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: history of present illness: this is a 79-year-old man, with coronary artery disease, status post cabg in at hospital under dr. , during which he underwent an svg to om, lima to lad, and svg to pda graft, who started experiencing dyspnea on exertion a few months ago in . sestamibi stress revealed inferolateral ischemia and an ett showed st depressions in v4 through v6 which increased in these leads, as well as in ii, iii and avf after the test was stopped, four minutes after being started, at which time the patient developed only i effort, and a heart rate of 130. the patient underwent a cardiac catheterization at hospital showing severe native disease, as well as a 70% lesion in the svg-om/ramus, as well as a patent lima to lad with collateral to the rca and probable occlusion of svg-pda graft. he was admitted to cmi for cardiac catheterization on the day of admission here for svg-om/ramus revascularization. at cardiac catheterization, he was found to have an svg-diagonal 95% origin lesion, which was stented with normal flow. the procedure was complicated by a possible perforation, so an echocardiogram was performed which did not show any definite effusion. the patient was transferred to the ccu for overnight monitoring. past medical history: 1) coronary artery disease, status post cabg in at hospital with dr. , svg to om/ramus, lima to lad, svg to pda; status post cath, svg to om 70%, lima to lad patent with collaterals to rca, svg to pda occluded. 2) atrial fibrillation, status post cardioversion some time in the past with recurrence, 3) bph, 4) aaa, 3.9 cm, in , 5) status post total hip replacement, , 6) knee surgery. family history: the patient's father died at the age of 75 of cancer. the patient's mother died at the age of 95 with cancer. the patient's sister died at the age of 65 of a heart attack and a stroke. the patient's son is 44 and healthy. social history: the patient is married and lives with his wife in . he denies any tobacco, alcohol or drug use. he is a retired textile mechanic. medications: 1) atenolol 25 mg po qd, 2) kcl 10 mg po qd, 3) lasix 20 mg po qd, 4) zantac 150 mg po bid, 5) aspirin 81 mg po qd, 6) flomax 0.4 mg po qd, 7) zocor 80 mg po qd, 8) lisinopril 10 mg po qd, 9) coumadin 5 mg qod and 2.5 mg qod. in the cath lab, the patient was given atropine x 2 for bradycardia, hypotension, and nausea and vomiting. he also received some zofran. allergies: the patient is allergic to sulfa drugs. physical exam: vital signs - temperature 96.5, heart rate 63, blood pressure 123/61, respirations 15, oxygen saturation 99% on room air, pulmonary artery pressure 42/20, mean pressure 29, mean arterial pressure 82, height 6.1, weight 247 pounds. in general, he was an elderly man in no apparent distress. his head was normocephalic and atraumatic. his extraocular movements were intact. his pupils were equally round and reactive to light and accommodation. the mucous membranes were moist. his neck revealed no jvd, bruits, or lymphadenopathy. his lungs were clear to auscultation bilaterally anteriorly. cardiovascularly, his heart rate was irregular, with no murmurs, rubs, or gallops, and distant heart sounds. he had no pathologic pulsus paradoxus. he had bowel sounds and no tenderness in his abdomen. his extremities had 1+ pitting edema bilaterally in the legs, and his right groin wound was clean and dry with no bruit or bruise. neuro exam revealed him to be alert and oriented x 3 and was otherwise nonfocal. labs and diagnostics on admission: the patient had labs drawn prior to admission in the week of , all of which were normal except for a bun of 34, creatinine of 1.6, and platelet count of 116. the patient had an ekg which revealed atrial fibrillation, normal intervals, left axis deviation, and no st-t wave changes. the patient had an echocardiogram at an outside hospital in which revealed an ef of 55-60%, left atrial dilatation, normal lv and rv function, sclerotic aortic valve, focally thickened mitral valve leaflets, mild mr , and a pulmonary artery pressure of 25-28. the patient had a repeat echo done in the cardiac cath lab which did not show any definite effusion. in addition to the findings already mentioned, the patient's cardiac cath at this hospital revealed a pulmonary capillary wedge pressure of 16, a very tortuous aorta, a right dominant system, and slightly elevated filling pressures. assessment and plan: this is a 79-year-old man with coronary artery disease, status post cath and stent of a bypass graft which was complicated by vessel perforation, bradycardia and hypotension. hospital course: the following is a summary of the hospital course: 1) coronary artery disease: after undergoing the cardiac catheterization with stenting, the patient was sent to the ccu for monitoring. he was continued on aspirin, plavix, ace inhibitor and a statin. his beta blocker was held because of the bradycardia he developed in the cardiac cath lab. he had no chest pain during his hospital stay. 2) hypotension and bradycardia: this was thought to be secondary to a vagal response after cardiac catheterization, compounded by the patient's slow atrial fibrillation. throughout the hospital stay, he had no evidence of tamponade. he was continued on telemetry, with occasional asymptomatic bradycardic episodes, as well as asymptomatic hypotension. he did not require pressors, though he was bolused a total of 1 liter on hospital day #2. the patient's beta blocker was held for concerns that his bradycardia would be worsened. the patient did have a swan-ganz catheter inserted for better hemodynamic monitoring. this catheter was removed a day prior to discharge. 3) atrial fibrillation: given the patient's possible perforation in the cardiac cath lab, he was not anticoagulated with heparin or coumadin while in-house. he was continued on telemetry and had no tachycardic episodes. 4) vessel perforation: the patient underwent three two-dimensional echocardiogram during his hospital stay, all of which confirmed that the patient did not have a definite pericardial effusion, or tamponade physiology. his vital signs and pulses were monitored throughout his hospital stay. anticoagulation was held as a conservative measure. 5) prophylaxis: the patient was treated with heparin subcu and protonix while in-house. discharge diagnoses: 1) coronary artery disease, status post catheterization and stent of the left circumflex. 2) atrial fibrillation. 3) hypotension and bradycardia, most likely vagal in origin. 4) benign prostatic hypertrophy. 5) abdominal aortic aneurysm. discharge condition: good. discharge status: to home. discharge medications: 1) lisinopril 10 mg po qd, 2) aspirin 325 mg po qd, 3) protonix 40 mg po qd, 4) simvastatin 80 mg po qd, 5) plavix 75 mg po qd, 6) lasix 20 mg po qd, 7) coumadin 2.5 mg po qd. follow-up plans: the patient is to follow-up with his cardiologist in 1 week. during this visit, a repeat echocardiogram should be performed. his renal function and hematocrit should be checked. his blood pressure should be checked, as well as his heart rate, so as to determine whether or not the patient can be started on at least a low-dose beta blocker. the issue of an electrophysiology work-up of his bradycardia should be discussed if his bradycardia persists. , m.d. dictated by: medquist36 procedure: insertion of non-drug-eluting coronary artery stent(s) injection or infusion of platelet inhibitor left heart cardiac catheterization coronary arteriography using a single catheter angiocardiography of right heart structures pulmonary artery wedge monitoring diagnoses: coronary atherosclerosis of native coronary artery coronary atherosclerosis of autologous vein bypass graft atrial fibrillation abdominal aneurysm without mention of rupture 

Answer: The patient is high likely exposed to