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: penicillins attending: chief complaint: irregular heartbeat, chest tightness major surgical or invasive procedure: s/p cabg x3 (lima->lad/svg->diag/om)/rf maze/laa stapling- history of present illness: the patient is a 66 year old male who developed chest tightness and palpitations that awoke him from sleep. the patient called ems and was brought to the emergency department where ekg revealed atrial fibrillation at 120 bpm. he converted to sinus rhythm with lopressor and iv cardizem. the patient ruled in for nstemi. cardiac cath revealed coronary artery disease including 50% left main stenosis. he was referred for surgical revascularization. past medical history: cad nstemi hypertension hyperlipidemia s/p cva s/p tia atrial fibrillation (new dx) herniated nucleus pulposis in lumbar spine recent +ett (anterior wall ischemia) social history: tobacco: quit smoking alcohol, minimal lives alone retired family history: non-contributory physical exam: vs 98.6 123/78 56 20 95% ra gen:no acute distress chest: lungs clear to auscultation bilaterally cv: regular rate and rhythm abd: soft, non-tender, non-distended ext: warm, trace edema incisions: mediastinal incision clean, dry, and intact, left endovascular vein harvest site clean, dry, and intact pertinent results: 05:19am blood wbc-7.8 rbc-2.74* hgb-8.1* hct-23.3* mcv-85 mch-29.7 mchc-34.8 rdw-14.2 plt ct-301 05:19am blood glucose-101 urean-17 creat-0.9 na-136 k-4.4 cl-103 hco3-29 angap-8 05:19am blood mg-2.3 echocardiography report , (complete) done at 9:58:58 am final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 66 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: abnormal ecg. atrial fibrillation. chest pain. coronary artery disease. hypertension. icd-9 codes: 402.90, 427.31, 786.51, 440.0, 424.0 test information date/time: at 09:58 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2008aw33-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 45% to 50% >= 55% findings left atrium: normal la size. good (>20 cm/s) laa ejection velocity. no thrombus in 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 and extending into the rv. no asd by 2d or color doppler. left ventricle: mild symmetric lvh with normal cavity size. normal lv wall thickness. normal lv cavity size. mildly depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. simple atheroma in aortic root. normal ascending aorta diameter. simple atheroma in ascending aorta. normal aortic arch diameter. 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. no ms. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflet. no ps. physiologic pr. pericardium: trivial/physiologic pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. patient. conclusions pre-cpb:1. the left atrium is normal in size. no thrombus is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. left ventricular wall thicknesses and cavity size are normal. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. overall left ventricular systolic function is mildly depressed (lvef= 45%). 4. right ventricular chamber size and free wall motion are normal. 5. there are simple atheroma in the aortic root. there are simple atheroma in the ascending aorta. there are simple atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. 7. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 8. there is a trivial/physiologic pericardial effusion. dr. was notified in person of the results. post-cpb: on infusion of phenylephrine, av pacing. preserved biventricular systolic function post cpb. lvef now 55%. mild mr. aortic contour is normal post decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 12:36 brief hospital course: the patient is a 66 year old male who was admitted for surgical management of his coronary artery disease and new onset atrial fibrillation. he was brought to the operating room on where he underwent cabg x 3, rf maze, and stapling of the laa. please see operative report for further details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu for further invasive monitoring. by pod 1 the patient was extubated, alert and oriented and breathing comfortably. he was hemodynamically stable and neurologically intact. atrial fibrillation continued and he was started on amiodarone. the patient was transferred to telemetry on pod 2. chest tubes and pacing wires were discontinued without complication. the physical therapy service was consulted for help with post-operative strength and mobility. the patient's rhythm vascilated between atrial fibrillation and sinus rhythm. the electrophysiology service was consulted and it was recommended that he be placed on 400mg amiodarone, 50mg toprol xl, and coumadin. further, he was given of hearts telemetry monitor for discharge and dr. from the ep service will see mr. in weeks. he was discharged to home with coumadin follow-up by the office of dr. . medications on admission: metoprolol 50'' triamterene/hctz 37.5/25 asa 325' simvastatin 20 qhs lisinopril 5' multivitamin 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:*2* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) as needed for constipation. disp:*30 capsule(s)* refills:*0* 3. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*45 tablet(s)* refills:*0* 4. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. triamterene-hydrochlorothiazid 37.5-25 mg capsule sig: one (1) cap po daily (daily). disp:*30 cap(s)* refills:*2* 6. metoprolol succinate 50 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po daily (daily). disp:*30 tablet sustained release 24 hr(s)* refills:*2* 7. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 8. coumadin 2.5 mg tablet sig: three (3) tablet po once a day: 7.5 mg (three 2.5 mg tablets) daily until otherwise instructed by the office of dr. . disp:*90 tablet(s)* refills:*2* discharge disposition: home with service facility: hospice and vna discharge diagnosis: s/p cabg x3 (lima->lad/svg->diag/om)/rf maze/laa stapling- discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks. 6) no driving for 1 month or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: follow up with dr. # in 4 weeks follow up with pcp , 1-2 weeks following discharge. please have an inr drawn on with results faxed to the office of dr. at (. spoke with on at 14:16. cardiologist , d. 1-2 weeks following discharge. please see dr. from electrophysiology/cardiology in weeks. (. procedure: venous catheterization, not elsewhere classified single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart excision or destruction of other lesion or tissue of heart, open approach cardioplegia transfusion of packed cells excision, destruction, or exclusion of left atrial appendage (laa) diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension atrial fibrillation other and unspecified hyperlipidemia sinoatrial node dysfunction 

Answer: The patient is high likely exposed to