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: history of present illness: mr. is a 69 year-old male admitted to the cardiac service on for an electrophysiology consult prior to elective coronary artery bypass graft that was scheduled for . he had been previously admitted to the early and had a catheterization on , which showed 50 to 60% left main disease, normal left anterior descending coronary artery, patent left circumflex stent, subtotal av groove, circumoral occlusion as well as right coronary artery total occlusion, but filled by collateral. there is evidence of pulmonary hypertension. his ef was measured at 50%. he was seen by electrophysiology at that time for cardioversion of his chronic atrial fibrillation. at that time he sustained a 35 beat run of ventricular tachycardia during that cardioversion effort. eps done this a.m. on showed areas needing cryotherapy for coronary artery bypass graft. the patient also went into a complete heart block with junctional escape of 40 beats per minute with eps and a partial ablation. he had temporary pacing wires placed and his being placed prior to coronary artery bypass graft in the a.m. he was stable at presentation with no pain or symptoms. he denied any chest pain, shortness of breath, palpitations, groin pain. no headache, nausea or vomiting. physical examination: vital signs were 60 ventricular paced, 141/66 with a mean arteriole pressure of 89, respiratory rate 16 with a room air saturation of 97%. oral temperature was 97.7 degrees fahrenheit. he was in no acute disease. he was in reverse trendelenburg. his mucous membranes are moist. his extraocular movements intact. his pupils were equal, round and reactive to light and accommodation. his trachea was midline. there was no evidence of carotid bruit. his neck was supple. his lungs were clear to auscultation bilaterally. no wheezes, rhonchi or crackles. heart was regular, brady. there was no murmur. there was no ventricular heave. abdomen was soft, nontender, nondistended with normoactive bowel sounds. extremities were notable for no clubbing, cyanosis or edema or calf tenderness. he had palpable pulses distally. dorsalis pedis pulse and posterior tibial pulse bilaterally. neurologically, he was alert and oriented times three. he was in good spirits. he had a nonfocal examination. past medical history: significant for coronary artery disease. he had an elective coronary artery bypass graft scheduled for based on prior catheterization . he has had a history of mild chronic obstructive pulmonary disease, rheumatoid arthritis, congestive heart failure now complete heart block, underlying atrial fibrillation, atrial flutter, nonsustained ventricular tachycardia. significant for hyperlipidemia as well as benign prostatic hypertrophy. allergies: penicillin. medications on admission: coumadin, which was stopped two weeks prior to admission, lopressor 25 mg po b.i.d., aspirin, which was also discontinued on , proscar 5 mg po q day, hytrin 2 mg po q day, vitamin e 400 international units q day, zestril 5 mg q day, amiodarone 200 mg po t.i.d., lipitor 20 mg po q day. social history: the patient is divorced. he has three children. he is a social drinker. he quit tobacco ten years ago, but had greater then fifty year smoking history prior to that. family history: significant for father dying of congestive heart failure at age 83. his brother had a coronary artery bypass graft times three in his fifties. admission laboratories: significant for white count of 11,00, hematocrit 41, platelet count 263,000. his bun and creatinine were 20 and 1.1. his coagulation panel was 12.7, 1.1 for his pt/inr respectively with a ptt of 26. based on the previously mentioned results, he was admitted to the cardiothoracic service. cardiothoracic surgery was notified with dr. . he was placed on strict bed rest. he was in ventricular pacing mode. he ultimately went to the operating room on where he underwent a coronary artery bypass graft times three including conduits from the left internal mammary coronary artery to the left anterior descending coronary artery, saphenous vein graft to obtuse marginal one and also to obtuse marginal two. he also underwent left ventricular aneurysm ablation with cryotherapy. this procedure was done under general endotracheal anesthesia with dr. as well as dr. . his pericardium was left open. he had a radial a line and left j swan-ganz catheter. he had two ventricular and two atrial wires as well as two mediastinal and one left pleural tube. he had an endoscopic vein harvest that was performed on the right thigh with a hybrid technique to the right calf to take out his saphenous vein graft. additionally his cardiopulmonary bypass time was 83 minutes. his cross clamp time was 71 minutes. he