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: dyspnea on exertion major surgical or invasive procedure: cabgx5 (lima-lad,svg-diag,svg-om1-om2,svg-pda) history of present illness: reported dypnea on exertion while being evaluated for shoulder surgery and was referred for ett which showed ischemia. a subsequent cardiac catheterization revealed 3 vessel coronary disease and he was referred for cardiac surgery. he was accepted as a surgical candidate and returns now for surgery. past medical history: htn ^chol dm2 obesity gout restless leg syndrom osa rt elbow surgery rt carpal tunnel release rt bicep repair piloneal cyst removal social history: lives w/wife denies tobacco rare etoh family history: father died at 53yo of mi sister has heart murmur physical exam: admission: hr 80 bp 154/86 rr 14 gen: nad neuro: a&ox3, nonfocal exam pulm: cta-bilat cv: rrr, s1-s2 abdm: soft, nt/nd-obese ext: warm, well perfused, no pedal edema, no varicosities pertinent results: 11:52am blood wbc-10.5# rbc-2.46*# hgb-8.0*# hct-22.7*# mcv-92 mch-32.3* mchc-35.0 rdw-14.7 07:48pm blood plt ct-175 11:52am blood pt-14.0* ptt-25.2 inr(pt)-1.2* 12:06pm blood urean-30* creat-1.4* cl-114* hco3-21* 06:22am blood wbc-7.8 rbc-3.00* hgb-9.6* hct-27.4* mcv-91 mch-31.9 mchc-35.0 rdw-14.9 plt ct-191 06:22am blood plt ct-191 02:54am blood pt-12.6 ptt-32.5 inr(pt)-1.1 06:22am blood glucose-104 urean-52* creat-1.7* na-137 k-4.4 cl-99 hco3-25 angap-17 radiology preliminary report chest (portable ap) 8:52 am chest (portable ap) reason: evalaute medical condition: 55 year old man with cabg and reason for this examination: evalaute lll single ap portable view of the chest reason for exam: cabg. comparison is made with multiple prior studies including most recent one performed a day earlier. mild cardiomegaly is unchanged and the right lung remains clear with lower lobe retrocardiac atelectasis is unchanged from prior study at 14:00 hours but has improved from at 8:00 hours. there is a probable small left pleural effusion. right ij line remains in place. patient is post median sternotomy and cagb. dr. , (complete) done at 10:09:58 am final referring physician information , r. division of cardiothoracic , status: inpatient dob: age (years): 55 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: abnormal ecg. hypertension. icd-9 codes: 402.90, 440.0 test information date/time: at 10:09 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 #: 2007aw1-: machine: echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 50% to 55% >= 55% aorta - annulus: 2.0 cm <= 3.0 cm aorta - sinus level: *3.9 cm <= 3.6 cm aorta - sinotubular ridge: *3.2 cm <= 3.0 cm aorta - ascending: 3.2 cm <= 3.4 cm aortic valve - peak gradient: 4 mm hg < 20 mm hg aortic valve - mean gradient: 2 mm hg findings right atrium/interatrial septum: normal ra size. 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 lv wall thickness. normal lv cavity size. mild regional lv systolic dysfunction. low normal lvef. lv wall motion: regional left ventricular wall motion findings as shown below; remaining lv segments contract normally. 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 aortic arch. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. mildly thickened aortic valve leaflets. no masses or vegetations on aortic valve. no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild mitral annular calcification. calcified tips of papillary muscles. trivial mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. 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. the patient received antibiotic prophylaxis. the tee probe was passed with assistance from the anesthesioology staff using a laryngoscope. no tee related complications. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre-cpb:1. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thicknesses are normal. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with anterior apical and anteroseptal apical hypokinesis. overall left ventricular systolic function is low normal (lvef 50-55%). the remaining left ventricular segments contract normally. 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. no masses or vegetations are seen on the aortic valve. there is no aortic valve stenosis. no aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. post-cpb: on infusion of phenylephrine.l preserved lv systolic function post bypass. anteroseptal wall is improved. mr is trivial. aortic contour is normal post decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician brief hospital course: mr was a direct admission to the operating room for coronary bypass grafting on . at that time he had cabgx5 withlima-lad,svg-diag, svg-om!, svg-om2, svg-pda. his bypass time was 102 minutes with a crossclam time of 80 minutes. please see or report for details. he was transferred to the cardiac surgery icu in stable condition. he was hemodynamically stable in the immediate post-op period, his anesthesia was reversed, he was weaned from the ventilator and extubated. on pod1 he continued to require neosynephrine for bp support and stayed in the icu, by pod2 the neosynephrine had been weaned off and he was discharged to the post-op floors. over the next several days his activity level improved with the assistance of nursing and physical therapy. on pod#3 the pt was noted to have developed a left pleural effusion and it was drained. the pt continued to work with advancing his activity level and on pod 6 it was decided he was ready for discharge home w/vna. post ct pt had small apical pneumo / repeat cxr showed stable appearence medications on admission: benicar/hctz 40/12.5' norvasc 10' allopurinol 300' metformin 1000" glyburide 5' vytorin 10/40' gemfibrozil 600" asa 81' ambien-hs plavix 75' metoprolol 25' discharge medications: 1. glyburide 2.5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 2. vytorin 10-40 10-40 mg tablet sig: one (1) tablet po once a day: resume preop regime. 3. gemfibrozil 600 mg tablet sig: one (1) tablet po bid (2 times a day). 4. 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:*2* 5. potassium chloride 10 meq tablet sustained release sig: two (2) tablet sustained release po twice a day for 20 days: 20 meq x 10 days then 20 meq qd x 10 days. disp:*60 tablet sustained release(s)* refills:*0* 6. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 7. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed. disp:*50 tablet(s)* refills:*0* 8. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 9. furosemide 40 mg tablet sig: one (1) tablet po twice a day: 40mg x 10 days then 40mg qd x 10 days. disp:*30 tablet(s)* refills:*2* 10. amiodarone 200 mg tablet sig: one (1) tablet po bid (2 times a day): please take 1 tablet po bid x 7 days / then take one tablet po qd. disp:*60 tablet(s)* refills:*2* 11. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 12. allopurinol 300 mg tablet sig: one (1) tablet po once a day. 13. zolpidem 5 mg tablet sig: one (1) tablet po hs (at bedtime) as needed. discharge disposition: home with service facility: vna discharge diagnosis: cad s/p cabg x5(lima-lad,svg-diag,svg-om1-om2,svg-pda) pmh: ^chol, dm2, obesity, gout, osa, rest leg syndrome psh: rt elbow , r carpal tunnel release, r bicep repair, piloneal cyst removal discharge condition: good discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from woun followup instructions: clinic in 2 weeks dr in weeks dr in weeks dr in 4 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of four or more coronary arteries thoracentesis non-invasive mechanical ventilation transfusion of packed cells diagnoses: other iatrogenic hypotension obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery unspecified pleural effusion unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation other and unspecified angina pectoris obesity, unspecified restless legs syndrome (rls) 

Answer: The patient is high likely exposed to