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: history of present illness: this is a 60 year old male with sudden onset of chest pain who was seen at the hospital where he was noted to have t wave changes in the anteroseptal area and poor r wave progression. the patient underwent a catheterization which showed the patient had a calcified stenosis of the left anterior descending and also severe obtuse marginal disease and nondominant right coronary artery disease. the patient had an intra-aortic balloon pump placed and the patient was receiving integrilin and plavix, and was transferred to the . past medical history: none. past surgical history: bilateral inguinal hernia repair. allergies: no known drug allergies. medications at home: none. social history: the patient is a heavy smoker and drinks approximately two to three beers per day. physical examination: heart rate 86 in sinus rhythm, blood pressure 142/74 with intra-aortic balloon pump, respiratory rate of 16, sating 99 percent. the patient appears malnourished but alert and oriented with poor hygiene. the patient has temporal fat wasting and poor dentition and dry membranes. the patient's heart is regular rate and rhythm. lungs are clear to auscultation bilaterally. no rales. the patient's abdomen is soft, nontender, nondistended. extremities are cool and the patient has intra-aortic balloon pump in the right femoral artery. laboratory data: laboratory data at , white count 13, hematocrit 39, platelets 384. the patient's sodium was 139, potassium 4.2, chloride 103, bicarbonate 24, bun 18, creatinine 0.8. the patient had bedside echocardiogram which showed the patient had anterior akinesis. hospital course: the patient was admitted to the cardiac surgery service and underwent a coronary artery bypass graft times three, left internal mammary artery to left anterior descending, saphenous vein graft to ramus and saphenous vein graft to obtuse marginal 3. please see the dictated operative note for details of the operation. after the operation the patient was transferred to the cardiac surgery recovery unit. on postoperative day no. 1, the patient was off of propofol and was continued on milrinone at 0.5. the patient's heart rate was 110 sinus, blood pressure 109/55 with cardiac index of 3.56 with intra-aortic balloon pump at 1 to 2. the patient was positive for approximately 2 liters. the patient was extubated and had a respiratory rate of 24, and was sating 96 percent. the patient's temperature maximum was 101.5 and the current was 100.4. white count was 10.2 and hematocrit was 27.8. bun was 12 and creatinine was 0.7. on day #1, neurologically, the patient was weaned off of intra-aortic balloon pump and also weaned from milrinone, continued on intravenous fluids and chest physical therapy. the patient's diet was advanced to a cardiac diet and the patient's hematocrit was followed and electrolytes were repeleted. on postoperative day #2, the patient would still required some milrinone at 0.25, heart rate 115 sinus, blood pressure 105/58. cardiac index 3.48. the patient was positive, approximately 300 cc and had a temperature of 101.1, white count of 12.3, hematocrit 28.8, otherwise the patient was on a preoperative dose of vancomycin and was started on metoprolol and lasix. the patient's chest tubes were removed and milrinone was stopped and the swan was removed. the patient was put on a cardiac diet and stayed in the intensive care unit. on postoperative day no. 3, the patient had some low blood pressure issues and needed some neo-synephrine drip for over night but then it was weaned off by the morning. the patient's heart rate was 96 in sinus with a low blood pressure of 92/54. the patient was then negative, approximately 1 liter and was sating 97 percent on 4 liters and with good p.o. and had a temperature of 100.9, white count of 14.5 and hematocrit of 28.4. the patient's creatinine was 0.6. the patient was on metoprolol, lasix and captopril. the patient's captopril was stopped for low blood pressure and was the patient was continued on metoprolol and was put on a cardiac diet and a lasix was stopped. on postoperative day no. 4, the patient was on the floor and was doing well. the patient requested a nicotine patch and was started on a nicotine patch for a history of smoking. he remained afebrile with good blood pressure, but tachycardiac to 100. he had a hematocrit of 26.6 and creatinine of 0.6. otherwise doing well, was continued on metoprolol. the patient worked with physical therapy and was cleared from their standpoint. on postoperative day #5, the patient had no complaints, remained afebrile with blood pressures in the 80s/40s. the patient had a hematocrit of 26.3, creatinine 0.6. the patient 's lopressor was held and blood pressures were monitored. on postoperative day no. 6, over night, the patient had a temperature of 101.3 without any obvious source with negative chest x-ray and negative cultures. otherwise the patient's blood pressure was better at 116/68. the patient's hematocrit was 24.1 which the patient received one unit of packed red blood cells with lasix and creatinine was 0.7. on postoperative day no. 7, the patient had no events over night, remained afebrile with stable vital signs. the patient's hematocrit in the morning was 28.3 and creatinine was 0.3. the patient was doing well and was discharged home. discharge diagnosis: status post coronary artery bypass graft times three, coronary artery disease. status post bilateral inguinal hernia repair. discharge medications: 1. metoprolol 12.5 mg p.o. b.i.d. 2. colace 100 mg p.o. b.i.d. 3. percocet 1 to 2 tablets q. 4-6 hours prn pain. 4. zantac 150 mg p.o. b.i.d. 5. aspirin 325 mg p.o. q. day. 6. multivitamin one p.o. q. day. 7. thiamine 100 mg p.o. q. day. 8. folic acid 1 mg p.o. q. day. 9. nicotine patch 14 mg q. day, please have this dose adjusted by the primary care physician. follow up: please follow up with primary care physician in one to two weeks. please follow up with dr. in two weeks and please follow up with dr. in four weeks. condition on discharge: good. discharge disposition: home with . , m.d. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries transfusion of packed cells nonoperative removal of heart assist system diagnoses: other iatrogenic hypotension coronary atherosclerosis of native coronary artery tobacco use disorder unspecified protein-calorie malnutrition acute myocardial infarction of other anterior wall, initial episode of care percutaneous transluminal coronary angioplasty status other specified complications of procedures not elsewhere classified 

Answer: The patient is high likely exposed to