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: zocor attending: chief complaint: chest pain major surgical or invasive procedure: cardiac cath coronary artery bypass graft x 2 (left internal mammary artery to left anterior descending, saphenous vein graft to obtuse marginal) history of present illness: 54 year old male with complaints of exertional chest pain and resolves with rest. he denies shortness of breath with the chest pain. he has a history of a vtach arrest in while playing basketball, an aicd was placed in and later to be removed in with rv lead implanted. upon cardiac catheterization he was found to have left main and lad disease and is now being refered to cardiac surgery for reavascularization. past medical history: coronary artery disease s/p coronary artery bypass graft past medical history: ventricular fibrillation hyperlipidemia hypertension colonic polyp obesity vitamin b12 deficiency sleep apnea (uses cpap) chronic lower back pain aicd placed aicd removed and rv lead left implanted in case of recurrent sustained symptomatic ventricular arrhythmia s/p gun shot wound to abdomen and leg in social history: race:african american last dental exam: , bridge placed lives with:wife contact: (wife) phone # occupation:truck driver and trainer cigarettes: smoked no yes other tobacco use: etoh: < 1 drink/week drinks/week >8 drinks/week illicit drug use family history: premature coronary artery disease- father's side with heart disease physical exam: pulse:47 resp:18 o2 sat:99/ra b/p right:139/90 left:144/90 height:5'" weight:265 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur grade ______ abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused great toe and 2nd toe on left foot absent amputation site well healed edema none varicosities: none neuro: grossly intact pulses: femoral right: +1 left:+1 dp right: +1 left:doppler pt : +1 left:+1 radial right: cath site left:+1 carotid bruit right: none left:none pertinent results: cardiac cath: 1. selective coronary angiography of this left dominant system revealed single vessel coronary artery disease. the lm had 80-90% distal stenosis. the lad had 50% mid-stenosis. the lcx and rca had no angiographically apparent disease. 2. limited resting hemodynamics revealed moderately elevated systemic arterial pressure of 164/95mmhg. echo: pre-bypass: no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. the right atrium is dilated. no atrial septal defect is seen by 2d or color doppler. overall left ventricular systolic function is low normal (lvef 50-55%). tissue doppler imaging suggests a normal left ventricular filling pressure (pcwp<12mmhg). right ventricle free wall has normal free wall contractility. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. moderate to severe tricuspid regurgitation is seen. post-cpb: the lv systolic function remains low normal, estimated ef is 50%. the tr remains mod-severe. there is no evidence of aortic dissection. 05:45am blood wbc-6.0 rbc-3.15* hgb-9.2* hct-26.4* mcv-84 mch-29.2 mchc-34.8 rdw-14.5 plt ct-173 04:03pm blood hct-31.2* 06:30am blood wbc-5.0 rbc-3.22* hgb-9.2* hct-25.9* mcv-80* mch-28.6 mchc-35.6* rdw-14.0 plt ct-171 05:45am blood urean-13 creat-1.0 na-135 k-4.4 cl-99 06:30am blood glucose-113* urean-15 creat-1.0 na-136 k-4.5 cl-100 hco3-29 angap-12 06:50am blood glucose-106* urean-16 creat-1.0 na-132* k-3.9 cl-94* hco3-29 angap-13 brief hospital course: mr. a cardiac cath on which revealed severe left main and lad disease. he was admitted for surgical work-up and on he was brought to the operating room where he a coronary artery bypass graft x 2. please see operative report for surgical details. 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 beta-blockers and diuretics were initiated and he was diuresed towards his pre-op weight. later on this day he was transferred to the step-down floor for further care. chest tubes and epicardial pacing wires were removed per protocol. norvasc and losartan were resumed for management of hypertension. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. the patient was discharged home with vna in good condition with appropriate follow up instructions. medications on admission: budesonide-formoterol dosage uncertain cyanocobalamin (vitamin b-12 1,000 mcg/ml solution intramuscularyl monthly fluticasone 50 mcg spray, suspension - 1 in each nostril daily losartan 100 mg daily lovastatin 40 mg daily sildenafil 1 by mouth take one hour before sex sotalol 120 mg twice daily aspirin 325 mg daily discharge medications: 1. losartan 50 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 2. sotalol 80 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 5. lovastatin 20 mg tablet sig: two (2) tablet po daily (). disp:*60 tablet(s)* refills:*0* 6. hydromorphone 2 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 7. amlodipine 5 mg tablet sig: two (2) tablet po daily (daily). disp:*60 tablet(s)* refills:*0* 8. furosemide 20 mg tablet sig: one (1) tablet po daily (daily) for 5 days. disp:*5 tablet(s)* refills:*0* 9. potassium chloride 10 meq tablet extended release sig: two (2) tablet extended release po once a day for 5 days. disp:*10 tablet extended release(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 2 past medical history: ventricular fibrillation hyperlipidemia hypertension colonic polyp obesity vitamin b12 deficiency sleep apnea (uses cpap) chronic lower back pain aicd placed aicd removed and rv lead left implanted in case of recurrent sustained symptomatic ventricular arrhythmia s/p gun hot wound to abdomen and leg in discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with incisions: sternal - healing well, no erythema or drainage leg right - healing well, no erythema or drainage. edema 1+ discharge instructions: 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 and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns females: please wear bra to reduce pulling on incision, avoid rubbing on lower edge **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 wound care: date/time: 10:30 surgeon: dr. date/time: 1:15 cardiologist: dr. - office will call you with appt. please call to schedule appointments with your primary care dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization (aorto)coronary bypass of one coronary artery diagnoses: obstructive sleep apnea (adult)(pediatric) anemia, unspecified coronary atherosclerosis of native coronary artery intermediate coronary syndrome unspecified essential hypertension atrial fibrillation other b-complex deficiencies other and unspecified hyperlipidemia family history of ischemic heart disease other postprocedural status obesity, unspecified disorders of diaphragm personal history of colonic polyps late effects of injury purposely inflicted by other person late effect of internal injury to chest body mass index 38.0-38.9, adult 

Answer: The patient is high likely exposed to