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: inderal / tylox / nubain attending: chief complaint: chest pain major surgical or invasive procedure: cardiac catheterization emergent three vessel coronary artery bypass grafting on iabp(left internal mammary to left anterior descending, vein grafts to ramus intermedius and right coronary artery) history of present illness: mr. is a 50 y/o m with h/o htn & smoking who presented to with chest pain and was found to have a stemi. he has been experiencing exertional chest pain for the last month, but on the morning of admission he experienced much more severe pain. he initially experienced the pain at rest, but lay down and it disappeared. it was gone for 1-2 hours when it returned as he climbed the stairs, prompting him to activate ems. the pain was a substernal pressure, in severity, without radiation, but with nausea/vomiting. ekg by ems showed st elevations in v2 and v3 and st depressions in iii and avf. at the osh, he received 2 sl nitro with resolution of the pain. he also got asa 650, metoprolol 5 mg iv, metoprolol 100 mg po, heparin bolus and gtt, integrilin bolus and gtt, and plavix 300 mg po. he was placed on 4l o2 and transferred to for further evaluation and treatment. on review of symptoms, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. cardiac review of systems is notable for absence of current chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. past medical history: hypertension social history: social history is significant for 1 ppd of current tobacco use. there is no history of alcohol abuse or other illicit drugs. family history: there is no 1st-degree family history of premature coronary artery disease or sudden death; he had 2 uncles who died of mi in their 40s. physical exam: bp 107/70 hr 65 rr 18 temp 98.2 o2sat 100%2l gen: well developed, well nourished and well groomed. the patient was oriented to person, place and time. the patient's mood and affect were not inappropriate. heen: no xanthalesma, conjunctiva were pink, no pallor or cyanosis of the oral mucosa. neck: supple, no jvd. the carotid waveform was normal. chest: no chest wall deformities, scoliosis or kyphosis. pulm: respirations were not labored and there were no use of accessory muscles. ctab, normal bs and no adventitial sounds or rubs. cor: pmi located in the 5th intercostal space, mid clavicular line. no thrills, lifts or palpable s3 or s4. normal s1s2, no rubs, murmurs, clicks or gallops. abd: abdominal aorta was not enlarged by palpation, no hepatosplenomegaly, nt, soft, nd ext: no pallor, cyanosis, clubbing or edema. atrophy of the l le skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: no abdominal, femoral or carotid bruits. right: dp 2+ pt 2+ left: dp 2+ pt 2+ pertinent results: portable chest x-ray: the lungs are clear. the mediastinum is unremarkable. the cardiac silhouette is within normal limits for size. there is no pleural effusion or pneumothorax. the visualized osseous structures are unremarkable. 05:15pm blood wbc-9.1 rbc-4.79 hgb-15.0 hct-41.3 mcv-86 mch-31.4 mchc-36.4* rdw-13.5 plt ct-259 05:15pm blood pt-12.6 inr(pt)-1.1 05:15pm blood glucose-96 urean-13 creat-0.7 na-138 k-4.7 cl-104 hco3-27 angap-12 05:15pm blood ck-mb-10 mb indx-9.1* ctropnt-0.58* 03:45pm blood %hba1c-5.9 -done -done 07:45am blood triglyc-95 hdl-50 chol/hd-4.5 ldlcalc-154* 07:00am blood hct-25.0* plt ct-147*# 04:20pm blood hct-26.8* 07:15am blood wbc-6.2 rbc-2.74* hgb-8.3* hct-23.8* mcv-87 mch-30.5 mchc-35.1* rdw-14.2 plt ct-68* 07:00am blood k-4.6 07:15am blood glucose-111* urean-23* creat-0.5 na-137 k-4.2 cl-103 hco3-25 angap-13 03:00am blood glucose-112* urean-17 creat-0.7 na-135 k-4.1 cl-106 hco3-27 angap-6* 07:15am blood mg-1.9 discharge chest x-ray: patient is status post median sternotomy and cabg. skin staples are still seen vertically oriented in the midline. there has been interval removal of a left-sided chest tube. no pneumothorax is identified. the mediastinum is less prominent than on the prior study, but is still widened relative to the pre-operative film. pulmonary vascular congestion has improved, but compared to the pre- operative study there is still residual congestion. no areas of consolidation are identified. there is bibasilar atelectasis. small posterior pleural effusions are seen on the lateral view. brief hospital course: admitted to the cardiology service. he remained pain free on intravenous therapy. the following day, he underwent cardiac catheterization which revealed a 80% left main lesion, 80% stenosis in the mid left anterior descending, no significant disease in the circumflex, and an 80% lesion in the mid right coronary artery. catheterization was complicated by dissection of the left main coronary artery leading to cardiogenic shock. hypotension was initially treated with atropine and dopamine. patient required intubation with placement of an iabp. emergent ptca of the left main and lad were performed with restoration of flow and recovery of blood pressure. patient was emergently brought to the operating room where dr. performed emergency coronary artery bypass grafting surgery. for further surgical details, please see seperate dictated operative note. following the operation, he was brought to the csru for invasive monitoring. he was initially maintained multiple inotropes. units of packed red blood cells were tranfused to maintain hematocrit near 30%. an echocardiogram on postoperative day one showed no signficant pericardial effusion with severe regional left ventricular systolic dysfunction with severe hypokinesis to akinesis of the anterior wall, septum, and apex. the mitral valve appeared structurally normal with only trivial mitral regurgitation. initial chest x-rays were notable for right upper collapse for which therapeutic bronchoscopy was performed on postoperative day one. over several days, patient gradually weaned from pressor support. the iabp was removed on postoperative day two without complication. patient tolerated extubation on postoperative day two. low dose beta blockade was initiated. on post-operative day three he was ready for transfer to the floor. he was seen in consultation by the otolaryngology service for hoarseness and it was suggested that his symptoms should improve over time. his chest tubes and wires were removed complication. mr. blood pressure regimen was maximized and he was gently diuresed toward his preoperative weight. he was seen in consultation by the physical therapy service and continued to make steady progress. by post-operative day five he made clinical improvements and was ready for discharge in stable condition to home. medications on admission: nadolol 40 mg daily viagra prn (last dose ) discharge medications: 1. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*0* 2. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 3. 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* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 5. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. hydromorphone 2 mg tablet sig: 1-2 tablets po every 4-6 hours as needed. disp:*50 tablet(s)* refills:*0* 7. nicotine 21 mg/24 hr patch 24hr sig: one (1) patch 24hr transdermal daily (daily). disp:*7 patch 24hr(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 9. 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* 10. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 11. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease, cardiogenic shock, dissection of left main coronary artery - s/p emergent cabg, acute st-elevation myocardial infarction, hypertension, postop dysphonia discharge condition: good condition 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: dr. in weeks dr. in weeks procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours 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 injection or infusion of platelet inhibitor left heart cardiac catheterization insertion of endotracheal tube other bronchoscopy implant of pulsation balloon transfusion of packed cells transfusion of platelets nonoperative removal of heart assist system continuous intra-arterial blood gas monitoring excision of lingual thyroid percutaneous transluminal coronary angioplasty [ptca] procedure on two vessels diagnoses: other iatrogenic hypotension thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension accidental puncture or laceration during a procedure, not elsewhere classified acute myocardial infarction of anterolateral wall, initial episode of care pulmonary collapse cardiogenic shock family history of ischemic heart disease late effects of motor vehicle accident other voice and resonance disorders monoplegia of lower limb affecting unspecified side 

Answer: The patient is high likely exposed to