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: asymptomatic major surgical or invasive procedure: coronary artery bypass grafting times three (lima>lad, svg>om, svg>pda) history of present illness: mr. is a 68 year old male with multiple cardiac risk factors who presents with multi-vessel coronary artery disease on catheterization. he sought cardiac evaluation after his brother unexpectedly required coronary bypass surgery. he is quite active baseline, swimming mile every day without any problems. a stress test showed normal exercise tolerance but a fixed anterior defect on perfusion study, and catheterization revealed three vessel coronary artery disease. he is transferred for surgical evaluation. past medical history: hypertension coronary artery disease hyperlipidemia diabetic kidney disease diabetes mellitus, type ii erectile dysfunction social history: mr. from customer relations for . he denies having smoked or used illicit drugs. family history: mr. two older brothers with had myocardial infarctions at greater than 65 years of age. physical exam: pulse: 68 resp: 20 o2 sat: 98% ra b/p right: 163/78 left: height: 5'" weight: 182 lbs five meter walk test #1_______ #2 _________ #3_________ general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema _____ varicosities: none neuro: grossly intact pulses: femoral right: p left: p dp right: p left: p pt : p left: p radial right: p left: p carotid bruit right: no left: no discharge exam: vs: t 98.8 hr: 47-63 sb sbp: 116-130/50 sats: 98% ra bs 167/178/184 wt: 85.3 general: 68 year-old male in no apparent distress heent: normocephalic, mucus membranes moist neck: supple no lymphadenopathy card: rrr normal s1,s2 no murmur resp: diminished breath sounds at base otherwise clear gi: benign ext: warm 2+ edema incision: sternal clean, dry, intact, no erythema or click. rle vv site clean dry intact neuro: awake, alert oriented pertinent results: echocardiography report , (complete) done at 9:10:14 am preliminary referring physician information , - department of cardiac s , 2a , status: inpatient dob: age (years): 68 m hgt (in): 70 bp (mm hg): 107/58 wgt (lb): 180 hr (bpm): 54 bsa (m2): 2.00 m2 indication: abnormal ecg. chest pain. coronary artery disease. hypertension. mitral valve disease. icd-9 codes: 745.5, 402.90, 786.51, 424.0 test information date/time: at 09:10 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 #: 2012aw3-: machine: echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: *1.2 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 5.0 cm <= 5.6 cm left ventricle - ejection fraction: 50% to 55% >= 55% left ventricle - stroke volume: 83 ml/beat left ventricle - cardiac output: 4.49 l/min left ventricle - cardiac index: 2.24 >= 2.0 l/min/m2 aorta - annulus: 2.3 cm <= 3.0 cm aorta - sinus level: 3.5 cm <= 3.6 cm aorta - sinotubular ridge: 2.9 cm <= 3.0 cm aorta - ascending: 3.3 cm <= 3.4 cm aorta - arch: 2.6 cm <= 3.0 cm aorta - descending thoracic: 2.4 cm <= 2.5 cm aortic valve - peak velocity: 1.5 m/sec <= 2.0 m/sec aortic valve - peak gradient: 9 mm hg < 20 mm hg aortic valve - mean gradient: 5 mm hg aortic valve - lvot vti: 24 aortic valve - lvot diam: 2.1 cm findings left atrium: no spontaneous echo contrast in the body of the laa. good (>20 cm/s) laa ejection velocity. right atrium/interatrial septum: pfo is present. left-to-right shunt across the interatrial septum at rest. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. mild symmetric lvh. normal lv cavity size. mild regional lv systolic dysfunction. low normal lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal aortic diameter at the sinus level. normal ascending aorta diameter. normal aortic arch diameter. no atheroma in aortic arch. simple atheroma in descending aorta. aortic valve: three aortic valve leaflets. no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild to moderate (+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. general comments: written informed consent was obtained from the patient. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. resting bradycardia (hr<60bpm). results were conclusions for post-bypass data conclusions pre-bypass: no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen at rest. