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: history of present illness: mr. is a 74-year-old man admitted to an outside hospital on with a 2-week history of dyspnea on exertion and fatigue which these symptoms had increased over the previous 2-3 days prior to admission. no chest pain or associated nausea or vomiting prior to the onset of symptoms. he had exercised on a treadmill for 60 minutes per day and was able to walk up of a flight of stairs with ease. he was transferred for cardiac catheterization which revealed three-vessel disease. he was then referred to cardiothoracic surgery for coronary artery bypass grafting. past medical history: significant for cva in with residual fine motor deficit in the right hand, status post right cea in , abdominal aortic aneurysm 4.5 cm by cat scan, pvd, diabetes mellitus type 2, currently taking no medicine well controlled with exercise and diet, and status post gi bleed, hypertension and left subclavian artery stenosis. social history: retired engineer, widowed, lives alone. remote tobacco use, quit 14 years ago. no alcohol use. medications prior to admission: zestril 10 mg once daily, plavix 75 mg once daily, aspirin 81 mg once daily, lipitor 20 mg once daily, corgard 40 mg once daily, hydrochlorothiazide 25 mg once daily. allergies: no known drug allergies. laboratory data: prior to admission, white count 5.8, hematocrit 33.9, platelets 149, sodium 135, potassium 3.8, chloride 97, co2 of 28, bun 33, creatinine 1.1, glucose 126, pt 32, inr 1.1. as stated previously his cardiac catheterization showed a three-vessel disease with 60 percent lad lesion, 50 percent left circumflex lesion and 60 percent ostial rca lesion. patient has reported a ef of 60 percent with trace mr and mild tr by an echo done at the . physical exam: neurological: alert and oriented times three, moves all extremities, follows commands. pulmonary: clear to auscultation bilaterally. cardiac: regular rate and rhythm. abdomen is soft, nontender, nondistended, normoactive bowel sounds. extremities are warm. no edema. no varicosities, positive spider veins. hospital course: following cardiac cath and ct surgery consult, the patient was seen by the stroke service to evaluate for risk of perioperative stroke and on , he was brought to the operating room where he underwent coronary artery bypass grafting. please see the or report for full details. in summary, the patient had a cabg times four with the lima to the lad, saphenous vein graft to the rca, saphenous vein graft to om-3 with a jump graft to om-2. his bypass time was 90 minutes with a cross-clamp time of 64 minutes. he tolerated the operation well, was transferred from the operating room to the cardiothoracic intensive care unit. at the time transfer, the patient was a paced at 80 beats per minute. he had a mean arterial pressure of 76 with a cvp of 15. he had propofol at 20 mcg/kg/minimal and neo- synephrine at 0.3 mcg/kg/hour. the patient did well in the immediate postoperative period. his anesthesia was reversed. he was weaned from the ventilator and successfully extubated however following extubation, the patient became acutely anxious and required reintubation. following reintubation, the patient was begun on a precedex infusion following which he his anxiety stabilized and he was able to follow commands. he was again weaned to c-pap and the following morning successfully extubated. throughout this period, the patient remained hemodynamically stable. on postoperative day three, the patient was noted to have periods of atrial fibrillation which were treated with beta blockers as well as iv amiodarone. ultimately, the patient converted back to normal sinus rhythm. he remained hemodynamically stable throughout this period. on postoperative day four, the patient's temporary pacing wires were removed, his foley catheter was removed. he was changed from iv amiodarone to oral amiodarone and he was transferred to the floor for continuing postoperative care and cardiac rehabilitation. over the next several days, the patient had an uneventful postoperative course. his activity level was advanced with the assistance of the nursing staff as well as physical therapist and on postoperative day five, it was decided that the following day the patient would be ready for discharge to rehabilitation center. vital signs at the time of this dictation, the patient's physical exam is as follows. vital signs: temperature 97, heart rate 67 sinus rhythm, blood pressure 150/76, respiratory rate 24, o2 sat 93 percent on room air. laboratory data: white count 7.9, hematocrit 31, platelets 171, pt 14, ptt 86.6, inr 1.3, sodium 141, potassium 3.5, chloride 101, co2 of 31, bun 32, creatinine 1.2, glucose 118. physical exam: neurologically alert and oriented times three, moves all extremities, follows commands, slight left upper extremity weakness, residual from an old cva. respiratory: clear to auscultation bilaterally. cardiovascular: regular rate and rhythm, s1-s2 with no murmur. sternum is stable. incision with steri-strips, open to air, clean and dry. abdomen is soft, nontender, nondistended with normal active bowel sounds. extremities are warm, well-perfused with one plus edema. right leg saphenous vein graft harvest site with steri-strips, open to air, clean and dry. discharge medications: aspirin 325 mg once daily, colace 100 mg b.i.d., percocet 5/325 1-2 tablets q. 4-6 hours p.r.n., imdur 60 mg once daily, zantac 150 mg once daily, metoprolol 50 mg b.i.d., amiodarone 400 mg b.i.d. times 1 week then 400 mg once daily times 1 week then 200 mg once daily times 1 month, captopril 25 mg t.i.d., potassium chloride 20 meq b.i.d., lipitor 20 mg once daily, lasix 20 mg b.i.d. condition at discharge: good. disposition: he is to be discharged to rehabilitation at in . discharge diagnoses: cad status post coronary artery bypass grafting times four with the lima to the lad, saphenous vein graft to the rca, saphenous vein graft to om-2 with a jump to om-3. hypertension. diabetes mellitus type 2. chronic renal insufficiency. right cea. cva with left sided upper extremity weakness. turp. aaa measuring 4.5 cm. skin cancer. pvd. follow up: patient is to have follow-up with dr. in weeks, with dr. in weeks, and with dr. in 4 weeks. , m.d. procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization insertion of endotracheal tube diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation abdominal aneurysm without mention of rupture delirium due to conditions classified elsewhere 

Answer: The patient is high likely exposed to