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: zocor attending: chief complaint: angina major surgical or invasive procedure: cabg x 3 (lima-lad, svg-om, svg-pda) , preop iabp history of present illness: this 72 year old patient with hypertension and hyperlipidemia has a history of an rca pci in with a 2.5 x 23mm bx velocity stent in the distal rca/pda and a 3.75 x 13mm penta stent placed in the proximal rca. in , he had a successful ptca of the posterolateral branch. his ef was 62% at that time. since , the patient reports that he had been doing well until about 6 months ago when he started to experience symptoms of upper back, shoulder and upper chest discomfort, with associated lightheadedness. these symptoms occur once every two days. his symptoms occur only at rest and usually resolve after 1 sl nitroglycerin. he has been going to the gym 1-2 times weekly and does not experience any symptoms while exercising. he also reports waking from sleep once every few nights with dyspnea and has taken 1 nitroglycerin with relief. . he was referred for elective cardiac catheterization and was found to have 80% lmca disease, significant disease of lcx, instent re-stenosis of rca. right heart cath pressures were not notably elevated. a iabp was inserted due to the recent anginal pain and severity of lmca disease. the iabp was placed without complication. . on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. . *** cardiac review of systems is notable for dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: obstructive sleep apnea ??????improved after 30 lb weight loss hypertension bowel surgery/appendectomy as an infant tonsillectomy cardiac risk factors: -diabetes, +dyslipidemia, +hypertension social history: social history is significant for the absence of current tobacco use. there is no history of alcohol abuse. married. research scientist at . family history: mother died from breast cancer at age 42. father died of alzheimer??????s at age . one brother died of lymphosarcoma. sister is healthy physical exam: vs: t 96.5, bp 145/73, hr 48, rr 17, o2 98% on 2l assist systole 124 assisted diastole 162 gen: wdwn middle aged male in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. full beard. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple with jvp of 8cm while in reverse t-. cv: pmi located in 5th intercostal space, midclavicular line. brady regular, normal s1, s2. no s4, no s3. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. abd: obese, soft, ntnd, no hsm or tenderness. no abdominal bruits. ext: no c/c/e. no femoral bruits. right femoral access site skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ without bruit; femoral iabp in place; 2+ dp/pt left: carotid 2+ without bruit; femoral 2+ without bruit; 2+ dp/pt pertinent results: echocardiography report , (complete) done at 11:49:02 am final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 72 m hgt (in): 69 bp (mm hg): 170/80 wgt (lb): 210 hr (bpm): 60 bsa (m2): 2.11 m2 indication: intraop cabg icd-9 codes: 440.0 test information date/time: at 11:49 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw1-: machine: toshiba echocardiographic measurements results measurements normal range left atrium - long axis dimension: *4.4 cm <= 4.0 cm left atrium - four chamber length: *5.8 cm <= 5.2 cm right atrium - four chamber length: *5.7 cm <= 5.0 cm left ventricle - ejection fraction: 55% to 60% >= 55% aorta - sinus level: 3.2 cm <= 3.6 cm aorta - sinotubular ridge: 2.7 cm <= 3.0 cm aorta - ascending: 3.4 cm <= 3.4 cm aorta - descending thoracic: *2.6 cm <= 2.5 cm aortic valve - valve area: *2.7 cm2 >= 3.0 cm2 findings left atrium: mild la enlargement. moderate la enlargement. elongated la. right atrium/interatrial septum: mildly dilated ra. lipomatous hypertrophy of the interatrial septum. no asd by 2d or color doppler. left ventricle: mild symmetric lvh. normal regional lv systolic function. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. simple atheroma in aortic arch. mildly dilated descending aorta. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: normal mitral valve leaflets with trivial mr. s. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. physiologic (normal) pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. conclusions pre bypass: the left atrium is mildly dilated. the left atrium is moderately dilated and elongated. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. an intraaortic balloon pump is seen in the descending thoracic aorta with its tip positioned 3 cm below the left subclavian. 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. post bypass: preserved biventrical function, lvef >55%. aortic contours intact. iabp remains in good position 3 cm below left subclavian. remaing exam is unchanged. all findings discussed with surgeon at the time of the exam. brief hospital course: iabp placed to maximize perfusion during cabg eval and pre-op. he was taken to the operating room on where he underwent a cabg x 3. he was transferred to the icu in stable condition. he was given 48 hours of prophylactic vancomycin as he was in the hospital preoperatively. iabp was dc'd post op. he was extubated early on pod #1. he was transferred to the floor later on pod #1. on the following day he was seen in consultation by physical therapy. his epicardial wires were removed and he was gently diuresed. on pod #3 he experienced atrial fibrillation which was converted medically with beta blockers and calcium channel blockers. by post-operative day #5 he was ready for discharge to home. medications on admission: aspirin 325mg daily atenolol 25mg daily lipitor 20mg daily plavix 75mg daily imdur 120mg daily vitamin d 2000iu daily fish oil 1200mg daily homocysteine blocker daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 3. 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:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 5. atorvastatin 20 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*0* 6. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 3 days. disp:*6 tablet(s)* refills:*0* 7. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 3 days. disp:*6 tab sust.rel. particle/crystal(s)* refills:*0* 8. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: cad s/p cabg this admission htn, osa, s/p rca pci x2 ', ptca ', basal cell ca, s/p bowel /appendectomy, tonsillectomy, deviated septum repair discharge condition: good. discharge instructions: calll with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no lifting more than 10 pounds for 10 weeks. no driving until follow up with surgeon. followup instructions: pcp: , . 2 weeks cardiologist: , p. 2 weeks dr. 4 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries implant of pulsation balloon diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery unspecified essential hypertension atrial fibrillation other and unspecified hyperlipidemia other and unspecified angina pectoris 

Answer: The patient is high likely exposed to