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: shellfish derived attending: chief complaint: chest pain major surgical or invasive procedure: - cardiac catheterization - coronary artery bypass grafting to four vessels (left internal mammary->left anterior descending artery, saphenous vein graft(svg)->diagonal artery, svg->first obtuse marginal artery, svg->second obtuse marginal artery). history of present illness: 57 yo spanish speaking cuban male with history of cad s/p stent yrs ago, htn, family history of cad, and tobacco use who presented to pcp with cp. instructed to go to ed after concerning ekg. pt ruled in for nstemi and was referred for cardiac cath. now asked to evaluate for cabg. past medical history: past medical history htn hyperlipidemia mi diabetes cad s/p stent past surgical history s/p hernia repair x3 coronary stent social history: race:hispanic last dental exam:years lives with:alone occupation:nigh club promoter tobacco:1ppd x30 yrs etoh:4 beers/week illicit drugs: occasional use; last one month ago family history: mother died age 67 of mi, father died of mi age 80 physical exam: pulse:75 resp:20 o2 sat: 96% ra b/p right:116/82 left: 108/86 height:5'7 weight:170 lbs general: skin: dry intact heent: perrla eomi neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur abdomen: soft non-distended non-tender bowel sounds + extremities: warm , well-perfused edema varicosities: none neuro: grossly intact pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 2+ left: 2+ radial right: 2+ left: 2+ discharge t 98.2 hr: 80-90 sr bp: 90-100/60 sats: 96% ra general: sitting in chair in no apparent distress heent: normocephalic, mucus membranes moist neck: supple card: rrr normal s1,s2 no murmur resp: clear breath sounds bilateral gi: benign extr: warm no edema incision: sternal and lle clean dry intact neuro: non-focal carotid bruit right: no left: no pertinent results: cardiac catheterization 1. coronary angiography of this right dominant system revealed three vessel coronary artery disease. the lmca was heavily calcified with a distal eccentric 40% stenosis. the lad had focal moderate calcification and was diffusely diseased. there was a proximal 30% stenosis and 50-60% stenosis in the mid vessel, and sent apical and septal collaterals to the rpl and rpda. the lcx was diffusely diseased with total occlusion after om2 with late filling of the lpl via left to left collaterals. the om2 had a moderate 40-50% stenosis. the rca had a proximal 40% stenosis followed by total occlusion in the proximal stent. all the coronaries were small caliber. 2. limited resting hemodynamics demonstrated normal systemic arterial blood pressure (sbp 115 mm hg). the left ventricular filling pressure was mildly elevated (lvedp 17 mm hg). there was no gradient upon pullback of the catheter from the lv into the aorta. 3. left ventriculography revealed mild anterior wall hypokinesis and severe hypokinesis of the inferolateral and inferior walls, with an ef of 36%. the degree of mitral regurgitation was unable to be assessed given ventricular ectopy. echo\ pre-bypass: the left atrium is normal in size. no spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. no atrial septal defect is seen by 2d or color doppler. left ventricular wall thicknesses and cavity size are normal. there is moderate to severe regional left ventricular systolic dysfunction with akinetic apex, severely hypokinetic mid-basal anterior, antero-septal and lateral wall. the remaining left ventricular segments are hypokinetic. right ventricular chamber size and free wall motion are normal. there are simple atheroma in the abdominal aorta. there are three aortic valve leaflets. the aortic valve leaflets (3) are mildly thickened. there is no aortic valve stenosis. no aortic regurgitation is seen. the mitral valve leaflets are moderately thickened. mild to moderate (+) mitral regurgitation is seen. there is no pericardial effusion. post cpb: 1. improved global and focal systolic function (epinephrine infusion). pesrsistent wall motion abnormalities 2. preserved right ventyricular systolci function. 3. mitral regurgitation is now mild. 4. intact aorta 10/17/0 wbc-11.3* rbc-3.64* hgb-10.7* hct-31.3* plt ct-196# wbc-12.0* rbc-3.52* hgb-10.5* hct-30.1* plt ct-111* wbc-7.7 rbc-5.13 hgb-15.1 hct-44.7 plt ct-315 urean-12 creat-0.9 na-137 k-3.9 cl-100 hco3-25 mg-2.1 alt-42* ast-25 alkphos-103 cxr: bilateral atelectasis, left greater than right, have improved. there is less mediastinal widening. there is better aeration of the lungs. sternal wires are aligned. there is no pneumothorax or pleural effusion. cardiac size is top normal. brief hospital course: mr. was admitted to the on for further management of his myocardial infarction. plavix, aspirin, heparin and a statin were started. a cardiac catheterization was performed which revealed severe three vessel disease. given the severity of his disease, the cardiac surgical service was consulted for surgical revascularization. mr. was owrked-up in the usual preoperative manner. plavix was allowed to clear from his system. on , mr. was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. postoperatively he was taken to the intensive care unit for monitoring. over the next 24 hours, mr. awoke neurologically intact and was extubated. beta blockade, aspirin and a statin were resumed. he transferred to the floor pod1, chest tubes and pacing wires were removed per protocol. he remained in sinus rhythm and hemodynamically stable. he autodiuresed, electrolytes repleted. he tolerated a regular diet. he was seen by physical therapy and was discharged to home on pod4. medications on admission: atenolol 50 mg /d,lipitor 40mg /d,asa 325 mg/d,temazepam 30mg/d discharge disposition: home with service facility: vna discharge diagnosis: primary: 1:heart attack 2:cad s/p coronary artery bypass grafting to 4 vessels secondary: 1:high cholesterol 2:tendonitis of the left arm discharge condition: in stable condition. discharge instructions: 1) monitor wounds for signs of infection. these include redness, drainage or increased pain. in the event that you have drainage from your sternal wound, please contact the at (. 2) report any fever greater then 100.5. 3) report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) no lotions, creams or powders to incision until it has healed. you may shower and wash incision. gently pat the wound dry. please shower daily. no bathing or swimming for 1 month. use sunscreen on incision if exposed to sun. 5) no lifting greater then 10 pounds for 10 weeks from date of surgery. 6) no driving for 1 month or while taking narcotics for pain. 7) call with any questions or concerns. followup instructions: please follow up with dr. at in 1 month. please follow-up with in weeks. 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 diabetes mellitus without mention of complication, type ii or unspecified type, not stated as uncontrolled other and unspecified hyperlipidemia anxiety state, unspecified old myocardial infarction chronic combined systolic and diastolic heart failure enthesopathy of unspecified site 

Answer: The patient is high likely exposed to