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: shortness of breath major surgical or invasive procedure: urgent coronary artery bypass graft x4: left internal mammary artery to left anterior descending artery and saphenous vein grafts to posterior descending, obtuse marginal and the ramus arteries. history of present illness: 58 year old male who developed shortness of breath and wheezing after carrying a copy machine up a flight of stairs approximately 3 weeks ago. he p/t his pcp who ran series of tests. stress test was abnormal, and cath revealed multi-vessel cad. he is referred for cardiac surgery evaluation. past medical history: coronary artery disease diabetes mellitus, type ii hypertension social history: lives with: alone occupation: owns insurance business tobacco: never etoh: quit 30 yrs. ago activity: walks dog 2.5miles daily family history: mom died at 82, s/p 3x cabg (1st at 45yo) dad died at 82- cancer physical exam: pulse: 65 resp: 20 o2 sat: 98%ra b/p right: 108/70 left: height: weight: 95.3kg general: skin: dry intact no rash 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 no edema or varicosities neuro: grossly intact x pulses: femoral right:2+ left:2+ dp right:2+ left:2+ pt :2+ left:2+ radial right:2+ left:2+ carotid bruit right: left: no bruits appreciated pertinent results: 02:44am blood wbc-11.4* rbc-3.56* hgb-10.3* hct-28.6* mcv-80* mch-28.9 mchc-35.9* rdw-14.1 plt ct-172 08:25pm blood hgb-9.7* hct-27.2* mchc-35.7* 01:55pm blood wbc-14.0* rbc-3.80* hgb-11.1* hct-30.4* mcv-80* mch-29.1 mchc-36.4* rdw-14.0 plt ct-178 02:44am blood glucose-104* urean-19 creat-0.8 na-136 k-4.4 cl-107 hco3-24 angap-9 prebypass no atrial septal defect is seen by 2d or color doppler. there is severe regional left ventricular systolic dysfunction with akinesia of the apex, akinesia of the apical portions of the inferior, anterior and septal walls. the mid portions of the septal, inferior, inferoseptal and anterior walls are also hypokinetic. . overall left ventricular systolic function is severely depressed (lvef= 20 %). with borderline normal rv free wall function. there are simple 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. moderate (2+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results on at 1000am. post bypass patient is in sinus rhythm and receiving an infusion of phenylephrine, milrinone and epinephrine. lvef=25%. mild moderate mitral regurgitation persists. aorta is intact post decannulation. 06:35am blood wbc-8.1 rbc-3.20* hgb-9.4* hct-26.2* mcv-82 mch-29.3 mchc-35.7* rdw-14.1 plt ct-219 06:35am blood plt ct-219 06:35am blood glucose-139* urean-24* na-134 k-4.0 cl-98 hco3-29 angap-11 03:15pm blood alt-19 ast-16 ld(ldh)-160 alkphos-60 totbili-0.4 06:35am blood mg-2.4 brief hospital course: admitted to the hospital for pre-operative evaluation and work up. heparin was initiated for ostial lad disease. echo revealed chronic systolic heart failure with an ejection fraction of 15-20%. he was brought to the operating room on where the he underwent coronary artery bypass graft. see operative report for further details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. vancomycin was used for surgical antibiotic prophylaxis given his inpatient stay of longer than 24 hours preoperatively. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamics were maintained with milrinone, which was eventually weaned. he continued to progress and was transferred to the floor. physical therapy worked with him on strength and mobility. he was ready for discharge home with services on postoperative day four. medications on admission: metformin 1000'' hctz 25' neurontin 300' simvastatin 80' asa 81' lopressor 25'' discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every four (4) hours as needed for pain. disp:*60 tablet(s)* refills:*0* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 4. carvedilol 3.125 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*0* 6. 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* 7. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). disp:*30 capsule(s)* refills:*0* 8. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. furosemide 20 mg tablet sig: one (1) tablet po once a day for 2 weeks: please follow up with cardiologust prior to completion . disp:*14 tablet(s)* refills:*0* 10. potassium chloride 10 meq capsule, sustained release sig: one (1) capsule, sustained release po once a day for 2 weeks. disp:*14 capsule, sustained release(s)* refills:*0* 11. simvastatin 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease, s/p coronary artery bypass acute on chronic systolic heart failure diabetes mellitus, type ii hypertension discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with percocet prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: , md phone: date/time: 1:00 please call to schedule appointments primary care dr. , n. in weeks cardiologist dr. in weeks md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled paroxysmal ventricular tachycardia acute on chronic systolic heart failure 

Answer: The patient is high likely exposed to