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: penicillins attending: chief complaint: chest pain major surgical or invasive procedure: - cabgx4 on iabp - cardiac catheterization history of present illness: 54 yo m who presented to with complaints of chest pain on exertion for the past 10 days. he ruled out for mi, had a positive stress test and was transferred to for cardiac catheterization. now asked to evaluate for surgical revascularization. past medical history: htn hyperlipidemia niddm prior mi years ago gout familial mediterranean fever social history: last dental exam:4 weeks ago lives with:son occupation:variety store owner tobacco:+ ppd x 40 years etoh:occasional rec drugs: denies family history: father s/p mi in 50s, died age 82 physical exam: vs: 98.7 hr 76 sr bp: 110-120/70's sats: 97% ra general: 54 year-old well appearing gentleman heent: normocephalic, mucus membranes moist neck: supple. ij site clean no erythema card: rrr resp: decreased breath sounds bilateral no wheezes gi: benign extr: warm 2 + edema incision: sternal with steri-strips & lle clean dry intact no erythema neuro: non-focal pertinent results: cardiac catheterization 1. coronary angiography of this right dominant system revealed three vessel coronary artery disease. the lmca had a distal 30% calcific lesion. the lad was calcified proximally with serial 70% and 60% lesions in the mid-vessel. the diagonals were diffusely diseased. the lcx had a distal 70% lesion with smaller om branches. the rca was totally occluded proximally with left to right collaterals. 2. limited resting hemodynamics demonstrated normal systemic arterial blood pressure (sbp 132 mm hg). echo the left atrium is mildly dilated. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. the left ventricular cavity size is top normal/borderline dilated. there is severe global left ventricular hypokinesis (lvef = 20-25%). right ventricular chamber size and free wall motion are normal. the aortic root is mildly dilated at the sinus level. the ascending aorta is mildly dilated. the aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. there is no mitral valve prolapse. mild mitral regurgitation is seen. there is moderate pulmonary artery systolic hypertension. there is no pericardial effusion. impression: severe global left ventricular hypokinesis. the basal inferior, inferolateral and anterior septal segments have relatively better function. mild mitral regurgitation. moderate pulmonary artery systolic hypertension. compared with the report of the prior study (images unavailable for review) of , the left ventricular ejection fraction is similar, however the wall motion abnormalities now appear to be more global. the severity of pulmonary artery systolic hypertension has increased. carotid ultrasound impression: right ica stenosis <40%. left ica stenosis <40% cxr unchanged bilateral pleural effusions with subsequent areas of atelectasis. no evidence of pneumothorax. unchanged size of the cardiac silhouette, unchanged alignment of the sternal wires. wbc-7.8 rbc-3.22* hgb-9.6* hct-27.5* plt ct-155# glucose-121* urean-22* creat-0.8 na-137 k-3.7 cl-102 hco3: 26 mg-1.9 brief hospital course: mr. was admitted to the on for further management of his chest pain and positive stress test. a cardiac catheterization was performed which showed severe three vessel coronary artery. cardiac surgery was therefore consulted and preoperative evaluation was performed - see result section. given recent plavix dose, surgery was delayed for several days. preoperative course was notable for 22 beat run of asymptomatic, non-sustained ventricular tachycardia. given his low ejection fraction, he was observed on telemetry and maintained on heart failure regimen. no further runs of nsvt were noted. on , dr. performed coronary artery bypass grafting surgery. please see operative note for details. following the operation he was brought to the cvicu for invasive monitoring. on postoperative day one, he developed signs of cardiac tamponade and returned to the operating room for re-exploration. hemostasis was obtained and he returned to the cvicu. later that day the iabp was weaned and removed without complication. he awoke neurologically intact and was extubated without incident. he maintained stable hemodynamics and transferred to the sdu on postoperative day two. on pod4 his pacing wires were removed. he remained volume