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: intermittent episodes of chest burning major surgical or invasive procedure: coronary artery bypass grafting times 4 with the left internal mammary artery to left anterior descending artery and reverse saphenous vein graft to the right coronary artery, second obtuse marginal artery and diagonal artery cardiac catheterization cardiac catheterization history of present illness: 71 year old with cad status post mi treated with thrombolytics at in . has not seen anyone for at least 5 years. in the beginning of he began to have intermittent episodes of chest burning which woke him from sleep and occasionally on exertion while mowing grass or walking his dog. an echocardiogram on showed systolic function was normal with a lvef greater than 55%. nuclear imaging on demonstrated mildly reduced systolic function with a medium sized inferolateral defect which is mostly reversible, consistent with perhaps a small inferoapical infarction and a larger area of adjacent inferolateral ischemia. past medical history: coronary artery disease s/p mi and tpa at in essential hypertension hypercholesterolemia social history: lives with: wife. occupation: retired teacher. retired military. cigarettes: smoked no yes quit cigars after mi etoh: drinks/week 1-1.5 glasses wine daily illicit drug use: none exercise: walks up to 2 miles daily family history: father cva at 70 year old physical exam: t98 pulse: 54 resp: 18 o2 sat: b/p right: 119/89 left: 122/92 height: 6 feet 2 inches weight: 235 lbs general: nad skin: dry intact heent: perrla eomi mmm- oropharnyx-pink w/o lesions neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender +bs extremities: warm , well-perfused edema-none varicosities: none neuro: grossly intact nonfocal exam pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: cath left: 2+ carotid bruit no pertinent results: 03:00pm blood wbc-5.8 rbc-4.42* hgb-14.1 hct-39.6* mcv-90 mch-32.0 mchc-35.7* rdw-12.7 plt ct-143* 03:00pm blood pt-12.4 inr(pt)-1.0 03:00pm blood plt ct-143* 03:00pm blood glucose-125* urean-19 creat-0.7 na-137 k-3.7 cl-105 hco3-27 angap-9 03:00pm blood alt-19 ast-19 alkphos-38* totbili-0.7 03:00pm blood alt-19 ast-19 alkphos-38* totbili-0.7 03:00pm blood %hba1c-5.6 eag-114 . cardiac catheterization: 1. native three vessel coronary artery disease. 2. patent lima-lad, svg-om, svg-diag and svg-rca. . lower extremity ultrasound: 1. deep vein thrombosis identified within the right calf within the posterior tibial and within the peroneal veins. 2. deep vein thrombosis also identified within the left calf in the posterior tibial veins. . 06:20am blood wbc-10.2 rbc-3.38* hgb-10.7* hct-31.1* mcv-92 mch-31.7 mchc-34.5 rdw-13.1 plt ct-195# 06:45am blood wbc-7.8 rbc-3.83* hgb-12.3* hct-34.5* mcv-90 mch-32.1* mchc-35.7* rdw-13.6 plt ct-129* 02:27am blood wbc-8.5 rbc-3.59* hgb-12.0* hct-32.7* mcv-91 mch-33.5* mchc-36.8* rdw-12.8 plt ct-132* 05:55am blood wbc-10.7 rbc-3.59* hgb-12.0* hct-32.7* mcv-91 mch-33.6* mchc-36.8* rdw-12.8 plt ct-113* 06:20am blood pt-20.8* inr(pt)-1.9* 06:30am blood pt-18.8* inr(pt)-1.7* 06:50am blood pt-17.5* inr(pt)-1.6* 06:45am blood pt-14.4* inr(pt)-1.2* 02:27am blood pt-11.9 inr(pt)-1.0 06:20am blood glucose-115* urean-21* creat-0.8 na-136 k-4.1 cl-100 hco3-28 angap-12 06:50am blood glucose-90 urean-27* creat-0.7 na-136 k-4.3 cl-100 hco3-29 angap-11 06:45am blood glucose-91 urean-26* creat-0.8 na-138 k-4.3 cl-100 hco3-29 angap-13 02:27am blood glucose-100 urean-29* creat-0.9 na-137 k-4.3 cl-98 hco3-28 angap-15 05:55am blood glucose-134* urean-27* creat-0.9 na-135 k-4.9 cl-100 hco3-28 angap-12 09:31am blood urean-23* creat-1.0 na-135 k-3.8 cl-100 hco3-21* angap-18 06:50am blood calcium-8.4 phos-3.9 mg-2.1 brief hospital course: he presented for cardiac catheterization for evaluation of chest discomfort that revealed severe coronary artery disease. he was admitted following catheterization for medical management and underwent pre-operative work-up. on he was brought to the operating room and underwent a coronary artery bypass graft x 4. please see operative note for surgical details. