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: mild fatigue major surgical or invasive procedure: 1. coronary artery bypass graft x4; left internal mammary artery to left anterior descending artery and saphenous vein grafts to distal right coronary artery, obtuse marginal and diagonal arteries. 2. endoscopic harvesting of the long saphenous vein. history of present illness: 66 year old male with hyperlipidemia and gerd/spastic colon has a history of an mi in s/p lad stenting at center. at the time of his mi, his symptoms were atypical with epigastric discomfort and an overall feeling of being unwell. through the years he has been feeling fairly well without any significant symptoms. he does notice some mild fatigue which he believes might be related to lack of sleep due to personal stressors. on he underwent a surveillance stress echo. this was positive for st depressions and apical ischemia on imaging. he does describe occasional palpitations. he reports that a recent 24 hour holter monitor has revealed an occasional skipped beat but no significant arrhythmia. he was referred for left heart catheterization. he was found to have significant coronary artery disease and is now being referred to cardiac surgery for revascularization. past medical history: coronary artery disease with nstemi s/p lad stenting at gerd/pud spastic colon bph per referring records (patient denies knowledge) allergic rhinitis left renal cyst sciatica hematuria approximately five years ago- no source found gout anxiety eye spasms (recieves botox treatments every 3 months) hemorrhoids past surgical history: appendectomy right shoulder rotator cuff repair x 2 ( and ) hemorrhoid surgery past cardiac procedures: s/p lad stenting at social history: lives with:wife contact: (wife) occupation:retired engineer for ge cigarettes: smoked no yes other tobacco use:rare cigar etoh: 2 beers/night illicit drug use:denies family history: premature coronary artery disease- father with cad in his mid 80's. paternal uncle died from an mi at age 51. brother diagnosed with an mi in his late 50's. he has chf. mother with mitral valve disease. physical exam: pulse:58 resp:16 o2 sat:100/ra b/p right:161/71 left:177/93 height: 6'2" weight: 202 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema none _____ 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:none left:none pertinent results: intra-op tee: prebypass: no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. trace aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. dr. was notified in person of the results on at 1215pm. post bypass: there is normal biventricular systolic function. valvular function is unchanged. the thoracic aorta is intact after decannulation. . 03:43pm blood wbc-17.6*# rbc-3.44* hgb-11.0*# hct-33.2* mcv-97 mch-32.1* mchc-33.2 rdw-13.4 plt ct-195 05:43am blood wbc-10.6 rbc-3.50* hgb-11.0* hct-33.9* mcv-97 mch-31.4 mchc-32.4 rdw-13.6 plt ct-183 03:43pm blood pt-16.6* ptt-29.8 inr(pt)-1.6* 02:30am blood pt-12.2 ptt-29.2 inr(pt)-1.1 05:15pm blood urean-18 creat-1.0 na-141 k-4.5 cl-111* hco3-25 angap-10 05:43am blood glucose-99 urean-15 creat-1.0 na-141 k-4.2 cl-104 hco3-29 angap-12 02:30am blood calcium-8.3* phos-4.0 mg-2.1 brief hospital course: the patient was brought to the operating room on where the patient underwent coronary artery bypass with dr. . overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with vna services in good condition with appropriate follow up instructions. medications on admission: clonazepam 1 mg tablet - half tablet by mouth every morning, 1 tablet every evening hyoscyamine sulfate 0.375 mg daily isosorbide mononitrate 15 mg daily lansoprazole 30 mg daily toprol xl 25 mg daily nitroglycerin 0.4 mg tablet- 1 tablet sublingually every five minutes for chest discomfort. call 911 if pain persists longer than 15 minutes simvastatin 80 mg daily acetaminophen 650 mg daily aspirin 81 mg calcium carbonate 200 mg calcium (500 mg) tablet, chewable - tablet by mouth q hs as needed for epigastric distress multivitamin 1 capsule daily discharge medications: 1. simvastatin 40 mg tablet : two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 2. clonazepam 0.5 mg tablet : one (1) tablet po daily (daily). 3. acetaminophen 325 mg tablet : 1-2 tablets po q4h (every 4 hours) as needed for pain, fever. 4. clonazepam 1 mg tablet : one (1) tablet po qhs (once a day (at bedtime)) as needed for anxiety. 5. magnesium hydroxide 400 mg/5 ml suspension : thirty (30) ml po hs (at bedtime) as needed for constipation. 6. hyoscyamine sulfate 0.375 mg capsule,extended release 12 hr : one (1) capsule,extended release 12 hr po daily (daily). 7. polyvinyl alcohol-povidon(pf) 1.4-0.6 % dropperette : drops ophthalmic prn (as needed) as needed for xerophthalmia. 8. metoprolol tartrate 25 mg tablet : one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. calcium carbonate 200 mg calcium (500 mg) tablet, chewable : one (1) tablet, chewable po qid (4 times a day) as needed for reflux. 10. aspirin 81 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 11. aspirin 81 mg tablet, delayed release (e.c.) : one (1) tablet, delayed release (e.c.) po daily (daily). 12. tramadol 50 mg tablet : one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 13. tramadol 50 mg tablet : one (1) tablet po q6h (every 6 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 14. lansoprazole 30 mg tablet,rapid dissolve, dr : one (1) tablet,rapid dissolve, dr daily (daily). 15. multivitamin tablet : one (1) tablet po daily (daily). discharge disposition: home with service facility: , discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 hyperlipidemia nstemi, cad s/p lad stenting at gastroesophageal reflux spastic colon allergic rhinitis left renal cyst sciatica hematuria gout anxiety blepharospasm (recieves botox treatments every 3 months) hemorrhoids s/p appendectomy right shoulder rotator cuff repair x 2 ( and ) past cardiac procedures: s/p lad stenting at discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage edema- none discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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: wound check at cardiac surgery office () surgeon dr.() on at 2pm wound check in surgery office on at 10am cardiologist:dr. on at 11am please call to schedule the following: primary care dr.(in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia percutaneous transluminal coronary angioplasty status old myocardial infarction family history of ischemic heart disease irritable bowel syndrome allergic rhinitis, cause unspecified blepharospasm 

Answer: The patient is high likely exposed to