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: no known allergies / adverse drug reactions attending: chief complaint: chest pain major surgical or invasive procedure: coronary artery bypass graft x 3 mediastinal re-exploration for bleeding history of present illness: this 62 year old man presented to the emergency room at complaining of sunsternal pressure for 24 hours prior to presentation. he states that the pain similar to his previous myocardial infarction and was worse with exertion. he was also complaining of dyspnea with exertion. he stated he had stents about 10 years ago and took medications for about two years after the stents but stopped them himself and has not had follow up for several years. past medical history: coronary artery disease s/p mi/ptca of lad and rca-10yrs ago cardiomyopathy alcohol abuse social history: race: caucasian last dental exam: none recently lives: alone contact: none/ has ex wife, 2 sons(age 24/25) and sister occupation: automatic door repair cigarettes: smoked yes last cigarette hx:1ppd x 25yrs other tobacco use: etoh: 6 beers/day -last drink illicit drug use: none family history: no premature coronary artery disease physical exam: pulse: 65 resp: 18 o2 sat: 97%-ra b/p right: 124/79 left: height: weight: 55.4kg general: cachetic skin: dry intact psoriasis left ear/neck heent: perrla eomi 1 loose tooth-only tooth neck: supple full rom chest: lungs clear bilaterally heart: rrr irregular murmur none abdomen: soft non-distended non-tender +bs extremities: warm , well-perfused edema none varicosities: none neuro: grossly intact a&ox3, mae pulses: femoral right: 2+ left: 2+ dp right: 2+ left: 2+ pt : 1+ left: 1+ radial right: 2+ left: 2+ (cath site) carotid bruit none pertinent results: echo : pre-bypass: the left atrium is dilated. moderate to severe spontaneous echo contrast is seen in the body of the left atrium. the left atrial appendage emptying velocity is depressed (<0.2m/s). no thrombus is seen in the left atrial appendage. the right atrium is dilated. mild spontaneous echo contrast is seen in the body of the right atrium. a patent foramen ovale is present. a left-to-right shunt across the interatrial septum is seen. the left ventricular cavity is moderately dilated. overall left ventricular systolic function is severely depressed (lvef= 15-20 %) on low dose epinephrine infusion). the apical, inferior, inferoseptal, inferolateral, and lateral segments appear severlely hypokinetic and the anterior segments appear mildly to moderately hypokinetic. the right ventricular cavity is dilated with severe global free wall hypokinesis. there are simple atheroma and focal calcifications in the ascending aorta. there are simple atheroma & calcifications in the aortic arch. there are complex (>4mm) atheroma & focal calcifications in the descending thoracic aorta. epiaortic scanning was performed prior to aortic pursestring placement & cannulation. the aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. no aortic regurgitation is seen. the mitral valve leaflets are mildly thickened. trivial mitral regurgitation is seen. the tricuspid valve leaflets are mildly thickened. dr. was notified in person of the results in the operating room. postbypass: the patient was initially av paced and then was in sinus rhythm. the patient is receiving epinephrine & milrinone infusions. the inferior, inferoseptal, lateral and apical segments remain severely hypokinetic but the function of the anterior, anterolateral, and anteroseptal segments is improved. overall left ventricular systolic function is improved with an ef of about 25-30%. right ventricular systolic function is improved and is now mild to moderately globally depressed. valvular function remains unchanged. the aorta is intact after decannulation. 02:42pm blood wbc-11.6* rbc-4.58* hgb-14.1 hct-41.5 mcv-91 mch-30.8 mchc-34.0 rdw-13.4 plt ct-307 06:18pm blood wbc-15.4* rbc-3.74* hgb-11.6* hct-32.6* mcv-87 mch-31.1 mchc-35.7* rdw-14.2 plt ct-116* 06:11am blood wbc-13.2* rbc-3.56* hgb-10.9* hct-33.6* mcv-94 mch-30.6 mchc-32.4 rdw-13.8 plt ct-350 05:20am blood wbc-12.4* rbc-3.20* hgb-9.5* hct-29.4* mcv-92 mch-29.7 mchc-32.3 rdw-14.1 plt ct-458* 02:42pm blood pt-10.6 ptt-29.8 inr(pt)-1.0 02:25am blood pt-13.6* ptt-34.4 inr(pt)-1.3* 04:40am blood pt-19.1* inr(pt)-1.8* 11:15am blood pt-19.9* inr(pt)-1.9* 04:50am blood pt-22.0* inr(pt)-2.1* 02:42pm blood glucose-89 urean-12 creat-0.8 na-133 k-5.2* cl-96 hco3-27 angap-15 04:50am blood glucose-81 urean-34* creat-2.0* na-137 k-4.2 cl-97 hco3-29 angap-15 02:42am blood alt-40 ast-64* alkphos-182* totbili-1.6* 05:20am blood calcium-8.5 phos-4.8* mg-2.4 brief hospital course: mr. was transferred from the outside hospital to for surgical management of his coronary artery disease. upon transfer he was worked up for surgery. he required a plavix washout and on he was brought to the operating room for coronary artery bypass graft x 3. please see operative report for surgical details. he weaned from bypass on milrinone, epinephrine and neo synephrine. following surgery he was transferred to the cvicu for invasive monitoring in stable condition. very