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: penicillins attending: chief complaint: shortness of breath major surgical or invasive procedure: coronary artery bypass grafting x5(left internal mammary artery to left anterior descending artery and reverse saphenous vein grafts to the posterior descending artery, obtuse marginal artery and saphenous y-grafts to the ramus intermedius artery and the first diagonal artery) history of present illness: this 69 year old hispanic male with known triple vessel disease had a recent admission to an outside hospital for congestive heart failure with last documented lvef=25-30%. he presented on complaining of acute shortness of breath, not associated with other symptoms. cardiac catheterization revealed multivessel coronary artery disease. he was transferred to for cardiac surgical evaluation of coronary artery revascularization. past medical history: coronary artery disease s/p rca stent acute systolic heart failure-?ischemic cardiomyopathy bilateral carotid stenosis chronic obstructive pulmonary disease h/o rhabdomyolysis noninsulin dependent diabetes mellitus s/pdiabetic foot ulcer debridement s/p right hand tendon repair social history: lives with: daughter and grandaughter tobacco: quit ', started at age 14 etoh: denies speaks only spanish family history: non-contributory physical exam: admission: pulse:76 resp:20 o2 sat: 96% 3l b/p right:127/61 left: height: weight:63.2 kg general:a&ox3, nad skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs bibasilar crackles, r>l heart: rrr irregular murmur sem ii/vi abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema (b)le 2+ varicosities: none ? vein stripping-(b) medial incisions evident neuro: grossly intact pulses: femoral right: left: dp right: left: pt : left: radial right: left: carotid bruit +(b)thrills/bruits, pulses 2+ (b) pertinent results: echo: pre-cpb:1. the left atrium is moderately dilated. mild spontaneous echo contrast is seen in the body of the left atrium. mild spontaneous echo contrast is present in the left atrial appendage. the left atrial appendage emptying velocity is depressed (<0.2m/s). no thrombus is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. the lvef = 55%. 4. right ventricular chamber size and free wall motion are normal. 5. there are simple atheroma in the aortic root. there are simple atheroma in the ascending aorta. there are simple atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened and there is limited excursion of the rcc. there is no aortic valve stenosis. trace aortic regurgitation is seen. 7. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. 8. bilateral pleural effusions are seen. dr. was notified in person of the results. post-cpb: on infusion of phenylephrine, av pacing. preserved lv systolic function with some air detected in lv apex. mr, ai remain mild. aortic contour is normal post decannulation. right pleural effusion remains. 05:49am blood wbc-4.9 rbc-3.03* hgb-8.4* hct-24.9* mcv-82 mch-27.9 mchc-33.9 rdw-16.1* plt ct-212 12:00pm blood wbc-4.5 rbc-3.51* hgb-8.6* hct-27.6* mcv-79* mch-24.4* mchc-31.0 rdw-16.7* plt ct-441* 03:31am blood pt-14.6* ptt-30.3 inr(pt)-1.3* 05:19am blood urean-37* creat-1.2 na-142 k-3.7 cl-102 12:00pm blood glucose-96 urean-29* creat-1.1 na-142 k-4.4 cl-100 hco3-33* angap-13 08:19am blood wbc-3.8* rbc-3.33* hgb-9.2* hct-27.9* mcv-84 mch-27.7 mchc-33.1 rdw-15.6* plt ct-317 08:19am blood glucose-153* urean-40* creat-1.3* na-140 k-3.9 cl-100 hco3-35* angap-9 brief hospital course: on mr. was taken to the operating room and underwent coronary artery bypass grafting x5 with the left internal mammary artery to left anterior descending artery and reverse saphenous vein grafts to the posterior descending artery, obtuse marginal artery and saphenous y-grafts to the ramus intermedius artery and the first diagonal artery with dr.. please refer to his operative report for further details. he tolerated the procedure well and was transferred to the cvicu in critical but stable condition. he awoke neurologically intact and was extubated without incident.all drips were weaned to off and beta blocker,statin,asa and diuresis were he was transferred to the step down unit for further monitoring on pod#3. physical therapy was consulted for strength and mobility evaluation. cts and temporary pacing wires were removed per protocols and medications were adjusted for optimal care. he was prepared for discharge to sun brideg wood mill rehabilitation on medications on admission: lasix 80mg ,norvasc 10mg daily,asa 325mg daily,plavix 75mg daily,iron 325mg daily,,glipizide 5 q am,hydralazine 25 tid,imdur 30mg daily,lopressor 75bid,remeron 15 qhs, ambien 5 hs/prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. 5. clopidogrel 75 mg tablet sig: one (1) tablet po daily (daily). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever or pain. 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 8. mirtazapine 15 mg tablet sig: one (1) tablet po hs (at bedtime). 9. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 10. simvastatin 20 mg tablet sig: one (1) tablet po at bedtime. 11. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). 12. amlodipine 2.5 mg tablet sig: three (3) tablet po daily (daily). 13. lasix 40 mg tablet sig: two (2) tablet po twice a day: home dose. discharge disposition: extended care facility: colonial heights care and rehabilitation center - discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 5 s/p rca stent acute systolic heart failure-? transient ischemic cardiomyopathy bilateral carotid stenosis chronic obstructive pulmonary disease h/o rhabdomyolysis noninsulin dependent diabete mellitus hypertension s/p diabetic foot ulcer debridement s/p right hand tendon repair 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 - healing well, no erythema, scant thin seorosanguimous drainage from left drain site. edema -trace 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 until follow up with surgeon 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 wed, at 1:45pm please call to schedule appointments with your primary care dr. in weeks cardiologist dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation percutaneous transluminal coronary angioplasty status other specified cardiac dysrhythmias surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation acute systolic heart failure occlusion and stenosis of multiple and bilateral precerebral arteries without mention of cerebral infarction chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to