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: left main coronary artery disease major surgical or invasive procedure: coronary artery bypass grafts 3 (lima-lad, svg-om, svg-pda) preoperative intra-aortic balloon pump history of present illness: this 84 year old white male sought medical care in late for several weeks of nocturnal shoulder discomfort at rest. he has had no care in 30 years. he was referred for stress testing which was positive today. urgent catheterization revealed 80% left main disease and 95% proximal lad and circumflex disease. lv function was depressed at 35%. he was pain free, but an intraaortic balloon was placed and heparin begun. he was transferred by air here for surgery. past medical history: appendectomy in cholecystectomy in social history: non smoker, glasses of wine a month family history: father died of heart disease in his late 60s physical exam: admission: pulse: resp:14 o2 sat: 100% (2l) b/p right:157/79 left: 155/80 height: 79" weight:79.4 kg admission: general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right:2 left:2 dp right:2 left:2 pt :2 left:2 radial right:2 left:2 carotid bruit right:n left:n pertinent results: echo pre-bypass: no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild regional left ventricular systolic dysfunction with antero-apical hypokinesis. overall left ventricular systolic function is low normal (lvef 45%). right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated at the sinus level. there are simple atheroma in the ascending aorta. there are simple atheroma in the descending thoracic aorta. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. moderate (2+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. post-bypass: for the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine. some decrease in mitral regurgition post-bypass is seen. overall ventricular function is same as pre-bypass. all other findings on post-bypass exam are consistent with pre-bypass findings. the aorta is intact post-decannulation. all findings communicated with the surgeon. cxr there is interval extubation of the patient with removal of the ng tube, mediastinal drains, and left chest tube and swan-ganz catheter. the chest radiograph was obtained in a lordotic projection, thus it is difficult to compare the cardiac silhouette and mediastinal contours, although they appear to be stable. there is left basal opacity containing air bronchogram most likely consistent with area of gradually improving atelectasis. lungs are otherwise essentially clear with no evidence of failure. there is minimal pleural effusion, bilateral. no evidence of pneumothorax is present within the limitations of the study. 09:06am blood wbc-9.9 rbc-3.46* hgb-10.6* hct-30.4* mcv-88 mch-30.5 mchc-34.7 rdw-14.3 plt ct-263 05:46am blood wbc-9.7 rbc-3.41* hgb-10.4* hct-29.4* mcv-86 mch-30.5 mchc-35.4* rdw-14.2 plt ct-260 05:00am blood pt-26.9* inr(pt)-2.6* 05:46am blood pt-21.9* inr(pt)-2.0* 05:35am blood pt-14.8* inr(pt)-1.3* 02:16am blood pt-12.8 ptt-31.2 inr(pt)-1.1 05:00am blood urean-38* creat-1.4* k-4.6 09:06am blood glucose-203* urean-39* creat-1.5* na-134 k-4.8 cl-101 hco3-24 angap-14 09:06am blood calcium-8.4 phos-2.5* mg-2.2 07:42pm blood %hba1c-6.1* brief hospital course: mr. was admitted to the via for surgical management of his coronary artery disease. following admission he had vague shoulder discomfort which resolved with intravenous nitroglycerin. routine preoperative evaluation was begun. he was in af when admitted but converted to normal sinus rhythm with amiodarone. on , mr. was taken to the operating room where he underwent coronary artery bypass grafting to three vessels. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. within the next 24 hours, mr. neurologically intact and was extubated. his inta-aortic balloon pump was removed without issue. on postoperative day two, he was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his preoperative strength and mobility. he developed atrial fibrillation which was treated with amiodarone. this persisted and he was anti-coagulated with coumadin. he did return to sinus rhythm prior to discharge, and was maintained on amiodarone, beta-blocker and coumadin. he developed an upper extremity phlebitis and was treated with keflex. postoperative course was otherewise uneventful and the patient was discharged on pod 5 to home with vna services. medications on admission: at osh: plavix 75mg asa 325mg/d metoprolol 25mg ntp 1"/6hr pepcid 20mg/d kefzol discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(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. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg 2x/day for 1 week, then 200mg 2x/day for 1 week, then 200mg/day until further instructed. disp:*120 tablet(s)* refills:*2* 6. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* 7. furosemide 40 mg tablet sig: one (1) tablet po daily (daily) for 1 weeks. disp:*7 tablet(s)* refills:*0* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po daily (daily) for 1 weeks. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 9. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) as needed for left arm phlebitis for 6 days. disp:*24 capsule(s)* refills:*0* 10. warfarin 1 mg tablet sig: one (1) tablet po once a day: dose will change daily for goal inr , dr. to manage. disp:*30 tablet(s)* refills:*2* 11. outpatient lab work serial pt/inr dx: atrial fibrillation goal inr results to dr. fax: 12. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: unstable angina coronary artery disease paroxysmal atrial fibrillation s/p appendectomy s/p cholecystectomy discharge condition: good discharge instructions: shower daily, no baths or swimming no lotions, creams or powders to incisions no driving for 4 weeks and off all narcotics no lifting more than 10 pounds for 10 weeks report any redness of, or drainage from incisions report any fever greater than 100.5 report any weight gain greater than 2 pounds a day or 5 pounds a week take all medications as directed followup instructions: dr. in 4 weeks () 6 wound clinic in 2 weeks dr. in weeks dr. in 2 weeks please call for appointments dr. to manage coumadin dosing/inr, fax: procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery intermediate coronary syndrome atrial fibrillation other specified procedures as the cause of abnormal reaction of patient, or of later complication, without mention of misadventure at time of procedure other vascular complications of medical care, not elsewhere classified phlebitis and thrombophlebitis of upper extremities, unspecified other abnormal glucose 

Answer: The patient is high likely exposed to