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 pain major surgical or invasive procedure: cardiac catheterization history of present illness: 71 yo m with hld and prior cva presents to his pcp's office with a two week hx of intermittent sscp usually occuring exertion and alleviated by rest. no significant associated sob, nausea, or diaphoresis. fleeting cp at rest, but never sustained. presented to pcp today /c it had been getting worse for the past 2 days, occuring with minimal exertion. pcp referred him to the where initial evaluation demonstrates non-specific stt changes without prior for comparison and troponin i of 0.16. . according to ed physician note, he was ordered for asa 325, plavix load, heparin drip, lipitor, and metoprolol. he arrived on a heparin drip without any documentation that the other medications had actually been given. pt recalls getting only aspirin 325 and ativan. i spoke to nurse mgr at who could not find , and stated that she could not say for certain that he had been given plavix. cxr at reportedly unremarkable. . on arrival to 3, ekg was notable for leftward axis and prolonged qt~500ms. pt was without any complaints. denied cp/sob/nausea. . on review of systems, he denies any prior history of deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. he denies recent fevers, chills or rigors. he denies exertional buttock or calf pain. all of the other review of systems were negative. . cardiac review of systems is notable for paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. . past medical history: 1. cardiac risk factors: + dyslipidemia + family hx 2. cardiac history: -cabg: none -percutaneous coronary interventions: none -pacing/icd: none 3. other past medical history: - gerd, barrett's - migraine ha - cva - bph - hld social history: -tobacco history: distant 40+ pkyr hx -etoh: quit many years ago, denied alcoholism -illicit drugs: never -retired maintenance technician, lives with wife, both independent family history: multiple family members with cad, no hx scd physical exam: vs: t=97.7 bp=134/74 hr=58 rr=14 o2 sat=98%ra general: 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 no appreciable jvp at 90 degrees. cardiac: rrr, normal s1, s2. no m/r/g. no thrills, lifts. no s3 or s4. lungs: no chest wall deformities, scoliosis or kyphosis. resp were unlabored, no accessory muscle use. ctab, no crackles, wheezes. diffuse ronchi cleared w/ coughing. abdomen: soft, ntnd. no hsm or tenderness. abd aorta not enlarged by palpation. no abdominial bruits. extremities: no c/c/e. no femoral bruits. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ dp 2+ pt 2+ left: carotid 2+ dp 2+ pt 2+ pertinent results: admission labs: 06:30pm alt(sgpt)-20 ast(sgot)-32 alk phos-65 amylase-49 tot bili-0.5 dir bili-0.1 indir bil-0.4 06:30pm albumin-3.7 calcium-8.0* cholest-140 06:30pm vit b12-423 06:30pm %hba1c-6.0* eag-126* 06:30pm wbc-3.9* rbc-3.57* hgb-12.5* hct-33.9* mcv-95 mch-34.9* mchc-36.8* rdw-12.8 06:30pm neuts-49.5* lymphs-39.8 monos-8.3 eos-1.9 basos-0.4 06:30pm plt count-255 06:30pm pt-13.6* ptt-25.9 inr(pt)-1.2* 02:10am glucose-105* urea n-11 creat-1.1 sodium-138 potassium-4.0 chloride-104 total co2-28 anion gap-10 02:10am ck(cpk)-217 02:10am ck-mb-7 ctropnt-0.45* 02:10am calcium-9.0 phosphate-3.8 magnesium-2.5 02:10am wbc-6.0 rbc-3.86* hgb-12.7* hct-35.6* mcv-92 mch-32.9* mchc-35.7* rdw-12.9 02:10am plt count-281 02:10am pt-13.2 ptt-26.5 inr(pt)-1.1 cath : 1. selective coronary angiography in this right dominant system revealed three vessel heavily calcified coronary artery disease with diffuse slow flow consistent with microvascular dysfunction. the lmca is heavily calcified with mild distal tapering. the lad is heavily calcified with a high take off d1 with near origin 50% stenosis. the proximal lad is calcified with a hazy 70% stenosis at s1. there is a mid 50% stenosis after s2 followed by a 40% stenosis at d2. there is mid diffuse disease to 40-50%. d2 has a proximal 75% stenosis. the distal lad is calcified 70% stenosis with timi 2 flow; apical 60% stenosis. the lcx is heavily calcified with near ostial calcified 80% stenosis involving a small om1; : findings: there are no old films available for comparison. the lungs are clear without infiltrate or effusion. there