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: codeine attending: chief complaint: mouth pain major surgical or invasive procedure: coronary artery bypass graft x 6 (lima to lad, svg to d1, svg to d2, svg to om to ramus, svg to pda), mitral valve repair with 26mm ce ring cardiac catherization history of present illness: 69 yo male with hx of htn, hyperlipidemia, and ? mi in the past presents with mouth pain. pain has been present for over a year and has been evaluated by a dentist and his pcp and the cause of his pain remains unclear. exertion such as climbing stairs or moving around also makes the pain worse, but it is not associated with any chest pain, chest tightness, or palpitations. past medical history: hypertension, hyperlipidemia, prostate cancer- s/p brachytherapy , pvd, s/p parathyroidectomy for hyperpara with hypercalcemia, gerd, diverticulosis, sleep disorder social history: social history is significant for previous smoking 2ppd x40 yrs quit 1 yr ago. no etoh. lives alone and is a retired worker for xerox. never married and has no children. family history: sister died age 60 of ca unknown type and brother died in his 60's of esophageal ca physical exam: vs: t 99.0 , bp 145/105 , hr 75 , rr 16 , o2 % 97 on 2l nc gen: wdwn middle aged male in nad, resp or otherwise. oriented x3. mood, affect appropriate. pleasant. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. poor dentition. no tooth pain to palpation neck: supple with no elev jvp. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no s4, no s3. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. no crackles, wheeze, rhonchi. abd: soft, ntnd, no hsm or tenderness. no abdominial bruits. hyperactive bs ext: no c/c/e. no femoral bruits. 1+ dp pulse on left, absent on rt skin: no stasis dermatitis, ulcers, scars, or xanthomas. right: carotid 2+ without bruit; femoral 2+ without bruit; left: carotid 2+ without bruit; femoral 2+ without bruit; discharge 98.1, 116/60, 81 sr, 18, 100% ra general nad well developed neuro a/o x3 nonfocal cardiac rrr no m/r/g resp cta bilat except decreased left base no rhonchi/wheezes abd soft, nt, nd +bs bm ext warm no edema pulses palpable inc left leg evh no erythema/drainage steris intact inc sternal no erythema/drainage steris intact sternum stable pertinent results: 12:55pm blood wbc-4.8 rbc-4.32* hgb-13.8* hct-37.3* mcv-86# mch-32.1* mchc-37.1* rdw-14.1 plt ct-152 12:55pm blood pt-13.6* ptt-29.5 inr(pt)-1.2* 12:55pm blood glucose-111* urean-20 creat-1.3* na-141 k-4.4 cl-105 hco3-26 angap-14 12:55pm blood ctropnt-0.05* 10:15am blood ck-mb-5 ctropnt-0.07* 04:14pm blood %hba1c-5.8 10:15am blood triglyc-122 hdl-36 chol/hd-3.2 ldlcalc-56 03:31am blood psa-<0.1 persantine mibi: left ventricular cavity size is normal. rest and stress perfusion images reveal a moderately severe, large, reversible perfusion defect in the inferior wall extending to the apex. a second moderate reversible perfusion defect is seen in the inferolateral wall. gated images reveal moderate global hypokinesis. the calculated left ventricular ejection fraction is 43%. cardiac cath: 1. selective coronary angiography of this right dominant system revealed 3 vessel coronary artery disease. the lmca had no angiographically apparent flow limiting lesions. the lad had 90% mid vessel stenosis after a large d2. the d1 had a proximal 90% stenosis. the d2 had a 80% stenosis. the lcx had an 80% tubular lesion proximally. the rca was occluded proximally and filled via left to right collaterals. 2. limited resting hemodynamics revealed normal systemic pressures and a normal lvedp. 3. left ventriculography revealed an ef of 60% with no significant mitral regurgitation. there was no transaortic gradient upon pullback of the catheter from the left ventricle to the aorta. echocardiogram: the left atrium is normal in size. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with inferior hypokinesis. overall left ventricular systolic function is mildly depressed. tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricular chamber size and free wall motion are normal. the aortic root is moderately dilated at the sinus level. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild mitral regurgitation is seen. the left ventricular inflow pattern suggests impaired relaxation. there is trace pericardial effusion. cardiology report echo study date of *** report not finalized *** preliminary report patient/test information: indication: aortic valve disease. coronary artery disease. left ventricular function. mitral valve disease. valvular heart disease. status: inpatient date/time: at 11:49 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2007aw02-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. measurements: left atrium - long axis dimension: *5.0 cm (nl <= 4.0 cm) left atrium - four chamber length: 5.2 cm (nl <= 5.2 cm) left ventricle - septal wall thickness: 1.1 cm (nl 0.6 - 1.1 cm) left ventricle - inferolateral thickness: 1.1 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 5.4 cm (nl <= 5.6 cm) left ventricle - systolic dimension: 3.9 cm left ventricle - fractional shortening: *0.28 (nl >= 0.29) left ventricle - ejection fraction: 35% to 40% (nl >=55%) aorta - valve level: 3.5 cm (nl <= 3.6 cm) aorta - ascending: *3.9 cm (nl <= 3.4 cm) interpretation: findings: mitral regurgitation assessed by phenylephrine challenge. mr worsened from mild in severity at a sbp of 120 mm. to moderate to severe at a sbp of 150 mm. hg. annular diameter (transcommissural) = 3.9 mm. ( anteroposterior) = 3.9 left atrium: moderate la enlargement. no spontaneous echo contrast or thrombus in the body of the laa. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: normal ra size. a catheter or pacing wire is seen in the ra. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv cavity size. moderately depressed lvef. lv wall motion: regional lv wall motion abnormalities include: basal anterior - hypo; mid anterior - hypo; basal anteroseptal - hypo; mid anteroseptal - hypo; basal inferoseptal - hypo; mid inferoseptal - hypo; basal inferior - hypo; mid inferior - hypo; basal inferolateral - hypo; mid inferolateral - hypo; basal anterolateral - hypo; mid anterolateral - hypo; anterior apex - hypo; septal apex - hypo; inferior apex - hypo; lateral apex - hypo; apex - hypo; right ventricle: mildly dilated rv cavity. borderline normal rv systolic function. aorta: mildly dilated ascending aorta. