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: shortness of breath and chest discomfort major surgical or invasive procedure: coronary artery bypass graft x3 (left internal mammary artery to left anterior descending artery and saphenous vein grafts to obtuse marginal artery and posterior descending artery). history of present illness: 64 year old male who has been experiencing exertional chest tightness and shortness of breath with heavy exertion. he states he exercises 4-5 times per week on a treadmill. he reports pressure across his mid chest after 2-3 minutes of exercise. he belches and the discomfort resolves and he is able to continue another 20-25 minutes without any symptoms at all. an ett on demonstrated 2 mm of downsloping st segment depressions in v5 and v6. nuclear imaging (per dr note ) revealed a large area of ischemia involving the inferior and lateral walls and no infarction. ef was 60%. he was referred for a cardiac catheterization and was found to have coronary artery disease and is now being referred to cardiac surgery for revascularization. past medical history: hypertension hyperlipidemia sleep apnea, unable to tolerate cpap duodenal ulcer gerd seasonal allergic rhinitis general anxiety disorder tonsillectomy nasal septoplasty skin cancer lesion removed x2 social history: race:caucasian last dental exam:every 6 months, going lives with:alone, widowed contact: (son) phone# occupation:owner of used auto parts/salvage company cigarettes: smoked no yes hx:quit at the age of 28 and smoked for 12 years other tobacco use:denies etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use: denies family history: premature coronary artery disease- father died at age 45 from heart attack physical exam: pulse:74 resp:13 o2 sat:97/ra b/p right:136/68 left:140/72 height:5'6" weight:168 lbs general: skin: dry intact macular rash on chest heent: perrla eomi glasses/ teeth in good repair neck: supple full rom chest: lungs clear bilaterally concave sternum heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema - none varicosities: none neuro: grossly intact pulses: femoral right:2+ left:2+ dp right:1+ left:1+ pt :1+ left:1+ radial right:tr band left:2+ carotid bruit right:none left:none pertinent results: echo: the left atrium is normal in size. overall left ventricular systolic function is mildly depressed (lvef= 45 %). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the aortic root. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. post bypass: the patient is now s/p cabgx4 on a neosynephrine drip. lv function is now >55%. mitral regurgitation is unchanged. aortal is intact post deccanulation. wbc-11.8* rbc-3.42* hgb-10.4* hct-30.3 plt ct-192 wbc-17.5*# rbc-3.52* hgb-10.6* hct-30.6 plt ct-211 glucose-121* urean-12 creat-0.9 na-135 k-4.9 cl-100 hco3-28 urean-13 creat-0.7 na-140 k-4.1 cl-113* hco3-24 mg-2.0 mrsa screen (final ): no mrsa isolated. 04:55am blood wbc-8.4 rbc-3.13* hgb-9.4* hct-26.9* mcv-86 mch-30.0 mchc-34.9 rdw-13.1 plt ct-248 04:55am blood plt ct-248 04:55am blood glucose-115* urean-12 creat-0.8 na-138 k-4.4 cl-103 hco3-29 angap-10 04:55am blood mg-2.3 cxr : findings: in comparison with the study of , the patient has taken a much better inspiration. there is still substantial enlargement of the cardiac silhouette with evidence of pulmonary vascular congestion. mild atelectatic changes are seen at the bases. the small left apical pneumothorax is stable. of incidental note are apparent calcifications in the region of the carotid bifurcation on the right. . brief hospital course: mr. was a same day admit and on was brought directly 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. several hours later he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one he was transferred to the step-down floor for further care. he was gently diuresed towards his pre-op weight. chest tubes and epicardial pacing wires were removed per protocol. he was followed by physical theapy. continued to make steady progress and was discharged to home with vna on pod #4. discharge instructions reviewed and all questions addressed. follow-up appointment arranged. medications on admission: atorvastatin 10 mg daily metoprolol succinate 25 mg daily mom 50 mcg spray, 1 spray nifedipine 30 mg daily nitroglycerin 0.4 mg tablet, sublingual as directed omeprazole 20 mg aspirin 81 mg daily centrum 1 tablet daily discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*60 tablet, delayed release (e.c.)(s)* refills:*2* 3. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po twice a day. disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* 5. 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* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 7. multi-vitamin hp/minerals capsule sig: one (1) capsule po once a day. disp:*30 capsule(s)* refills:*2* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 past medical history: hypertension hyperlipidemia sleep apnea, unable to tolerate cpap duodenal ulcer gerd seasonal allergic rhinitis general anxiety disorder s/p tonsillectomy s/p nasal septoplasty s/p skin cancer lesion removed x2 discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema absent 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: you are scheduled for the following appointments wound check, at 10:30a surgeon: dr. in the at 2:00p cardiologist: dr. at 4:40pm 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** md procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: other iatrogenic hypotension obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery esophageal reflux unspecified essential hypertension acute posthemorrhagic anemia personal history of tobacco use other and unspecified hyperlipidemia personal history of other malignant neoplasm of skin family history of ischemic heart disease examination of participant in clinical trial leukocytosis, unspecified other abnormal glucose personal history of peptic ulcer disease allergic rhinitis, cause unspecified postprocedural fever 

Answer: The patient is high likely exposed to