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: patient recorded as having no known allergies to drugs attending: chief complaint: chest pain major surgical or invasive procedure: left heart cateterization, coronary angiography, left ventriculogram perm-a-cath placement coronary artery bypass graft x 4 (left internal mammary artery to left anterior descending, saphenous vein graft to diagonal, saphenous vein graft to obtuse marginal, saphenous vein graft to left posterior descending artery) history of present illness: this 75 year old white male presented to hospital ed on with chest pain and shortness of breath for 1 week. upon presentation he had a new lbbb and his troponin was 7.9. a tte showed a depressed lvef and global hypokinesis. he was pain free and then developed severe cp on and was transferred to . past medical history: coronary artery disease s/p coronary artery bypass graft x 4 recent myocardial infarction insulin dependent diabetes mellitus dyslipidemia hypertension chronid kidney disease stage 3-4 chronic lymphocytic leukemia congestive heart failure peripheral vascular disease chronic obstructive pulmonary disease peripheral neuropathy cataracts anxiety on bupropion basal cell skin ca s/p resection s/p appendectomy social history: -tobacco history: 50 pack years, stopped 10 yrs ago. -etoh: no -illicit drugs: no lives with wife. independent with adls. family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory physical exam: admission: pulse:64 resp: 18 o2 sat: 99% 2 liters o2 b/p right: 107/62 left: height: 68" weight: 79.5 general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 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: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ carotid bruit right: no left: no pertinent results: echo: pre bypass the left atrium is moderately dilated. the left atrium is elongated. mild spontaneous echo contrast is seen in the body of the left atrium. no mass/thrombus is seen in the left atrium or left atrial appendage. mild spontaneous echo contrast is present in the left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity is moderately dilated. there is severe regional left ventricular systolic dysfunction with mild apical dyskinesis, lateral wall akinesis, severe hypokinesis of all mid and distal sements, and mild basal hypokinesis of all segments. overall left ventricular systolic function is severely depressed (lvef= 15-20 %). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly to moderately thickened but aortic stenosis is not present. there are filamentous strands on the aortic leaflets consistent with lambl's excresences (normal variant). trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. moderate tricuspid regurgitation is seen. there is a small pericardial effusion. stranding is visualized within the pericardial space c/w organization. there are bilaqteral pleural effusions. dr. was notified in person of the results in the operating room at the time of the study. post bypass the patient is receiving milrinone and norepinephrine by infusion. there is normal right ventricular systolic function. the left ventricle displays apical akinesis with slight improvement in all the rest of the segments. the mid and distal segments are still severely hypokinetic with the basal segments showing moderate hypokinesis. overall ef is about 20%. valvular function appears unchanged from pre-bypass. the thoracic aorta appears intact. 06:02am blood wbc-12.0* rbc-3.64* hgb-10.6* hct-31.5* mcv-87 mch-29.0 mchc-33.6 rdw-17.0* plt ct-191 05:52am blood wbc-10.9 rbc-3.66* hgb-10.5* hct-31.6* mcv-86 mch-28.6 mchc-33.2 rdw-17.1* plt ct-171 11:45am blood neuts-69.6 lymphs-25.7 monos-2.9 eos-1.4 baso-0.3 06:02am blood glucose-139* urean-74* creat-5.0*# na-136 k-5.4* cl-97 hco3-30 angap-14 04:57am blood glucose-123* urean-79* creat-4.7*# na-137 k-4.5 cl-99 hco3-27 angap-16 04:26am blood glucose-124* urean-69* creat-3.3*# na-138 k-4.0 cl-100 hco3-29 angap-13 06:02am blood alt-193* ast-307* ld(ldh)-409* alkphos-172* amylase-255* totbili-12.9* 05:52am blood totbili-12.1* dirbili-10.0* indbili-2.1 04:57am blood alt-135* ast-272* ld(ldh)-390* alkphos-159* totbili-13.6* dirbili-11.4* indbili-2.2 04:26am blood alt-105* ast-232* ld(ldh)-380* alkphos-141* amylase-175* totbili-13.6* dirbili-10.8* indbili-2.8 03:10pm blood alt-17 ast-29 ld(ldh)-325* ck(cpk)-49 04:35am blood alt-63* ast-191* ld(ldh)-420* ck(cpk)-361* alkphos-65 totbili-0.7 brief hospital course: this 75 year old male presented with recent-onset chest pain, shortness of breath and an acute infarction. he had recurrent pain and was transferred here for further care. he remained pain-free and was worked up cardiac surgery. he was cleared by hematology and subsequently was seen by the renal team and dialysis was started preoperatively for his worsening renal function. he was taken to the operating room on for coronary artery bypass grafting. the initial plan was to proceed with off-pump coronary artery bypass grafting, but in the operating room he was found to have adhesive pericarditis and he was also becoming hemodynamically unstable and it was decided to proceed with the operation on full cardiopulmonary bypass. he underwent coronary artery bypass grafting x4. see operative note for full details. he was transferred to the cvicu in stable condition on milrinone, epinenphrine, levophed and vasopressin. he was started on a lasix drip on pod#1 due to a low urine output. he was extubated on pod#2. he was started on an amiodarone