early on post-op day one he began having increased chest tube output and the chest x-ray was suspicious for hemothorax. he was brought back to the operating room for re-exploration and was found to have a branch of the lima bleeding. following this procedure he was brought back to the cvicu for invasive monitoring. he remained stable on a moderate amount of pharmacologic support. he weaned from the ventilator, and pressors over two days. the milrinone was left for several days and slowly weaned off. after eight or so hours his urine output fell and he was begun again on the inotrope with a good response. the milrinone was again weaned slowly, and ace-i was started and he remained stable. coumadin was given for his paroxysmal atrial and low ejection fraction. the heart failure service was consulted and he will follow up in their clinic. he progressed slowly, was diuresed towards his preoperative weight and his appetite gradually improved. her had a large fungating mass on the left parietal scalp in the area of a scalp laceration from two years ago. the plastic surgery and dermatology services were consulted and a biopsy was positive for basal cell cancer. this will be followed at the clinic and excision will be performed. in the meanwhile, bacitracin ointment and a dry sterile dressing will be used topically. the patient was ready for rehab on and discharged with appropriate appointments, medications and instructions. medications on admission: aspirin 325 daily discharge medications: 1. atorvastatin 40 mg tablet sig: one (1) tablet po daily (daily). 2. lisinopril 5 mg tablet sig: one (1) tablet po daily (daily). 3. dronabinol 2.5 mg capsule sig: one (1) capsule po bid (2 times a day). 4. metoprolol succinate 25 mg tablet extended release 24 hr sig: 0.5 tablet extended release 24 hr po daily (daily). 5. 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* 6. bacitracin 500 unit/g ointment sig: one (1) appl ophthalmic daily (daily): to scalp lesion. 7. magnesium hydroxide 400 mg/5 ml suspension sig: thirty (30) ml po daily (daily) as needed for constipation. 8. acetaminophen 325 mg tablet sig: two (2) tablet po q4h (every 4 hours) as needed for fever or pain. 9. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). 10. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). 11. coumadin 2.5 mg tablet sig: as directed tablet po once a day: inr 2-2.5 for atrial fibrillation. 12. outpatient lab work inr/pt day after transfer, 48 hours later then prn. discharge disposition: extended care facility: - discharge diagnosis: coronary artery disease s/p coronary artery bypass graft x 3 basal cell carcinoma of scalp past medical history: s/p percutaneous coronary intervention of lad and rca-10yrs ago severe ischemic cardiomyopathy alcohol abuse discharge condition: alert and oriented x3, nonfocal ambulating with steady gait incisional pain managed with oral analgesics incisions: sternal - healing well, no erythema or drainage leg left - healing well, no erythema or drainage. edema 2+ discharge instructions: please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. look at your incisions daily for redness or drainage please no lotions, cream, powder, or ointments to incisions each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart no driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive no lifting more than 10 pounds for 10 weeks please call with any questions or concerns **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** followup instructions: you are scheduled for the following appointments surgeon: dr. () on at 1:00pm in the medical office building cardiologist: dr. on at 2:45pm **please call cardiac surgery office with any questions or concerns . answering service will contact on call person during off hours** labs: pt/inr for coumadin ?????? indication atrial fibrillation goal inr 2-2.5 first draw day after admission results to:will need coumadin follow up arranged at discharge procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries arterial catheterization incision of mediastinum other incision of pleura other surgical occlusion of vessels, thoracic vessels closed biopsy of skin and subcutaneous tissue diagnoses: coronary atherosclerosis of native coronary artery tobacco use disorder unspecified pleural effusion acute posthemorrhagic anemia acute kidney failure, unspecified cardiac complications, not elsewhere classified atrial fibrillation hematoma complicating a procedure percutaneous transluminal coronary angioplasty status other specified forms of chronic ischemic heart disease hemorrhage complicating a procedure other specified cardiac dysrhythmias surgical operation with anastomosis, bypass, or graft, with natural or artificial tissues used as implant causing abnormal patient reaction, or later complication, without mention of misadventure at time of operation old myocardial infarction other respiratory complications family history of ischemic heart disease alcohol abuse, continuous other specified forms of effusion, except tuberculous basal cell carcinoma of scalp and skin of neck 

Answer: The patient is high likely exposed to