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: methyldopa attending: chief complaint: + exercise tolerance test major surgical or invasive procedure: - cardiac catheterization - cabg x 3(lima->lad, svg->om2, svg-pda) history of present illness: the patient is 70-year-old man on renal dialysis who presents with congestive heart failure. positive stress echo on work-up for kidney transplant. catheterization showed severe 3-vessel disease, ejection fraction of 32% with mild mitral regurgitation. transesophageal echocardiogram intraoperatively showed moderate mitral regurgitation with ejection fraction of 35%. past medical history: hyperlipidemia htn pud esrd on hemodialysis dm type 2 silent mi right arm av fistula pacemaker s/p burr holes to remove intracranial hemorrhage 51 years ago. right hemiplegia cataract removal social history: occasional alcohol use. quit smoking 35 years ago after a 10 pack year history. physical exam: admission h+p 98.4 140/70 60 neuro: awake and alert. card: rrr, systolic ejection mumur heard best at left sternal border lungs: clear abd: soft, nontender, nondistended. ext: warm, no edema pertinent results: 06:55pm pt-12.7 ptt-24.8 inr(pt)-1.1 06:55pm plt count-145* 06:55pm wbc-5.8 rbc-3.69* hgb-12.4* hct-39.1* mcv-106*# mch-33.6* mchc-31.6 rdw-15.0 06:55pm glucose-139* urea n-45* creat-5.0* sodium-144 potassium-4.2 chloride-99 total co2-34* anion gap-15 07:48pm urine rbc-0-2 wbc-0 bacteria-rare yeast-none epi-0-2 07:48pm urine blood-neg nitrite-neg protein-30 glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-8.0 leuk-neg 07:48pm urine color-yellow appear-clear sp -1.012 10:27am blood wbc-10.6 rbc-3.10* hgb-10.4* hct-31.7* mcv-102* mch-33.6* mchc-32.8 rdw-16.6* plt ct-120* 10:27am blood plt ct-120* 10:27am blood urean-45* creat-4.4* na-137 k-4.4 cl-102 hco3-24 angap-15 cardiac catheterization 1. limited hemodynamics showed moderately elevated central aortic pressure. 2. the left ventriculography at view showed severely reduced systolic function with predominantly anterolateral and apical hypokinesia. the lvedp was moderately elevated. 3. coronary angiography revealed diffusely irregular coronary vessels with the lad and the rca vessels showing significant narrowings. the lmca had no significant lesions. the lad was diffusely irregular with 20-30% narrowings throughout the vessel. the mid vessel has a 70% lesion. the diagonal branches are small calibre and short. the lcx has no hemodynamically significant lesions. the rca is dominant. there is a proximal 70% lesion. the vessel is subtotally occluded at the origin of the rv branch. there is timi i flow beyond. the rv branch has an ostial 90% lesion. the distal rca, pda and plv are also collateralised by the left system. cxr sternal wires, skin staples, and pacemaker leads are unchanged. there is mild enlargement of the cardiac silhouette, but no overt chf, pleural effusion, pneumothorax, or consolidation. ekg initially rhythm is ventricular paced at rate 90 with large ventricular pacer spikes followed by cessation of ventricular pacing which is then followed by a-v paced rhythm with different pacing morphologies since previous tracing of , different pacing morphologies as described . brief hospital course: mr. was admitted to the for a cardiac catheterization and surgical revascularization. his cardiac catheterization revealed a 70% stenosed left anterior descending artery, a 70% stenosed right coronary artery, a 90% stenosed rv branch, 2+ mitral valve regurgitation and a severely impaired left ventricular function. he was worked-up in the usual preoperative manner. he underwent hemodialysis the day prior to surgery. on , mr. was taken to the operating room where he underwent coronary artery bypass grafting to three vessels. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. on postoperative day one, mr. neurologically intact and was extubated. hemodialysis was performed. aspirin and an ace inhibitor were resumed. later on postoperative day one, mr. was transferred to the cardiac surgical step down unit for further recovery. his drains and pacing wires were removed per protocol. the physical therapy service was consulted for assistance with his postoperative strength and mobility. he resumed his routine dialysis schedule. mr. continued to make steady progress and was discharged home on postoperative day five. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: aspirin 325mg daily tegretol xr 200mg twice daily atenolol 25mg daily lipitor 80mg daily glyburide 2.5mg daily tums discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 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. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*40 tablet(s)* refills:*0* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. carbamazepine 200 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 6. glyburide 2.5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 7. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). disp:*30 tabs* refills:*0* 8. trandolapril 2 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. protonix 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 10. tums 500 mg tablet, chewable sig: one (1) tablet, chewable po twice a day. disp:*60 tablet, chewable(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: s/p cabg x 3(lima->lad, svg->om2, svg-pda) pmh:htn,^chol,esrd-hd,cad s/p pci ',dm2,pud, rt hemiplegia discharge condition: good discharge instructions: keep wounds clean and dry. shower, no swimming or bathing, no lotions creams or powders. take all medications as prescribed. call for temperature more than 101.5, redness or drainage from incisions. call for weight gain more than 2 pounds in one weeks or five in one day. followup instructions: dr in weeks dr in 2 weeks resume hemodialysis tuesday procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization hemodialysis transfusion of packed cells transfusion of other serum transfusion of platelets continuous intra-arterial blood gas monitoring diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease old myocardial infarction late effects of cerebrovascular disease, hemiplegia affecting unspecified side cardiac pacemaker in situ 

Answer: The patient is high likely exposed to