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: chest tightness major surgical or invasive procedure: cabg x 4: lima to lad, svg to diag, svg to om, svg to pda history of present illness: 68 year old male was recently referred for a stress test due to recent atypical chest pain and a prior history of presyncope. he also has a history of an episode of near syncope that occurred 3 years ago when he was driving in a car. he had a full work up at that time, according to his wife and was supposed to have a catheterization however he was unwilling to proceed with it at that time. over the last week, he has been experiencing intermittent episodes of chest pain occurring unrelated to activity or meals. he does report a lot of stress recently r/t his son getting divorced. he describes a tightness across his chest that lasts a few minutes and resolves spontaneously. he has associcated left arm pain and finger numbness. he was referred for a cardiac catheterization and was found to have three vessel disease. he is now being referred to cardiac surgery for revascularization. past medical history: hyperlipidemia - did not tolerate statin meds. history of near syncope hypertension history of etoh, cigar smoking history of lyme history of renal calculi rectal fissure rheumatoid arthritis social history: race:caucasian last dental exam:<1 year ago lives with:wife contact: (wife) phone # occupation:retired police officer cigarettes: smoked no yes other tobacco use:smokes 1 cigar/day etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use family history: father died at 62 s/p aortic valve or aneurysm surgery 6 yrs prior to death. physical exam: preop exam pulse:70 resp:20 o2 sat:99/ra b/p right:151/77 left:150/82 height:5'" weight:208 lbs general: awake alert oriented skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr ? soft 1/6 systolic ejection murmur at left parasternal border abdomen: soft non-distended non-tender + bowel sounds extremities: warm , well-perfused no edema no varicosities 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: no left: no pertinent results: cardiac catheterization: 1. selective coronary angiography in this right dominant system revealed left main and triple vessel coronary artery disease. the lmca had a 80% distal stenosis. the proximal lad had an 80% stenosis. the mid lcx had a 90% stenosis with an occluded om1 that fills via left to left collaterals. the rca had a 50% mid vessel stenosis. 2. limited resting hemodynamics revealed a normotensive central aortic pressure of 121/72 mm hg. . blood work: wbc-9.3 rbc-3.23* hgb-9.7* hct-29.0* mcv-90 mch-30.2 mchc-33.6 rdw-13.6 plt ct-305# wbc-11.5* rbc-3.34* hgb-10.0* hct-29.4* mcv-88 mch-30.0 mchc-34.1 rdw-12.9 plt ct-190 wbc-14.7* rbc-4.04* hgb-12.2* hct-35.2* mcv-87 mch-30.2 mchc-34.7 rdw-13.1 plt ct-252 wbc-16.8* rbc-3.88* hgb-11.5* hct-34.2* mcv-88 mch-29.5 mchc-33.5 rdw-13.0 plt ct-273 urean-21* creat-1.0 na-140 k-5.0 cl-105 urean-19 creat-0.9 na-139 k-4.2 cl-105 urean-16 creat-0.7 na-136 k-4.0 cl-102 glucose-90 urean-9 creat-0.7 na-134 k-4.3 cl-102 hco3-27 angap-9 urean-12 creat-0.8 na-138 k-4.5 cl-108 hco3-25 angap-10 mg-2.5 %hba1c-5.7 . chest x-ray: as compared to the previous radiograph, the patient has made a stronger inspiratory effort. on the left, there is a minimal pleural effusion and a small plate-like atelectasis. the right-sided internal jugular vein catheter has been removed. no pneumonia, no pulmonary edema. borderline size of the cardiac silhouette after cabg. brief hospital course: mr. was admitted after cardiac catheterization revealed severe three vessel cornary artery disease - see result section for details. cardiac surgery was therefore consulted and preoperative evaluation was performed. he agreed to proceed with surgical revascularization and was cleared for surgery. the following day, dr. performed coronary artery bypass grafting surgery. for surgical details, please see operative note. after surgery, patient was brought to the cvicu for invasive monitoring. within 24 hours, patient awoke neurologically intact and was extubated without incident. he maintained stable hemodynamics and transferred to the cardiac sdu on postoperative day one. amiodarone was started for paroxysmal atrial fibrillation while betablockade was advanced as tolerated. he remained mostly in a normal sinus rhythm, warfarin was therefore not initiated. over several days, he continued to make clinical improvements with diuresis and was cleared for discharge to home with vna on postoperative day five. prior to discharge, all followup appointments were arranged. medications on admission: amlodipine - (prescribed by other provider) - 10 mg tablet - 0.5 (one half) tablet(s) by mouth daily nebivolol - (prescribed by other provider) - 5 mg tablet - 0.5 (one half) tablet(s) by mouth daily magnesium oxide-pyridoxine hcl - (prescribed by other provider) - 362 mg-20 mg tablet - 1 tablet(s) by mouth daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 2. ranitidine hcl 150 mg tablet sig: one (1) tablet po bid (2 times a day) for 2 weeks. disp:*28 tablet(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*3* 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 6-8 hours as needed for pain. disp:*60 tablet(s)* refills:*0* 5. multivitamin tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 6. thiamine hcl 100 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 7. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 8. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 6 days: then drop to 1(one) tablet (twice daily) for 7(seven) days then drop to 1(one) tablet daily. disp:*60 tablet(s)* refills:*1* 9. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 7 days: please take with lasix. disp:*14 tablet extended release(s)* refills:*0* 10. lasix 40 mg tablet sig: one (1) tablet po once a day for 7 days: please take with kcl. disp:*7 tablet(s)* refills:*0* 11. metoprolol tartrate 25 mg tablet sig: three (3) tablet po tid (3 times a day). disp:*270 tablet(s)* refills:*2* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease, s/p cabg hypertension dyslipidemia postop paroxysmal atrial fibrillation discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage 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 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. at 1:00pm wound check on at 10:30am cardiologist: dr. at 1:45pm 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 single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation other and unspecified hyperlipidemia 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 other constipation rheumatoid arthritis personal history of urinary calculi 

Answer: The patient is high likely exposed to