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: percocet attending: chief complaint: recent onset angina and doe major surgical or invasive procedure: redo coronary artery bypass graft (saphavenous graft - posterior descending artery, saphavenous graft - obtuse marginal, saphavenous - diagonal); atrial septal defect closure; biventricular lead placement history of present illness: 70 yo male with history of cad and prior cabg x4 in . his angina has been relatively stable and resolves with rest. he has had yearly ptcas with some stents in - . in , he had a pacer placed. presents now after cath showed occluded lm, diffusely diseased lad and diagonals, rca 100%, svg to diag 1 60-70% mid-graft, and 80% in-stent restenosis.lima to lad was patent. echo showed ef 25-30%.referred to dr. for surgery. past medical history: cabg cad with prior ptcas/ stents prostate ca with xrt cardiomyopathy cri ( baseline 1.3) elev. chol. htn obesity social history: works part-time married with 2 children 30 pack/yrs, quit rare etoh family history: mother with cad died at 62 father died at 72 of leukemia physical exam: 68" 96.6 kg 97.0 hr 70 142/73 rr 20 97% ra sat obese, nad rrr, no m/r/g no jvd, carotid bruits l > r ctab soft abd, + bs, nt, nd, no palpable, pulsating masses extrems 2+ pulses, no edema, warm feet pertinent results: 06:25am blood wbc-7.6 rbc-3.41* hgb-10.6* hct-30.6* mcv-90 mch-31.0 mchc-34.6 rdw-14.8 plt ct-119* 06:25am blood plt ct-119* 02:59am blood pt-12.2 ptt-26.4 inr(pt)-1.0 06:25am blood glucose-98 urean-29* creat-1.6* na-140 k-4.1 cl-100 hco3-32 angap-12 02:59am blood alt-41* ast-48* alkphos-88 amylase-260* totbili-0.9 02:59am blood lipase-19 02:59am blood calcium-8.3* phos-4.2 mg-2.9* 05:35pm blood %hba1c-5.8 -done -done final report portable chest, 10:12 a.m. on indication: status post redo cabg and chest tube removal. evaluate for pneumothorax. findings: compared with , multiple tubes and catheters have been removed. no pneumothorax identified. no overt chf. patchy left lower lobe atelectasis/effusion is grossly unchanged. dr. approved: wed 10:32 pm procedure date: echocardiography report , (congenital) done at 9:58:10 am final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 70 m hgt (in): 72 bp (mm hg): 126/78 wgt (lb): 212 hr (bpm): 70 bsa (m2): 2.19 m2 indication: left ventricular function. intra-op tee for re-do cabg icd-9 codes: 745.5, 440.0, 414.8 test information date/time: at 09:58 interpret md: , md test type: tee (congenital) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2006aw02-: machine: 2 echocardiographic measurements results measurements normal range left atrium - peak pulm vein s: 5.0 m/s left atrium - peak pulm vein d: 2.1 m/s left ventricle - ejection fraction: 15% >= 55% aorta - valve level: 2.2 cm <= 3.6 cm aorta - ascending: 3.0 cm <= 3.4 cm aorta - arch: 2.7 cm <= 3.0 cm aorta - descending thoracic: *3.0 cm <= 2.5 cm aortic valve - peak velocity: 1.3 m/sec <= 2.0 m/sec aortic valve - lvot pk vel: 0.75 m/sec aortic valve - lvot vti: 18 aortic valve - lvot diam: 2.1 cm mitral valve - peak velocity: 1.0 m/sec mitral valve - mean gradient: 2 mm hg mitral valve - e wave: 0.9 m/sec mitral valve - a wave: 0.7 m/sec mitral valve - e/a ratio: 1.29 findings left atrium: good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. left-to-right shunt across the interatrial septum at rest. small secundum asd. prominent eustachian valve (normal variant). left ventricle: moderately dilated lv cavity. severe global lv hypokinesis. severely depressed lvef. no resting lvot gradient. right ventricle: mild global rv free wall hypokinesis. aorta: normal aortic root diameter. normal ascending aorta diameter. normal aortic arch diameter. there are complex (>4mm) atheroma in the aortic arch. mildly dilated descending aorta. there are complex (>4mm) atheroma in the descending thoracic 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: mild tr. eccentric tr jet. pulmonic valve/pulmonary artery: physiologic (normal) pr. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient was under general anesthesia throughout the procedure. the rhythm appears to be a-v paced. the patient has runs of a supraventricular for the patient. see conclusions for post-bypass data conclusions pre-bypass: 1. a left-to-right shunt across the interatrial septum is seen at rest. a small secundum atrial septal defect is present. 2.the left ventricular cavity is moderately dilated. there is severe global left ventricular hypokinesis. overall left ventricular systolic function is severely depressed. 3.there is mild global right ventricular free wall hypokinesis. 