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: left main coronary artery dissection major surgical or invasive procedure: coronary artery bypass grafting x4(lima-lad, svg-ramus-om, svg-pda) history of present illness: the patient is a 62 year old white male who had been experiencing dyspnea on exertion which had developed into shortness of breath at rest. he presented to an outside hospital where a stress test was abnormal with st segment depression. the patient was brought to the cardiac cath lab for coronary angiography. he was found to have a left main coronary artery dissection, and was brought emergently to for surgical intervention. past medical history: coronary artery disease hypertension diabetes hyperlipidemia benign prostatic hyperplasia social history: lives with wife owns shop quit smoking 33 years ago rare alcohol family history: non-contributory physical exam: vs: 99, 98.6, 112/70, 76sr, 18, 95%ra gen: nad, wg, wn white male heent: unremarkable cv: rrr, no murmur or rub chest: lungs ctab abd: +bs, soft, non-tender, non-distended ext: warm, well-perfused, trace edema incisions: sternal- c/d/i without erythema or drainage, evh- c/d/i pertinent results: 06:10am blood wbc-10.8 rbc-3.35* hgb-10.0* hct-27.9* mcv-83 mch-29.7 mchc-35.8* rdw-13.6 plt ct-155 06:10am blood glucose-134* urean-15 creat-0.8 na-135 k-4.3 cl-97 hco3-30 angap-12 06:10am blood calcium-8.6 mg-1.9 echocardiography report , (complete) done at 5:05:46 pm final referring physician information , division of cardiothoracic , status: inpatient dob: age (years): 62 m hgt (in): 69 bp (mm hg): 134/67 wgt (lb): 175 hr (bpm): 75 bsa (m2): 1.95 m2 indication: intraoperative tee for cabg procedure. chest pain. hypertension. left ventricular function. mitral valve disease. preoperative assessment. icd-9 codes: 402.90, 786.51, 440.0, 424.0 test information date/time: at 17:05 interpret md: , md test type: tee (complete) son: , md doppler: limited doppler and color doppler test location: anesthesia west or cardiac contrast: none tech quality: suboptimal tape #: 2008aw2-: machine: aw2 echocardiographic measurements results measurements normal range left ventricle - ejection fraction: 30% >= 55% aorta - ascending: *3.5 cm <= 3.4 cm findings right atrium/interatrial septum: a catheter or pacing wire is seen in the ra and extending into the rv. no asd by 2d or color doppler. left ventricle: severe regional lv systolic dysfunction. severely depressed lvef. right ventricle: mild global rv free wall hypokinesis. aorta: normal aortic diameter at the sinus level. normal descending aorta diameter. simple atheroma in descending aorta. aortic valve: mildly thickened aortic valve leaflets (3). no as. no ar. mitral valve: mildly thickened mitral valve leaflets. mild (1+) mr. tricuspid valve: normal tricuspid valve leaflets with trivial tr. pericardium: trivial/physiologic pericardial effusion. general comments: a tee was performed in the location listed above. i certify i was present in compliance with hcfa regulations. the patient was under general anesthesia throughout the procedure. no tee related complications. the patient appears to be in sinus rhythm. results were personally reviewed with the md caring for the patient. regional left ventricular wall motion: n = normal, h = hypokinetic, a = akinetic, d = dyskinetic conclusions prebypass 1. no atrial septal defect is seen by 2d or color doppler. 2. there is severe regional left ventricular systolic dysfunction with hypokinesia of the apex, apical and mid portions of the anterior wall, anterior septum, septum and inferior septum. overall left ventricular systolic function is severely depressed (lvef= 30 %). 3. right ventricular function is mildly depressed.. 4. there are simple atheroma in the descending thoracic aorta. 5. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. 6. the mitral valve leaflets are mildly thickened. mild (1+) mitral regurgitation is seen. 7. there is a trivial/physiologic pericardial effusion. 8. dr. was notified in person of the results on at 1645pm. 9. unable to obtain transgastric views. post bypass 1. patient is being av paced and receiving an infusion of phenylephrine, epinephrine and milrinone. 2. lv systolic function is slightly improved. lvef =40% 3. aorta intact post decannulation. i certify that i was present for this procedure in compliance with hcfa regulations. electronically signed by , md, interpreting physician 19:00 ?????? caregroup is. all rights reserved. brief hospital course: mr. was brought emergently to the operating room on where he underwent cabg x 4. please see operative note for details. overall the patient tolerated the procedure well and post-operatively was transferred to the cvicu in stable condition for observation and recovery. by pod 1 the patient was extubated, alert and oriented and breathing comfortably. he was neurologically intact and hemodynamically stable on no inotropic or vasopressor support. he was transferred to the step down unit. chest tubes and pacing wires were discontinued without complication. he was diuresed toward his preoperative weight. the patient made excellent progress with physical therapy, showing good strength and balance before discharge. he was discharged home on pod 4 with appropriate follow up instructions. medications on admission: zestril 10' simvastatin 20' glipizide 5am, 10pm glucophage 1000'' clonazepam .5 hs prn asa 81' metoprolol 25' flomax 0.4' discharge medications: 1. simvastatin 20 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 2. lisinopril 2.5 mg tablet sig: one (1) tablet po once a day. disp:*30 tablet(s)* refills:*0* 3. metformin 500 mg tablet sig: two (2) tablet po bid (2 times a day). disp:*120 tablet(s)* refills:*0* 4. tamsulosin 0.4 mg capsule, sust. release 24 hr sig: one (1) capsule, sust. release 24 hr po qpm. disp:*30 capsule, sust. release 24 hr(s)* refills:*0* 5. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 4-6 hours. disp:*60 tablet(s)* refills:*0* 6. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po once a day. disp:*30 tablet, delayed release (e.c.)(s)* refills:*0* 7. docusate sodium 100 mg capsule sig: one (1) capsule po twice a day. disp:*60 capsule(s)* refills:*0* 8. glipizide 5 mg tablet sig: one (1) tablet po twice a day: 5mg qam, 10mg qpm. disp:*90 tablet(s)* refills:*0* 9. metoprolol tartrate 25 mg tablet sig: 1.5 tablets po bid (2 times a day). disp:*90 tablet(s)* refills:*0* 10. ranitidine hcl 150 mg tablet sig: one (1) tablet po twice a day for 1 months. disp:*60 tablet(s)* refills:*0* 11. clonazepam 0.5 mg tablet sig: one (1) tablet po qhs (once a day (at bedtime)) as needed. disp:*30 tablet(s)* refills:*0* 12. furosemide 20 mg tablet sig: one (1) tablet po once a day for 1 weeks. disp:*7 tablet(s)* refills:*0* 13. potassium chloride 20 meq tab sust.rel. particle/crystal sig: one (1) tab sust.rel. particle/crystal po once a day for 1 weeks. disp:*7 tab sust.rel. particle/crystal(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: s/p coronary artery bypass grafting x4(lima-lad, svg-ramus-om, svg-pda) pmh: hypertension, diabetes, hyperlipidemia, benign prostatic hyperplasia 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, and while taking narcotics no lifting more than 10 pounds for 10 weeks please call with any questions or concerns followup instructions: dr for dr at in 3 weeks dr in 3 weeks patient to call for all appointments md procedure: (aorto)coronary bypass of three coronary arteries single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery diagnostic ultrasound of heart 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 hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia 

Answer: The patient is high likely exposed to