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: 52m with acute onset of syncope, diaphoresis and weakness. major surgical or invasive procedure: three vessel coronary artery bypass grafting(left internal mammary to left anterior descending, vein grafts to obutuse marginal and posterior descending arteries) history of present illness: this 52m was in his usual state of health and experienced an acute episode of syncope, diaphoresis, and weakness which was followed by chest pain which radiated to his l arm and lasted 15-30 mins. he presented to the mwmc ed and had anterolateral ekg changes and a + ett. he underwent cardiac cath which revealed: 50% lm ., 99% lad ., 80% rca ., and a 40% lvef. he was transferred to for cardiac surgery. past medical history: htn ^chol. depression anxiety hernia repair vasectomy social history: lives with wife. cigs: none, smokes cigars. etoh: 1-2 bottles of wine/wk. family history: + cad, mother is s/p cabg, brother and father had mi physical exam: wdwn in nad avss heent: nc/at, perla, eomi, oropharynx benign neck: supple, from, no lymphadenopathy or thyromegaly, carotids 2+=bilat. without bruits lungs: clear to a+p cv: rrr without r/g/m, nl s1, s2 abd: +bs, soft, nontender, without masses or hepatosplenomegaly ext: without c/c/e neuro: nonfocal pertinent results: 06:35am blood wbc-9.6 rbc-3.51* hgb-10.7* hct-31.3* mcv-89 mch-30.6 mchc-34.4 rdw-12.9 plt ct-164 04:21am blood pt-14.0* ptt-34.7 inr(pt)-1.2* 06:35am blood glucose-91 urean-14 creat-0.9 na-137 k-4.4 cl-99 hco3-32 angap-10 radiology final report chest (portable ap) 11:33 am chest (portable ap) reason: ? ptx medical condition: 52 year old man with cad s/p cabg s/p tubes pull reason for this examination: ? ptx study: ap chest, . history: 52-year-old man status post cabg with coronary artery disease. findings: comparison is made to the previous study from , . endotracheal tube, swan-ganz catheter, nasogastric tube, and mediastinal drains have been removed. median sternotomy wires are present. no pneumothoraces are identified. there are no signs of focal consolidation. the cardiac size is enlarged. there is some atelectasis at the lung bases, most consistent with the poor inspiratory effort. dr. cardiology report echo study date of patient/test information: indication: intraoperative tee for cabg status: inpatient date/time: at 13:07 test: tee (complete) doppler: full doppler and color doppler contrast: none tape number: 2006aw2-: test location: anesthesia west or cardiac technical quality: adequate referring doctor: dr. r. measurements: left ventricle - inferolateral thickness: 1.0 cm (nl 0.6 - 1.1 cm) left ventricle - diastolic dimension: 5.2 cm (nl <= 5.6 cm) left ventricle - ejection fraction: 35% (nl >=55%) aorta - valve level: 2.6 cm (nl <= 3.6 cm) aorta - ascending: 2.6 cm (nl <= 3.4 cm) interpretation: findings: left atrium: no spontaneous echo contrast in the body of the laa. all four pulmonary veins identified and enter the left atrium. 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: wall thickness and cavity dimensions were obtained from 2d images. normal lv wall thickness. normal lv cavity size. moderate regional lv systolic dysfunction. moderately depressed lvef. lv wall motion: regional lv wall motion abnormalities include: basal anterior - hypo; mid anterior - hypo; basal anteroseptal - hypo; mid anteroseptal - hypo; basal inferoseptal - hypo; mid inferoseptal - hypo; basal inferior - hypo; mid inferior - hypo; basal inferolateral - hypo; mid inferolateral - hypo; basal anterolateral - hypo; mid anterolateral - hypo; anterior apex - hypo; septal apex - hypo; inferior apex - hypo; lateral apex - hypo; apex - hypo; right ventricle: normal rv chamber size. mild global rv free wall hypokinesis. aorta: normal aortic root diameter. focal calcifications in aortic root. normal ascending aorta diameter. simple atheroma in aortic arch. 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 mitral annular calcification. no ms. physiologic mr (within normal limits). tricuspid valve: normal tricuspid valve leaflets with trivial tr. pulmonic valve/pulmonary artery: normal pulmonic valve leaflets with physiologic pr. 