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 major surgical or invasive procedure: cardiac catherization s/p coronary artery bypass graft surgery x3 (left internal mammary artery, saphenous vein graft > obtuse marginal, saphenous vein graft > posterior lv) history of present illness: 74 year old male with changes on ekg, referred for stress test that was positive. due to positive stress he was referred for cardiac catherization which revealed coronary artery disease, renal artery stenosis and was referred for surgical evaluation. past medical history: hypertension elevated lipids gout bph social history: works as lawyer married. - history: 12-15 years <1/2ppd over 20years ago, 1 cigar per day for 3 yrs over 20 yrs ago -etoh: denies -illicit drugs: denies family history: non-contributory physical exam: vs: bp=120/63 hr=59 rr=16 o2 sat= 95/ra general: wdwnin nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple, no jvd appreciable. cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. no appreciable enlargement of abd aorta by palpation. no abdominial bruits heard. extremities: no c/c/e. r groin cath site clear, no signs of bleed, no bruit, good pulse, extremities wwp. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: 04:23am blood wbc-13.0* rbc-3.38* hgb-9.7* hct-28.8* mcv-85 mch-28.7 mchc-33.7 rdw-13.4 plt ct-218 04:23am blood glucose-141* urean-25* creat-1.5* na-138 k-4.3 cl-100 hco3-29 angap-13 pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is mildly depressed (lvef= 45 - 50 %) with mild global free wall hypokinesis. the aortic valve leaflets (3) are mildly thickened. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is no pericardial effusion. complex non-mobile atheroma noted in the descending aorta. post-cpb: preserved biventricular systolic fxn. trace mr . aorta intact. other parameters as pre-bypass. brief hospital course: underwent cardiac catherization that revealed coronary artery disease. he was admitted and underwent preoperative work up for cardiac surgery. additionally he had ct scan for further evaluation of renal artery stenosis which revealed patent arteries measuring 4mm. on he was brought to the operating room and underwent coronary artery bypass graft surgery. see operative report for further details. he received vancomycin for perioperative antibiotics as he was in the hospital greater than twenty four hours. he was transferred to the intensive care unit for hemodynamic management. in the first twenty four hours he was weaned from sedation, awoke neurologically intact and was extubated without complication. lasix, betablockers and statin therapy were initiated. mr. chest tubes and temporary pacing wires were removed per protocol. he was transferred from the icu to the floor on pod#1. physical therapy was consulted and mr. was cleared for discharge to home on pod#4. medications on admission: lipitor 10mg daily diovan 200mg daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 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. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 5. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*0* 6. furosemide 20 mg tablet sig: one (1) tablet po once a day for 1 weeks. disp:*7 tablet(s)* refills:*0* 7. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p cabg hypertension elevated lipids gout benign prostatic hypertrophy discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr in 4 weeks () please call for appointment dr in 1 week - please call for appointment dr in weeks - please call for appointment wound check appointment 6 as instructed by nurse () 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 left heart cardiac catheterization aortography diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified other and unspecified hyperlipidemia atherosclerosis of renal artery other specified peripheral vascular diseases abdominal aneurysm without mention of rupture chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to