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: continuation: the patient was transferred from hospital for cardiac catheterization. please see previous dictation for history of present illness and past medical history. the patient was treated by the medical service for several days and on was brought to the cardiac cath lab which revealed severe lv dysfunction with moderate to severe pulmonary hypertension. the left main had a 60 percent ostial lesion, lad with a mid 80 percent lesion, diagonal with a mid to distal 80-90 percent with septal collaterals, circumflex with 80-90 percent stenosis of om1, rca with a proximal 60 percent lesion and an ostial 90 percent lesion and diffuse disease throughout the rca. no lv gram was done due to elevated filling pressure. following cardiac catheterization, ct surgery was consulted. following consultation with cardiac surgery, the patient was scheduled for a viability study and scan to determine if the patient was an operative candidate. this study showed viability of the myocardium within the lad distribution as well as the pda. the patient was ultimately scheduled for coronary artery bypass grafting. however, prior to his operative date, the patient returned to the cath lab and an intraaortic balloon pump was placed. on , the patient was brought to the operating room at which time he underwent coronary artery bypass grafting times three. please see the or report for full details. in summary, the patient had a cabg times three with a lima to the lad, saphenous vein graft to the pda, saphenous vein graft to the diagonal. he tolerated the operation and was transferred from the operating room to the cardiothoracic intensive care unit. at the time of transfer, the patient was in an av paced rhythm at 95 beats per minute with a mean arterial pressure of 90, cvp of 11 and a pad of 21. he had dobutamine 5 mcg/kg/min and levophed at 0.1 mcg/kg/min as well as propofol at 20 mcg/kg/min. the patient did well in the immediate postoperative period. his anesthesia was reversed. he was ventilated and successfully weaned and was ultimately extubated. he remained hemodynamically stable throughout the remainder of his operative day. on postoperative day 1, the patient continued to be hemodynamically stable. his intraaortic balloon pump was weaned and ultimately removed. following removal of his balloon pump, his dobutamine infusion was weaned. on postoperative day 2, the patient was noted to have increasing abdominal distention and an elevated white blood cell count. general surgery was consulted at that time to assess for ischemia of bowel or the gi tract. it was felt that the abdominal distention was an ileus and the patient was followed by general surgery service for the next several days. the patient was also seen by the electrophysiology service who interrogated his pacemaker. throughout this period, he remained hemodynamically stable. by postoperative day 4, the patient's vasoactive iv drips were weaned to off. his bowel function seemed to have returned. he was started on sips and advanced to clears which he tolerated well and his white blood cell count began to trend down. the patient spent several additional days in the cardiothoracic intensive care unit while he was anticoagulated and his diet was advanced. ultimately, on postoperative day 7, he was transferred to the floor. once on the floor, with the assistance of the nursing staff and physical therapy, the patient's activity level was gradually advanced. he continued his coumadin load and had an otherwise uneventful hospital course. on postoperative day 13, it was decided that the patient was stable and ready to be transferred to rehabilitation. at the time of this dictation, the patient's physical exam is as follows. vital signs - temperature 98, heart rate 69 paced, blood pressure 115/69, respiratory rate 20, o2 sat 96 percent on room air. on physical examination, he is in no acute distress. neurologic - alert and oriented times three, moves all extremities and follows commands. cardiovascular - irregular rate and rhythm, s1 and s2. sternum is stable and incision with staples open to air, clean and dry. respiratory - clear to auscultation bilaterally. abdomen is soft and nontender, nondistended with normoactive bowel sounds. extremities are warm and well-perfused with 1-2 plus edema bilaterally. the left lower extremity incision with steri- strips, open to air, clean and dry. condition on discharge: stable. discharge diagnoses: cad, status post coronary artery bypass grafting times three with a lima to the lad, saphenous vein graft to pda, saphenous vein graft to the diagonal. congestive heart failure with an ejection fraction of 15 percent. permanent pacemaker. hypertension. hypercholesterolemia. atrial fibrillation. peptic ulcer disease. pulmonary hypertension. follow up: the patient is to have follow-up with dr. in weeks, dr. in weeks and dr. in 4 weeks. discharge medications: plavix 75 mg qd for two months, colace 100 mg , amlodipine 10 mg qd, amiodarone 400 mg qd times one week, then 200 mg qd, simvastatin 10 mg qd, prilosec 40 mg qd, aspirin 81 mg qd, warfarin as directed to a goal inr of 2 to 2.5, toprol-xl 25 mg qd, bumex 1 mg qd, insulin 70/30 13 units qam and 8 units qpm, regular insulin sliding scale and dilaudid 2 mg q3-4h, prn. , procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery combined right and left heart cardiac catheterization coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries implant of pulsation balloon nonoperative removal of heart assist system other nonoperative cardiac and vascular measurements diagnoses: coronary atherosclerosis of native coronary artery congestive heart failure, unspecified atrial fibrillation unspecified disorder of kidney and ureter paralytic ileus diabetes mellitus without mention of complication, type i [juvenile type], not stated as uncontrolled chronic diastolic heart failure chronic pulmonary heart disease, unspecified 

Answer: The patient is high likely exposed to