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. no tee related complications. the patient was under general anesthesia throughout the for the patient. conclusions: pre-cpb no spontaneous echo contrast 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 are normal. the left ventricular cavity size is normal. there is mild lv global hypokinesis. there is moderate to severe hypokinesis of the septum and apex. overall ef is about 35%. right ventricular chamber size is normal. there is mild global right ventricular free wall hypokinesis. there are simple atheroma in the aortic arch. there are simple atheroma in the descending thoracic aorta. 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. physiologic mitral regurgitation is seen (within normal limits). there is a trivial/physiologic pericardial effusion. post-cpb the patient is receiving epinephrine by infusion. there remains mild biventricular systolic dysfunction. the focal wall motion abnormalities, namely moderate to severe septal and apical hypokinesis remain. overall ef may be slightly improved to 35 to 40%. no other change from pre-cpb findings. electronically signed by , md on 13:20. brief hospital course: the patient was transferred to the csru from mwmc on a heparin drip. he was in stable condition and on he underwent cabgx3(lima->lad, svg->pm, pda). cross clamp time was 61 mins, total bypass time was 81 mins. he tolerated the procedure well and was transferred to the csru on epi and propofol in stable condition. he was extubated on the post op night and had his chest tubes d/c'd on pod#2 and was transferred to the floor. his epicardial pacing wires were d/c'd on pod#3 and he was discharged to home in stable condition on pod#4. medications on admission: heparin gtt asa 325 mg po daily lisinopril 20 mg po daily clonazepam 0.5 mg po tid wellbutrin 150 mg po bid hctz 25 mg po daily protonix 40 mg po daily lipitor 80 mg po daily mso4 2-4 mg sc prn discharge medications: 1. docusate sodium 100 mg capsule sig: one (1) capsule po bid (2 times a day). disp:*60 capsule(s)* refills:*2* 2. aspirin 81 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po daily (daily). disp:*100 tablet, delayed release (e.c.)(s)* refills:*2* 3. atorvastatin 80 mg tablet sig: one (1) tablet po daily (daily). disp:*90 tablet(s)* refills:*2* 4. clonazepam 0.5 mg tablet sig: one (1) tablet po tid (3 times a day). disp:*90 tablet(s)* refills:*0* 5. bupropion 150 mg tablet sustained release sig: one (1) tablet sustained release po bid (2 times a day). disp:*60 tablet sustained release(s)* refills:*0* 6. oxycodone-acetaminophen 5-325 mg tablet sig: 1-2 tablets po every 6-8 hours as needed for pain. disp:*50 tablet(s)* refills:*0* 7. furosemide 20 mg tablet sig: one (1) tablet po bid (2 times a day) for 7 days. disp:*14 tablet(s)* refills:*0* 8. potassium chloride 10 meq capsule, sustained release sig: two (2) capsule, sustained release po q12h (every 12 hours) for 7 days. disp:*28 capsule, sustained release(s)* refills:*0* 9. pantoprazole 40 mg tablet, delayed release (e.c.) sig: one (1) tablet, delayed release (e.c.) po q24h (every 24 hours). disp:*30 tablet, delayed release (e.c.)(s)* refills:*2* 10. metoprolol tartrate 25 mg tablet sig: one (1) tablet po bid (2 times a day). disp:*60 tablet(s)* refills:*0* discharge disposition: home with service facility: vna discharge diagnosis: coronary artery disease - s/p cabg, hypertension, hypercholesterolemia, depression, anxiety discharge condition: good discharge instructions: patient may shower, no baths. no creams, lotions or ointments to incisions. no driving for at least one month. no lifting more than 10 lbs for at least 10 weeks from the date of surgery. monitor wounds for signs of infection. please call with any concerns or questions. followup instructions: cardiac surgeon in weeks, dr. - call for appt. local pcp, . in weeks - call for appt. local cardiologist, dr. in weeks - call for appt. procedure: single internal mammary-coronary artery bypass extracorporeal circulation auxiliary to open heart surgery (aorto)coronary bypass of two coronary arteries diagnoses: coronary atherosclerosis of native coronary artery pure hypercholesterolemia unspecified essential hypertension dysthymic disorder 

Answer: The patient is high likely exposed to