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: myocardial infarction major surgical or invasive procedure: - cardiac catheterization - emergent cabg x 4 (mammary to anterior descending artery, vein to posterior descending artery, vein to obtuse marginal arterty, vein to ramus) history of present illness: the patient is a 70-year-old gentleman who presented with the anterior myocardial infarction. he was taken emergently from the emergency room to the cath lab where he was found to have severe 3-vessel disease and timi-2 flow in the left anterior descending artery. it was elected to proceed with emergency bypass because of severe peripheral vascular disease and infra-aortic balloon pump could not be placed. he experienced ongoing angina. for this reason he was immediately taken to the operating. past medical history: htn hyperlipidemia mi social history: lives in . current smoker family history: unknown physical exam: gen: nad lungs: clear heart: rrr, nl s1-s2 abd: benign skin: warm, dry. ext: well perfused. no edema neuro: nonfocal pertinent results: 01:15pm pt-12.4 ptt-23.5 inr(pt)-1.1 01:15pm plt count-259 01:15pm wbc-10.2 rbc-4.70 hgb-14.4 hct-41.7 mcv-89 mch-30.6 mchc-34.5 rdw-14.3 01:15pm glucose-109* urea n-17 creat-0.8 sodium-141 potassium-4.2 chloride-108 total co2-25 anion gap-12 02:30pm alt(sgpt)-14 ast(sgot)-21 alk phos-57 tot bili-0.3 06:10am blood wbc-14.1* rbc-3.56* hgb-10.3* hct-30.5* mcv-86 mch-29.0 mchc-33.8 rdw-14.8 plt ct-328# 06:10am blood plt ct-328# 06:10am blood glucose-121* urean-22* creat-1.1 na-138 k-4.2 cl-99 hco3-30 angap-13 cardiac catheterization selective coronary angiography of this right dominant system demonstrated three vessel cad. the lmca was normal. the proximal lad had a 99% stenosis with thrombus present and timi ii flow distally with a 60% mid vessel stenosis. the lcx had a 70% stenosis of the ri and om1. the rca was a diffusely diseased vessel up to 70%. 2. left ventriculography was not performed. 3. limited resting hemodynamics demonstrated normal systemic pressures echo pre-cpb: the left atrium is normal in size. no spontaneous echo contrast is seen in the body of the right atrium. no atrial septal defect is seen by 2d or color doppler. the left ventricular cavity size is top normal/borderline dilated. there is an apical left ventricular aneurysm. there is moderate regional left ventricular systolic dysfunction. overall left ventricular systolic function is moderately depressed. no masses or thrombi are seen in the left ventricle. resting regional wall motion abnormalities include inferoapical and anteroapical hypokinesis with thinning of myocardium and aneurysmal dilatation. there is anteroseptal basal and apical hypokinesis. lvef= 30-35%.. the remaining left ventricular segments contract normally. right ventricular chamber size and free wall motion are normal. right ventricular chamber size is normal. right ventricular systolic function is normal. there is no mass/thrombus in the right ventricle. there are simple atheroma in the aortic root. there are simple atheroma in the ascending aorta. there are complex (>4mm) atheroma in the aortic arch. there are focal calcifications in the aortic arch. there are complex (>4mm) atheroma in the descending thoracic aorta. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. no masses or vegetations are seen on the aortic valve. there is no aortic valve stenosis. trace aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. there is a trivial/physiologic pericardial effusion. post-cpb: global lv systolic function 30-35%. anteroseptal, anteroapical, inferoseptal hypokinesis as described. on inotropic support ( epinephrine, phenylephrine). mr still mild. aortic contour intact after cannulation. brief hospital course: mr. was admitted to the on for a cardiac catheterization and further management of his chest pain. the cardiac catheterization revealed severe three vessel disease with clot in the left anterior descending artery. an attempt was made to place and iabp (intra-aortic balloon pump) for his chest pain however, it could not be placed due to his severe iliac artery disease. the cardiac surgical service was consulted emergently for surgical revascularization and mr. was worked-up in the usual preoperative manner. he was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. by postoperative day one, mr. was awake, extubated and neurologically intact. his drains were removed per protocol. later on postoperative day one, he was transferred to the step down unit for further recovery. he developed atrial fibrillation and his chest x-ray showed a right pneumothorax. he was subsequently transferred back to the intensive care unit for further monitoring. amiodarone was started. a right sided chest tube was placed with resolution of his pneumothorax. on postoperative day 4, he was again transferred back to the step down unit for further recovery. the physical therapy service worked with him daily to help with his strength and mobility. he was gently diuresed towards his preoperative weight. he remained in a normal sinus rhythm and thus heparin was stopped and coumadin was never started. mr. developed a fever for which he pan cultured. his fever subsequently subsided without further intervention. an ace inhibitor was started given his preoperative myocardial infarction. as mr. is a heavy smoker, smoking cessation has been recommended. support and medications have been offered to help him abstain from smoking but may best be acheived as an outpatient. mr. continued to make steady progress and was discharged home on postoperative day six. he will follow-up with dr. , his cardiologist and his primary care physician as an outpatient. medications on admission: none discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 2. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po q4h (every 4 hours) as needed for pain. disp:*50 tablet(s)* refills:*0* 3. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*90 tablet, delayed release (e.c.)(s)* refills:*4* 4. atorvastatin 10 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*2* 5. amiodarone 200 mg tablet sig: two (2) tablet po twice a day for 2 days: then switch to 400mg (2 tablets) once daily for 1 week, then take 200mg (1 tablet) once daily until otherwise instructed. . disp:*40 tablet(s)* refills:*2* 6. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*2* 7. furosemide 20 mg tablet sig: one (1) tablet po once a day for 3 days. disp:*3 tablet(s)* refills:*0* 8. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 3 days. disp:*3 tab sust.rel. particle/crystal(s)* refills:*0* 9. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*1* discharge disposition: home with service facility: homecare discharge diagnosis: cad acute mi hyperlipidemia htn paf discharge condition: good discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. 2) report any weight gain greater the 2 pounds in 24 hours or 5 pounds in 1 week. 3) no lifting greater then 10 pounds for 10 weeks from date of surgery. 4) no driving for 1 month fromdate of surgery or whenever taking narcotics for pain. 5) you may wash incision and pat dry. no bathing or swimming until it has healed. no lotions, creams or powders to incisions until they have healed. 6) amiodarone: take 2 tablets twice daily (400mg twice daily)for 2 more days then take 400mg (2 tablets) once daily for 7 days, then on take 200mg once daily (1 tablet) until otherwise instructed. your medication has been filled with 200mg tablets. 7) take lasix 20mg and potassium 20meq once daily for 3 days then stop. 8) call with any questions or concerns. followup instructions: follow-up with dr. 4 weeks ( follow-up with primary care physician . in 2 weeks. ( follow-up with cardiologist dr. in weeks. please call all providers with appointments. procedure: insertion of intercostal catheter for drainage (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 transfusion of packed cells diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified essential hypertension acute myocardial infarction of other anterior wall, initial episode of care atrial fibrillation other and unspecified hyperlipidemia iatrogenic pneumothorax atherosclerosis of native arteries of the extremities, unspecified 

Answer: The patient is high likely exposed to