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: exertional angina major surgical or invasive procedure: coronary artery bypass grafting with left internal mammary artery to left anterior descending artery, reverse saphenous vein graft to obtuse marginal artery, reverse saphenous vein graft to ramus artery, reverse saphenous vein graft to posterior descending artery history of present illness: 68year old man with hypertension and hyperlipidemia who presented to the emergency room of outside hospital with 2 weeks history of exertional angina. he was started on the stemi protocol and was transferred to for cardiac catheterization. cardiac catherterization showed three vessel coronary disease, an intraaortic ballon pump was placed and the patient was referred fro cardiac surgery. past medical history: hypertension hyperlipidemia s/p tonsillectomy social history: lives with wife. retired tobacco use. occaisional etoh family history: father mi in his 50's physical exam: admission vs t hr 59 sr bp rr 12 o2sat gen nad neuro grossly intact heent neck supple no la/bruits chest cta-bilat cv rrr, no murmur abdm soft, nt/+bs ext warm, well perfused, no varicosities. palpable pulses throughout discharge vs t 98.0 hr 94 af bp 150/90 rr 22 o2sat 99% 2lnp gen nad neuro a&ox3, non focal exam pulm diminished at bases, otherwise clear cv irreg-irreg. sternum stable incision cdi abdm soft, nt/+bs ext warm, + pedal edema bilat. left leg evh site cdi pertinent results: 08:06pm glucose-114* urea n-24* creat-1.5* sodium-138 potassium-3.8 chloride-98 total co2-32 anion gap-12 08:06pm alt(sgpt)-17 ast(sgot)-19 ld(ldh)-165 ck(cpk)-93 alk phos-53 amylase-76 tot bili-0.5 08:06pm lipase-41 08:06pm ck-mb-notdone ctropnt-<0.01 08:06pm albumin-4.3 calcium-9.3 phosphate-3.8 magnesium-2.0 08:06pm %hba1c-6.0* 08:06pm wbc-8.6 rbc-3.85* hgb-13.0* hct-35.7* mcv-93 mch-33.7* mchc-36.3* rdw-12.7 08:06pm plt count-258 ======================================= 07:00am blood hct-31.7*# 11:15am blood plt ct-159 03:15am blood pt-13.7* inr(pt)-1.2* 07:00am blood glucose-131* urean-50* creat-1.4* na-141 k-4.0 cl-104 hco3-24 angap-17 ======================================= , j m 68 radiology report chest (pa & lat) study date of 11:32 am , csurg fa6a sched chest (pa & lat) clip # f/u effusions/atx final report history: status post cabg. findings: in comparison with the study of , the patient has taken a slightly better inspiration. no definite pneumothorax is appreciated. opacification at the left base is again seen consistent with atelectasis and effusion. the right lung and upper portion of the left lung are clear. dr. approved: 1:15 pm ========================================== echocardiography report , (complete) done at 9:14:55 am final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 68 m hgt (in): 68 bp (mm hg): 145/78 wgt (lb): 175 hr (bpm): 67 bsa (m2): 1.93 m2 indication: chest pain. coronary artery disease. left ventricular function. right ventricular function. valvular heart disease. intraoperative tee for cabg procedure. icd-9 codes: 786.51, 440.0, 786.05, 424.1, 424.0 test information date/time: at 09:14 interpret md: , md test type: tee (complete) son: , md doppler: full doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: adequate tape #: 2009aw2-: machine: aw2 echocardiographic measurements results measurements normal range left ventricle - septal wall thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - inferolateral thickness: 0.9 cm 0.6 - 1.1 cm left ventricle - diastolic dimension: 4.9 cm <= 5.6 cm left ventricle - ejection fraction: 55% >= 55% aorta - annulus: 1.9 cm <= 3.0 cm aorta - sinus level: 2.6 cm <= 3.6 cm aorta - sinotubular ridge: 2.1 cm <= 3.0 cm aorta - ascending: 2.8 cm <= 3.4 cm aorta - arch: 2.4 cm <= 3.0 cm aorta - descending thoracic: 2.3 cm <= 2.5 cm aortic valve - peak velocity: *2.1 m/sec <= 2.0 m/sec mitral valve - mean gradient: 1 mm hg mitral valve - pressure half time: 59 ms mitral valve - mva (p t): 3.7 cm2 mitral valve - e wave: 0.5 m/sec mitral valve - a wave: 0.5 m/sec mitral valve - e/a ratio: 1.00 findings left atrium: normal la and ra cavity sizes. right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness, cavity size, and global systolic function (lvef>55%). normal regional lv systolic function. overall normal lvef (>55%). no resting lvot gradient. right ventricle: normal rv chamber size and free wall motion. aorta: normal diameter of aorta at the sinus, ascending and arch levels. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. trace ar. mitral valve: normal mitral valve leaflets with trivial mr. mild mitral annular calcification. no ms. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. mild tr. pulmonic valve/pulmonary artery: physiologic (normal) pr. pericardium: no pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. conclusions pre-bypass: 1. the left atrium and right atrium are normal in cavity size. no atrial septal defect is seen by 2d or color doppler. 2. left ventricular wall thickness, cavity size, and global systolic function are normal (lvef>55%). regional left ventricular wall motion is normal. 