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: coronary artery disease major surgical or invasive procedure: coronary artery bypass grafts x3(lima-lad, svg-diag,svg-om),repair diapragmatic hernia with core matrix patch history of present illness: this 78 year old white male with a history of hypertension is status post permanent pacemaker for symptomatic bradycardia 1-1/2 years ago. on he developed retrosternal chest pain, which was waxing and and finally crescendoed 2 days later. he was admitted to an outside hospital with a stemi and underwent further cardiac cath. a 600 mg plavix bolus was given. catheterization revealed 100% rca occlusion, 60-70% lm, 90% lad lesion, and 90% circumflex with lvef 45%. stenting was performed and 2 bare metal stents were placed in the rca. mr. was transferred to for evaluation for coronary revascularization. past medical history: hypertension s/p permanent pacemaker anxiety/depression s/p prostatectomy social history: race: last dental exam:*full upper dentures/partial lower lives with:his wife occupation:retired tobacco: one pack per week for 20 years, quit age 40 etoh:occasional family history: noncontributory physical exam: admission: pulse: 72 resp: 20 o2 sat: 95%ra b/p right: 126/72 left: height:5'7" weight:90 kg general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft x non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: (r)le medial nodule-nt. no varicosities none neuro: grossly intact pulses: femoral right: left: dp right: left: pt : left: radial right: 2+ left:2+ carotid bruit-no bruits- 2+ right: 2+ left: pertinent results: 05:10am blood wbc-14.4* rbc-3.52* hgb-10.8* hct-31.3* mcv-89 mch-30.6 mchc-34.3 rdw-13.5 plt ct-219 04:05pm blood glucose-194* urean-20 creat-1.0 na-138 k-3.8 cl-100 hco3-30 angap-12 05:10am blood glucose-166* urean-33* creat-1.1 na-136 k-4.5 cl-101 hco3-30 angap-10 06:20am blood wbc-9.9 rbc-3.26* hgb-10.0* hct-29.5* mcv-91 mch-30.9 mchc-34.0 rdw-13.5 plt ct-300 06:20am blood pt-26.6* inr(pt)-2.6* 06:20am blood glucose-128* urean-28* creat-1.0 na-140 k-4.3 cl-102 hco3-28 angap-14 echocardiography report , (complete) done at 11:03:35 am final referring physician information , r. , division of cardiothorac , status: inpatient dob: age (years): 78 m hgt (in): 67 bp (mm hg): 123/67 wgt (lb): 180 hr (bpm): 70 bsa (m2): 1.94 m2 indication: intraoperative tee for cabg. aortic valve disease. chest pain. coronary artery disease. left ventricular function. mitral valve disease. myocardial infarction. preoperative assessment. right ventricular function. icd-9 codes: 786.51, 424.1, 424.0, 424.2 test information date/time: at 11:03 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 #: 2010aw2-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.3 cm 0.6 - 1.1 cm left ventricle - ejection fraction: 35% >= 55% aorta - annulus: 2.2 cm <= 3.0 cm aorta - ascending: *3.5 cm <= 3.4 cm findings right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: moderate regional lv systolic dysfunction. moderately depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. mild to moderate (+) ar. mitral valve: mildly thickened mitral valve leaflets. mild to moderate (+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pericardium: no pericardial effusion. 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. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions prebypass no atrial septal defect is seen by 2d or color doppler. there is moderate regional left ventricular systolic dysfunction with hypokinesia of the apex, apical and midportions of the anterior septum and inferior wall.. overall left ventricular systolic function is moderately depressed (lvef= 35 %). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild to moderate (+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild to moderate (+) mitral regurgitation is seen. there is no pericardial effusion. dr. was notified in person of the results on at 1045am. post bypass patient is receiving epinephrine and phenylephrine infusions. lvef= 35% . mild mitral regurgitation persists. aorta is intact post decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 17:16 ?????? caregroup is. all rights reserved. brief hospital course: following admission the usual preoperative workup was undertaken. on he was taken to the operating room where coronary revascularization was performed. a diaphragmatic hernia was found at surgery with dense adhesions to the left ventricle. after dissection of the adhesions and control of surface bleeding, the defect was closed using core matrix patch. see operative note for details. he weaned from bypas on propofol, epinephrine and neo synephrine infusions. amiodarone was given for perioperative ventricular ectopy. he tolerated the procedure well and transferred intubated and sedated in critical but stable condition to the cvicu. ep was consulted for ppm interrogation and perioperative ectopy/arrythmias. mr. e neurologically intact and on pod# 1 he was extubated without difficulty. pressors were weaned off. all lines and drains were discontinued in a timely fashion. anticoagulation was intitiated for postoperative atrial fibrillation. beta blockade and diuresis was initiated. ep reprogrammed the pacemaker to a slower rate as well as decreased the pacing output on his ppm. the temporary pacing wires were then removed. pod#2 he was transferred to the step down unit for further monitoring. physical therapy was consulted for evaluation of strength and mobility. he continued to progress. post-pull chest tube cxrs showed persistent right pneumothorax without signs or symptoms of respiratory comprimise. on pod# 5 dr. cleared mr. for discharge to rehab. all follow up appointments were advised. medications on admission: amlodipine 10mg daily trazodone 100mg hs prn sleep paroxetine 20mg daily discharge medications: 1. aspirin 81 mg , delayed release (e.c.) sig: one (1) , delayed release (e.c.) po daily (daily). 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 3. acetaminophen 325 mg sig: two (2) po q4h (every 4 hours) as needed for pain. 4. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 5. atorvastatin 80 mg sig: one (1) po daily (daily). 6. metformin 500 mg sig: one (1) po bid (2 times a day). 7. tramadol 50 mg sig: one (1) po q4h (every 4 hours) as needed for pain for 4 weeks. 8. clopidogrel 75 mg sig: one (1) po daily (daily). 9. paroxetine hcl 20 mg sig: one (1) po daily (daily). 10. trazodone 50 mg sig: two (2) po hs (at bedtime) as needed for sleep. 11. metoprolol tartrate 100 mg sig: one (1) po twice a day. 12. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours). 13. amlodipine 5 mg sig: two (2) po daily (daily). (s) 14. warfarin 1 mg sig: md once daily at 4 pm: inr goal >2.0 for atrial fibrillation. 15. warfarin 5 mg sig: one (1) po once (once) for 1 doses. 16. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q2h (every 2 hours) as needed for wheezing. discharge disposition: extended care facility: - discharge diagnosis: coronary artery disease s/p coronary artery bypass grafts permanent pacemeker depression/anxiety s/p coronary stents diapragmatic hernia hypertension noninsulin dependent diabetes discharge condition: mental status: clear and coherent. level of consciousness: alert and interactive. activity status: ambulatory - independent. pain well controlled on ultram discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please call to schedule appointments surgeon: dr. on at 1pm () primary care: dr. () in weeks cardiologist: dr. in weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries other lysis of peritoneal adhesions other and open repair of diaphragmatic hernia, with thoracic approach diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation personal history of tobacco use hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) percutaneous transluminal coronary angioplasty status paroxysmal ventricular tachycardia dysthymic disorder peritoneal adhesions (postoperative) (postinfection) 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 acute myocardial infarction of other inferior wall, initial episode of care cardiac pacemaker in situ diaphragmatic hernia with obstruction late effects of motor vehicle accident 

Answer: The patient is high likely exposed to