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: cardiac cath urgent coronary artery bypass graft times 5; left internal mammary artery to left anterior descending artery, saphenous vein grafts to diagonal, obtuse marginal, posterior left ventricular branch and posterior descending arteries history of present illness: 60m with history of mi, dm (all prior care received in ), who presents with one week of exertional cp. patient recently ran out of medications, and has since experienced worsening of his chronic pain, which occurs with exertion. he moved to the us from two months ago, and has never been seen by a physician in the us. he describes his chest pain as intensity, sharp, radiating to bilateral shoulders l>r, and lasting about ten minutes at a time. it comes on early in the morning, or when walking up 4-5 stairs. he does not specifically notice a decrease in et, but does feel that this pain has worsened over the past week. it is associated with shortness of breath, and resolves with rest, chest massage and with sl nitro. he has had this pain in the past (prior to being started on his current medications in ). today, patient presented to a clinic in order to obtain refills of meds, and was told to come to the ed for workup of his chest pain. past medical history: coronary artery disease s/p myocardial infarction ~ 2 years ago in hypertension hyperlipidemia type ii diabetes mellitus seasonal allergies hepatitis b - ? liver hemagioma per family social history: moved from to us 2 months ago to be near his daughters. currently living with one of his daughters. - history: 35 pack year smoking history, stopped 1.5 years ago -etoh: denies any recent etoh, never heavy drinker -illicit drugs: none family history: mother died of mi age 73. no family history of diabetes physical exam: vs: t=97.7, bp=115/67, hr=68, rr=14, o2 sat=95% on ra, fs 241 general: wdwn middle aged chinese male in nad. heent: ncat. sclera anicteric. perrl, eomi. conjunctiva were pink, no pallor or cyanosis of the oral mucosa. no xanthalesma. neck: supple, no jvd cardiac: rrr, normal s1, s2. no m/r/g. no reproducible ttp over chest wall lungs: ctab, no crackles, wheezes or rhonchi. abdomen: soft, ntnd. no hsm or tenderness. extremities: no c/c/e. skin: no stasis dermatitis, ulcers, scars, or xanthomas. pertinent results: ett: fair exercise tolerance. anginal-limiting symptoms with ischemic st segment changes with resolution of st segment changes noted late post-exercise. flat blood pressure response to exercise. cardiac cath: 1. coronary angiography in this right dominant system revealed left main coronary artery disease, with 3 vessel disease. the lmca had an 80% distal stenosis. the lad had a 95% stenosis in the mid-portion, with a 90% stenosis of the diagonal branch. the lcx had a 80% stenosis at the origin. the rca had a long 70% proximal stenosis, with an 80% stenosis at the origin of the pda. 2. resting hemodynamics revealed systemic normotension, with sbp of 132 mmhg. carotid u/s: minimal plaque with bilateral less than 40% carotid stenosis. echo: pre-bypass: 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. right ventricular chamber size is normal. with mild global free wall hypokinesis. there are focal calcifications in the aortic arch. left venticular systolic function is 45% with dynamic focal abnormalities in the mid and apical inferior and anterior septum. the descending thoracic aorta is markedly dilated. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. mild (1+)aortic regurgitation is seen. the mitral valve leaflets are mildly thickened with no flail or prolapsing segments. the mitral annulus is 3.3 cm. moderate (2+) mitral regurgitation is seen and varied with dynamic intraoperative ischemia. there is no pericardial effusion. dr. was notified in person of the results on the patient before surgical incision. post-bypass: normal rv systolic function. lvef 50%. mild mr i. intact thoracic aorta. mild apical septal wall motion abnormalities seen. 12:01pm blood wbc-6.4 rbc-5.25 hgb-15.4 hct-45.4 mcv-86 mch-29.4 mchc-34.0 rdw-12.8 plt ct-247 04:30am blood wbc-10.7 rbc-3.58* hgb-10.7* hct-31.5* mcv-88 mch-29.8 mchc-33.8 rdw-14.3 plt ct-381 05:22am blood pt-12.9 inr(pt)-1.1 05:20am blood pt-13.1 inr(pt)-1.1 12:01pm blood glucose-143* urean-13 creat-0.9 na-138 k-4.2 cl-101 hco3-25 angap-16 04:30am blood glucose-137* urean-12 creat-0.9 na-132* k-4.1 cl-97 hco3-28 angap-11 08:00pm blood ck(cpk)-68 05:29am blood alt-47* ast-31 ld(ldh)-130 ck(cpk)-65 alkphos-59 totbili-0.8 04:30am blood alt-102* ast-37 03:26am blood albumin-3.4* calcium-8.3* phos-3.0 mg-2.3 brief hospital course: 60 year old chinese male with history of hypertension, hyperlipemia, diabetes mellitus, and myocardial infarction who presents with one week of exertional chest pain in the setting of running out of medications, most consistent with angina. he was ruled out for a myocardial infarction with three sets of negative cardiac enzymes. ecg showed septal q waves, possibly consistent with old anteroseptal infarct but no st segment changes. he was monitored on telemetry without arrhythmic events. ett was significant for ischemic st changes and anginal symptoms. consequently, the patient underwent cardiac cath showing 3 vessel disease and left main disease. he was maintained on asa, statin, beta blocker, and sl nitro prn. after his cath he was placed on a nitro gtt due to recurrent pain. after appropriate pre-operative work-up he was taken to the operating room on where he underwent a coronary artery bypass graft x 5. 