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: shortness of breath major surgical or invasive procedure: none history of present illness: mr. is a 56 year old male well known to the csurg service as he recently underwent coronary bypass surgery x 3 grafts/maze procedure with dr. on . he presents to the ed today with shortness of breath. tte in the ed was reported as negative for a pericardial effusion. cta to eval for pulmonary embolism is currently pending. mr. presents with a supratherapeutic inr =3.7 for atrial fibrillation. he reports shortness of breath starting this afternoon after a coughing jag. denies chest pain, fever/chills/sputum. past medical history: coronary artery disease s/p cabg paroxysmal atrial fibrillation s/p maze hypertension diabetes mellitus type 2 social history: lives with: wife (she is employed as an ot at ) occupation: teaches physical therapy at . active functional status, but activity tolerance has decreased from running marathons to being able to run <15min over last 3 years tobacco:denies etoh:occasional family history: sister afib, uncle died of sudden cardiac death in 50's. mom alive with dm, renal failure, chf. paternal grandfather with mi in 50's. physical exam: pulse:93 sr w/ pacs/pvcs resp:18 o2 sat: 2lpm=99% b/p right: 108/64 left: height: 70" weight:206.8 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs decreased bilateral bases, (l)>(r) heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none trace le edema neuro: grossly intact pulses: femoral right: left: dp right:2+ left:2+ pt : left: radial right: left: incisions: sternum stable. no /click. c/d/i evh=c/d/i pertinent results: 04:40pm blood wbc-12.3* rbc-3.98* hgb-12.6*# hct-36.8*# mcv-93 mch-31.7 mchc-34.2 rdw-14.3 plt ct-441*# 04:40pm blood pt-36.4* ptt-29.5 inr(pt)-3.7* 01:00pm blood pt-27.6* inr(pt)-2.7* 02:03am blood pt-23.9* inr(pt)-2.3* 01:00pm blood glucose-234* urean-17 creat-1.1 na-135 k-4.8 cl-96 hco3-29 angap-15 02:03am blood urean-24* creat-1.4* na-136 k-4.1 echo conclusions the left atrium is normal in size. left ventricular wall thicknesses and cavity size are normal. there is mild to moderate regional left ventricular systolic dysfunction with focal hypokinesis of the mid to distal anterior septum, anterior wall, and apex the remaining segments contract normally (lvef = 35-40 %). the estimated cardiac index is normal (>=2.5l/min/m2). 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 arch is mildly dilated. the mitral valve leaflets are mildly thickened. the estimated pulmonary artery systolic pressure is normal. there is no pericardial effusion. impression: regional left ventricular systolid dysfunction c/w cad. mild thoracic aortic dilation. brief hospital course: the patient was admitted for further workup and management of dyspnea. pulmonary embolism was ruled out by ct, however, left sided pleural effusion was found to be small-moderate. the patient was diuresed. lopressor was changed to coreg given the patient's low ejection fraction. additionally, ace inhibitor was initiated, however the patient was unable to tolerate this, as he became hypotensive. his blood pressure had stabilized but was not adequate to resume ace inhibitor. amiodarone was started for atrial fibrillation, and coumadin was held in the setting of supratherapeutic inr. coumadin was resumed at 2.5mg and his inr on was 1.8. he was claered for discharge to home by dr. on hd#4. medications on admission: 1.docusate sodium 100 mg (2)2. ranitidine hcl 150 (1)3. aspirin 81 (1)4. atorvastatin 80 (1)5.pioglitazone 45 (1)7. warfarin 5 mg/alt with 7.5 mg tablet: goal inr 2.0-2.5 8. metoprolol tartrate 50 (2)9. furosemide 40 (1)x10 days on discharge 10. potassium chloride 10 meq (1)x 10days on discharge 11. metformin 750(2)12. byetta 10 mcg/0.04 ml pen injector sig: ten (10) mcg (2)13. propoxyphene n-acetaminophen 100-500 mg tablet sig: 1-2 tablets q6h prn pain discharge medications: 1. acetaminophen 325 mg tablet sig: two (2) tablet po q6h (every 6 hours) as needed for pain. 2. aspirin 81 mg tablet, chewable sig: one (1) tablet, chewable po daily (daily). 3. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). 5. pioglitazone 45 mg tablet sig: one (1) tablet po daily (daily). 6. warfarin 1 mg tablet sig: as directed below tablet po once daily at 4 pm: dose will change daily for goal inr 2-2.5, dr. to manage inr/coumadin dosing. 7. outpatient lab work serial pt/inr goal 2-2.5 dx: atrial fibrillation, s/p maze procedure results to dr. 8. exenatide 10 mcg/0.04 ml pen injector sig: 10mcg subcutaneous subcutaneous twice a day. 9. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg x 4 days, then 400mg daily x 7 days, then 200mg daily. disp:*120 tablet(s)* refills:*2* 10. carvedilol 6.25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 11. metformin 500 mg tablet sig: 1 tablet po twice a day. 12. lasix 20 mg tablet sig: one (1) tablet po once a day for 5 days. disp:*5 tablet(s)* refills:*0* 13. potassium chloride 10 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 5 days. disp:*5 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: left sided pleural effusion and shortness of breath pmh: coronary artery disease s/p cabg paroxysmal atrial fibrillation s/p maze hypertension diabetes mellitus type 2 discharge condition: alert and oriented x3 nonfocal ambulating, gait steady sternal pain managed with tylenol prn discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks please call with any questions or concerns please monitor blood glucose - important to maintain normal blood glucose for wound healing followup instructions: , md phone: date/time: 1:00 please call to schedule appointments primary care dr in weeks cardiologist dr in 1 week labs: pt/inr for coumadin dosing for s/p maze with goal inr 2.0-2.5 - results to dr with first draw 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 angiocardiography of left heart structures left heart cardiac catheterization diagnostic ultrasound of heart excision or destruction of other lesion or tissue of heart, open approach cardioplegia diagnoses: coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified pleural effusion unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation anxiety state, unspecified long-term (current) use of anticoagulants other specified analgesics and antipyretics causing adverse effects in therapeutic use shortness of breath drug-induced psychotic disorder with hallucinations 

Answer: The patient is high likely exposed to