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, shortness of breath major surgical or invasive procedure: coronary artery bypass grafting times four with left internal mammary to left anterior descending, right saphenous vein grafting to diagonal, obtuse marginal, posterior left ventricular history of present illness: 54 yo m w/ h/o cad s/p pci (des to ostial cx and des to om1 in ), dm type 2, htn, and hld presenting with intermittent doe and chest pressure over the past month. per patient report, had negative stress test at hospital in two weeks ago, which showed fixed lesion. returned home and symptoms persisted so went to for evaluation on . per report, ekg there was at baseline and enzymes negative, bnp not elevated, ddimer negative. they gave him 150mg of plavix and nitropaste. transferred to for further work up as patient's prior stenting was done here. . in the ed, initial vs were: 96 60 159/76 16 100% 2l. patient described continued low level chest pressure in the center of his chest w/ leftward radiation. described sob, worse w/ exertion; unable to walk a block because of sob. also notes h/o diaphoresis with pain and sob. no recent fevers or chills. endorsed swelling in legs. no n/v/abd pain. no changes in bowel or bladder habits. reports took aspirin today, but has not been taking plavix for the past 7 days, and he does relate the increasing chest pain and doe with this noncompliance with plavix. labs in ed were notable for negative troponin x1. ekg was at baseline- sinus in 60s w/ rbbb. patient was admitted to for further work up. vs on transfer: hr 65 bp 120/67 rr 13 o2 sat 100% on 2l. . +shortness of breath, +chest pain, +doe, +pnd, +le edema, +orthopnea past medical history: cad s/p pci (des x2 to om1 and ostial cx in ) diabetes, type 2 hypertension hyperlipidemia depression chf with ef 40% social history: no current tobacco use. there is no history of alcohol abuse. stopped drinking and smoking tobacco 35years ago. used to smoke 1 cigar per day family history: no family history of premature coronary artery disease or sudden death. father died of mi at age 60 physical exam: admission physical exam: vs: 97.5 145/74 20 94%ra 253.2lb (114.8kg) general: obese man in nad, comfortable, appropriate. heent: nc/at, perrla, eomi, sclerae anicteric, mmm, op clear.+xanthelasma neck: supple, large neck, no jvd, no carotid bruits. heart: rrr, no mrg, nl s1-s2. lungs: cta bilat, no r/rh/wh, good air movement, resp unlabored. abdomen: soft/nt/nd, no masses or hsm, no rebound/guarding. extremities: wwp, no c/c/e, 2+ peripheral pulses. skin: no rashes or lesions. neuro: awake, a&ox3, cns ii-xii grossly intact, sensation grossly intact throughout, dtrs 2+ and symmetric, cerebellar exam intact, steady gait. discharge exam vs: t: 98.8 hr: 70 sr bp: 150/80 sats: 97% ra general: no distress cardiac: rrr resp: faint crackles gi: benign extr: 1+ edema incision: sternal clean dry intact neuro: awake, alert oriented pertinent results: left ventricle - ejection fraction: 45% to 50% >= 55% findings left atrium: no spontaneous echo contrast is seen in the laa. right atrium/interatrial septum: normal interatrial septum. left ventricle: mildly depressed lvef. right ventricle: normal rv chamber size and free wall motion. aorta: normal ascending aorta diameter. simple atheroma in descending aorta. aortic valve: normal aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: mild to moderate +] tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. conclusions pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is mildly depressed (lvef= 45 - 50 %). inferior hypokinesis. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen.there is no pericardial effusion. post-cpb: the patient is av-paced, on no inotropes. preserved biventricular systolic fxn. inferior wall remains hypokinetic. trace mr. . 1+ tr. aorta intact. wbc-9.1 rbc-3.00* hgb-9.3* hct-26.1* mcv-87 mch-31.0 mchc-35.6* rdw-14.3 plt ct-302 wbc-8.0 rbc-4.05* hgb-12.5* hct-35.3* mcv-87 mch-30.8 mchc-35.4* rdw-13.1 plt ct-195 glucose-123* urean-12 creat-0.6 na-139 k-4.1 cl-98 hco3-30 glucose-90 urean-19 creat-0.7 na-140 k-3.9 cl-104 hco3-22 alt-17 ast-13 ld(ldh)-175 alkphos-77 totbili-0.6 09/28/1 urine culture (final ): no growth mrsa screen (final ): no mrsa isolated. cxr: : top normal heart size is unchanged since preoperative study. the mediastinum is no longer widened. aside from minimal left basal atelectasis, the lungs are clear and very small pleural effusions are probably decreasing postoperatively. no pneumothorax. right jugular line ends in the mid svc. brief hospital course: mr. was admitted with 1 month of worsening chest pain. he underwent a cardiac catheterization