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 catheterization four vessel coronary artery bypass grafting utilizing left internal mammary artery to left anterior descending, vein grafts to ramus and right coronary artery history of present illness: this is a 59 year old male with strong family history of coronary artery disease. he recently stressing testing due to complaints of exertional chest discomfort. the stress test was positive for ischemia, and he was subsequently admitted to the for cardiac catheterization. past medical history: hypertension hyperlipidemia gerd benign prostatic hypertrophy prior neck surgery social history: quit tobacco over 15 years ago. admits to only rare etoh. employed as an engineer. he is married. family history: father died of an mi at age 60. physical exam: vitals: bp 180/82, hr 65, rr 19 general: wdwn male in no acute distress, bed rest cath heent: oropharynx benign, eomi neck: supple, no jvd lungs: cta bilaterally heart: regular rate and rhythm, normal s1s2, no murmur or rub abdomen: soft, nontender with normoactive bowel sounds ext: warm, no edema pulses: 2+ distally neuro: alert and oriented, cn 2- 12 grossly intact, no focal deficits noted pertinent results: cath: coronary angiography in this right dominant system demonstrated one vessel disease. the lmca had a 80% distal stenosis. the lad had moderate diffuse disease. the left circumflex artery had mild luminal irregularities. the rca had 60% stenosis in the mid section. echo: pre-bypass: 1. the left atrium is moderately dilated. no mass/thrombus is seen in the left atrium or left atrial appendage. no thrombus is seen in the left atrial appendage. 2. no atrial septal defect is seen by 2d or color doppler. 3. overall left ventricular systolic function is low normal (lvef 50-55%). 4. the right ventricular cavity is mildly dilated. 5. there are simple atheroma in the descending thoracic aorta. 6. there are three aortic valve leaflets. the aortic valve leaflets are mildly thickened. trace aortic regurgitation is seen. 7. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. 8. the pulmonic valve leaflets are thickened. 9. there is no pericardial effusion. post-bypass: on infusion of phenylephrine. improved biventricular systolic function. lvef now 60%. mild mr. , tr, pi. aortic contour is normal postdecannulation. cxr: widening of left cardiomediastinal contour is stable in appearance compared to previous postoperative radiographs. right internal jugular vascular catheter has been removed with no evidence of pneumothorax. unusual lucency is identified within the left retrocardiac region on only the pa view without comparable finding on lateral view. left lower lobe atelectasis shows interval improvement. small pleural effusions are present bilaterally. within the imaged portion of the upper abdomen, mildly distended loops of bowel are present, possibly due to postoperative ileus but incompletely evaluated on this study. 09:40am blood wbc-7.0 rbc-4.58* hgb-15.1 hct-42.1 mcv-92 mch-32.9* mchc-35.7* rdw-13.3 plt ct-215 02:55am blood wbc-13.4* rbc-2.58*# hgb-8.4*# hct-23.9*# mcv-93 mch-32.7* mchc-35.3* rdw-13.6 plt ct-138* 06:20am blood wbc-7.1 rbc-3.31* hgb-10.4* hct-30.0* mcv-91 mch-31.4 mchc-34.6 rdw-14.1 plt ct-146* 09:40am blood pt-12.4 inr(pt)-1.1 02:55am blood pt-14.7* ptt-28.4 inr(pt)-1.3* 09:40am blood glucose-110* urean-17 creat-1.2 na-141 k-4.9 cl-105 hco3-27 angap-14 06:20am blood glucose-105 urean-18 creat-1.2 na-139 k-4.1 cl-103 hco3-28 angap-12 06:20am blood calcium-8.1* phos-2.2* mg-2.2 brief hospital course: mr. cardiac catheterization which revealed a severe 80% left main lesion. given his critical coronary anatomy, he was urgently taken to the operating room where coronary artery bypass grafting was performed by dr. . for surgical details, please see separate dictated operative note. following the operation, he was brought to the csru for invasive monitoring. within 24 hours, he awoke neurologically intact and was extubated. he maintained stable hemodynamics and weaned from intravenous therapy without difficulty. his csru course was otherwise uneventful and he transferred to the sdu on postoperative day one. he tolerated beta blockade and remained in a normal sinus rhythm. he was given several units of packed red blood cells for a postoperative anemia. over several days, beta blockade was advanced as tolerated and he continued to make clinical improvements with diuresis. he was eventually cleared for discharge to home on postoperative day five with vna services and the appropriate follow-up appointments. medications on admission: lisinopril 10 , zocor 40 qd, aciphex 40 qd, doxasozin 1 qd discharge medications: 1. 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* 2. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*0* 3. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* 4. 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* 5. simvastatin 40 mg tablet sig: one (1) tablet po daily (daily). disp:*30 tablet(s)* refills:*0* 6. doxazosin 1 mg tablet sig: one (1) tablet po hs (at bedtime). disp:*30 tablet(s)* refills:*0* 7. aciphex 20 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* 8. furosemide 40 mg tablet sig: one (1) tablet po once a day for 10 days. disp:*10 tablet(s)* refills:*0* 9. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po once a day for 10 days. disp:*20 capsule, sustained release(s)* refills:*0* 10. preop meds please do not take your lisinopril until instructed by your cardiologist discharge disposition: home with service facility: homecare discharge diagnosis: coronary artery disease - s/p coronary artery bypass graft postoperative anemia pmh: hypertension, hyperlipidemia, gastroesophageal reflux disease, benign prostatic hypertrophy 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 weeks dr. in 1 weeks please schedule wound check with rn procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery coronary arteriography using two catheters (aorto)coronary bypass of two coronary arteries left heart cardiac catheterization diagnostic ultrasound of heart transfusion of packed cells diagnoses: anemia, unspecified coronary atherosclerosis of native coronary artery esophageal reflux intermediate coronary syndrome unspecified essential hypertension hypertrophy (benign) of prostate without urinary obstruction and other lower urinary tract symptom (luts) other and unspecified hyperlipidemia family history of ischemic heart disease 

Answer: The patient is high likely exposed to