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 coronary artery bypass grafting x3 with left internal mammary artery to the left anterior descending coronary; reverse saphenous vein single graft from aorta to the second obtuse marginal coronary artery; reverse saphenous vein single graft from aorta to posterior descending coronary artery. history of present illness: 50 year-old man with pmh significant for cad w/ stent placed in rca in by dr. . patient was doing well until when he started having chest pain while dragging a 30lb bucket of clams for ~ yards. the chest pain was sub-sternal, did not radiate, and was in intensity. it self-resolved in ~5-10 minutes. pt then had several more episodes during the following weeks, approximately 2-3x weekly, all while pulling cases or doing other physical activity. pt denies pain at rest. pt had similar pain during his cardiac stress test, except that it was more focused on his left chest. . pt had a nuclear stress test at osh where he exercised 8 minutes on protocol reaching 85% of his max phr. he experienced chest discomfort at peak exercise, 0.5-1mm st depression in ii, iii, avf, v4-v6 but no perfusion defect on imaging. lvef was normal. pt underwent cardiac catheterization (right radial) today and was found to have tight left main lesion. cardiac surgeons have already seen the pt and plan for or tomorrow. will start heparin drip at 3.00 pm (4 hours after cath done). patient with h/o heavy etoh use. last drink last night. . on arrival to the floor, patient was stable and pain free. vitals were: 97.3f, 126/71, 68, 20, 99% ra. . review of systems on review of systems, pt denies fevers, chills, night sweats, headaches, changes in vision, or cough. reports some dyspnea during his chest pain episodes. denies nausea, vomiting, diaphoresis. no diarrhea or constipation. no neurological symptoms. . past medical history: 1. cardiac risk factors: dyslipidemia, hypertension 2. cardiac history: -cabg: -percutaneous coronary interventions: -pacing/icd: 3. other past medical history: hypertension dyslipidemia cad s/p rca stenting in wpw s/p ablation at in bipolar disorder left fourth finger amputation from traumatic accident social history: lives in with wife and five children. he is not currently working. contact for discharge: (son): tobacco: 1.5 ppd x 35 years. quit about 2 years ago etoh: 6 pack once a week recreational drugs: denies home services: denies family history: no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death. mother died from lung cancer at 68 (heavy smoker). father had a stroke at 71. physical exam: physical examination on admission: 97.3f, 126/71, 68, 20, 99% ra. general: very tanned looking man in no acute distress. oriented x3. mood, affect appropriate. heent: perl, eomi, no lad. normal oropharynx. neck: supple with jvp of 6 cm. cardiac: reg rate and rhythm, normal s1 s2, no murmurs rubs or gallops. lungs: breath sounds somewhat distant. clear to auscultation bilaterally. abdomen: normal bowel sounds, abd soft and nontender, no masses. extremities: trace pedal edema bilaterally skin: no stasis dermatitis, ulcers, scars, or xanthomas. pulses: right: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ left: carotid 2+ femoral 2+ popliteal 2+ dp 2+ pt 2+ pertinent results: cardiac catheterization: 1. selective coronary angiography of this right dominant system demonstrated three vessel coronary disease. the lmca had a distal eccentric 80% stenosis. the lad had an ostial 70% hazy lesion. the lcx had no angiographically apparent coronary disease. the rca had 70% stenosis at the ostium of the pda. 2. limited hemodynamics revealed normotension. . preop blood work: wbc-5.1 rbc-4.91 hgb-15.8 hct-44.7 plt ct-161 pt-13.2 ptt-121.9* inr(pt)-1.1 glucose-119* urean-8 creat-0.8 na-146* k-3.5 cl-108 hco3-25 alt-21 ast-20 ck(cpk)-167 totbili-0.2 dirbili-0.1 indbili-0.1 calcium-7.4* cholest-pnd %hba1c-5.3 eag-105 . postop blood work: wbc-8.3 rbc-3.53* hgb-11.4* hct-32.3* rdw-14.0 plt ct-128* wbc-8.9 rbc-3.61* hgb-11.7*# hct-32.8* plt ct-119* wbc-11.5* rbc-4.61 hgb-14.8 hct-41.6 plt ct-154 glucose-83 urean-20 creat-1.2 na-135 k-4.6 cl-102 hco3-26 angap-12 glucose-79 urean-19 creat-1.0 na-137 k-4.3 cl-96 hco3-36* angap-9 glucose-94 urean-16 creat-1.0 na-136 k-4.4 cl-96 hco3-37* angap-7* mg-2.2 . intraop tee: pre-bypass: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. regional left ventricular wall motion is normal. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the ascending aorta. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. no aortic stenosis is seen. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. dr. was notified in person of the results prior to incision. post-bypass: the patient is on no inotropes. biventricular function is unchanged. there are no segmental wall motion abnormalities. there is trivial mitral regurgitation. no aortic regurgitation is seen. the ascending aorta, aortic arch, and descending aorta are intact. brief hospital course: mr. is a 50 year-old man with pmh significant for coronary artery disease s/p rca stent in , now with reproducible chest pain and angina on stress test. patient was admitted and underwent cardiac catheterization which revelaed tight stenosis of left main coronary artery and right sided disease. based upon the results, cardiac surgery was consulted for surgical revascularization. preoperative workup was unremarkable and he was cleared for surgery. the following day, patient was brought to the operating room and underwent coronary artery bypass grafting by dr. . for surgical details, please see operative note. 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 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home with vna services in good condition with appropriate follow up instructions. medications on admission: divalproex - (prescribed by other provider) - 500 mg tablet extended release 24 hr - 3 tablet(s) by mouth every evening lamotrigine - (prescribed by other provider) - 150 mg tablet - 1 tablet(s) by mouth every evening lisinopril - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth every evening lorazepam - (prescribed by other provider) - 0.5 mg tablet - 1 tablet(s) by mouth as needed simvastatin - (prescribed by other provider) - 80 mg tablet - 1 tablet(s) by mouth every evening testosterone enanthate - (prescribed by other provider) - 200 mg/ml oil - once weekly trazodone - (prescribed by other provider) - 50 mg tablet - 0.5 (one half) tablet(s) by mouth every evening discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. simvastatin 40 mg tablet sig: two (2) tablet po hs (at bedtime). disp:*60 tablet(s)* refills:*2* 3. lamotrigine 100 mg tablet sig: 1.5 tablets po qhs (once a day (at bedtime)). disp:*60 tablet(s)* refills:*2* 4. divalproex 500 mg tablet extended release 24 hr sig: three (3) tablet extended release 24 hr po qhs (once a day (at bedtime)). disp:*90 tablet extended release 24 hr(s)* refills:*2* 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*2* 6. metoprolol tartrate 25 mg tablet sig: three (3) tablet po bid (2 times a day). disp:*180 tablet(s)* refills:*2* 7. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 6-8 hours as needed for pain. disp:*50 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease, s/p cabg hypertension dyslipidemia prior rca stenting in history of wpw s/p ablation at 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** followup instructions: you are scheduled for the following appointments: surgeon dr. at 1:15pm wound check clinic at 10am cardiologist dr. - appt pending at discharge. dr. office will call in the near future with appointment. . please call to schedule the following: 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 coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension personal history of tobacco use percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia old myocardial infarction bipolar disorder, unspecified examination of participant in clinical trial other finger(s) amputation status 

Answer: The patient is high likely exposed to