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. beta blockers and diuretics were initiated and he was diuresed to his pre-op weight. on post-op day one he was transferred to the telemetry floor for further care. on post-op day two he had an episode of atrial fibrillation which was converted to sinus rhythm with amiodarone and beta blockers. chest tubes and epicardial pacing wires we removed on post-op day three. on post-op day four ep was consulted d/t post conversion pause following a fib to sinus rhythm. on post-op day five he had recurrence of atrial fibrillation and was treated with lopressor and started on coumadin (per ep recommendation). keflex was given for left arm phlebitis. during post-op period he worked with physical therapy for strength and mobility. over the next couple days coumadin was titrated for a goal inr between 2-2.5 (day of discharge inr was 1.1). coumadin follow-up was arranged with pcp at health and will have first blood draw on , . he was claered for discharge to home by dr. with vna services on post-op day seven with the appropriate follow-up appointments and medications. medications on admission: chinese medications: -alginic sodium 50 mg tid --?? -rhizoma 40 mg as needed for chest pain -betaloc 25 mg tid --? possibly beta blocker -isosorbide mononitrate 20 mg tid -asa 300 mg daily -novanorm/repaglinide 2 mg tid -fluvastatin 40 mg daily -vasorel/trimetazidine 20 mg daily - ?? med for angina -acipimox 0.25 grams tid -- ??med for lipids discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 3. aspirin 325 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* 4. oxycodone 5 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for pain. disp:*40 tablet(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 6. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po hs (at bedtime). disp:*30 capsule, sust. release 24 hr(s)* refills:*2* 7. glipizide 5 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*2* 8. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 9. pravastatin 20 mg tablet sig: one (1) tablet po daily (daily): needs lft in 1 week . disp:*30 tablet(s)* refills:*2* 10. keflex 500 mg capsule sig: one (1) capsule po four times a day for 7 days. disp:*28 capsule(s)* refills:*0* 11. amiodarone 200 mg tablet sig: one (1) tablet po tid (3 times a day): 200mg tid x 2 wks, then 200mg daily until stopped by cardiologist. disp:*60 tablet(s)* refills:*2* 12. warfarin 2 mg tablet sig: one (1) tablet po once a day: indication: post-op atrial fibrillation goal inr 2.0-2.5 pcp: np will follow inr and adjust dose accordingly. disp:*30 tablet(s)* refills:*2* 13. ibuprofen 600 mg tablet sig: one (1) tablet po q8h (every 8 hours) for 2 weeks. disp:*45 tablet(s)* refills:*0* discharge disposition: home with service facility: welpole vna discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 5 past medical history: hypertension hyperlipidemia type ii diabetes mellitus s/p myocardial infarction ~ 2 years ago in hepatitis b - ? liver hemagioma per family seasonal allergies discharge condition: alert and oriented x3 nonfocal ambulating with steady gait incisional pain managed with oxycodone incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage left arm phlebitis 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 until follow up with surgeon no lifting more than 10 pounds for 10 weeks **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. @ 1:00 pm lauglin health at 2pm - in weeks please call to schedule appointments with your: cardiologist dr. in weeks **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication: post-op atrial fibrillation goal inr 2.0-2.5 first draw at health during pcp appointment to follow coumadin - spoke with in office will also need lft's in 1 week from discharge. md 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 four or more coronary arteries diagnoses: coronary atherosclerosis of native coronary artery unspecified essential hypertension diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled atrial fibrillation other and unspecified hyperlipidemia other and unspecified angina pectoris old myocardial infarction other vascular complications of medical care, not elsewhere classified chronic viral hepatitis b without mention of hepatic coma without mention of hepatitis delta phlebitis and thrombophlebitis of upper extremities, unspecified chronic total occlusion of coronary artery 

Answer: The patient is high likely exposed to