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 with exertion major surgical or invasive procedure: coronary artery bypass grafting x3 with left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the marginal branch of the posterior descending artery mediastinal re-exploration and evacuation of a clot status post coronary artery bypass surgery history of present illness: this 69 year old male was seen by his primary care physician 3-4 weeks of exertional chest pressure that radiates down left arm. he was seen at an urgent care center for evaluation and an ekg showed new deep t wave inversions in i,avl,v1-6.pt. was admitted and ruled out for an mi by enzymes and ekg. cxr showed no acute changes. chest ct showed no evidence of pulmonary embolism. he was started on plavix and asa yesterday and transferred for cardiac catheterization with dr. ti . past medical history: diet controlled diabetes mellitus hypertension hyperlipidemia cervical disc disease sciatica depression social history: yr hx of cig smoking in his 20's. former cigar smoker after that. -etoh: prior alcoholism, sober for 9 months -illicit drugs: none family history: mother with cirrhosis, both parents have etoh abuse. no family history of early mi, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. physical exam: pulse: 63 resp:16 o2 sat:97% ra b/p right:125/79 left:136/78 height: 5ft 9" weight:210lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally crackles in bases heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + protruberant extremities: warm , well-perfused edema no edema____ varicosities: none neuro: grossly intact pulses: femoral right:+1 left:+1 dp right: trace left:trace pt :trace left:trace radial right: cath site left:+2 carotid bruit right: none left:none pertinent results: 05:30am blood wbc-10.4 rbc-3.53* hgb-10.8* hct-32.1* mcv-91 mch-30.5 mchc-33.6 rdw-14.3 plt ct-134* 04:16am blood wbc-8.2 rbc-3.32* hgb-10.1* hct-29.2* mcv-88 mch-30.5 mchc-34.6 rdw-14.4 plt ct-126* 05:30am blood glucose-94 urean-43* creat-1.2 na-139 k-4.2 cl-101 hco3-27 angap-15 04:16am blood glucose-81 urean-44* creat-1.0 na-140 k-3.3 cl-102 hco3-26 angap-15 08:36pm blood glucose-162* urean-48* creat-1.1 na-138 k-3.8 cl-101 hco3-24 angap-17 tte pre-cpb: 1. the left atrium is mildly dilated. no thrombus is seen in the left atrial appendage. 2. left ventricular wall thicknesses are normal. the left ventricular cavity is mildly dilated. overall left ventricular systolic function is normal (lvef>55%). 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. 6. mild (1+) mitral regurgitation is seen. post-cpb: on infusion of phentylephrine. av pacing for slow sinus rhythm. preserved biventricular systolic function. mr remains 1+. no ai. aortic contour is normal post decannulation. tte exploration for bleeding. 1. the left atrium is normal in size. 2. left ventricular wall thicknesses are normal. the left ventricular cavity is mildly dilated. 3. right ventricular chamber size and free wall motion are normal. 4. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 5. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. 6. mild (1+) mitral regurgitation is seen. 7. there is a trivial/physiologic pericardial effusion. there is no sign of tamponade physiolo9gy. 05:30am blood wbc-10.4 rbc-3.53* hgb-10.8* hct-32.1* mcv-91 mch-30.5 mchc-33.6 rdw-14.3 plt ct-134* 04:30am blood urean-39* creat-1.2 na-140 k-4.8 cl-103 brief hospital course: mr. was admitted under cardiology and underwent cardiac catheterization which showed total occlusion of the proximal lad, 70% proximal lcx lesion, 40% prox rca lesion, and 50% rpda lesion, with right to left collaterals. he remained chest pain free after cardiac catheterization. cardiac surgery was consulted and routine preoperative evaluation was performed. given his recent plavix dose, surgery was delayed for several days. on , dr. performed three vessel coronary artery bypass with left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the marginal branch of the posterior descending artery. she had increasing amount of chest tube drainage in the first 2 hours after surgery totaling nearly 1 liter in 2 hours and hence, he was taken back to the operating room for exploration. he was hemodynamically stable with no signs of tamponade. there was a large amount of old clot and blood in the mediastinum as well as in the left pleura. after this was cleared, all the surgical sites were inspected. no sign of any surgical site bleeding was found and the bleeding was thought to be due to the plavix which he was on preoperatively. he was kept intubated on pod 1 and ventilator and vasoactive support was weaned. pod 2 found the patient extubated to bipap. he was aggressively diuresed with lasix three times a day. he had several days on bipap and when taken off and desaturated quickly. he was weaned from bipap on pod 4 to nasal canula and progressed well from a respiratory standpoint. beta blocker was initiated and the patient was gently diuresed toward his preoperative weight. he went into a rapid atrial fibrillation and was started on an amiodarone drip. he converted to sinus rhythm and remained in sinus for the remainder of his hospital course. 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 8 the patient was ambulating freely, the wounds were healing and pain was controlled with oral analgesics. the patient was discharged home with visiting nurse services in good condition with appropriate follow up instructions. medications on admission: neurontin 300 mg twice daily plavix 75 mg daily lipitor 80 mg daily atenolol 50 mg daily celexa 20mg daily was taking for over 1yr but stopped taking this motrin 600mg prn back pain discharge medications: 1. metoprolol tartrate 50 mg tablet sig: 1.5 tablets po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 2. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po once a day for 2 weeks. disp:*14 tablet, er particles/crystals(s)* refills:*0* 3. gabapentin 300 mg capsule sig: one (1) capsule po bid (2 times a day). 4. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever, pain. 5. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 6. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 7. amiodarone 200 mg tablet sig: as directed tablet po bid (2 times a day): 400mg (two tablets) twice a day for two weeks, then 200mg(one tablet twice a day for two weeks then 200mg daily(one tablet) until directed to stop. disp:*120 tablet(s)* refills:*2* 8. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 9. lisinopril 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. lasix 40 mg tablet sig: one (1) tablet po once a day for 2 weeks. disp:*14 tablet(s)* refills:*0* 11. combivent 18-103 mcg/actuation aerosol sig: two (2) puffs inhalation twice a day as needed for shortness of breath or wheezing for 4 weeks. disp:*1 * refills:*1* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease noninsulin dependent diabetes mellitus hypertension hyperlipidemia cervical disc disease sciatica depression discharge condition: alert and oriented x3, nonfocal ambulating with steady gait and walker incisional pain managed with oral medications incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. trace 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 **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 , md phone: date/time: 1:00 in the medical office building please call to schedule appointments with your primary care dr. in weeks () cardiologist: dr. will call with appointment **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 reopening of recent thoracotomy site diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension acute posthemorrhagic anemia diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified alcohol dependence, in remission atrial fibrillation depressive disorder, not elsewhere classified other and unspecified hyperlipidemia hemorrhage complicating a procedure surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation long-term (current) use of anticoagulants lumbosacral spondylosis without myelopathy cervical spondylosis without myelopathy other fluid overload 

Answer: The patient is high likely exposed to