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: no known allergies / adverse drug reactions attending: chief complaint: congestive heart failure major surgical or invasive procedure: urgent coronary artery bypass graft x4(lima-lad,svg-pda,svg-om1-om2) history of present illness: this 60 year old white male presented to an outside hospital with several weeks of exertional dyspnea. he had shortness of breath essentially at rest on and called 911. he received oxygen, asa,ntg and was in pulmonary edema on arrival to the ed. enzymes were positive and he responded to therapy. catheterization on revealed triple vessel disease and 90% left main disease with ef of ~30%. he was transferred for revascularization. past medical history: untreated hypertension untreated diabetes social history: last dental exam:6 months lives with:self occupation:painter tobacco:2-3pk/wk etoh:24 beers, 2bottles /wk family history: non-contributory physical exam: pulse: resp:16 o2 sat:p b/p right:122/77 left: 122/77 height: 68" weight:240# general:wdwn in nad 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-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is severely depressed (lvef= 15-20 %). with mild global free wall hypokinesis. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. the mitral valve leaflets are mildly thickened. moderate (2+) mitral regurgitation is seen. there is no pericardial effusion. post-cpb: the patient is in sr, on an infusion of epinephrine. improved biventricular systolic fxn. ef is now 35 - 40%. mr is trace. no ai. aorta intact. 07:00am blood wbc-11.8* rbc-3.39* hgb-10.2* hct-30.9* mcv-91 mch-30.0 mchc-32.9 rdw-14.9 plt ct-298 05:10am blood wbc-11.7* rbc-3.37* hgb-10.5* hct-30.5* mcv-91 mch-31.1 mchc-34.3 rdw-14.0 plt ct-255 02:02am blood pt-12.1 ptt-26.8 inr(pt)-1.0 07:00am blood urean-22* na-139 k-3.8 cl-99 05:10am blood glucose-113* urean-25* creat-1.0 na-136 k-3.6 cl-98 hco3-28 angap-14 brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was worked-up in the usual preoperative manner. heparin and nitroglycerin were continued. on , mr. was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. he remained intubated as he was quite lethargic on postoperative day one. on postoperative day two, he was alert and successfully extubated. aspirin, a statin and beta blockade were started. on postoperative day three 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 postoperative strength and mobility. as he had a myocardial infraction preoperatively, an ace inhibitor was started. he was seen in consultation by the endocrinology service, who recommended placing him on lantus, a humalog sliding scale, and metformin. he received insulin administration teaching, diabetes diet instruction, and glucose testing education. he continued to make steady progress and was discharged home on postoperative day 9. medications on admission: heparin gtt discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*14 tablet, delayed release (e.c.)(s)* refills:*2* 2. allopurinol 300 mg tablet sig: one (1) tablet po daily (daily). disp:*14 tablet(s)* refills:*2* 3. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*28 tablet(s)* refills:*2* 4. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*28 tablet(s)* refills:*2* 5. lisinopril 5 mg tablet sig: 0.5 tablet po daily (daily). disp:*14 tablet(s)* refills:*2* 6. amiodarone 200 mg tablet sig: two (2) tablet po once a day: take 400mg daily for one week, then taper to 200mg daily ongoing. disp:*60 tablet(s)* refills:*2* 7. atorvastatin 20 mg tablet sig: one (1) tablet po daily (daily). disp:*14 tablet(s)* refills:*2* 8. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 9. lasix 20 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*2* 10. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day for 10 days. disp:*10 tablet, er particles/crystals(s)* refills:*2* 11. lantus 100 unit/ml solution sig: one (1) 36 subcutaneous at bedtime. disp:*qs * refills:*2* 12. humalog 100 unit/ml solution sig: one (1) per sliding scale subcutaneous four times a day: per sliding scale. disp:*qs * refills:*2* 13. syringes qs packets insulin syringes with needles for 3 months, five injections per day (lantus plus humalog), three refills 14. test strips freestyle lite test strips, qs for testing four times per day, three refills discharge disposition: home with service discharge diagnosis: s/p urgent coronary artery bypass unstable angina, left main coronary artery disease congestive heart failure non-st segment myocardial infarction diabetes mellitus hypertension alcohol abuse discharge condition: alert and oriented x3, nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema: firm edema bilateral lower extremities discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. (on at 1:00pm please call to schedule appointments with your primary care in weeks endocrinologist as soon as possible cardiologist: dr. in 3 weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery tobacco use disorder congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled obesity, unspecified alcohol abuse, continuous body mass index 40.0-44.9, adult 

Answer: The patient is high likely exposed to