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: abnormal stress test/chest pain/dyspnea on exertion major surgical or invasive procedure: - cabgx5 (lima->lad, vein->diagonal, vein->ramus sequentialed to obtuse marginal, vein->posterior descending artery) history of present illness: 72 year old gentleman with chest pain and dyspnea on exertion. he underwent an ett which was positive for ischemia. a cardiac catheterization was performed which revealed severe three vessel disease. given the severity of his disease, the cardiac surgical service was consulted for surgical revascularization. he now presents as a same day admission for bypass grafting. past medical history: cad s/p ptca hyperlipidemia htn diabetes colon cancer gerd social history: smoked 1.5 ppd for 30 years quitting in . retired and widowed. lives with daughter and grandson. drinks 1-2 drinks per month. family history: father died of mi at age 39. physical exam: 74 172/81 71" 213lbs gen: nad lying fl;at in bed skin: unremarkable heent: unremarkable neck: supple, from lungs: clear heart: irregularly irregular, no murmur abd: soft, nt, nd, nabs ext: warm, no edema, 2+ pulses, no varicosities neuro: nonfocal pertinent results: 04:51am blood wbc-13.3* rbc-3.15* hgb-9.8* hct-27.5* mcv-87 mch-31.0 mchc-35.5* rdw-14.2 plt ct-199 04:51am blood plt ct-199 04:51am blood urean-32* creat-1.0 na-134 k-4.2 cl-101 hco3-22 angap-15 echo pre-cpb no spontaneous echo contrast is seen in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy with normal cavity size and systolic function (lvef>55%). regional left ventricular wall motion is normal. right ventricular chamber size and free wall motion are normal. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. post-cpb normal biventricular systolic function. no changes from pre-cpb study. cxr single portable radiograph of the chest demonstrates interval removal of the right-sided chest tube seen on . no pneumothorax. the endotracheal tube and nasogastric tube have been removed as well. swan-ganz catheter has been removed, but the right internal jugular introducer sheath remains in place. cardiomediastinal contours are unchanged. lungs are clear. right costophrenic angle is excluded from the imaged field of view. there may be a very small left-sided pleural effusion. 09:55am blood wbc-10.9 rbc-3.24* hgb-10.2* hct-28.2* mcv-87 mch-31.6 mchc-36.3* rdw-14.2 plt ct-302# 09:55am blood pt-12.9 ptt-21.5* inr(pt)-1.1 09:55am blood plt ct-302# 09:55am blood glucose-138* urean-32* creat-1.1 na-138 k-4.2 cl-103 hco3-23 angap-16 09:55am blood calcium-8.0* phos-3.1 mg-2.2 brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken directly to the operating room where he underwent coronary artery bypass grafting to five vessels. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. by postoperative day one, mr. was awake, extubated and neurologically intact. beta blockade, an ace inhibitor and a calcium channel blocker were started for hypertension. aspirin and a statin were resumed. mr. developed atrial fibrillation and was started on amiodarone with eventual conversion back into a normal sinus rhythm. on postoperative day four, mr. was transferred to the step down unit for further recovery.coumadin started for anticoagulation. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. he continued to make steady progress and was discharged home on postoperative day #6. he will follow-up with dr. and dr. as an outpatient. first blood draw scheduled for with results to be called to dr. . medications on admission: actos torpol xl avalide metformin folic acid zocor norvasc altace multivitamin protonix discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 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:*0* 3. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 4. zocor 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 5. amiodarone 200 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 6. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 7. pioglitazone 45 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 8. furosemide 20 mg tablet sig: two (2) tablet po once a day for 7 days: take 2 tabs(40mg) once daily for one week then discontinue. disp:*14 tablet(s)* refills:*0* 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 10. lisinopril 20 mg tablet sig: four (4) tablet po daily (daily). disp:*120 tablet(s)* refills:*0* 11. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 12. coumadin 1 mg tablet sig: two (2) tablet po once a day for 2 days: check inr with results to dr. . disp:*60 tablet(s)* refills:*0* 13. tramadol 50 mg tablet sig: one (1) tablet po every hours. disp:*50 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: cad s/p cabgx5 hypercholesterolemia htn diabetes colon cancer gerd af discharge condition: stable discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month. followup instructions: first blood draw with results to be called to dr. office. follow-up with dr. in 1 month. ( follow-up with cardiologist/primary care provider . in 2 weeks. ( procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more 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 other and unspecified hyperlipidemia other and unspecified angina pectoris personal history of malignant neoplasm of large intestine 

Answer: The patient is high likely exposed to