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: left main coronary artery disease major surgical or invasive procedure: emergency coronary artery bypass grafts xlima-lad,svg-om1-om2-pda) history of present illness: progressive chest pain over three weeks requiring frequent nitro spray. a stress test was positive and the day of transfer catheterization revealed subtotal left main and an occluded right coronary artery. he was pain free and on no anticoagulants nor nitroglycerin. past medical history: ? copd etoh abuse paroxysmal atrial fibrillation s/p cv x3 ( refused coumadin in past) hypertension dyslipidemia tobacco abuse remote mycardial infarction social history: smokes 2ppd 10 beers /day works as driver family history: mother cabg in her 40s younger sister s/p cabg physical exam: admission: pulse:60 resp: o2 sat:12 100% ra b/p right:146/70 left: height:5'8" weight: 65kg general: aao x 3in 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:none left:+ pertinent results: 06:49pm blood wbc-8.3 rbc-4.28* hgb-14.0 hct-40.9 mcv-96 mch-32.6* mchc-34.1 rdw-13.0 plt ct-209 06:49pm blood glucose-83 urean-8 creat-0.8 na-135 k-6.3* cl-102 hco3-26 angap-13 06:49pm blood alt-17 ast-42* ld(ldh)-647* alkphos-40 totbili-0.6 prebypass: left ventricular wall thicknesses and cavity size are normal. aside from the inferior wall which is akinetic, regional wall motion is normal. overall left ventricular systolic function is mildly depressed (lvef= 40%). right ventricular chamber size and free wall motion are normal. 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 appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. due to the emergent nature of surgery and fluctuating hemodynamics interatrial septum was not examined for defects by 2d or color flow. postbypass: the patient is on infusions of phenylephrine and is not paced. normal right ventricular systolic function. lvef 40%. no valvular issues. intact thoracic aorta. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 23:53 brief hospital course: following admission, he was started on a heparin infusion. he was taken to the operating room that night, where quadruple grafts were performed. he weaned from bypass on neo synephrine, weaned and was extubated the following morning. the pressor was weaned off and he remained stable. he was diuresed gently and his digoxin and sotalol were resumed. physical therapy was consulted and he transferred to the floor on pod #2. continued to make good progress and was cleared for discharge to home with vna on pod #4. all f/u appts were advised. medications on admission: lisinopril 10mg daily sotalol 120mg digoxin 0.125mg daily asa 325mg daily klonipin 1mg qid discharge medications: 1. 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* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 5. sotalol 80 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*1* 6. nicotine 14 mg/24 hr patch 24 hr sig: one (1) patch 24 hr transdermal daily (daily). disp:*30 patch 24 hr(s)* refills:*0* 7. rosuvastatin 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 8. digoxin 125 mcg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* discharge disposition: home with service facility: paramentor vna and community care discharge diagnosis: left main coronary artery disease s/p cabg myocardial infarction (several years ago) ? copd etoh abuse paroxysmal atrial fibrillation s/p cv x3 ( refused coumadin in past) hypertension dyslipidemia tobacco abuse discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema -trace 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. (for dr. at on thursday @ 9:15 am cardiologist:dr. () on @ 10:30 am **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 tobacco use disorder unspecified essential hypertension chronic airway obstruction, not elsewhere classified atherosclerosis of aorta atrial fibrillation percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia other and unspecified angina pectoris old myocardial infarction alcohol abuse, continuous 

Answer: The patient is high likely exposed to