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: patient recorded as having no known allergies to drugs attending: chief complaint: exertional angina major surgical or invasive procedure: 1. coronary artery bypass grafting x3 2. atrioseptal defect closure. 3. endoscopic left greater saphenous vein harvesting. history of present illness: 72 yo male with remote mi who has had multiple pcis to lad ( -). ett was positive and he was referred for cath. this revealed ef 54%, 100% rca, 70% prox lad, 90% mid-lad, 90% cx, 90% om 1. past medical history: iddm htn elev. chol. ami renal calculi copd gerd small bowel obstruction anxiety disorder hematuria pvd aaa repair bladder polyps hernia repair age 19 spinal fusion rectal fistula repair age 47 social history: retired engineer 90 pack/year history; quit occasional etoh lives with wife family history: no premature cad physical exam: hr 72 rr 20 right 137/66 left 134/68 5'" 215# nad skin/heent unremarkable neck full rom, no bruits ctab rrr s1 s2 soft, nt, nd, + bs warm, well-perfused neuro grossly intact femorals not assessed 1+ bil. dp/pts 2+ bil. radials pertinent results: 03:18am blood wbc-14.9* rbc-3.67* hgb-10.9* hct-32.6* mcv-89 mch-29.7 mchc-33.5 rdw-15.2 plt ct-280 03:18am blood pt-15.7* ptt-24.6 inr(pt)-1.4* 03:18am blood plt ct-280 03:18am blood glucose-214* urean-27* creat-0.9 na-137 k-4.6 cl-98 hco3-29 angap-15 03:18am blood calcium-9.2 phos-3.8# mg-2.2 echocardiography report , (complete) done at 9:00:45 am final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 72 m hgt (in): bp (mm hg): / wgt (lb): hr (bpm): bsa (m2): indication: intraoperative tee for cabg icd-9 codes: 745.5, 440.0, 424.1, 424.0 test information date/time: at 09:00 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: suboptimal tape #: 2007aw1-: machine: 1 echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 55% >= 55% aorta - ascending: *3.5 cm <= 3.4 cm aorta - descending thoracic: 2.3 cm <= 2.5 cm findings left atrium: no spontaneous echo contrast in the body of the laa. all four pulmonary veins identified and enter the left atrium. right atrium/interatrial septum: secundum asd. left ventricle: normal regional lv systolic function. overall normal lvef (>55%). right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending aorta diameter. focal calcifications in ascending aorta. normal descending aorta diameter. there are complex (>4mm) atheroma in the descending thoracic aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. trace ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets. mild tr. pulmonic valve/pulmonary artery: pulmonic valve not well seen. no pr. pericardium: trivial/physiologic pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. no tee related complications. the patient was under general anesthesia throughout the procedure. suboptimal image quality - poor echo windows. the patient appears to be in sinus the patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions pre cpb no spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. a secundum type atrial septal defect is present. 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 complex atheroma in the descending aorta. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. post cpb there is normal biventricular systolic function. the interatrial septum is thickened s/p closure of asd. the discreet left to right shunt across the septum is no longer present. there is still some speckled flow between the atria which is normal so early after closure. there are no other changes from pre-cpb findings. the thoracic aorta appears intact. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician ?????? caregroup is. all rights reserved. brief hospital course: admitted and underwent cabg x3/asd closure by dr. . transferred to the csru in stable condition on neosynephrine and propofol drips. extubated that evening but remained in unit for insulin drip management. transferred to the floor on pod #2 to begin increasing his activity level. chest tubes and pacing wires removed without incident. went into afib and converted on amiodarone.he also had another brief episode of svt and converted back to sr. cleared for discharge to home with services on pod #5. pt. to make all follow-up appts. as per discharge instructions. medications on admission: insulin 70/30 45 units tricor 145 mg daily norvasc 10 mg daily digoxin 0.125 mg daily hctz 25 mg daily metformin 500 mg qhs actos 15 mg daily isordil 10 mg metoprolol 100 mg asa 325 mg daily quinapril 10 mg garlic mvi discharge medications: 1. metformin 500 mg tablet sustained release 24hr sig: one (1) tablet sustained release 24hr po daily (daily). 2. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). 3. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). 4. insulin glargine subcutaneous 5. pioglitazone 15 mg tablet sig: one (1) tablet po daily (daily). 6. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*2* 7. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day) for 7 days. disp:*28 tablet(s)* refills:*0* 8. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 9. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*35 tablet(s)* refills:*0* 10. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 11. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 12. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 13. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 14. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: 1. coronary artery disease. 2. atrioseptal defect. 3. insulin dependent diabetes 4. htn 5. copd 6. gerd 7. mi 8. elev. chol. 9. anxiety 10 . a fib discharge condition: stable discharge instructions: call with fever, redness or drainage from incision or weight gain more then 2 pounds in one day or five in one week. shower, no baths, no lotions, creams or powders to incisions. no heavy lifting or driving until follow up with surgeon. followup instructions: provider: , follow-up appointment should be in 1 month provider: dr. appointment should be in days provider: appointment should be in days procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries other and unspecified repair of atrial septal defect diagnoses: coronary atherosclerosis of native coronary artery esophageal reflux pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled chronic airway obstruction, not elsewhere classified cardiac complications, not elsewhere classified atrial fibrillation other and unspecified angina pectoris ostium secundum type atrial septal defect 

Answer: The patient is high likely exposed to