittent chest pain and sob that is unpredicable, it occurs with rest and activity major surgical or invasive procedure: - coronary artery bypass grafting x3: left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the first diagonal branch and the second diagonal branch. history of present illness: patient is a 62 yo male with history of cad sp two des to proximal and mid lad after positive stress test in , anterior stemi in with late in-stent thrombosis s/p des to lad and ostium of diagonal. he also has a history of renal calculi and on , he underwent bilateral lithotripsy and ureteral stents. he had been instructed to hold his plavix for 5 days leading up to this procedure. he underwent the urological procedure without complication however post procedure while in the pacu, developed chest pain and had anterior st-elevations. he was brought emergently to the cath lab on and was found to have total occlusion of the mid-lad in the previously placed stent. this was treated with a 5 x 14 mm integriti stent placed in the mid lad, a 2.25 x 14 mm integriti stent was placed in the distal lad and a 3.0 x 14 mm integriti stent was placed in the proximal lad. (bare metal stents) peak cpk increased only slightly to 473. since , the patient had been doing well until , when he started to notice exertional chest discomfort. he describes a left sided chest discomfort and dyspnea occurring with activity such as walking on the treadmill for 10 minutes. he denies any symptoms at rest, pnd/orthopnea, lightheadedness, lower extremity edema, claudication or weight gain. he was sent for a stress test, which was abnormal and was referred for cardiac catheterization. todays cath revealed signifiant cad and reinstent stenosis. he was seen by dr. and accepted for cabg. past medical history: coronary artery disease s/p anterior myocardial infarction , lad stents , , hyperlipidemia renal calculi s/p lithotripsy, ureteral stents diabetes type ii hypertension gerd inguinal hernia- needs to be repaired social history: race:caucasian last dental exam:3 months ago needs tooth removed lives with:wife contact: phone # 1- occupation:drives school cigarettes: quit smoking in prior to that smoked on/off ppd x 40 yrs etoh: none illicit drug use: denies family history: mother died at 85 of colon cancer, mi in her 70s, dm2 father with prostate cancer at 60, pacemaker, dm2 brother with prostate cancer at 51 brother with prostate cancer sister with dm2 physical exam: pulse: 65 sr resp: 16 o2 sat:98% ra b/p right:radial cath site left:117/61 height: 6ft weight:210lbs general: skin: dry intact heent: perrla xeomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + large right inguinal hernia extremities: warm , well-perfused edema _____ varicosities: none neuro: grossly intact pulses: femoral right:inguinal hernia left: +2 dp right: +2 left:+2 pt : +2 left:+2 radial right: cath site left:+2 carotid bruit right: none left:none pertinent results: echo pre bypass the left atrium is mildly dilated. left ventricular wall thicknesses and cavity size are normal. there is mild symmetric left ventricular hypertrophy. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are complex (>4mm) atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. there is no aortic valve stenosis. the mitral valve appears structurally normal with trivial mitral regurgitation. post bypass: patient is in sinus rhythm, on nitroglycerine infusion. preserved biventricular function with normal wall motion. aortic contours intact. remaning exam is unchanged. all findings discussed with surgeons at the time of the exam. admission labs: 01:59pm hgb-14.8 calchct-44 01:59pm glucose-173* lactate-2.6* na+-138 k+-3.7 cl--106 04:55pm fibrinoge-141* 04:55pm pt-14.5* ptt-26.7 inr(pt)-1.4* 04:55pm plt count-154 04:55pm wbc-16.1*# rbc-4.14* hgb-12.0*# hct-33.2*# mcv-80* mch-28.9 mchc-36.0* rdw-13.5 06:50pm urea n-12 creat-0.6 sodium-144 potassium-3.5 chloride-115* total co2-22 anion gap-11 discahrge labs: 04:50am blood wbc-9.2 rbc-3.17* hgb-9.2* hct-25.9* mcv-82 mch-29.1 mchc-35.6* rdw-14.0 plt ct-212 04:50am blood plt ct-212 02:56am blood pt-14.4* ptt-29.0 inr(pt)-1.3* 04:50am blood glucose-173* urean-17 creat-0.7 na-133 k-3.8 cl-98 hco3-28 angap-11 radiology report chest (portable ap) study date of 9:58 am final report right internal jugular line is at the level of mid svc. the patient is extubated with removal of the ng tube and chest tubes. bilateral pleural effusions are small, associated with atelectasis, unchanged since the prior study. there is no evidence of pneumothorax. dr. brief hospital course: mr. was admitted to the on for further management of his coronary artery disease. he was taken to the operating room where he underwent coronary artery bypass grafting to three vessels. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. over the next several hours, he awoke neurologically intact and was extubated. on postoperative day two, he was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. his chest tubes and epicardial pacing wires were removed per protocol. his foley catheter was reinserted due to failure to void. flomax was started and he successfully voided after removal of his catheter. he worked with the physical therapy service daily for assistance with his strength and mobility. he had a brief episode of atrial fibrillation which converted back to sinus rhythm with beta-blockers and amiodarone. saw patient on post-op day four due to remaining hyperglycemic post-op. glipizide was added and patient will follow-up with endocrine as outpatient. he continued to make steady progress and was discharged home with vna services on post-op day four. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: lipitor 80 mg qd clopidogrel 75 mg daily fluoxetine 20 mg daily lisinopril 5 mg tablet daily metformin 1,000 mg tablet metoprolol succinate 25 mg daily ntg 0.4 mg sl prn ranitidine 150 mg tadalafil 20 mg daily flomax 0.4mg po bid aspirin 325 daily discharge medications: 1. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 2. 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* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*2* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. fluoxetine 20 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 8. tamsulosin 0.4 mg capsule, ext release 24 hr sig: one (1) capsule, ext release 24 hr po bid (2 times a day). disp:*30 capsule, ext release 24 hr(s)* refills:*2* 9. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 10. glipizide 5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 11. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): please take two 200mg tablets twice daily for one week. then take one 200mg tablet twice daily for one week. finally take one 200mg tablet daily until stopped by cardiologist. disp:*60 tablet(s)* refills:*2* 12. furosemide 40 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* 13. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po twice a day for 2 weeks. disp:*28 tablet, er particles/crystals(s)* refills:*0* 14. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* discharge disposition: home with service facility: area vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 past medical history: s/p anterior myocardial infarction , lad stents , , hyperlipidemia renal calculi s/p lithotripsy, ureteral stents diabetes type ii hypertension gerd inguinal hernia- needs to be repaired discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg- left - healing well, no erythema or drainage. edema 1+ bilat 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 provided. 4) no driving for one month or while taking narcotics. driving will be discussed at follow up appointment with surgeon. 5) no lifting more than 10 pounds for 10 weeks 6) 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: wound care nurse phone: at 11am phone: surgeon: dr. on at 1:30pm cardiologist: dr. on at 5pm phone: primary care: dr. on at 10am phone: please call for the following appointment diabetes/endocrine: dr. at in 1 week **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** 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 diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation personal history of tobacco use percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia 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 old myocardial infarction other complications due to other cardiac device, implant, and graft retention of urine, unspecified inguinal hernia, without mention of obstruction or gangrene, unilateral or unspecified (not specified as recurrent) 

Answer: The patient is high likely exposed to