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: chest pain on exertion. major surgical or invasive procedure: cabgx3(lima->lad, svg->om, rca) history of present illness: mr. is a delightful 66 year old gentleman with a past medical history which is significant for bladder cancer treated 15 years ago, obesity and hypertension. he presented to his cardiologist at an outside hospital with the complaint of exertional chest pain over the past several weeks. work-up was unremarkable and he was thus referred for a cardiac catheterization which was performed today. this revealed severe left main and three vessel disease. he was transported to the medical center for surgical management. past medical history: bladder cancer hypertension obesity social history: widowed 6 months ago. 3 children. quit smoking 30 years ago. denies alcohol or recreational drug use. a retired mechanic. family history: mother, brother and sister with hypertension. mother died of myocardial infarction at age 78. physical exam: gen: well developed male in no apparent distress vital signs: temp-98.3 bp-135/81 hr-81 94% oxygen saturation on room air heent: normocephalic, atraumatic, perrl, eomi, anicteric sclera, oropharynx benign, dentition without obvious infection. neck: supple, no jvd, no bruits heart: regular rate and rhythm, no murmur, rub or gallop. normal s1-s2 lungs: clear abdomen: soft, nontender, nondistended, no hernias, normoactive bowel sounds. rectal: guaiac negative extremitis: no clubbing, cyanosis or edema pulses: 2+ fem, dp and pt bilaterally pertinent results: 09:00pm blood wbc-5.7 rbc-4.76 hgb-14.9 hct-40.5 mcv-85 mch-31.3 mchc-36.8* rdw-13.3 plt ct-240 06:00am blood wbc-7.5 rbc-3.49* hgb-11.0* hct-30.9* mcv-89 mch-31.6 mchc-35.7* rdw-13.5 plt ct-251# 11:25am blood urean-22* creat-1.1 k-3.8 09:00pm blood glucose-125* urean-17 creat-1.3* na-144 k-3.7 cl-105 hco3-30* angap-13 09:00pm blood alt-32 ast-23 ld(ldh)-198 alkphos-48 totbili-0.6 06:00am blood calcium-8.6 phos-3.9 mg-2.0 electrocardiogram performed on: sinus rhythm 70 inferior st-t changes are nonspecific no previous tracing - chest x-ray no evidence of acute cardiopulmonary disease. - chest x-ray interval removal of multiple tubes and lines. left lower lobe partial atelectasis and questionable small left pleural effusion. no evidence of pneumothorax. 08:50pm urine blood-neg nitrite-neg protein-neg glucose-neg ketone-neg bilirubin-neg urobilngn-neg ph-7.0 leuk-neg cardiac catheterization performed at outside hospital brief hospital course: mr. was admitted to the medical center on via transfer from an outside hospital for further management of his coronary artery disease. he was worked-up in the usual preoperative manner by the cardiac surgical service and found to be suitable for surgery. on , mr. was taken to the operating room where he underwent coronary artery bypass grafting to three vessels. postoperatively he was taken the the cardiac surgical intensive care unit for monitoring. he was slowly weaned from pressors and mechanical ventilation. on postoperative day one, mr. neurologically intact and was extubated. he was gently diuresed towards his preoperative weight. on postoperative day three, he was transferred to the cardiac surgical step down unit for further recovery. beta blockade and aspirin therapy were initiated. chest tubes and wires were removed per protocol. the physical theapy service was consulted for assistance with his poa strength and mobility. mr. continued to make steady progress and was discharged home with a visiting nurse e day five (). he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: toprol xl 50mg po qd diovan 160mg po qd ecasa 81mg po qd multivitamin po qd discharge medications: 1. furosemide 20 mg tablet sig: one (1) tablet po q12h (every 12 hours) for 7 days. disp:*14 tablet(s)* refills:*0* 2. 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* 3. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 4. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*30 tablet, 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:*50 tablet(s)* refills:*0* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: home health discharge diagnosis: cad s/p cabgx3 discharge condition: good discharge instructions: no lifting > 10# or driving for 1 month may shower, no bathing for 1 month no creams or lotions to any incisions followup instructions: with dr. in weeks with dr. in 4 weeks procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnostic ultrasound of heart diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension personal history of malignant neoplasm of bladder obesity, unspecified 

Answer: The patient is high likely exposed to