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 major surgical or invasive procedure: coronary artery bypass graft x 4 (left internal mammary artery to left anterior descending, saphenous vein graft to diagonal, saphenous vein graft to obtuse marginal, saphenous vein graft to posterior descending artery) history of present illness: this 45 year old male with a long cardiac history inclulding multiple myocardial infarctions (1st at age 33) and 7 coronary stents, presented to another hospital with chest pain. he ruled in for nstemi and cardiac cathetreization revealed 3 vessel disease. he was transferred for surgical evaluation. past medical history: coronary artery disease s/p 7 coronary stents diabetes mellitus h/o multiple mis hyperlipidemia hypertension social history: lives with: wife occupation: mechanical technician tobacco: none etoh: none family history: mom with mi in her 40s s/p cabg twice brother with mi at 28yo physical exam: admission: pulse:58sr resp: 18 o2 sat: 100%ra b/p right: left: 108/70 height: weight: 86.9kg general: nad, slightly anxious skin: dry intact no rash 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 no edema or varicosities neuro: grossly intact x pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right: left: no bruits appreciated pertinent results: echo: pre-cpb: no spontaneous echo contrast is seen in the left atrial appendage. overall left ventricular systolic function is mildly depressed (lvef= 40 - 45 %). right ventricular chamber size and free wall motion are normal. there are simple atheroma in the descending thoracic . no aortic regurgitation is seen. the mitral valve appears structurally normal with trivial mitral regurgitation. there is no pericardial effusion. post-cpb: the patient is av-paced, on low dose phenylephrine. left ventricular systolic fxn remains mildly depressed. rv systolic fxn is normal. no ai, no mr. t. carotid u/s: right ica with no stenosis. left ica with no stenosis. 10:20am blood wbc-10.9 rbc-4.83 hgb-14.2 hct-42.1 mcv-87 mch-29.3 mchc-33.6 rdw-12.5 plt ct-478* 06:20am blood wbc-9.6 rbc-4.20* hgb-12.6* hct-36.2* mcv-86 mch-30.0 mchc-34.7 rdw-13.0 plt ct-378 04:50am blood wbc-11.1* rbc-4.06* hgb-12.2* hct-35.1* mcv-87 mch-30.1 mchc-34.9 rdw-12.8 plt ct-311 10:20am blood k-4.8 06:20am blood glucose-155* urean-12 creat-0.6 k-4.5 04:40am blood glucose-139* urean-11 creat-0.6 na-134 k-4.2 cl-97 hco3-26 angap-15 07:10am blood glucose-164* urean-15 creat-0.8 na-134 k-4.7 cl-99 hco3-27 angap-13 brief hospital course: mr. was transferred from an outside hospital after being ruled in for myocardial infarction and catheterization which revealed severe three vessel coronary artery disease. he was appropriately worked up for surgery and awaited complete plavix washout. on he was brought to the operating room where he underwent coronary artery bypass graft x 4. please see operative report for surgical details.he easily weaned from bypass, not requiring any pressors. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. on post-op day one he was doing well and was transferred to the telemetry floor for further care. beta blockers and diuretics were started and he was diuresed towards his pre-op weight. on post-op day two his chest tubes were removed. on post-op day three epicardial pacing wires were removed. he was noted to have a moderate amount of serosanguinous dtr from the distal of his sternal incision. he was without fever or leukocytosis. he was started on keflex. the drainage gradually decreased and stopped. the sternum was stable and without erythema. he was evaluated by physical therapy for strength and mobility and was cleared for discharge to home. his hga1c on admission was 11 and he required insulin therapy was instituted during his admission. he was instructed on glucose testing and administarion of both morning lantus and sliding scale coverage with humalog insulin as well. he was discharged on oral antibiotics for a week and a wound check will be performed in 5 days. he was given full instructions about medications, wound care and follow up. medications on admission: crestor 20mg daily atenolol 100mg daily plavix 75 mg daily niaspan 1000mg qhs metformin 1000mg daily zetia 10mg daily actos 15mg daily asa 325mg daily tricor 145mg daily diovan 80mg daily discharge medications: 1. 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* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 3. rosuvastatin 20 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*2* 4. fenofibrate micronized 145 mg tablet sig: one (1) tablet po daily (). disp:*30 tablet(s)* refills:*2* 5. niacin 500 mg capsule, sustained release sig: one (1) capsule, sustained release po bid (2 times a day). disp:*60 capsule, sustained release(s)* refills:*2* 6. metoprolol tartrate 50 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* 7. insulin glargine 100 unit/ml solution sig: thirty (30) units subcutaneous once a day. disp:*1 pen* refills:*2* 8. cephalexin 500 mg capsule sig: one (1) capsule po q6h (every 6 hours) for 7 days. disp:*28 capsule(s)* refills:*0* 9. tramadol 50 mg tablet sig: one (1) tablet po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 10. metoprolol tartrate 50 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*2* 11. humalog pen 100 unit/ml insulin pen sig: per sliding scale subcutaneous four times a day: 120-159-2units b/l/d 160-199-4units b/l/d/2units hs 200-239-6 units b/l/d,4units hs 240-279-8units b/l/d,6units hs 280-319-10units b/l/d,8units hs 320-360-12units b/l/d, 10units hs b-bkfst,l-lunch,d-dinner,hs-bedtime. disp:*2 * refills:*2* 12. metformin 1,000 mg tablet sig: one (1) tablet po twice a day. disp:*60 tablet(s)* refills:*2* discharge disposition: home with service facility: vna of discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x elevation myocardial infartcion s/p 7 coronary stents insulin dependent diabetes mellitus hypertension hyperlipidemia tia discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema and minimal serosanguinous drainage leg right - healing well, no erythema or drainage discharge instructions: weigh yourself every morning, md if weight goes up more than 3 lbs.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 until follow up with surgeon 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 @ 1:30 pm () please call to schedule appointments with: primary care dr. (in weeks cardiologist dr. (in weeks 6 wound clinic check on , at 10am **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery unspecified essential hypertension percutaneous transluminal coronary angioplasty status other and unspecified hyperlipidemia long-term (current) use of insulin old myocardial infarction family history of ischemic heart disease personal history of transient ischemic attack (tia), and cerebral infarction without residual deficits diabetes mellitus without mention of complication, type ii or unspecified type, uncontrolled 

Answer: The patient is high likely exposed to