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: dyspnea on exertion major surgical or invasive procedure: four vessel coronary artery bypass grafting utilizing left internal mammary artery to left anterior descending artery, and saphenous vein grafts to posterior descending artery, obtuse marginal and diagonal artery history of present illness: mr. is a 48 year old male with recent onset of dyspnea on exertion. a dobutamine ett in was positive for a fixed infero and inferoapical defect. his lvef was estimated at 40% with evidence of mild left ventricular dysfunction. he denies chest pain, pnd, syncope, pedal edema and palpitations. he was therefore admitted for elective cardiac catheterization. past medical history: congestive heart failure, hypertension, type ii diabetes mellitus, hypercholesterolemia, obesity, hypothyroidism social history: unemployed, currently lives with his parents. denies tobacco. no history of excessive etoh. family history: negative for premature coronary artery disease. physical exam: vitals: bp 160/80, hr 70s sr gen: appears in no discomfort, though just when moving on stretcher he becomes slightly short of breath lungs: cta, decreased at bases heart: rrr, distant heart sounds, no murmur or rub ext: fems 1+ no bruits, dp 2+ b/l tr edema neuro: a+o x3, cooperative during interview, but with evidence of mild cognitive impairment. easily frustrated by questions pertaining to detailed information. pertinent results: 02:45pm blood wbc-7.2 rbc-3.78* hgb-12.4* hct-33.4* mcv-88 mch-32.8* mchc-37.1* rdw-14.7 plt ct-247 02:45pm blood pt-13.3* ptt-29.4 inr(pt)-1.2* 02:45pm blood glucose-137* urean-12 creat-0.9 na-137 k-3.4 cl-100 hco3-28 angap-12 02:45pm blood alt-17 ast-21 alkphos-90 amylase-57 totbili-0.7 02:45pm blood %hba1c-6.3* -done -done 02:45pm blood triglyc-109 hdl-45 chol/hd-4.3 ldlcalc-127 07:25am blood wbc-11.0 rbc-3.01* hgb-10.2* hct-27.4* mcv-91 mch-33.8* mchc-37.2* rdw-15.8* plt ct-214 07:25am blood plt ct-214 07:25am blood glucose-123* urean-25* creat-1.4* na-135 k-4.1 cl-99 hco3-26 angap-14 07:25am blood calcium-9.0 phos-3.2 mg-2.1 brief hospital course: mr. was admitted and underwent cardiac catheterization. results revealed a right dominant system and demonstrated severe three vessel coronary disease. the left main had no angiographically apparent disease. a long segment of the mid lad was subtotally occluded. it supplied collaterals to the subtotally occluded rca. the circumflex had a 50% discrete lesion in the om1. the om2 was sutotally occluded and filled in late via collaterals. the proximal rca had a complex lesion and was subtotally occluded. left ventriculography was not performed. based on the above results, cardiac surgery was consulted and further preoperative evaluation was performed. an echocardiogram showed mild depressed lv function and inferior akinesis. the lvef was estimated at 45%. the was no aortic insufficiency and only mild mitral regurgitation. his ascending aorta was mildly dilated, measuring 3.8 centimeters. preoperative workup was otherwise unremarkable and he was cleared for surgery. surgery was delayed several days as he was given a 600mg plavix load at time of cardiac catheterization. on , dr. performed coronary artery bypass grafting. for further surgical details, please see separate dictated operative note. following the operation, he was brought to the csru for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated without incident. initially hypertensive, beta blockade was resumed while hydralazine was used prn. his csru course was otherwise uneventful and he transferred to the sdu on postoperative day two. given his body habitus and immobility, sq heparin was utilized for pe prophylaxis. over several several days, beta blockade was advanced as tolerated and his preoperative calcium-channel blocker was resumed. he continued to make clinical imrovements with diuresis and was medically cleared for discharge home on . he is to follow up here, on for a wound assessment on friday, . medications on admission: lasix 40 kcl 20 qd levothyroxine 50 mcg qd labetolol 200 sular 20 qd discharge medications: 1. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 2. levothyroxine 50 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 6-8 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 6. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 1 months. 7. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 8. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 9. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 10. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* discharge disposition: home with service facility: town nurse - pepprel, ma discharge diagnosis: coronary artery disease - s/p cabg, congestive heart failure, hypertension, type ii diabetes mellitus, hypercholesterolemia, obesity, hypothyroidism, chronic renal insufficiency discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. followup instructions: cardiac surgeon, dr. in weeks, call for appt. local pcp weeks, dr. - call for appt. local cardiologist, dr. in weeks. procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters angiocardiography of left heart structures left heart cardiac catheterization 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 unspecified acquired hypothyroidism hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia obesity, unspecified 

Answer: The patient is high likely exposed to