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 discomfort major surgical or invasive procedure: cardiac catherization coronary artery bypass graft x4 (left internal mammary artery > left anterior descending, saphenous vein graft > ramus, saphenous vein graft > obtuse marginal, saphenous vein graft > posterior descending artery) history of present illness: 66 y.o. male with history of hypertension, not on medication, no other risk factors, and generally is averse to medical care, presents for evaluation of chest discomfort at rest. patient first noticed intermittent exertional chest discomfort 1 week pta, walking 6-7 minutes after dinner with substernal chest tightness, non-radiating, not associated with any shortness of breath, diaphoresis, or nausea, and resolved with rest after 2 minutes. he subsequently had 3-4 episodes after similar amount of activity. on the day of admission, patient had the chest discomfort at rest while sitting down after lunch, , this time with diaphoresis. he initially got in his car and drove to pick up some aspirin, which he took. he then called his daughter who saw him and said he "looked paled," which prompted him to call his pcp and be sent to the ed. the patient's symptoms were essentially continuous for a period of about 1 hour until he arrived in the ed, although somewhat improved after taking the aspirin. he was found to have sbp 197 in ed and received asa, metoprolol 5mg iv x 1, followed by ntg sl x 3, and then noticed decline of his symptoms and eventual resolution. past medical history: 1. hypertension 2. bph (takes saw otc) social history: smoked cigars from age 20, for period 10 years, quit 35 years ago. occasional etoh (1 drink per night). works in plumbing/pipe repair - retired family history: no family history of premature coronary artery disease or sudden cardiac death. 2 brothers with diabetes and hypertension. physical exam: admission physical exam: vitals: bp:164/78 (down from 197/77), hr:71, rr:16, o2sat:98%onra, t:98.2 gen: nad, overweight, reluctant to stay in hospital and wants to go home. heent: eomi, anicteric, mmm, op clear neck: obese, jvp not appreciated, carotid pulses brisk, no bruits, no thyromegaly cor: rrr, no m/g/r, normal s1 and s2, radial, femoral, dp, pt pulses intact. pulm: appropriate respiratory effort, ctab, no w/r/r abd: soft, nt, nd, +bs, no pulsatile masses, no abdominal or femoral bruits, no hepatosplenomegaly ext: warm, well-perfused, no oedema. neuro: a&o x 3, cn ii-xii grossly intact skin: no rashes or ecchymoses pertinent results: 07:35am blood wbc-8.5 rbc-3.85* hgb-12.9* hct-35.1* mcv-91 mch-33.5* mchc-36.7* rdw-13.2 plt ct-281 05:27pm blood wbc-11.9*# rbc-4.83 hgb-15.9 hct-42.9 mcv-89 mch-33.0* mchc-37.2* rdw-13.0 plt ct-254 08:00am blood neuts-81.1* lymphs-13.4* monos-4.4 eos-0.5 baso-0.5 07:35am blood plt ct-281 05:02am blood pt-14.7* ptt-31.4 inr(pt)-1.3* 01:00am blood pt-13.6* ptt-81.8* inr(pt)-1.2* 05:27pm blood plt ct-254 07:35am blood glucose-120* urean-20 creat-1.0 na-138 k-4.2 cl-97 hco3-28 angap-17 05:27pm blood glucose-130* urean-18 creat-1.1 na-141 k-4.0 cl-104 hco3-24 angap-17 04:20am blood ck(cpk)-217* 05:45pm blood alt-23 ast-35 alkphos-63 amylase-55 totbili-0.7 04:20am blood ck-mb-12* mb indx-5.5 09:10am blood ck-mb-27* mb indx-7.5* ctropnt-1.06* 05:27pm blood ck-mb-10 mb indx-3.6 ctropnt-0.06* 07:35am blood calcium-8.7 phos-5.0* mg-2.4 05:45pm blood vitb12-159* 09:10am blood %hba1c-6.0* 05:45pm blood triglyc-193* hdl-34 chol/hd-5.2 ldlcalc-105 07:35am blood wbc-8.5 rbc-3.85* hgb-12.9* hct-35.1* mcv-91 mch-33.5* mchc-36.7* rdw-13.2 plt ct-281 07:35am blood plt ct-281 05:02am blood pt-14.7* ptt-31.4 inr(pt)-1.3* 07:35am blood glucose-120* urean-20 creat-1.0 na-138 k-4.2 cl-97 hco3-28 angap-17 brief hospital course: the patient was admitted to the 6 cardiology service with an nstemi. he had lateral precordial lead st segment depressions and a peak ck of 360 and troponin of 1.08. he was initally hesitant to undergo cardiac catherization, but after explanation of the risks and benefits with the patient and his family, he agreed and was taken to the catherization lab. catherization showed severe 3vd, a total occlusion of the lcx and 70% lm disease. he was continued on integrellin and heparin. cardiac surgery was consulted and his integrellin was d/c'd @1:00am on the day prior to surgery. on he was transported to the operating room and underwent coronary artery bypass graft surgery. please see operative report for further details. he tolerated the procedure well and was transferred to the csru for invasive monitoring in stable condition. later on op day he was weaned from sedation, awoke neurologically intact and was extubated. on post-op day his chest tubes were removed. he remained in the csru for respiratory management, he was genly diuresised. on post op day three his pacing wires were removed and he was transferred to the telemetry floor. physical followed patient during entire post-op course for strength and mobility. he continued to make steady process without any post-op complications and was discharged home with vna services on post-op day 5. medications on admission: 1. saw 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. aspirin 81 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:*0* 3. 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* 4. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 5. ranitidine hcl 150 mg tablet sig: one (1) tablet po once a day for 1 months. disp:*30 tablet(s)* refills:*0* 6. metoprolol tartrate 50 mg tablet sig: two (2) tablet po tid (3 times a day). disp:*180 tablet(s)* refills:*0* discharge disposition: home with service facility: discharge diagnosis: coronary artery disease s/p cabg non st elevation myocardial infarction hypertension discharge condition: good discharge instructions: please shower daily including washing incisions, no baths or swimming monitor wounds for infection - redness, drainage, or increased pain report any fever greater than 101 report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week no creams, lotions, powders, or ointments to incisions no driving for approximately one month no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: please call to schedule all appointments dr in 4 weeks () dr in 1 week () wound check appointment 2 as instructed by nurse () provider: , md phone: date/time: 4:00 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 angiocardiography of left heart structures left heart cardiac catheterization diagnoses: subendocardial infarction, initial episode of care coronary atherosclerosis of native coronary artery congestive heart failure, unspecified unspecified essential hypertension 

Answer: The patient is high likely exposed to