drip due to ventricular arrythmias and ep was consulted due to his low ef. renal continued to monitor renal function and on pod#7 he was dialyzed when his bun reached 110. h estabilized and vasoactive medications were weaned off and he was started on norvasc and low dose beta blockers. he did have a bradycardic episode and was atrial paced at 56 for a brief period. echocardiography on showed an ef 15-25%, 1+ mitral regurgitation and no pericardial effusion. the patient also had an increased total bilirubin to a peak of 16. right upper quadrant ultrasound showed sludge but no evidence of biliary obstruction or distention of the gall bladder or an acute process. hepatology was finally consulted on due to persisitently elevated lfts and hyperbilirubinemia. multiple serology studies were sent to evaluate for hepatitis and are pending at discharge. he was transferred to the step down unit on pod#6 in stable condition. he has had no further ventricular ectopy on amiodarone 200 mg daily. he was dialyzed for the first time post operatively on . a tunnelled hemodialysis catheter was placed for long term hemodialysis needs uneventfully. medications were adjusted for his renal failure and as he had rhythm issues postoperatively and the lfts rose before amiodarone was begun it was not discontinued completely. he continued m-w-f dialysis without problems. his urine output is minimal and the foley catheter was removed. he may require periodic straight catheterization after discharge. he has been covered with sliding scale insulin postoperatively and not been restarted on his long acting insulin (lantus 26 units ) at discharge as his oral intake and appetite have been subpar. he is very deconditioned and was transferred for further recovery and continued dialysis before eventual discharge home. followup for his various medical providers will be as outlined elsewhere. medications on admission: cartia xt 300mg daily furosemide 40mg daily bupropin sr 150mg tricor 145mg daily asa 81 daily diovan 80mg daily leukeran 2mg daily procrit every 2 wks lantus 26u sc qam and qpm humalog ssi clotrimazole cream prn basis alevel prn klonopin 0.1mg daily on transfer: leukeran 2mg daily asa 325 dialy lipitor 80mg daily plavix 75mg daily aspart ssi levamir 26 u levaquin 500mg po q2days pepcid 20mg po q2days procrit 10000u t/th/sat sc prn meds: tylenol sl nt morphine discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 4. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 5. calcium acetate 667 mg capsule sig: two (2) capsule po tid w/meals (3 times a day with meals). 6. bupropion hcl 150 mg tablet sustained release sig: one (1) tablet sustained release po bid (2 times a day). 7. epoetin alfa 10,000 unit/ml solution sig: one (1) ml injection asdir (as directed). 8. amiodarone 200 mg tablet sig: one (1) tablet po daily (daily). 9. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 10. senna 8.6 mg tablet sig: one (1) tablet po bid (2 times a day). 11. b complex-vitamin c-folic acid 1 mg capsule sig: one (1) cap po daily (daily). 12. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 13. tramadol 50 mg tablet sig: one (1) tablet po q6h (every 6 hours) as needed for pain. 14. ondansetron hcl (pf) 4 mg/2 ml solution sig: one (1) injection q8h (every 8 hours) as needed for nausea. 15. insulin regular human 100 unit/ml cartridge sig: as below injection ac and hs: 100-140:2 units sq 141-180:4 units sq 181-220:6 units sq 221-260:8 units sq 261-300:10units sq. discharge disposition: extended care facility: - discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 insulin dependent diabetes mellitus dyslipidemia hypertension chronid kidney disease stage 3-4 chronic lymphocytic leukemia congestive heart failure peripheral vascular disease chronic obstructive pulmonary disease peripheral neuropathy cataracts anxiety s/p resection basal cell carcinoma s/p appendectomy discharge condition: good discharge instructions: shower daily, no baths or swimming no lotions, 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 fever greater than 100.5 report any weight gain greater than 2 pounds a day or 5 pounds a week take all medications as directed followup instructions: dr. in 4 weeks ()- at 1pm dr. in 2 weeks (_ dr. in 2 weeks () dr. in 4 weeks md procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours venous catheterization, not elsewhere classified (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters hemodialysis venous catheterization for renal dialysis venous catheterization for renal dialysis diagnoses: anemia in chronic kidney disease end stage renal disease subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified acute kidney failure, unspecified chronic airway obstruction, not elsewhere classified other chronic pulmonary heart diseases diabetes with neurological manifestations, type ii or unspecified type, not stated as uncontrolled polyneuropathy in diabetes hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage v or end stage renal disease other and unspecified hyperlipidemia anxiety state, unspecified personal history of other malignant neoplasm of skin disorders of phosphorus metabolism long-term (current) use of insulin other left bundle branch block acute combined systolic and diastolic heart failure atherosclerosis of native arteries of the extremities, unspecified chronic lymphoid leukemia, without mention of having achieved remission chronic total occlusion of coronary artery adhesive pericarditis 

Answer: The patient is high likely exposed to