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets. no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. mild thickening of mitral valve chordae. moderate (2+) mr. vena contracta is >=0.7cm 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. no tee related complications. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. the patient was under general anesthesia throughout the procedure. suboptimal image quality - poor echo windows. conclusions: pre-bypass: the left atrium is moderately dilated. 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. the left ventricular cavity size is normal. overall left ventricular systolic function is moderately depressed. the right ventricular cavity is mildly dilated. right ventricular systolic function is borderline normal. the ascending aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. the mitral regurgitation vena contracta is >=0.7cm. physician: () 06:20am blood wbc-14.1* rbc-3.83* hgb-11.5* hct-34.1* mcv-89 mch-30.0 mchc-33.6 rdw-14.3 plt ct-691* 06:20am blood plt ct-691* 06:20am blood pt-16.7* inr(pt)-1.5* 01:10pm blood urean-25* creat-1.4* na-138 k-4.0 brief hospital course: as mentioned in the hpi, mr. presented with mouth pain with unknown etiology. given cardiac risk factors he was admitted for rule out and follow-up stress test. he ruled out for acute mi, but a pmibi was notable for lateral st-depressions. he subsequently underwent cardiac catheterization which revealed severe three vessel coronary artery disease. he then underwent pre-operative work-up for surgery. on he was brought to the operating room where he underwent a coronary artery bypass graft and mitral valve repair. please see op note for surgical details. following surgery he was transferred to the csru for invasive monitoring in stable condition. during initial post-operative period he require blood products for bleeding. on post-op day one he was weaned from sedation, awoke neurologically intact and extubated. he was started on beta blockers and diuretics. and he was gently diuresed towards his pre-op weight. on post-op day two he was transferred to the sdu for further care. during post-op period his chest tubes and epicardial pacing wires were removed per protocol. pod 3 evening he developed fever 103.5, cultures were obtained, cxr, and treated with tylenol. fever resolved, blood culture with coag negative staph, id consulted and antibiotics started until other cultures finalized. will continue with antibiotics for 8 day course per id recommendations as empiric therapy. episode of afib on pod #6 treated with amiodarone and anticoagulation started. target inr for a fib is 2.0-2.5. he will follow up with dr with follow up chest xray. picc line was inserted pod 9 for continued abx and he was ready for discharge to rehab on pod 10. medications on admission: pletal 100mg qd, bechol, lisinopril 10mg qd, verapamil 240mg qd, trazadone 100mg qhs, mvi, fish oil, coq10 discharge medications: 1. hexavitamin tablet sig: one (1) cap po daily (daily). 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:*1* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 4. cilostazol 100 mg tablet sig: one (1) tablet po daily () as needed for pvd. disp:*30 tablet(s)* refills:*0* 5. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 6. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg twice a day then decrease to 400mg daily on , then on decrease to 200mg daily and f/u with dr . 7. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 8. albuterol-ipratropium 103-18 mcg/actuation aerosol sig: two (2) puff inhalation q6h (every 6 hours). 9. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 10. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po every twelve (12) hours. 11. trazodone 50 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. 12. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h. 13. calcium carbonate 500 mg tablet, chewable sig: one (1) tablet, chewable po qid (4 times a day) as needed. 14. zosyn 4.5 g recon soln sig: 4.5 gm intravenous every eight (8) hours for 5 days: last day monday . 15. vancomycin in normal saline 1 g/250 ml solution sig: one (1) gm intravenous every twelve (12) hours for 5 days: last day of doses . 16. furosemide 40 mg tablet sig: one (1) tablet po twice a day for 10 days. 17. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 10 days. 18. warfarin 4 mg tablet sig: one (1) tablet po once a day: 4mg with labs check - goal inr 2.0-2.5 for atrial fibrillation . discharge disposition: extended care facility: discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 6 mitral regurgitation s/p mitral valve repair atrial fibrillation pmh: hypertension, hyperlipidemia, peripheral vascular disease, hypertension, prostate cancer s/p brachytherapy , gastroesophageal reflux disease, diverticulosis, s/p prathyroidectomy, sleep disorder, af discharge condition: good discharge instructions: 1) patient to shower daily, no baths. 2) no creams, lotions or ointments to incisions. 3) no driving for at least one month. 4) no lifting more than 10 lbs for at least 10 weeks from the date of surgery. 5) monitor wounds for signs of infection. please call cardiac surgeon () if start to experience fevers, sternal drainage and/or wound erythema. 6) you goal inr is 2.0-2.5 for atrial fibrillation. dr. office phone ( fax (. will manage after discharge from rehab 7) take amiodarone as instructed followup instructions: dr. - - at 1pm please go to clinical center building radiology for chest xray at 11am prior to appointment (evaluate infiltrates) dr. in 2 weeks (please get referral from pcp for cardiologist and see cardiologist in weeks) labs :pt/inr for coumadin dosing first check , bun/creatinine md procedure: venous catheterization, not elsewhere classified 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 (aorto)coronary bypass of four or more coronary arteries open heart valvuloplasty of mitral valve without replacement diagnoses: pneumonia, organism unspecified coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia mitral valve disorders unspecified essential hypertension atrial fibrillation other and unspecified angina pectoris 

Answer: The patient is high likely exposed to