overloaded. his diuretics were increased and he was slowly diuresed. his electrolytes were repleted. pain was well controlled nsaids and hydromorphone. his blood sugars were monitored and his metformin was restarted. he tolerated a diabetic diet. was seen by physical therapy. he was discharged to his sister's house and vna on pod5. he will follow-up as an outpatient. medications on admission: carvedilol 3.125mg po bid colchicine 0.6mg po daily folic acid 1mg po daily hctz 12.5mg po daily cozaar 500mg po daily metformin 750mg po bid zolpidem 5mg po qhs prn:sleep asa 325mg po daily cyanocobalamin niacin 1500mg qhs discharge medications: 1. folic acid 1 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 2. cyanocobalamin 100 mcg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. colchicine 0.6 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 4. carvedilol 3.125 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 5. hydrochlorothiazide 12.5 mg capsule sig: one (1) capsule po daily (daily). disp:*30 capsule(s)* refills:*2* 6. metformin 750 mg tablet sustained release 24 hr sig: one (1) tablet sustained release 24 hr po twice a day. disp:*60 tablet sustained release 24 hr(s)* refills:*2* 7. aspirin 325 mg tablet sig: one (1) tablet po daily (daily). 8. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 9. furosemide 40 mg tablet sig: one (1) tablet po q12h (every 12 hours). disp:*60 tablet(s)* refills:*2* 10. lisinopril 5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* 11. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day. disp:*30 tab sust.rel. particle/crystal(s)* refills:*2* 12. percocet 5-325 mg tablet sig: 1-2 tablets po every hours. disp:*60 tablet(s)* refills:*0* 13. motrin 600 mg tablet sig: one (1) tablet po every eight (8) hours as needed for pain: take with food and water. disp:*60 tablet(s)* refills:*0* 14. niacin 750 mg tablet sustained release sig: two (2) tablet sustained release po at bedtime. disp:*60 tablet sustained release(s)* refills:*2* 15. nexium 20 mg capsule, delayed release(e.c.) sig: one (1) capsule, delayed release(e.c.) po once a day: take while taking motrin. disp:*30 capsule, delayed release(e.c.)(s)* refills:*2* discharge disposition: home with service facility: home health care discharge diagnosis: coronary artery disease, s/p cabg ischemic cardiomyopathy chronic systolic heart failure hypertension hyperlipidemia chronic systolic heart failure discharge condition: stable discharge instructions: -monitor wounds for signs of infection. these include redness, drainage or increased pain. please contact you at ( with all wound issues. -steri-strips: sternal and and lower extremity. remove in 10 days or sooner if start to come off. -report any fever of greater then 100.5 -daily weights: take lasix 40 mg twice daily until weight down then 40 mg daily -take potassium 20 meq once daily while taking lasix twice daily. stop when taking lasix once daily -no losartan. take lisinopril 5 mg daily. -motrin take as needed for pain with food and water -please shower daily. wash wound with soap and water. no lotions, creams or pwoders to incision until it has healed. -no lifting greater then 10 pounds for 10 weeks from date of surgery. -no driving for 1 month from date of surgery. -please call with any questions or concerns. followup instructions: please follow-up with dr. in 1 month. ( please follow-up with dr. in weeks. please call all providers for appointments. scheduled appointment #1 md: dr specialty: cardiology date and time: monday, at 12pm location: , phone number: md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery left heart cardiac catheterization coronary arteriography using a single catheter (aorto)coronary bypass of one coronary artery implant of pulsation balloon angiocardiography of right heart structures other operations on vessels of heart diagnoses: thrombocytopenia, unspecified anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome congestive heart failure, unspecified unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled gout, unspecified other chronic pulmonary heart diseases paroxysmal ventricular tachycardia other specified forms of chronic ischemic heart disease 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 old myocardial infarction chronic systolic heart failure chronic total occlusion of coronary artery cardiac tamponade 

Answer: The patient is high likely exposed to