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: tree nut attending: chief complaint: shortness of breath major surgical or invasive procedure: coronary artery bypass grafting x3 with a left internal mammary artery to the left anterior descending artery and reverse saphenous vein graft to the posterior descending artery and the diagonal artery history of present illness: 59 year-old male with a history of cardiomyopathy ef 45-50% with pcm/icd who presented due to sob. he awoke in respiratory distress and called ems. he was found to have a sbp in 200s, rr 30-40s, rales in bilateral lung fields. he was given nitropaste and started on cpap with presumed flash pulmonary edema. his symptoms improved enroute to the er. he had taken his home lasix of 80mg and urinated before ems arrived. at baseline he gets short of breath with a flight of stairs. in the ed he was given lasix 80mg iv x 1 and started on a nitro gtt. he was continued on cpap with fio2 of 50%. he was diaphoretic on arrival. he was given vanco and levo for possible pna. he was admitted for futher evaluation. cardiac catheterization: date: place: lmca: non-obstructed lad: diffuse mid to distal up to 80% stenosis, proximal 60% lesion lcx: ri has a 30% proixmal lesion rca: hazy, 85% ostial pda ra=17 pcw=30 pa= 46/28 past medical history: -ischemic and hypertensive cardiomyopathy, -chronic systolic chf s/p biv pacer-icd placement , echo-ef 45-50% with lvh ( -v/icd with epicardial lv lead placement ) -hypertension -hyperlipidemia -type 2 diabetes mellitus -obstructive sleep apnea - on 15 cpap -spinal stenosis, herniated disc (lumbar spinal stenosis. radiculopathy, neurogenic claudication.,right l5), s/p fusion far-lateral nerve compression) -s/p tonsillectomy -nephrolithiasis s/p lithotripsy -bph -gout -sigmoid diverticulosis by ct scan in -cad s/p des d1, social history: race:caucasian last dental exam:1 year ago lives with:wife and 2 children occupation:retired manager of auto parts wear house. tobacco:quit in , history of 25 pack-year etoh:1-2 beers/wk family history: there is no family history of premature coronary artery disease or sudden death. physical exam: pulse:90 resp:16 o2 sat: 95/ra b/p right:139/88 left:146/86 height:5'4" weight:192 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally ; +iacd with several well healed scars over left anterior chest heart: rrr irregular murmur abdomen: soft, obese non-distended non-tender bowel sounds +; extremities: warm , well-perfused no edema varicosities: none; neuro: grossly intact pulses: femoral right: 2+ access site is w/o hematoma left: 2+ dp right: 1+ left: 1+ pt : 2+ left: 2+ radial right: 2+ left: 2+ carotid bruit right:no left:no pertinent results: 04:50am blood wbc-7.5 rbc-3.41* hgb-9.8* hct-29.4* mcv-86 mch-28.6 mchc-33.3 rdw-15.0 plt ct-277 04:50am blood glucose-122* urean-28* creat-1.1 na-136 k-4.2 cl-100 hco3-28 angap-12 04:35am blood glucose-118* urean-30* creat-1.0 na-138 k-4.2 cl-100 hco3-28 angap-14 04:35am blood wbc-8.4 rbc-3.45* hgb-9.5* hct-28.3* mcv-82 mch-27.7 mchc-33.8 rdw-15.3 plt ct-246 intraop tee pre-bypass: the left atrium is dilated. no spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses are normal. there is mild symmetric left ventricular hypertrophy. the left ventricular cavity is mildly dilated. there is severe global left ventricular hypokinesis (lvef = 20 %). overall left ventricular systolic function is severely depressed (lvef= 20 %). the estimated cardiac index is depressed (<2.0l/min/m2). right ventricular chamber size and free wall motion are normal. there are three aortic valve leaflets. the aortic valve leaflets are moderately thickened. there is moderate aortic valve stenosis (valve area 1.0-1.2cm2). mild (1+) aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. there is no pericardial effusion. post_bypass: patient is on epinephrine infusion. cardiac output 3.4l/min by swan ganz method. there is moderate improvement of lvef global systolic function. lvef 35% intact thoracic aorta. aortic valve area calculations by continuity is 1.2 cm2 with peak aortic