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: antihistamines - 1st generation classif. attending: chief complaint: crescendo angina major surgical or invasive procedure: coronary artery bypass grafts x 3 (lima-lad,sv-dg,sv-om) left heart catheterization, coronary angiography history of present illness: increasing angina in setting of known coronary artery disease, admitted for catheterization. past medical history: s/p rotator cuff repair s/p inguinal hernia repair s/p coronary stent hypertension hyperlipidemia benign prostatic hypertrophy social history: denies any significant smoking history. drinks 20 beers per week, last drink two nights before admission, no history of withdrawal. no ivda. lives alone and works as a hvac repairman at family history: no family history of cad father with dm brother with melanoma physical exam: discharge exam: general: very well appearing, fit male in nad- looking younger than stated years. vs: 98.1, 101/69, 71sr, 20, 94% heent: unremarkable chest: sternal incision c/d/i. sternum stable. lungs cta bilat. cor; rrr s1, s2 abd; soft, round, nt, +bs extrem: trace le edema bilat. left evh site healing well. 2 small open blisters near evh sites. neuro: alert and oriented x3. pertinent results: 08:50pm glucose-179* urea n-15 creat-1.0 sodium-136 potassium-3.9 chloride-102 total co2-23 anion gap-15 08:50pm alt(sgpt)-56* ast(sgot)-35 ld(ldh)-213 alk phos-90 tot bili-0.8 08:50pm albumin-4.4 08:50pm %hba1c-5.9 , (complete) done at 9:05:27 am final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 66 m hgt (in): 70 bp (mm hg): 112/78 wgt (lb): 180 hr (bpm): 67 bsa (m2): 2.00 m2 indication: intraoperative tee for cabg procedure. aortic valve disease. left ventricular function. mitral valve disease. preoperative assessment. right ventricular function. icd-9 codes: 786.51, 440.0, 414.8, 424.1, 424.0 test information date/time: at 09:05 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 #: 2009aw-:01 machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.5 cm <= 5.6 cm left ventricle - systolic dimension: 3.4 cm left ventricle - fractional shortening: 0.38 >= 0.29 left ventricle - ejection fraction: 55% >= 55% aorta - ascending: *3.5 cm <= 3.4 cm aortic valve - peak velocity: 1.6 m/sec <= 2.0 m/sec aortic valve - peak gradient: 10 mm hg < 20 mm hg findings right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal regional lv systolic function. overall normal lvef (>55%). no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. mild (1+) ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pericardium: no 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. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions prebypass 1. no atrial septal defect is seen by 2d or color doppler. 2. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+) aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 7. there is no pericardial effusion. 8. dr. was notified in person of the results on at 830 am. post bypass 1. patient is in sinus rhythm and receiving an infusion of phenylephrine. 2. biventricular systolic function is unchanged. 3. aorta is intact post decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 13:36 radiology report chest (pa & lat) study date of 3:18 pm , csurg fa6a sched chest (pa & lat) clip # reason: interval chnage medical condition: 66 year old man with removal of pleural and mediastinal tubes, and pacing wires reason for this examination: interval chnage final report indication: 66-year-old man with removal of pleural and mediastinal tubes. pa and lateral chest radiographs: all the lines and tubes have been removed. the lung volumes are low with mild basilar atelectasis. there is no evidence to suggest pneumonia or pulmonary edema. there is no pneumothorax. the study and the report were reviewed by the staff radiologist. dr. dr. approved: mon 7:15 pm brief hospital course: mr. is a 66 year old gentleman who was transferred to for cardiac catheterization due to an abnormal stress test. the catheterization revealed multi-vessel coronary artery disease. after a plavix washout he was taken to the operating room and underwent a triple coronary artery bypass on . this procedure was performed by dr. . the patient tolerated the procedure well and was transferred to the surgical intensive care uit in critical but stable condition. he was extubated and weaned from his pressors on post-operative day one. on the following day he was seen in consultation by physical therapy. he was transferred to the surgical step down floor. his chest tubes and epicardial wires were removed. on pt developed rapid afib w/ rate 180- responded to iv lopressor and amiodarone bolus 150mg x2. pt converted to sr later that evening and remained in nsr on po amiodarone. by pod# 5 he was ready for discharge to home w/ vna services. medications on admission: asa 325mg/d plavix 75mg/d lisinopril 10mg/d toprol xl 25mg/d lipitor 80mg/d niaspan 100mg/d discharge medications: 1. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(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. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 6. toprol xl 25 mg tablet sustained release 24 hr sig: two (2) tablet sustained release 24 hr po once a day. disp:*60 tablet sustained release 24 hr(s)* refills:*0* 7. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 8. niacin 1,000 mg tablet sustained release sig: one (1) tablet sustained release po at bedtime. 9. furosemide 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 10. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 6 days: then 2 tabs daily for 7days then one tablet daily until instructed to stop. disp:*72 tablet(s)* refills:*0* 11. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 7 days. disp:*14 capsule, sustained release(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts s/p coronary stents hypertension hyperlipidemia benign prostatic hypertrophy s/p herniorraphy s/p rotator cuff repair discharge condition: good discharge instructions: shower daily, no baths or swimming no lotion, creams or powders to incisions no driving for 4 weeks and off all narcotics no lifting more than 10 pounds for 10 weeks report any redness of, or drainage from incisions report any weight gain greater than 2 pounds a day or 5 pounds a week report any fever greater than 100.5 take all medications as directed followup instructions: dr. in 4 weeks () clinic in 2 weeks dr. in weeks () md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries transfusion of packed cells diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension atrial fibrillation personal history of tobacco use percutaneous transluminal coronary angioplasty status old myocardial infarction 

Answer: The patient is high likely exposed to