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: no known allergies / adverse drug reactions attending: chief complaint: coronary artery disease major surgical or invasive procedure: coronary artery bypass graft x 5 (lima->lad,free rima->ri,svg-> diagonal,svg-om,svg-drca) history of present illness: this 45 year old male noticed a few months ago that he was developing chest discomfort while exercising at his home gym. he states after walking on treadmill with an incline after a couple of minutes he was noticing a tightening in his chest. after slowing the treadmill down and lowering the incline, within 25 minutes the pain would subside. he also noted chest discomfort with exertion after walking up two flights of stairs and unloading the cars with groceries, with resting the pain subsided within one minute. he states during these episodes they would also feel lightheadedness and shortness of breath. he was referred for a cardiac catheterization after a positive stress test and was found to have coronary artery disease. he is now being referred to cardiac surgery for revascularization. past medical history: unilateral inguinal hernia lumbago sacroiliitis hyperlipidemia history of fracture to clavicle and ribs secondary to motorcycle accident possible sleep apnea social history: race:caucasian last dental exam:>1 year ago lives with:wife and 4 children contact: (wife) cell # occupation:self employed cigarettes: smoked no yes other tobacco use:denies etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use:denies family history: premature coronary artery disease- sister had an mi at the age of 46, mother with hypertension physical exam: pulse:83 resp:16 o2 sat:100/ra b/p left:124/83 height:5'8" weight:175 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ 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:- left:- pertinent results: 10:09am blood hct-26.7* 03:35am blood wbc-11.3* rbc-3.03* hgb-8.8* hct-25.5* mcv-84 mch-28.9 mchc-34.4 rdw-12.6 plt ct-151 03:23am blood wbc-13.2* rbc-3.52* hgb-10.2* hct-29.1* mcv-83 mch-29.0 mchc-35.0 rdw-13.0 plt ct-172 03:35am blood glucose-95 urean-14 creat-0.7 na-136 k-3.8 cl-100 hco3-30 angap-10 12:22pm blood na-138 k-3.9 cl-104 04:55am blood wbc-9.1 rbc-3.04* hgb-8.8* hct-25.6* mcv-84 mch-29.0 mchc-34.3 rdw-12.6 plt ct-172 04:55am blood glucose-90 urean-10 creat-0.6 na-139 k-3.9 cl-103 hco3-29 angap-11 tte prebypass: normal lv systolic function with lvef > 55% with no swma. the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. right ventricular chamber size and free wall motion are normal. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. normal rv chamber dimensions and function. normal ra size.trace tr. normal pv function. normal coronary sinus. no clot in laa. normal diastolic function with lateral mitral annular e' = 13 cm/sec. postbypass: normal lv systolic function lvef > 55%, no segmental wall motion abnormalities. normal valves. no dissection seen after cannula out. no other changes. 04:41am blood wbc-8.2 rbc-3.13* hgb-9.0* hct-26.1* mcv-83 mch-28.8 mchc-34.6 rdw-12.9 plt ct-221 04:41am blood na-139 k-3.5 cl-100 brief hospital course: the patient was admitted to the hospital and brought to the operating room on where he underwent coronary artery bypass graft x 5 with left internal mammory artery to the lad, free right internal mammory artery to the ramus, reverse saphenous vein graft to the obtuse marginal, diagnoal and distal right coronary artery. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. he was placed on imdur er to prevent spasms having had the the free rima used as conduit. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. beta blocker was titrated up for tachycardia. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating independently, the wound was healing well, he was tolerating a full oral diet and pain was controlled with oral analgesics. the patient was discharged home with visitng nurse services in good condition with appropriate follow up instructions. medications on admission: vitamin d2 50,000 unit capsule weekly for 8 weeks metoprolol tartrate 25 mg simvastatin 20 mg daily aspirin 81 mg daily discharge medications: 1. simvastatin 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 2. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. 3. ibuprofen 200 mg tablet sig: two (2) tablet po every hours as needed for pain. 4. ergocalciferol (vitamin d2) 50,000 unit capsule sig: one (1) capsule po 1x/week (). 5. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 6. metoprolol tartrate 100 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 8. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 9. isosorbide mononitrate 30 mg tablet extended release 24 hr sig: 0.5 tablet extended release 24 hr po daily (daily). disp:*30 tablet extended release 24 hr(s)* refills:*2* 10. lasix 20 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 11. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once (once) for 7 days. disp:*7 tablet, er particles/crystals(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease unilateral inguinal hernia lumbago sacroiliitis hyperlipidemia history of fracture to clavicle and ribs secondary to motorcycle accident possible sleep apnea discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema 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 () on at 1:15pm cardiologist: dr. on at 2:20pm wound check at cardiac surgery office on at 10:15 am please call to schedule appointments with your primary care dr. in weeks () **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries extracorporeal circulation auxiliary to open heart surgery double internal mammary-coronary artery bypass diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery unspecified essential hypertension personal history of tobacco use other and unspecified hyperlipidemia other and unspecified angina pectoris family history of ischemic heart disease rash and other nonspecific skin eruption examination of participant in clinical trial sacroiliitis, not elsewhere classified family history of other cardiovascular diseases body mass index 26.0-26.9, adult 

Answer: The patient is high likely exposed to