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 attending: chief complaint: right leg pain major surgical or invasive procedure: coronary artery bypass graft x 3 (left internal mammary artery to left anterior descending, saphenous vein graft to obtuse marginal, saphenous vein graft to posterior descending artery) history of present illness: 61 yo man with hypertension, hyperlipidemia and a known bicuspid aortic valve who went to see his pcp with symptoms of right calf pain, expressing his concerns for dvt. a routine ekg showed st elevations that were thought to be an ischemic process versus left ventricular hypertrophy versus left axis deviation. he was sent to the er for further evaluation. troponins were positive to .21. however, the presence of ekg q-waves were thought to suggest that this was a remote event. an echo demonstrated new anterior lateral hypokinesis, compared to previous studies, overall lv systolic function was decreased (lvef 45%) and demonstrated new wall motion abnormalities. a cardiac catheterization revealed three vessel coronary artery disease. he has now been referred for surgery. past medical history: - anteroseptal myocardial infarction in - dyslipidemia - hypertension - bicuspid aortic valve - dvt right leg - sciatica - ischemic cardiomyopathy (lvef 45%) - obesity - tobacco and etoh abuse - right lower extremity dvt - ?soft palate lesion past surgical history: - s/p testicular repair social history: race: caucasian last dental exam: 1 yr ago lives with: partner in occupation: works as a bus driver for holiday inn, msm. tobacco: 0.5-1ppd x 35 years. -quit - on chantix etoh: 6 drinks/day family history: father died at 48 from lung cancer/mi physical exam: pulse: 90 resp: 16 o2 sat: 100% b/p right: 125/86 left: 127/78 height: 5'8" weight: 198lbs general: well-developed male in no acute distress skin: warm dry intact dry, erythematous bilateral infra-mammary eruption heent: ncat perrla eomi anicteric sclera, op benign, no lesion seen neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur 2/6 sem abdomen: obese, soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema none varicosities: none neuro: grossly intact , mae, strengths, non-focal exam pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: 2+ left: 2+ pertinent results: echo: pre-bypass: the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. a patent foramen ovale is present. there is mild symmetric left ventricular hypertrophy with normal cavity size. overall left ventricular systolic function is mildly depressed (lvef=45 %). right ventricular chamber size and free wall motion are normal. the ascending aorta is moderately dilated. the aortic valve is bicuspid. there is mild aortic valve stenosis (valve area 1.8cm2) with cardiac output 4.0l/min.. mild to moderate (+) aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no mitral valve prolapse. there is no pericardial effusion. dr. was notified in person of the results on . post-bypass: preserved rv systolic function. lvef 45%. the mid anterior and anteroseptal walls are hypokinetic compared to pre cabg. surgeon informed of these findings. with epinephrin only 0.02 mcg/kg/min they improved signficantly later on. intact thoracic aorta. same valvular findings as before. all wall motions similar to prebypass after chest closure. brief hospital course: mr. was a same day admit after undergoing pre-operative work-up as an outpatient. 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 cvicu for invasive monitoring in stable condition. later this day he was weaned from sedation, awoke neurologically intact and extubated. beta-blockers and diuretics were started and he was gently diuresed towards his pre-op weight. on post-op day one he was transferred to the step-down floor for further care. chest tubes and epicardial pacing wires were removed per protocol. he continued to make good progress while working with physical therapy for strength and mobility. on post-op day four he was discharged home with vna services and the appropriate medications and follow-up appointments. medications on admission: aspirin 325 mg p.o. daily plavix 75 mg p.o. daily, metoprolol 50 mg p.o. b.i.d. lisinopril 10 mg p.o. daily simvastatin 80 mg p.o. daily chantix discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 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:*2* 3. simvastatin 40 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. ibuprofen 400 mg tablet sig: one (1) tablet po q8h (every 8 hours). disp:*90 tablet(s)* refills:*2* 5. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*75 tablet(s)* refills:*0* 6. acetaminophen 500 mg tablet sig: two (2) tablet po q 8h (every 8 hours). disp:*90 tablet(s)* refills:*2* 7. furosemide 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 8. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po bid (2 times a day) for 7 days. disp:*14 tablet, er particles/crystals(s)* refills:*0* 9. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 10. lisinopril 5 mg tablet sig: one (1) tablet po once a day: this is of your home dose. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p coronary artery bypass graft past medical history: - anteroseptal myocardial infarction in - dyslipidemia - hypertension - bicuspid aortic valve - dvt right leg - sciatica - ischemic cardiomyopathy (lvef 45%) - obesity - tobacco and etoh abuse - right lower extremity dvt - ?soft palate lesion past surgical history: - s/p testicular repair discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema: trace upper and lower extremity 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 females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: please come to 6 next thursday, at 10am for wound check. you are scheduled for the following appointments surgeon: dr. on at 1:15pm cardiologist: dr. on at 2pm 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: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: sciatica coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia chronic airway obstruction, not elsewhere classified personal history of tobacco use other specified forms of chronic ischemic heart disease old myocardial infarction obesity, unspecified congenital insufficiency of aortic valve body mass index 30.0-30.9, adult 

Answer: The patient is high likely exposed to