on which revealed severe three vessel disease. he was referred for coronary artery bypass grafting, but as he was given plavix at the time of the catheterization he underwent a plavix washout. he was seen by a dentist for tooth pain and a panorex and exam revealed the need for full mouth tooth extraction, which was deferred until cardiac surgery was complete. blood sugar was not well-controlled at home with hgba1c of 8.4%. was consulted to help in the management of diabetes and the patient was placed on an aggressive sliding scale with glargine as well. he also underwent teaching for improved dietary control of his diabetes. on he underwent a coronary artery bypass grafting times four with left internal mammary to left anterior descending, right saphenous vein grafting to diagonal, obtuse marginal, posterior left ventricular. please see the operative note for details. he tolerated the procedure well and was transferred in critical but stable condition to the surgical intensive care unit. on post-operative day one he was extubated and weaned from pressors. by the post-operative day two he was ready for transfer to the floor. his chest tubes and wires were removed per protocol. the sleep service was consulted for sleep apnea they felt he should be seen in their clinic as an out patient in weeks. beta-blockers were titrated. plavix was restarted. he was diuresed toward his preop weight. he followed by clinic. he transitioned to his home po diabetic medications. he was followed by physical therapy. his pain was well controlled with po narcotics. he ambulated in the halls, continued to make steady progress and was discharge to home with all care vna. he will follow-up dr. , his pcp and cardiologist as an outpatient. medications on admission: metformin 850 mg tid asa 325 mg daily losartan 100mg daily lisinopril 20mg daily combivent flovent mapap 500mg daily glyburide 5mg daily ibuprofen 600mg daily toprol xl 50 mg daily simvastatin 80mg daily lasix 40mg daily omeprazole 20mg daily nitroglycerin sl plavix 75 mg daily discharge medications: 1. fluticasone 110 mcg/actuation aerosol sig: two (2) puff inhalation (2 times a day). 2. ipratropium-albuterol 18-103 mcg/actuation aerosol sig: puffs inhalation q6h (every 6 hours) as needed for wheezing. 3. metoprolol succinate 50 mg tablet extended release 24 hr sig: one (1) tablet extended release 24 hr po once a day. disp:*30 tablet extended release 24 hr(s)* refills:*2* 4. omeprazole 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day. 5. plavix 75 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 6. nitroglycerin 0.4 mg tablet, sublingual sig: one (1) sublingual as directed as needed for chest pain: take 1 tablet every 5 minutes up to 3 times and call 911. use for chest pain. 7. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 8. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. glyburide 5 mg tablet sig: one (1) tablet po once a day. 10. metformin 850 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 11. acetaminophen 325 mg tablet sig: two (2) tablet po every six (6) hours as needed for pain/fever. 12. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 13. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 14. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po daily (daily). disp:*30 tablet, er particles/crystals(s)* refills:*2* 15. hydromorphone 2 mg tablet sig: 1-2 tablets po every hours as needed for pain. disp:*60 tablet(s)* refills:*0* 16. sennosides-docusate sodium 8.6-50 mg tablet sig: one (1) tablet po twice a day: hold for loose stools. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: coronary artery disease s/p pci (des x2 to om1 and ostial cx in ) diabetes, type 2 hypertension hyperlipidemia depression chf with ef 40% discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema 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 surgeon: dr. on at 1:15pm in the building cardiologist: dr on at 2:00pm in office 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: (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 left heart cardiac catheterization diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome pure hypercholesterolemia congestive heart failure, unspecified unspecified essential hypertension personal history of tobacco use depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status morbid obesity chronic systolic heart failure hypoxemia unspecified hereditary and idiopathic peripheral neuropathy dental caries, unspecified diabetes with unspecified complication, type ii or unspecified type, uncontrolled body mass index 38.0-38.9, adult chronic periodontitis, generalized 

Answer: The patient is high likely exposed to