velocity at 2.1m/sec. surgeon informed of the findings. other valves similar to prebypass. brief hospital course: this is a 59-year-old male with history of cardiomyopathy who had an ejection fraction of 45-50% and had a biventricular pacemaker placed about a year or 2 ago. he presented in respiratory distress and responded to diuresis. he had an echocardiogram which demonstrated that his left ventricular function was depressed with moderate to severe regional systolic dysfunction and ejection fraction about 25%. his aortic valve showed minimal aortic stenosis. there was also a mass that was in the left ventricle and it appeared to be attached to the papillary muscle suggestive of a fibroblastoma or torn chord. he had a dobutamine stress echo which showed that the majority of his heart had viable myocardium except for the inferior wall. he had a small mitral palpable muscle mass which was suggestive of a torn chord. cardiac surgery was asked to evaulate for surgery. he was brought to the operating room on where the patient underwent coronary artery bypass grafting x3 with a left internal mammary artery to the left anterior descending artery and reverse saphenous vein graft to the posterior descending artery and the diagonal artery. see operative note for full details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for recovery and invasive monitoring. pod 1 found the patient extubated, alert and oriented and breathing comfortably. the patient was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. a fib was noted to be his rhythm under his pacemaker and he was loaded with amiodarone. the patient was transferred to the telemetry floor for further recovery. he did have some dizziness and orthostatic hypotension which improved with albumin. he had scant sternal drainage which had improved at the time of discharge with no drainage noted for 48 hours. chest tubes and pacing wires were discontinued without complication. the patient was evaluated by the physical therapy service for assistance with strength and mobility. by the time of discharge on pod 7 the patient was ambulating freely, tolerating a full oral diet and 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: amlodipine - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth once a day carvedilol - (prescribed by other provider) - 25 mg tablet - 1 tablet(s) by mouth twice a day colchicine - (prescribed by other provider) - 0.6 mg tablet - 1 tablet(s) by mouth q hs cyclobenzaprine - (prescribed by other provider) - 10 mg tablet - 1 tablet(s) by mouth q hs diltiazem hcl - (prescribed by other provider) - 300 mg capsule, sustained release - 1 capsule(s) by mouth once a day fenofibrate micronized - (prescribed by other provider) - 200 mg capsule - 1 capsule(s) by mouth q hs furosemide - (prescribed by other provider) - 40 mg tablet - 2 tablet(s) by mouth in am and 1.5 tabs at hs gabapentin - (prescribed by other provider) - 300 mg capsule - 1 capsule(s) by mouth three times daily glyburide - (prescribed by other provider) - 2.5 mg tablet - 2 tablet(s) by mouth once a day lisinopril - (prescribed by other provider) - 40 mg tablet - 1 tablet(s) by mouth once a day naproxen - (prescribed by other provider) - 500 mg tablet - 1 tablet(s) by mouth q 8 hr as needed for prn nitroglycerin - (prescribed by other provider) - 0.4 mg tablet, sublingual - 1 tablet(s) sublingually q 5 minutes as needed for as needed for chest pain omeprazole - (prescribed by other provider) - 20 mg capsule, delayed release(e.c.) - 1 capsule(s) by mouth once a day potassium chloride - (prescribed by other provider) - 10 meq capsule, sustained release - 1 capsule(s) by mouth once a day simvastatin - (prescribed by other provider) - 40 mg tablet - 1 tablet(s) by mouth once a day terazosin - (prescribed by other provider) - 1 mg capsule - 1 capsule(s) by mouth at hs terazosin - (prescribed by other provider) - 2 mg capsule - 1 capsule(s) by mouth at hs together for 3 mg at hs valsartan - (prescribed by other provider) - 320 mg tablet - 1 tablet(s) by mouth once a day metformin 1000mg isosorbide 90mg daily medications - otc ec aspirin - (prescribed by other provider) - 325 mg tablet, delayed release (e.c.) - 1 tablet(s) by mouth once a day magnesium - (prescribed by other provider) - 250 mg tablet - 1 tablet(s) by mouth q hs discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*30 capsule(s)* refills:*2* 2. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 4. bisacodyl 10 mg suppository sig: one (1) suppository rectal daily (daily) as needed for constipation. 5. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain/fever. 6. amiodarone 200 mg tablet sig: two (2) tablet po daily (daily): 400mg daily x 1 week, then 200mg daily until further instructed. disp:*60 tablet(s)* refills:*2* 7. albuterol sulfate 2.5 mg /3 ml (0.083 %) solution for nebulization sig: one (1) inhalation q6h (every 6 hours) as needed for wheezing. disp:*qs * refills:*0* 8. captopril 12.5 mg tablet sig: 0.5 tablet po tid (3 times a day). disp:*45 tablet(s)* refills:*2* 9. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 10. glyburide 5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 11. colchicine 0.6 mg tablet sig: 0.5 tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 12. cyclobenzaprine 10 mg tablet sig: one (1) tablet po hs (at bedtime) as needed for muscle pain. disp:*30 tablet(s)* refills:*0* 13. terazosin 1 mg capsule sig: three (3) capsule po hs (at bedtime). disp:*90 capsule(s)* refills:*2* 14. carvedilol 12.5 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 15. furosemide 40 mg tablet sig: one (1) tablet po bid (2 times a day): 40mg x 10 days, then resume previous home dose 40mg am, 30mg pm. disp:*60 tablet(s)* refills:*2* 16. potassium chloride 20 meq tablet, er particles/crystals sig: one (1) tablet, er particles/crystals po q12h (every 12 hours). disp:*60 tablet, er particles/crystals(s)* refills:*2* 17. gabapentin 100 mg capsule sig: one (1) capsule po tid (3 times a day). disp:*90 capsule(s)* refills:*2* 18. fenofibrate micronized 200 mg capsule sig: one (1) capsule po daily (). disp:*30 capsule(s)* refills:*2* 19. hydromorphone 2 mg tablet sig: 1-2 tablets po q3h (every 3 hours) as needed for pain. disp:*60 tablet(s)* refills:*0* 20. metformin 500 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 21. omeprazole 20 mg capsule, delayed release(e.c.) sig: two (2) capsule, delayed release(e.c.) po daily (daily). disp:*60 capsule, delayed release(e.c.)(s)* refills:*2* 22. sodium chloride 0.65 % aerosol, spray sig: sprays nasal qid (4 times a day) as needed for dry nares . disp:*qs * refills:*0* 23. magnesium oxide 250 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*2* discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease s/p cabg x 3 pmh: -ischemic and hypertensive cardiomyopathy, -chf s/p biv pacer-icd placement , echo-ef 45-50% with lvh ( -v/icd with epicardial lv lead placement ) -hypertension -hyperlipidemia -type 2 diabetes mellitus -obstructive sleep apnea - on 15 cpap -spinal stenosis, herniated disc (lumbar spinal stenosis. radiculopathy, neurogenic claudication.,right l5), s/p fusion far-lateral nerve compression) -s/p tonsillectomy -nephrolithiasis s/p lithotripsy -bph -gout -sigmoid diverticulosis by ct scan in -cad s/p des d1, discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with percocet incisions: sternal - healing well, no erythema or drainage leg right - healing well, no erythema or drainage. 1+ edema 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 **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 (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnoses: obstructive sleep apnea (adult)(pediatric) coronary atherosclerosis of native coronary artery congestive heart failure, unspecified diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled acute kidney failure, unspecified other and unspecified hyperlipidemia automatic implantable cardiac defibrillator in situ acute on chronic systolic heart failure unspecified hypertensive heart disease with heart failure cardiomyopathy in other diseases classified elsewhere 

Answer: The patient is high likely exposed to