tolerated the procedure well and was brought out of the operating room in a v paced mode. he was brought to the cardiosurgical recovery unit where the electrophysiology department discussed placing an icd for . they also recommended the swan-ganz catheter and foley be removed at that time prior to the icd placement. they recommended that the patient be npo after midnight and to check his white count for manual diff. by postop day number one the patient was hemodynamically stable. he was av paced at 93. blood pressure was 113/56. he was 94% on a nasal cannula. his hematocrit was 29 postoperatively with a bun and creatinine of 21 and 1.1. his neo-synephrine was being utilized for blood pressure support, which was weaned off. ultimately the electrophysiology service brought him to the catheterization laboratory where they attempted to and did place an icd implant in the left subclavian in the clavipectoral lesion. it was entered in the cephalic vein and supraclavicular region was not utilized. the left subclavian vein was entered and 5076 was placed without difficulty. he was then returned to the floor where he continued to do well. his heart rate was 60 and v paced at this time. blood pressure 117/44. otherwise he was working with physical therapy ambulating a level two. his pacer was set by the ep fellow to a mode of ddd from 60 to 20 and with mode switch on. he underwent an attempted paced termination of his atrial fibrillation flutter with burst atrial pacing. however this was unsuccessful. he underwent a second attempt by eps on postop day number four that was additionally unsuccessful. therefore the electrophysiology service recommended that the patient start amiodarone, continue a 200 t.i.d. times two weeks and then 400 q.d. times three weeks. coumadin should again be restarted with a maintenance dose of approximately 5 mg q day. additionally dr. recommends that the patient follow up with him on in the clinic. the patient can call to make an appointment. discharge medications: keflex 500 mg po q.i.d. times twelve days done for some scant sternal drainage that was noted in the last 48 hours of his admission. percocet 5/325 one to two tabs po q 4 to 6 prn. colace 100 mg po b.i.d., lasix 20 mg po q.a.m. times seven days, k-dur 20 milliequivalents po q.a.m. times seven days, coumadin 5 mg po q.h.s., plavix 75 mg po q day, aspirin 81 mg po q day, amiodarone 200 mg t.i.d. times two weeks and then 400 mg po q day times three weeks, hytrin 2 mg q day, protonix 40 mg po q.d., lipitor 20 mg po q.d., vitamin e 400 international units q day and iron sulfate 325 mg po t.i.d. with meals. condition on discharge: stable in a ventricular paced rhythm, scant sternal drainage. he was afebrile with a temperature of 99.0. 78 with a ddd pacing mode, 132/79 blood pressure. 98% on room air. sternum was stable. no erythema. scant serous spotting was noted on his inferior dressing. heart was regular. right saphenous vein graft harvest site clean, dry and intact. no evidence of extremity edema. white count was 7000, hematocrit 23, inr was 1.2, bun and creatinine were 33 and 1.2. follow up instructions: see dr. in four weeks. he will have an pt/inr draw in 48 hours from the time of discharge with home vna service. he should see dr. in the electrophysiology clinic here at the . he will also see dr. in two weeks with his coumadin results to be sent to his office at in . dr. was spoken to directly by myself and he has agreed to manage the patient's coumadin as an outpatient. discharge status: to home with vna services. discharge diagnoses: 1. coronary artery disease with complete heart block, atrial fibrillation, atrial flutter as well as a ventricular aneurysm requiring cryotherapy ablation due to a nonsustained ventricular tachycardia 30 beat run status post coronary artery bypass graft times three left internal mammary coronary artery to left anterior descending coronary artery, saphenous vein graft from the right leg to the obtuse marginal one and obtuse marginal two and a left ventricular aneurysm ablation as well as implantation of a ddd pacer in the left clavipectoral triangle into the axillary vein. , m.d. dictated by: medquist36 procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries catheter based invasive electrophysiologic testing excision or destruction of other lesion or tissue of heart, endovascular approach implantation or replacement of automatic cardioverter/defibrillator, total system [aicd] cardiac mapping excision of aneurysm of heart diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia congestive heart failure, unspecified atrial fibrillation atrial flutter paroxysmal ventricular tachycardia atrioventricular block, complete aneurysm of heart (wall) 

Answer: The patient is high likely exposed to