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: chest pain major surgical or invasive procedure: - coronary artery bypass graft x3 (lima>lad, svg>pda, svg>om1) history of present illness: this is a 51-year-old male with a history of coronary artery disease who, in the past, had a myocardial infarct and underwent placement in . he also has a history of hypertension and hyperlipidemia and is a current smoker. he had the onset of chest pain for the last 2 weeks, relief with nitroglycerin. sometime the pain was present during rest. based on these findings, he went to his primary care physician and cardiology evaluation which led to a catheterization which revealed 3-vessel disease. based on these findings, the patient was recommended to undergo coronary artery bypass grafting. past medical history: htn hyperlipidemia cad s/p mi with r sciatica s/p tonsilectomy social history: caucasian, married with two kids. 45pk-yr smoking history that is active. occ etoh, no illicits. works as fine carpenter (does note that he can do fine detail work with either hand; eats and writes with his right) family history: father died of emphysema and lung cancer after career as firefighter. mother is alive and well in her 90s physical exam: gen awake, cooperative, nad heent nc/at, no scleral icterus noted, mmm, no lesions noted in oropharynx neck supple, no carotid bruits appreciated. no nuchal rigidity lungs wheezes with scattered rhonchi cv rrr, nl s1s2, no m/r/g noted. no pmi noted abd soft, nt/nd, normoactive bowel sounds, no masses or organomegaly noted ext no c/c/e b/l skin no rashes or lesions noted peripheral pulses symmetric and equal neuro nonfocal pertinent results: 07:40pm wbc-7.0 rbc-4.34* hgb-13.9* hct-38.8* mcv-89 mch-32.1* mchc-35.9* rdw-13.5 07:40pm alt(sgpt)-19 ast(sgot)-23 ck(cpk)-84 alk phos-97 amylase-35 tot bili-0.3 07:40pm glucose-102 urea n-12 creat-0.9 sodium-139 potassium-4.3 chloride-104 total co2-25 anion gap-14 07:40pm %hba1c-5.8 07:40pm plt count-248 07:40pm pt-12.2 ptt-30.1 inr(pt)-1.0 carotid duplex ultrasound there is no stenosis within bilateral internal carotid arteries. echo pre-bypass: the left atrium is normal in size. 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. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. 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. trivial mitral regurgitation is seen. there is no pericardial effusion. cxr small right subpulmonic effusion and small left pleural effusion with adjacent atelectasis. brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. heparin was continued for anticoagulation given the severity of his disease and he remained chest pain free. he was worked-up in the usual preoperative manner including a carotid duplex ultrasound which showed no significant internal carotid artery stenosis. plavix was allowed to clear from his system over the next couple days. on , mr. was taken to the operating room where he underwent coronary artery bypass grafting to three vessels. postoperatively he was taken to the intensive care unit for monitoring. by postoperative day one, he awoke neurologically intact and was extubated. beta blockade, aspirin and a statin were resumed. on postoperative day two, 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. plavix was resumed given his history of transient ischemic attacks. he had a fifteen minute episode of atrial fibrillation which converted to normal sinus rhythm with beta blockade. mr. continued to make steady progress and was discharged to his on postoperative day four. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: zocor 80mg qd lisinopril 20mg qd atenolo 25mg qd plavix 75mg qd discharge medications: 1. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 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. 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. zocor 80 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* discharge disposition: home with service facility: area vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 pmh: myocardial infarction s/p rca , , sleep apnea, sciatica, hypertension, hypercholesterolemia discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr in 4 weeks dr in weeks dr in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries other electric countershock of heart diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia tobacco use disorder unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation percutaneous transluminal coronary angioplasty status personal history of other diseases of circulatory system unspecified sleep apnea old myocardial infarction 

Answer: The patient is high likely exposed to