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity size is normal. there is mild regional left ventricular systolic dysfunction with hypokinesis of the apex and apical segments. overall left ventricular systolic function is low normal (lvef 50-55%). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. there is no aortic valve stenosis. no 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 at time of surgery. post-bypass: the patient is atrially paced. the patient is on a phenylephrine infusion. biventricular function is unchanged. mitral regurgitation is now mild (1+). the aorta is intact post-decannulation. cxr: : small left lower lobe effusion with bilateral atelectasis labs: wbc-7.9 rbc-2.70* hgb-8.6* hct-25.4* mcv-94 mch-31.8 mchc-33.8 rdw-12.2 plt ct-202 wbc-10.0 rbc-4.36* hgb-13.4* hct-41.6 mcv-95 mch-30.8 mchc-32.3 rdw-12.1 plt ct-410 glucose-167* urean-29* creat-1.1 na-136 k-4.4 cl-101 hco3-29 glucose-204* urean-24* creat-1.5* na-135 k-4.7 cl-100 hco3-26 alt-35 ast-42* ld(ldh)-213 ck(cpk)-110 alkphos-45 amylase-62 totbili-0.3 lipase-74* %hba1c-6.0* eag-126* mrsa screen (final ): no mrsa isolated. brief hospital course: the patient was brought to the operating room on where the patient underwent a coronary artery bypass grafting times three (lima to lad, svg to om, svg to pda). overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. post-operative day one 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. his metformin was restarted along with a insulin sliding scale to maintain blood sugars <150. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on post-operative day four the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged to home in good condition with appropriate follow up instructions. medications on admission: preadmission medications listed are correct and complete. information was obtained from outside record. 1. finasteride 5 mg po daily 2. lisinopril 20 mg po daily 3. amlodipine 5 mg po daily 4. metformin (glucophage) 1000 mg po bid 5. fenofibrate micronized *nf* 200 mg oral daily 6. rosuvastatin calcium 10 mg po daily 7. levitra *nf* (vardenafil) 20 mg oral daily prn erectile dysfunction discharge medications: 1. finasteride 5 mg po daily 2. metformin (glucophage) 1000 mg po bid 3. acetaminophen 650 mg po q4h:prn pain/fever 4. aspirin ec 81 mg po daily 5. docusate sodium 100 mg po bid 6. fenofibrate micronized *nf* 200 mg oral daily 7. levitra *nf* (vardenafil) 20 mg oral daily prn erectile dysfunction 8. rosuvastatin calcium 10 mg po daily 9. furosemide 40 mg po daily rx *furosemide 40 mg 1 tablet(s) by mouth once a day disp #*5 tablet refills:*0 10. potassium chloride 20 meq po daily hold for k+ > 4.5 rx *klor-con m20 20 meq 1 20 meq by mouth once a day disp #*5 tablet refills:*0 11. lisinopril 5 mg po daily rx *lisinopril 5 mg 1 tablet(s) by mouth once a day disp #*30 tablet refills:*1 12. metoprolol succinate xl 12.5 mg po daily rx *metoprolol succinate 25 mg 0.5 (one half) tablet(s) by mouth once a day disp #*30 tablet refills:*1 13. oxycodone-acetaminophen (5mg-325mg) tab po q4h:prn pain rx *oxycodone-acetaminophen 5 mg-325 mg tablet(s) by mouth every six (6) hours disp #*50 tablet refills:*0 discharge disposition: home with service facility: all care vna of greater discharge diagnosis: coronary artery disease hypertension hyperlipidemia diabetic kidney disease diabetes mellitus, type ii erectile dysfunction 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: please call the office for a wound check in 1 week wound check at cardiac surgery office surgeon dr. at 1:15pm in the medical building a cardiologist dr. at 1:30pm 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 (aorto)coronary bypass of two coronary arteries diagnoses: nephritis and nephropathy, not specified as acute or chronic, in diseases classified elsewhere coronary atherosclerosis of native coronary artery mitral valve disorders acute kidney failure, unspecified hypertensive chronic kidney disease, unspecified, with chronic kidney disease stage i through stage iv, or unspecified chronic kidney disease, unspecified other and unspecified hyperlipidemia long-term (current) use of insulin family history of ischemic heart disease diabetes with renal manifestations, type ii or unspecified type, not stated as uncontrolled 

Answer: The patient is high likely exposed to