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 / sulfa (sulfonamide antibiotics) attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypass x 5 /intra-aortic balloon pump (lima to lad, svg to om1, svg to om2, svg to pda, sequenced to plv) history of present illness: this is a 59 yo male with a history of hypertension who presented to with chest discomfort on evening of . he had 2 prior episodes of chest discomfort, 1 year ago and 3 days ago. the episode 3 days ago occurred while patient was in bed, and he doesn't know the duration because he went back to sleep. at 22:15 on he had chest pain while lying in bed radiating to left arm, with no associated diaphoresis, nausea, or dyspnea. this episode was much worse compared to the previous , patient's wife drove him to the . at , he was found to have st elevations in inferior leads with reciprocal changes in i and avl. biomarkers were pending at the time of transfer. he received asa325mg, sl ntg x 3 (pain free), clopidogrel 600mg, heparin 5000 units bolus with 1000/hr gtt, and eptifibatide 180mcg/kg bolus with 2mcg/kg/min gtt, and was transferred to . diagnostic catheterization showed occlusion of mid-lad with distal filling via l-l collaterals, mid-rca occlusion with l-r collaterals, and 80% om1 with diffuse distal lcx disease. iabp was inserted and patient was transferred to ccu for further management, pain free. on review of systems, he denies any prior history of stroke, tia, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. cardiac review of systems is notable for absence of dyspnea on exertion, palpitations, syncope or presyncope. past medical history: hypertension prostate hypertrophy finger dislocation social history: -occupation:telecommunications sales -married -tobacco history: quit smoking: in -etoh: 2 drinks per week -illicit drugs: none family history: no family history of early mi, otherwise non-contributory physical exam: bp: 132/74, hr:94, o2sat:97% general: middle-laged male, nad heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with no jvd cardiac: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominal bruits. extremities: no c/c/e. right groin sheath with iabp skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ dp 2+ pt 2+ pertinent results: 06:10am blood wbc-14.0* rbc-4.73 hgb-13.8* hct-39.1* mcv-83 mch-29.1 mchc-35.1* rdw-13.2 plt ct-239 01:00am blood wbc-11.4* rbc-4.43* hgb-13.4* hct-36.8* mcv-83 mch-30.2 mchc-36.3* rdw-13.1 plt ct-227 06:10am blood pt-13.8* ptt-41.5* inr(pt)-1.2* 01:00am blood neuts-70.8* lymphs-21.9 monos-4.9 eos-2.0 baso-0.3 01:00am blood glucose-159* urean-15 creat-0.9 na-137 k-3.6 cl-103 hco3-25 angap-13 01:00am blood alt-27 ast-51* ck(cpk)-325* alkphos-91 amylase-34 totbili-0.4 dirbili-0.1 indbili-0.3 01:00am blood ck-mb-19* mb indx-5.8 ctropnt-0.74* 01:00am blood albumin-3.5 mg-1.9 cholest-pnd conclusions pre-cpb: there is moderate lv systolic dysfxn. the base generally functions well, but all mid-papillary segments are hypokinetic, and the apex is akinetic. no spontaneous echo contrast is seen in the left atrial appendage. moderate global rv hypokinesis. the ascending aorta is mildly dilated. the descending thoracic aorta is mildly dilated. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is no pericardial effusion. an iabp is in the proximal ascending aorta. post bypass: the patient is in nsr, on low-dose phenylephrine. improved biventricular systolic fxn. the rv is now very mildly globally depressed. the lv shows improved mid papillary fxn. the inferior wall is still hypokinetic, but the anterior wall is improved. the apex remains akinetic. trace mr, no ai. aorta intact. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 12:57 06:40am blood wbc-10.9 rbc-2.96* hgb-8.8* hct-25.1* mcv-85 mch-29.8 mchc-35.2* rdw-13.3 plt ct-152 06:40am blood glucose-121* urean-18 creat-0.8 na-137 k-4.3 cl-101 hco3-27 angap-13 06:40am blood wbc-10.9 rbc-2.96* hgb-8.8* hct-25.1* mcv-85 mch-29.8 mchc-35.2* rdw-13.3 plt ct-152 06:40am blood glucose-121* urean-18 creat-0.8 na-137 k-4.3 cl-101 hco3-27 angap-13 brief hospital course: mr. a diagnostic cardiac catheterization showing mid-rca occlusion with collaterals, mid-lad occlusion with collaterals, 80% om1 and 70% diffuse distal lcx disease. an intra aortic balloon pump was inserted and he went to or for cabg x5 the same day. this procedure was performed by dr. . he tolerated the procedure well and was transferred to the cvicu in stable condition. his balloon was removed and he was extubated on pod #1. his chest tubes were removed and his pressors weaned. by post-operative day two he was transferred to the surgical step down floor. his epicardial wires were removed and he was seen by physical therapy. by post-operative day four he was ready for discharge home. medications on admission: hydochlorothiazide 12.5mg daily lisinopril 20mg daily asa discharge medications: 1. 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* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 3. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po every 4-6 hours as needed for pain. disp:*60 tablet(s)* refills:*0* 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 5. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 6. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 7. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 8. hydrochlorothiazide 12.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* discharge disposition: home with service facility: homecare discharge diagnosis: acute myocardial infarction coronary artery disease s/p cabg hypertension prostate hypertrophy finger dislocation discharge condition: good discharge instructions: no lotions, creams or powders on any incision shower daily and pat incisions dry no driving for one month no lifting greater than 10 pounds for 10 weeks call for fever greater than 100.5, redness, drainage, or weight gain of 2 pounds in 2 days followup instructions: see dr. in weeks see dr. in weeks see dr. in 4 weeks please call for appts. procedure: 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 (aorto)coronary bypass of four or more coronary arteries implant of pulsation balloon diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) acute myocardial infarction of other inferior wall, initial episode of care 

Answer: The patient is high likely exposed to