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. later this day 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. he did develop atrial fibrillation post operatively which he was started on amiodarone. later on this day he was transferred to the step-down floor for further recovery. on post operative day two he had a ventricular fibrillation arrest that after further review was related to r on t with pacer firing. he was resuscitated and brought to the intensive care unit. he self extubated self on transport to intensive care unit, and remained extubated. electrophysiology was consulted for evaluation. he underwent cardiac catheterization that day to evaluate coronaries and grafts which revealed all grafts patent. in further evaluation electrophysiology interrogated epicardial wires that resulted in second ventricular fibrillation. he was resuscitated and epicardial wires were removed with no further ventricular fibrillation. he did not require intubation and remained neurologically intact. he remained in the intensive care unit for monitoring and on was transferred to the floor for the remainder of his care. his betablockers were adjusted for heart rate management and he continued on amiodarone for his atrial fibrillation. he was subsequently diagnosed with bilateral deep vein thromboses seconardy to complaints of bilateral calf pain. given that his inr was subtherapeutic, he was started on enoxaparin. given atrial fibrillation and dvt, warfarin was dosed for a goal inr between 2.0 to 3.0. he was medically cleared for discharge home with services on . at discharge, he will remain on enoxaparin until his inr reaches 2.0 or greater. prior to discharge, arrangements were made with dr. and the clinic to monitor inr as an outpatient. medications on admission: atenolol - 25 mg once a day lisinopril - 5 mg once a day simvastatin - 20 mg at bedtime aspirin - 162 mg once a day coenzyme q10 - 200 mg once a day multivitamin daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*1* 2. 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* 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 4. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): please take 400 mg twice a day until then decrease to 400 mg once a day until then decrease to 200 mg daily until follow up with cardiologist . disp:*70 tablet(s)* refills:*0* 5. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 6. simvastatin 10 mg tablet sig: one (1) tablet po once a day: dose 10 mg due to amiodarone please discuss with cardiologist dose adjustment when off amiodarone . disp:*30 tablet(s)* refills:*1* 7. lopressor 100 mg tablet sig: one (1) tablet po three times a day. disp:*90 tablet(s)* refills:*1* 8. outpatient lab work labs: pt/inr for coumadin ?????? indication a fib and dvt goal inr 2.0 - 3.0 first draw please send results to dr office # fax # - please check inr monday, wednesday and friday for two weeks then decrease frequency per dr (please no weekend inr checks) 9. warfarin 2.5 mg tablet sig: two (2) tablet po once a day: titrate for goal inr between 2.0 - 3.0. disp:*60 tablet(s)* refills:*2* 10. enoxaparin 100 mg/ml syringe sig: one (1) ml subcutaneous q12h (every 12 hours) for 3 days: please discontinue when inr reaches 2.0 or greater. disp:*3 day supply* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 4 postop atrial fibrillation postop ventricular fibrillation arrest hypertension hypercholesterolemia postop deep vein thrombosis discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with tylenol and ultram incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema none 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** . labs: pt/inr for coumadin ?????? indication a fib/dvt goal inr 2.0 - 3.0 first draw please send results to dr office # fax # - please check inr monday, wednesday and friday for two weeks then decrease frequency per dr (please no weekend inr checks) followup instructions: you are scheduled for the following appointments surgeon: dr. on at 1:00pm, cardiologist: dr. on at 2:00pm wound check appointment at 9/20 at 10:30 am - at cardiac surgery office medical building 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** labs: pt/inr for coumadin ?????? indication a fib/dvt goal inr 2.0 - 3.0 first draw please send results to dr office # fax # - please check inr monday, wednesday and friday for two weeks then decrease frequency per dr (please no weekend inr checks) 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 other and unspecified coronary arteriography other electric countershock of heart cardiopulmonary resuscitation, not otherwise specified diagnoses: thrombocytopenia, unspecified anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation personal history of tobacco use cardiac arrest peripheral vascular complications, not elsewhere classified 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 old myocardial infarction long-term (current) use of anticoagulants ventricular fibrillation family history of ischemic heart disease acute venous embolism and thrombosis of deep vessels of proximal lower extremity chronic total occlusion of coronary artery acute venous embolism and thrombosis of deep vessels of distal lower extremity 

Answer: The patient is high likely exposed to