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: angina and abnormal ett major surgical or invasive procedure: opcabg x3 (lima to lad, svg to ramus, svg to lpda) history of present illness: 78 yo male with recent onset of angina and dyspnea with exertion. he also noted increased fatigue. ett was abnormal and referred for cath. past medical history: htn elev. chol. cri secondary hyperparathyrodism anemia osteopenia pvd with carotid disease prostatectomy s/p ca with xrt social history: light smoker; quit 20 years ago widowed, lives alone family history: sister had a cabg in her 50's; mother died cva at 66 physical exam: 5'6" 145# (no preop exam completed by cardiac surgical team as pt. came emergently from cath lab to or table) pertinent results: 06:15am blood wbc-7.2 rbc-3.05* hgb-9.8* hct-27.4* mcv-90 mch-32.0 mchc-35.6* rdw-14.3 plt ct-249 04:30am blood pt-17.8* inr(pt)-1.6* 06:15am blood plt ct-249 06:15am blood glucose-84 urean-34* creat-1.3* na-144 k-3.6 cl-104 hco3-30 angap-14 06:15am blood mg-2.3 echocardiography report , (complete) done at 2:50:47 pm final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 78 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: chest pain. coronary artery disease. hypertension. icd-9 codes: 786.51, 440.0, 441.2, 424.0 test information date/time: at 14:50 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw2-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 50% to 55% >= 55% aorta - sinus level: *3.8 cm <= 3.6 cm aorta - ascending: *3.9 cm <= 3.4 cm aortic valve - peak velocity: *5.0 m/sec <= 2.0 m/sec findings left atrium: normal la size. no spontaneous echo contrast in the body of the laa. no mass/thrombus in the laa. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: normal ra size. a catheter or pacing wire is seen in the ra and extending into the rv. dynamic interatrial septum. aneurysmal interatrial septum. pfo is present. left-to-right shunt across the interatrial septum at rest. left ventricle: mild symmetric lvh. normal lv cavity size. mild regional lv systolic dysfunction. right ventricle: normal rv chamber size and free wall motion. normal rv systolic function. aorta: mildly dilated aortic sinus. mildly dilated ascending aorta. normal aortic arch diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets (3). no as. trace ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. calcified tips of papillary muscles. no ms. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-cpb:1. the left atrium is normal in size. no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no mass/thrombus is seen in the left atrium or left atrial appendage. 2. the interatrial septum is aneurysmal. a trivial patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. 3. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with anteroseptal and anteroapical hypokinesis. 4. . right ventricular chamber size and free wall motion are normal. with normal free wall contractility. 5. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. 7. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. off-pump, transient regional wall motion changes seen, esp with pda occlusion. svo2, cco stable throughout. st segment elevation with pda occlusion, normal post reopening. lvef= 55%. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 16:52 radiology preliminary report chest (portable ap) 5:21 pm chest (portable ap) reason: evaluate effusion medical condition: 78 year old man with s/p cabg reason for this examination: evaluate effusion ap chest 5:45 p.m. history: status post cabg. impression: ap chest compared to and : bilateral pleural effusion, moderate in volume, left greater than right, has improved since as previous pulmonary and mediastinal vascular congestion have resolved and borderline cardiomegaly improved. some opacification at the lung bases, particularly the left is attributable to atelectasis, not appreciably changed. no pneumothorax. dr. dr. ?????? brief hospital course: admitted for cath on and went to or emergently on iabp and iv dopamine drip after developing angina during unsuccessful pci. dr. performed an off-pump cabg x3 and pt. transferred to the cvicu in fair condition. amiodarone started for afib and remained in the unit for volume management. iabp removed by cardiology sevice on pod #1. required levophed support for a couple of days and extubated on . chest tubes removed and transferred to the floor on pod #5.coumadin started for continuing intermittent a fib. target inr 2.0-2.5. cleared for discharge to rehab on pod #7. pt. is to make all follow up appts. as per discharge instructions. please contact dr. (pcp) when pt. is ready to be discharged from rehab .he will be following the inr/coumadin dosing. medications on admission: asa 81 mg daily lipitor 40 mg daily zetia 10 mg daily diovan 320 mg daily atenolol 12.5 mg daily amlodipine 2.5 mg daily iron 65 mg daily omeprazole 20 mg daily procrit injection every 4-6 weeks sl ntg prn discharge medications: 1. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily) as needed for off pump cabg. 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. 5. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 6. ezetimibe 10 mg tablet sig: one (1) tablet po daily (daily). 7. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 2 days: 400 mg until ; then 400 mg daily until , then 200 mg daily. 8. propoxyphene n-acetaminophen 100-650 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed. 9. albuterol sulfate 2.5 mg/3 ml solution for nebulization sig: one (1) neb inhalation q2h (every 2 hours) as needed. 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours): hold for k > 4.5. 11. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). 12. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). 13. warfarin 1 mg tablet sig: three (3) tablet po today only as needed for afib: only, then daily dosing per rehab provider. discharge disposition: extended care facility: life care center of discharge diagnosis: s/p off pump cabg (opcabg) postop a fib cad htn cri secondary hyperparathyroidsim carotid artery disease osteopenia anemia prostate cancer s/p radical prostatectomy and xrt gerd intermittent urinary incontinence discharge condition: stable discharge instructions: no lifting greater than 10 pounds for 10 weeks no driving for one month no lotions, creams, or powders on any incision call for fever greater than 100.5, redness or drainage shower daily and pat incisions dry target inr 2.0-2.5 for a fib- contact dr. (pcp) when pt. is ready to be discharged. he will be following coumadin dosing/inr. followup instructions: see dr. in weeks see dr. in weeks see dr. in 4 weeks md procedure: single internal mammary-coronary artery bypass (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter implant of pulsation balloon transfusion of packed cells transfusion of platelets infusion of vasopressor agent diagnoses: acidosis anemia in chronic kidney disease coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome cardiac complications, not elsewhere classified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified atrial fibrillation personal history of malignant neoplasm of prostate accidental puncture or laceration during a procedure, not elsewhere classified chronic kidney disease, unspecified occlusion and stenosis of carotid artery without mention of cerebral infarction hemorrhage complicating a procedure acute respiratory failure surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation cardiogenic shock secondary hyperparathyroidism (of renal origin) urinary incontinence, unspecified disorder of bone and cartilage, unspecified 

Answer: The patient is high likely exposed to