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 major surgical or invasive procedure: - coronary artery bypass graft x4--left internal mammary artery to left anterior descending artery and saphenous vein grafts to diagonal, obtuse marginal, and right coronary arteries. history of present illness: this 58 year old white male has a history of hypertension, hperlipidemia, and cad. he had drug eluting stents to the proximal and distal rca in and has had intermittent chest heaviness with emotional stress and exertion since which responds to sl ntg. his most recent ett was done in and was negative for perfusion defects with normal lv funtion. he underwent cardiac cath today and is now referred for surgery. past medical history: 1. cardiac risk factors:: -diabetes, +dyslipidemia, +hypertension 2. cardiac history: -cabg: n/a -percutaneous coronary interventions: stent to rca -pacing/icd: n/a 3. other past medical history: hypercholesterolemia hypertriglyceridemia low hdl overweight hypertension glaucoma social history: works as regional supervisor for pharmacies. -tobacco history: smokes 0.5-1 packs/day since age 35 -etoh: denies -illicit drugs: denies family history: strong family history of htn and cad. physical exam: pulse:60s resp:18 o2 sat: 95% ra b/p right: 92/55 left: height: 5'6" weight: 86.2 kg general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 1+ left: 1+ pt : 1+ left: 1+ radial right: cath site left: 2+ carotid bruit right: no left: no pertinent results: echo pre cpb: no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity is mildly dilated. overall left ventricular systolic function is normal (lvef>55%). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. there are simple atheroma in the descending thoracic aorta. there are three aortic valve leaflets. there is no aortic valve stenosis. mild (1+) aortic regurgitation is seen. there is no mitral valve prolapse. mild to moderate (+) mitral regurgitation is seen. dr. was notified in person of the results. post cpb: the patient is a-paced, on no inotropes. preserved biventricular systolic fxn. mr are unchanged. aorta intact. ct scan 1. dilated small bowel, most likely due to postoperative ileus; however, the collapsed distal loops of ileum are atypical, this could alternatively represent an early small-bowel obstruction and clinical correlation is advised. 2. bilateral lower lobe atelectasis. 3. bilateral fat-containing inguinal hernias. 4. exophytic cyst in the upper pole of the left kidney. small low-attenuation lesion, too small to characterize in the mid pole of the left kidney. 5. calcification of the aorta is noted without aneurysmal dilatation. brief hospital course: mr. was admitted to the on for surgical management of his coronary artery disease. he was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. please see operative note for details. postoperatively he was taken to the intensive care unit for monitoring. over the next several hours, he awoke neurologically intact and was extubated. on postoperative day one, he was transferred to the step down unit for further recovery. he was gently diuresed towards his preoperative weight. the physical therapy service was consulted for assistance with his postoperative strength and mobility. diabetes consult was obtained for an elevated hemoglobin a1c and blood sugars. metformin 500mg daily was ultimately started and dr. will follow-up on his diabetes care. he developed atrial fibrillation which converted with amiodarone. as he had a couple of paroxysmal episodes, coumadin was started. amiodarone was eventually stopped due to bradycardia and he was continued on lopressor. he developed abdominal distension and decreased bowel sounds. a general surgery consult was obtained and a ct scan was performed with results consistent with a postoperative ileus. he was moved back to the intensive care unit for 2 days. a nasogastric tube was placed with large amounts of bilious drainage. over the next 2 days, his abdominal symptoms improved and clear liquids were started with no issue. his diet was slowly advance and he began to move his bowels. antibiotics, which were started prophylactically, were stopped. he was transferred back to the step down unit. he continued to make steady progress and was discharged home on . dr. will follow his coumadin for a goal inr of 2.0-2.5. his first blood draw will be and he will take 2mg on . he will follow-up with dr. , dr. and dr. as an outpatient. medications on admission: brimonidine 0.15 % drops - 1 drop(s) each eye , ezetimibe-simvastatin 10 mg-80 mg hs, fenofibrate nanocrystallized 48 mg qpm, isosorbide mononitrate sr 30 mg daily, lorazepam 1 mg hs prn, losartan 50 mg daily, toprol 50 mg daily, nitroglycerin 0.4 mg prn, paroxetine hcl 40 mg daily, aspirin 325 mg daily, omega-3 fatty acids 1,000 mg daily discharge medications: 1. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*2* 2. paxil 40 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 3. metoprolol tartrate 50 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 4. brimonidine 0.15 % drops sig: one (1) drop ophthalmic (2 times a day). disp:*1 dropper* refills:*2* 5. lasix 40 mg tablet sig: one (1) tablet po once a day for 7 days. disp:*7 tablet(s)* refills:*0* 6. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 7 days. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* 7. fenofibrate nanocrystallized 48 mg tablet sig: one (1) tablet po once a day: take in the evening. disp:*30 tablet(s)* refills:*2* 8. vicodin 5-500 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*30 tablet(s)* refills:*0* 9. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day) for 1 months. disp:*60 capsule(s)* refills:*0* 10. vytorin 10-80 mg tablet sig: one (1) tablet po once a day: take in the evening. disp:*30 tablet(s)* refills:*2* 11. coumadin 1 mg tablet sig: as instructed by dr. tablet po once a day: goal inr 2.0-2.5. your first dose will be 2mg on and then as instructed by dr. . disp:*30 tablet(s)* refills:*2* 12. metformin 500 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po once a day. disp:*30 tablet sustained release 24 hr(s)* refills:*2* discharge disposition: home with service facility: all care vna of greater discharge diagnosis: hypertension type 2 diabetes hyperlipidemia cad s/p rca stenting in glaucoma hx of remote hepatitis a depression discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg right/left - healing well, no erythema or drainage. edema discharge instructions: 1) 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. 2) please no lotions, cream, powder, or ointments to incisions. 3) each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart provided. 4) no driving for approximately one month and while taking narcotics. driving will be discussed at follow up appointment with surgeon when you will likely be cleared to drive. 5) no lifting more than 10 pounds for 10 weeks 6) take lasix 40mg once daily with potassium 20meq for 7 days then stop. monitor your weight daily and report any gain of weight or worsening swelling in your lower extremities. 7) coumadin is for atrial fibrillation. please take daily or as instructed by dr. . goal inr is 2.0-2.5. your discharge dose is 2mg daily. please note that your dose may change based on your blood levels. you will need to have your blood drawn monday by either vna or at dr. lab. you will then be called and instructed on what dose to take. 8) please check fingersticks (blood sugar) as instructed. you will start metformin 500mg once daily. 9)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: 1:00pm ( please call to schedule appointments with your primary care dr. in weeks cardiologist: dr. . please call to schedule an for appointment for 4 weeks. ( **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication: atrial fibrillation goal inr 2.0-2.5 first draw results to phone ( fax ( dr. md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled cardiac complications, not elsewhere classified atrial fibrillation mitral valve insufficiency and aortic valve insufficiency unspecified glaucoma depressive disorder, not elsewhere classified percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia other specified cardiac dysrhythmias 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 paralytic ileus 

Answer: The patient is high likely exposed to