3. right ventricular chamber size and free wall motion are normal. 4.the diameters of aorta at the sinus, ascending and arch levels are normal. there are simple atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. trace aortic regurgitation is seen. 6. the mitral valve appears structurally normal with mild mitral regurgitation. 7. there is no pericardial effusion. 8. iabp in good position approximately 2 cm distal to the left subclavian artery. post-bypass: 1. left and right ventricular function is preserved. 2. the aorta is intact. 3. the iabp remains in good position. 4. the remainder of the examination is unchanged. dr. was notified in person of the results in the operating room. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 16:36 brief hospital course: mr was admitted to the cardiology service after presenting to the emergency room with exertional angina. he had a cardiac catheterization and intraaortic balloon pump placed he was then referred for coronary artery bypass grafting. on he was brought to the operating room where he underwent coronary artery bypass grafting times four, please see the operative report for details, in summary he had a left internal mammary artery to left anterior descending artery, reverse saphenous vein graft to obtuse marginal artery, reverse saphenous vein graft to ramus artery, reverse saphenous vein graft to posterior descending artery. he tolerated the operation well and was transferred from the operating room to the cardiac surgery intensive care unit in stable condition. in the immediate post operative period he was hemodynamically stable but became agitated at initial attempts to wean from the ventilator and was therefore re-sedated and not extubated until post operative day one after his intraaortic ballon pump was removed. he was then transferred from the intensive care unit to the stepdown floor for continued post operative care. the patient had several episodes of post operative atrial fibrillation which were treated with beta blockade and amiodarone, additionally the patient was bejun on oral anticoagulation with coumadin. once on the floor the patient had an uneventful post operative course. his tubes, lines and drains were removed according to protocol. he was begun on diuretics and beta blockers. he was transfused two units of packed red blood cells for a hematocrit of 21%. he initially had some urinary retention and the foley catheter was re-inserted. after two days of treatment with flomax, the foley was discontinued and the patient voided without difficulty. the patient was deconditoned and made slow progress with physical therapy. he was discharged to rehab on pod 5. medications on admission: toprol xl 100' lisinopril/hctz 20/12.5' asa 81' lovaza simvastatin 40' ntg prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 3. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed. 4. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours as needed for pain. 5. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po hs (at bedtime) as needed for constipation. 6. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 7. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). 8. amiodarone 200 mg tablet sig: two (2) tablet po bid (2 times a day): 400mg x1 wk then 200mg x1 wk then 200mg qd. 9. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). 10. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po q12h (every 12 hours): 20meqbid x1 week then qd. 11. lasix 40 mg tablet sig: one (1) tablet po twice a day: 40mg x1 week then qd. 12. insulin lispro 100 unit/ml solution sig: sliding scale subcutaneous q ac&hs. 13. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). 14. ipratropium bromide 0.02 % solution sig: one (1) neb inhalation q6h (every 6 hours) as needed. 15. warfarin 1 mg tablet sig: as directed tablet po once a day: target inr 2.0-2.5 patient to receive 4 mg on . 16. lisinopril 10 mg tablet sig: one (1) tablet po once a day. discharge disposition: extended care facility: tba discharge diagnosis: coronary artery disease s/p coronary artery bypass grafting x four post operative atrial fibrillation pmh: hypertension hyperlipidemia s/p tonsillectomy discharge condition: good discharge instructions: keep wounds clean and dry. ok to shower, no bathing or swimming. take all medications as prescribed. call for any fever, redness or drainage from wounds. followup instructions: dr in weeks dr in weeks dr in 4 weeks md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters left heart cardiac catheterization implant of pulsation balloon transfusion of packed cells diagnoses: hyperpotassemia subendocardial infarction, initial episode of care anemia, unspecified coronary atherosclerosis of native coronary artery acute kidney failure with lesion of tubular necrosis unspecified essential hypertension cardiac complications, not elsewhere classified atrial fibrillation other and unspecified hyperlipidemia surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation long-term (current) use of anticoagulants retention of urine, unspecified 

Answer: The patient is high likely exposed to