4.there are complex (>4mm) atheroma in the aortic arch. the descending thoracic aorta is mildly dilated. there are complex (>4mm) atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. 6.the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen (restricted anterior leaflet motion). vena contracta measures 3mm. 7.the tricuspid regurgitation jet is eccentric and may be underestimated. post-bypass: pt is being a paced and is on an infusion of noepinephrine, epinephrine and milrinone 1. overall lv systolic function is slightly improved. 2. other findings are unchanged. 3. no flow across the interatrial septum by color. bubble study with valsalva is negative for flow across the interatrial septum. 4. 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 ?????? caregroup is. all rights reserved. brief hospital course: admitted on for iv heparinization prior to surgery. patient had been off his coumadin approx. 5 days prior to admission.ep performed pacer interrogation prior to or. underwent redo cabg x3/asd closure/ biventricular lead placement on with dr. . transferred to the csru in stable condition on epinephrine, milrinone, and levophed drips. extubated on pod #1 and weaned off milrinone.pacer check completed by ep postop.epinephrine weaned off. went into rapid afib and was treated with amiodarone on pod #2 and chest tubes also removed.off all drips on pod #3 and pacing wires removed. re-bolused with amiodarone for afib again and converted to sr. seen by ep on pod #3 for a 7 beat run of vtach. recommended upgrade to biventricular icd in 3 months with follow up sooner with dr. . transferred to the floor on pod #3 to begin increasing his activity level. another episode of afib again on the morning of pod #4 required additional amiodarone. developed a small amount of sternal drainage and was started on vancomycin. made good progress and cleared for discharge to home with vna on pod #7. medications on admission: asa 325 mg daily plavix 75 mg daily ( held since last week) valsartan 80 mg lisinopril 10 mg daily atenolol 100 mg zocor 20 mg daily ntg 0.4 mg patch q 24 hours lasix 20 mg daily coumadin ( held for 5 days) discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. 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* 3. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 4. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours) for 1 months. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 5. hydromorphone 2 mg tablet sig: one (1) tablet po q2h (every 2 hours) as needed. disp:*40 tablet(s)* refills:*0* 6. simvastatin 10 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 7. amiodarone 200 mg tablet sig: two (2) tablet po once a day for 12 days: for 2 weeks, then 200 mg daily for one month. please check with dr. before discontinuing drug. disp:*110 tablet(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 9. metoprolol succinate 50 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). disp:*30 tablet sustained release 24hr(s)* refills:*0* 10. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: redo coronary artery bypass graft and atrial septal defect closure and biventricular lead placement hypertension heart failure prostate cancer permanent pacemaker elevated cholesterol cabg x4 afib obesity discharge condition: stable discharge instructions: shower, no baths. no creams, lotions, powder, or ointments on incisions. no driving for at least one month. no lifting more than 10 pounds for 10 weeks. call for fever > 101.5, redness, or drainage from incisions. please call with any questions or concerns. followup instructions: dr in 1 week () please call for appt dr in weeks (please call for appt dr in 4 weeks () please call for appt dr & pacer clinic - at 3pm () procedure: (aorto)coronary bypass of three coronary arteries extracorporeal circulation auxiliary to open heart surgery other and unspecified repair of atrial septal defect implantation or replacement of transvenous lead [electrode] into left ventricular coronary venous system diagnoses: other primary cardiomyopathies coronary atherosclerosis of native coronary artery pure hypercholesterolemia mitral valve disorders congestive heart failure, unspecified unspecified essential hypertension atrial fibrillation personal history of malignant neoplasm of prostate chronic kidney disease, unspecified paroxysmal ventricular tachycardia other and unspecified angina pectoris ostium secundum type atrial septal defect diseases of tricuspid valve infection (chronic) of amputation stump 

Answer: The patient is high likely exposed to