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: coronary artery bypass graft x 3 (lima to lad, svg to diag, svg to om) history of present illness: 52 yo m with known two vessel coronary artery disease from cath on . he has been medically managed and started having chest pain on . took mother-in-laws nitro and went to the . past medical history: hypertension, hypercholesterolemia, bilateral inguinal hernia repair s/p lap repair social history: social history is significant for the absence of current tobacco use although quit 3 yrs ago after 20 pk yr history. there is no history of alcohol abuse although drinks 2-3 glasses of wine per day. family history: his mother had an mi at 80, father is alive at 83. physical exam: vs - 97.8, 132/85, 61, 20, 100% on 2l gen: wdwn middle aged male in nad. oriented x3. mood, affect appropriate. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple with flat neck veins. cv: pmi located in 5th intercostal space, midclavicular line. rr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. chest: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes or rhonchi. abd: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. ext: no c/c/e. no femoral bruits. 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: cath: 1. coronary angiography of this right dominant system revealed severe 2 vessel disease. the lmca had a 50% distal stenosis. the lad had serial 70% proximal and mid lesions involving the origins of a large d1 and d2. the lcx was totally occluded proximally with left to left and right to left collaterals filling the large om1 and om2. the rca had no angiographically apparent flow limiting disease. 2. resting hemodynamics revealed normal systemic arterial systolic and diastolic blood pressure. 3. left ventriculography was deferred. echo: prebypass: no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal, however there is a prominent septal bulge (15mm) with no evidence of lvot obstruction. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with mild hypokinesis of the apex, distal anterolateral and inferolateral walls. overall left ventricular systolic function is mildly depressed (lvef= 45-50 %). the remaining left ventricular segments contract normally. the right ventricular cavity is mildly dilated. right ventricular systolic function is normal. the ascending, transverse and descending thoracic aorta are normal in diameter and free of atherosclerotic plaque.. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion. trace aortic regurgitation is seen. the mitral valve leaflets are structurally normal. mild (1+) mitral regurgitation is seen. cxr: in comparison with previous films, the endotracheal and nasogastric tubes have been removed, as has the swan-ganz catheter and left chest tube. the patient has taken a poor inspiration, which most likely accounts for much of the apparent increased prominence of the cardiac silhouette. specifically, there is no evidence of pneumothorax or acute focal pneumonia. 12:25pm blood wbc-5.9 rbc-4.59* hgb-14.5 hct-39.8* mcv-87 mch-31.6 mchc-36.4* rdw-14.0 plt ct-199 07:10am blood wbc-4.1 rbc-4.62 hgb-14.6 hct-39.6* mcv-86 mch-31.7 mchc-36.9* rdw-13.9 plt ct-92* 05:40am blood wbc-5.3 rbc-2.36* hgb-7.3* hct-20.2* mcv-86 mch-30.9 mchc-36.0* rdw-14.0 plt ct-113* 05:00am blood hct-19.2* 12:25pm blood pt-11.5 ptt-23.1 inr(pt)-1.0 01:21pm blood pt-13.1 ptt-32.6 inr(pt)-1.1 12:25pm blood glucose-100 urean-22* creat-0.9 na-142 k-4.4 cl-107 hco3-25 angap-14 05:40am blood glucose-125* urean-9 creat-0.8 na-136 k-3.9 cl-99 hco3-30 angap-11 brief hospital course: as mentioned in the hpi mr. was went to the ed c/o chest pain. he was medically managed and stabilized. he underwent usual pre-operative work-up including labs and diagnostics. on he was brought for a cardiac cath which again revealed severe two vessel coronary artery disease. on he was brought to the operating room where he underwent a coronary artery bypass graft x 3. please see operative report for surgical details. following surgery he was transferred to the csru for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one he was started on beta blockers and diuretics and gently diuresed towards his pre-op weight. chest tubes were removed on this day and he was transferred to the sdu for further management. on post-op day three his epicardial pacing wires were removed. he remained stable post-operatively and worked with physical therapy for strength and mobility. on post-op day four he was discharged home with vna services and the appropriate follow-up appointments. medications on admission: atenolol 50 mg daily, benecar 10 mg daily, asa 325 daily, zocor 40 mg daily citalopram 10 mg daily, mvi, fish oil discharge medications: 1. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*1* 2. citalopram 20 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 3. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 5. 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:*1* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 7. ferrous sulfate 325 (65) mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*1* 8. ascorbic acid 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*30 tablet(s)* refills:*1* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 pmh: hypertension, hypercholesterolemia, bilateral inguinal hernia repair s/p lap repair discharge condition: good discharge instructions: follow medications on discharge instructions. do not lift more than 10 lbs. for 2 months. do not drive for 4 weeks. shower daily, let water flow over wounds, pat dry with a towel. do not use creams, lotions, or powders on wounds. call our office with sternal drainage, temps.>101.5 p instructions: dr. in 4 weeks dr. in weeks dr. in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries angiocardiography of left heart structures left heart cardiac catheterization diagnostic ultrasound of heart injection or infusion of thrombolytic agent transfusion of packed cells diagnoses: thrombocytopenia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension personal history of tobacco use depressive disorder, not elsewhere classified 

Answer: The patient is high likely exposed to