are mild degenerative changes of the thoracic spine with endplate sclerosis and flowing anterior osteophytes. the heart is upper limits normal in size. the lungs are clear without an infiltrate or effusion. brief hospital course: 71m with no pmh of cad but with multiple risk factors presented to as a transfer for the complaint of substernal chest pain, nstemi. # acute coronary syndrome/nstemi: his 2 week long hx of new exertional cp and positive troponin suggested plaque instability. - cath on showed heavily calcified multivessel disease - evaluated by csurg, who deemed the patient was a candidate for cabg - continued asa 325 daily - continued on heparin drip in the post cath period - lipitor 80mg daily . # long qt: qtc in the 500's, asymptomatic, no events on tele during admission - discontinued noritryptiline. transfered to cardiolgy for surgery: the patient was brought to the operating room on where the patient underwent cabg x4(lima-lad,svg-om1,svg-om2,svg-drca). overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. the patient was transferred to the telemetry floor for further recovery. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 6 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to a rehab in good condition with appropriate follow up instructions. medications on admission: celexa 40mg daily atorvastatin 20mg daily nexium 40mg daily xanax 0.25 prn flonase nortryptiline 150mg qhs (does not take every night) fiorecet prn asa 81mg discharge medications: 1. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). 2. fluticasone 50 mcg/actuation spray, suspension sig: two (2) spray nasal daily (daily). 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 4. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain, fever. 7. oxycodone-acetaminophen 5-325 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. 8. bisacodyl 5 mg tablet, delayed release (e.c.) sig: two (2) tablet, delayed release (e.c.) po daily (daily) as needed for const. 9. gabapentin 300 mg capsule sig: one (1) capsule po hs (at bedtime). 10. citalopram 20 mg tablet sig: two (2) tablet po daily (daily). 11. nortriptyline 25 mg capsule sig: three (3) capsule po hs (at bedtime). 12. metoprolol tartrate 25 mg tablet sig: 0.5 tablet po bid (2 times a day). 13. lasix 20 mg tablet sig: one (1) tablet po twice a day for 7 days. 14. potassium chloride 20 meq packet sig: one (1) po twice a day for 7 days. 15. lorazepam 0.5 mg tablet sig: one (1) tablet po twice a day: prn for anxiety. 16. insulin ss sliding scale fingerstick qachs insulin sc sliding scale breakfast lunch dinner bedtime humalog glucose insulin dose 71-109 mg/dl 0 units 0 units 0 units 0 units 110-140 mg/dl 2 units 2 units 2 units 0 units 141-180 mg/dl 4 units 4 units 4 units 2 units 181-210 mg/dl 6 units 6 units 6 units 4 units 211-240 mg/dl 8 units 8 units 8 units 6 units > 240 mg/dl notify m.d. discharge disposition: extended care facility: bay skilled nursing & rehabilitation center - discharge diagnosis: chest pain, cad hyperlipidemia gerd barrett's esophagus bph depression anxiety discharge condition: discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with oral analgesics sternal incision - healing well, no erythema or drainage 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 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** females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge followup instructions: provider: , md phone: date/time: 1:30 provider: , .d. phone: date/time: 9:00 primary care dr., r. phone: 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 angiocardiography of left heart structures intraoperative cardiac pacemaker left heart cardiac catheterization diagnoses: other iatrogenic hypotension subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension acute posthemorrhagic anemia personal history of tobacco use hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) dysthymic disorder other and unspecified hyperlipidemia family history of ischemic heart disease personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits migraine, unspecified, without mention of intractable migraine without mention of status migrainosus barrett's esophagus long-term (current) use of aspirin 

Answer: The patient is high likely exposed to